Frontal_Image_Path
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The heart size is normal. The hilar 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>m with nausea and feeling unwell for past <num> days. wbc elevated from yesterday // pna eval
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Interval removal of previously seen right-sided picc.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragm.
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history: <unk>m with abd pain, pleurisy s/p liver biopsy // eval for free air
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There is moderate hyperinflation of the lungs. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. There is no focal consolidation.
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<unk>-year-old woman with altered mental status, please evaluate for pneumonia.
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Frontal and lateral radiographs of the chest. There has been interval substantial improvement in the bibasilar opacities, although they are not entirely cleared. No focal consolidation is seen. The heart, hilar and mediastinal contours are normal. No pleural abnormality is seen.
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status post kidney and pancreas transplant on <unk> presenting with fevers. evaluate for pulmonary edema.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
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<unk>-year-old male with chest pain.
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Heart size is mildly enlarged with a left ventricular predominance. The aorta is unfolded. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is noted in the lung bases. There are no acute osseous abnormalities. Clips are demonstrated in the left upper quadrant of the abdomen.
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history: <unk>m with new right upper and lower extremity weakness
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As compared to the previous radiograph, the right internal jugular vein catheter and the nasogastric tube has been removed. The lung volumes remain low, with a partial atelectasis of the middle lobe and subsequent blunting of the right hemidiaphragmatic contour and parts of the right heart contour. A small atelectasis is also seen at the left lung base. Moderate cardiomegaly without pulmonary edema. No evidence of pneumonia.
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pancreatic mass, status post whipple, evaluation.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormalities.
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<unk>-year-old female with two days of chest pain and tightness.
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Frontal and lateral views of the chest. There is a large left pleural effusion. The right lung is clear of consolidation. Trace blunting of the posterior costophrenic angles suggest trace effusion. There is mild pulmonary vascular congestion. Cardiomediastinal silhouette cannot be assessed given silhouetting the left heart border. No acute osseous abnormalities.
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<unk>-year-old female with chronic kidney disease, leukocytosis and shortness of breath for <num> days.
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The right-sided picc line shows a normal course, the tip of the line projects over the mid to lower svc, there is no evidence of pneumothorax or other complication. The <num> left-sided pacemaker leads are in unchanged position.
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<unk> year old man with advanced cardiomyopathy on home palliative dobutamine via a picc line in arm. // check picc line placement, please call asap- iv team to flush ports
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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. Moderate hypertrophic degenerative changes are visualized in the mid thoracic spine.
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history: <unk>m with pleuritic chest pain and cough
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Pa and lateral views of the chest. The lungs are clear focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. Surgical clips seen in the upper abdomen.
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<unk>-year-old female with chest pain.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. Bony structures are unremarkable.
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cough and sputum. history of recent upper respiratory infection.
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Lungs are well inflated without focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with right-sided chest pain. evaluate for acute cardiopulmonary process.
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There is no new focal consolidation or pneumothorax. There has been improved aeration of the left lung base since <unk>. Slight blunting of the right costophrenic angle is likely due to a small pleural effusion. Bibasilar atelectasis with scarring in the right middle lobe is unchanged since <unk>. Coarse right breast calcifications are redemonstrated. Cardiomediastinal silhouette is unchanged. Lungs remain hyperinflated. Osseous structures are unremarkable except for degenerative changes in the thoracic spine.
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<unk>-year-old female with shortness breath and fever, question pneumonia.
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Midline tracheostomy is again noted. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Left port-a-cath terminates at the cavoatrial junction.
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history: <unk>f with dyspnea, w/ history of bronchopulm dysplasia, increased productive cough // acute cardiopulm disease
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Pa and lateral views of the chest provided. Midline sternotomy wires are noted. There has been interval placement of a aicd device with leads extending to the region of the right atrium and right ventricle. Cardiomegaly is again noted. There is probable mild pulmonary edema. No large effusion or pneumothorax is seen. No confluent opacity concerning for pneumonia. Right rib cage deformity is chronic. No acute bony injury.
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<unk>m with sob and weight gain // eval for fluid overload, pna
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The lungs are relatively well expanded and grossly clear, with the exception of linear atelectasis the lower lungs bilaterally. There is no pleural effusion, pneumothorax, pulmonary edema, or focal opacification. The heart is top-normal in size, allowing for ap technique. No acute osseous abnormalities are detected. Multilevel degenerative changes are noted throughout the thoracic spine.
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<unk>f with c/p after fall // fx?
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.
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cough x<num> weeks.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. A calcified granuloma projects over the right upper lung unchanged. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No displaced rib fractures are seen. No free air below the right hemidiaphragm is seen.
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<unk>m with r shoulder and cp s/p mva.
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The lungs are mildly hyperinflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Clips are again noted along the anterior mediastinum and right upper hemi thorax from prior coronary artery bypass surgery and ascending aorta surgery.
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<unk>m with alcoholism and cirrhosis presents with low grade fever, occasional <unk> chest pain, and cough. assess for pna
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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, or pleural effusion.
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chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with knee, ankle, tenderness
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Lung volumes are low. This causes crowding of the bronchovascular structures. The heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Evaluation of the lung bases is somewhat limited due to the presence of low lung volumes, with patchy opacities at the bases likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is detected. Mild degenerative changes of the thoracic spine are noted.
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worsening nph symptoms for <num> day.
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Pa, lateral, and apical views of the chest provided. The previously seen increased opacity on shoulder radiograph is likely reflecting a small apical consolidation, which was also previously characterized on chest ct from <unk>. This opacity is barely seen in this current chest radiograph. Otherwise, lungs are clear. Heart size is normal. There is no pleural effusion.
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<unk> year old man with ra, right shoulder pain, ?rt. apical abnormality // ?abnormality in rt. apex - per report of shoulder xray <unk>
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Pa and lateral views of the chest provided. An azygous fissure is noted. 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. Nipple rings are present.
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<unk>f with cp and dizziness.
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Lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unchanged. Patient is status post median sternotomy, with intact wires. No pneumothorax, pleural effusion, or consolidation.
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history: <unk>f with diffuse abdominal and epigastric pain with ttp // eval for chf/pneumonia, obstruction, colitis, diverticulitis
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with cough with rll rales on exam // 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. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f pmh cad, ?diastolic chf with <num>d h/o lightheadedness, nausea, slight sob.
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The heart size is normal. Rounded opacity projecting adjacent to the superior aspect of the right heart border is unchanged, possibly a pulmonary vein. The aorta is mildly tortuous. Mediastinal and hilar contours otherwise are unchanged. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal streaky opacity in the retrocardiac region may reflect atelectasis, but early infection is not completely excluded. There is no pneumothorax. The lungs are mildly hyperinflated.
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upper respiratory tract like symptoms with wheezes on exam.
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Heart size is severely enlarged. The aorta is mildly unfolded. Mediastinal and hilar contours are otherwise unremarkable. There is minimal pulmonary vascular congestion. Lungs are grossly clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities demonstrated.
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history: <unk>m with pedal edema // r/o acute process
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Frontal and lateral chest radiographs demonstrate well-expanded lungs. Cardiomediastinal contours are normal. Lungs are clear. There is no pleural effusion and no pneumothorax. Tiny linear metallic density projecting over the right breast likely represents a biopsy clip. No definite rib fractures.
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fall from bicycle, tenderness to palpation over the right shoulder, evaluate for fracture.
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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 are unremarkable.
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history of nausea/vomiting, history of gastric bypass, please evaluate.
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The cardiomediastinal and hilar contours are normal, with calcification of the aortic arch. There is no pleural effusion or pneumothorax. The lungs are well expanded. A vague retrocardiac density, better seen on the lateral view, with hazy left retrocardiac density on the frontal view, may represent an infectious process. The upper abdomen is unremarkable.
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cough, shortness of breath and fever, query pneumonia.
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<num> views of the chest demonstrates clear lungs. The cardiomediastinal contours are normal. No pleural abnormality is seen. No foreign body is identified within the imaged field.
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questionable swallowed a tooth. evaluate for foreign body.
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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 // eval pna
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Moderate cardiomegaly is re- demonstrated. Atherosclerotic calcifications are noted at the aortic knob. Hilar and mediastinal contours are otherwise unchanged. Mild pulmonary vascular congestion is similar to the previous study without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is identified.
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history: <unk>m with cough, malaise/fatigue
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Lung fields are wall inflated and clear. There is no pleural fluid or pneumothorax. The heart size is top normal and enlarged since last cxr. There are aorta profile is slightly elongated, but normal.
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a <unk>-year-old man with fever.
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Pa lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion or pneumothorax. Patient is known to have a prominent fat pad abutting the left heart border likely accounting for subtle opacity seen at this level. No large effusion or pneumothorax. Heart size is normal. Mediastinal contour is unremarkable. Bony structures appear grossly intact.
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<unk>m with hx myasthenia <unk> presenting with dysarthria.
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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 presyncopal event // r/o acute cardio/pulm process
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
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history of multiple myeloma. evaluation for bone marrow transplant.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
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chest pain, question of cardiomegaly, effusion, or edema.
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
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left-sided chest pain.
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Pa and lateral views of the chest provided. There is a retrocardiac opacity which is most compatible with a large hiatal hernia. Coarsened lung markings likely reflects emphysema. No large consolidation effusion or pneumothorax is seen. The heart size appears grossly within normal limits. The thoracic aorta is densely calcified. There is mild prominence of the mediastinum which likely reflect vascular ectasia as well as large right thyroid nodule better assessed on same-day ct of the cervical spine. There is a lower thoracic compression deformity which is seen only on the lateral projection with approximately <unk> loss of anterior vertebral body height. Correlate clinically.
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history: <unk>f with fever and cough, focal rales in right lung // ?pna
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There persistent predominately bibasilar hazy opacities, left greater than right. Overall, the appearance has improved since <unk> and not dramatically changed when compared to prior ct scan given differences in technique. There is no new consolidation or effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
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<unk>m with cough // r/o pna
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There is mild interstitial edema. Heart size is enlarged. The aorta is calcified and tortuous. Mediastinal clips and sternal wires are seen, unchanged from <unk>. No pleural effusion or pneumothorax is seen. There is dextroconvex thoracic scoliosis.
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<unk>-year-old male with bladder cancer, now with abdominal pain.
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The patient is status post left upper lobectomy with unchanged mild leftward mediastinal shift and tenting of the left hemidiaphragm. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal.
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history of non-small cell lung cancer, status post left upper lobectomy. evaluate for pneumonia.
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Ap and lateral views of the chest are compared to previous exam from <unk>. There is mild residual pulmonary vascular congestion, which has improved since previous exam. Previously seen right picc and ij venous lines are no longer visualized. There is no confluent consolidation. Please note, lateral view is limited secondary to patient's arms being down by his side. Cardiac silhouette is enlarged, but stable in configuration. No acute osseous abnormality is detected. Posterior cervical and thoracic fixation hardware is partially visualized.
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<unk>-year-old male with altered mental status.
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Cardiac silhouette size remains moderately enlarged. Mediastinal and hilar contours are relatively unchanged. There is mild upper zone vascular redistribution compatible with mild pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. Wedge compression fracture at the thoracolumbar junction is unchanged. No pneumothorax or pleural effusion is identified.
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shortness of breath.
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Patient is status post median sternotomy and cabg. Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. Mild cardiomegaly is re- demonstrated. Aortic knob calcifications are present. Mediastinal contour is unremarkable. Low lung volumes cause crowding of the bronchovascular structures. There may be mild pulmonary vascular congestion without overt pulmonary edema. Linear opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are seen in the thoracic spine.
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history: <unk>f with hypoglycemia
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Moderate cardiomegaly is unchanged since at least <unk>. Mediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Trace fluid tracks along the major and minor fissure on the right side though there is no notable pleural effusion. Cephalization of vasculature is compatible with mild fluid overload. Pleural surfaces are otherwise clear without pneumothorax. Tenodesis screws are noted in the right humeral head from prior biceps tendon repair.
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right upper quadrant tenderness to palpation with guarding.
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Two views of the chest were obtained. Changes from right posterior rib resection resulting in lateral and apical pleural thickening and volume loss in the right upper lobe are again seen, without new opacity, pleural effusion, or pneumothorax. The heart is normal in size with normal contours.
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<unk>-year-old man with left-sided chest pain, assess 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 and stable.
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history: <unk>f with sickle cell disease, p/w chest pain and fever // eval for acute chest syndrome
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Frontal and lateral chest radiographs demonstrate a right hemodialysis catheter and a left port-a-cath in appropriate position. There is no pneumothorax or pleural effusion. Lungs are clear without focal consolidation. The cardiomediastinal and hilar silhouettes are unremarkable. Patient is status post sternotomy with several fractured wires.osseous structures are unremarkable.
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<unk>-year-old male with history of multiple myeloma prior to bone marrow transplant.
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Lungs are clear. They are slightly hyperinflated. There is no pleural effusion or pneumothorax. There is an osteophyte more prominent on the first costochondral junction on the left side but this is benign.
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patient with drenching sweats, history of positive ppd, immunosuppression for pancreatic cancer. rule out infiltrate.
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Frontal and lateral chest radiographs again demonstrate a right chest port with the tip in the low svc and a normal cardiomediastinal silhouette. Well aerated lungs are clear. Previously seen density in the left lower lung is decreased and there is no pleural effusion or pneumothorax.
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history of pcp pneumonia, now with productive cough and fevers. evaluate for pneumonia.
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Ap semi upright and lateral views of the chest provided. There is a left chest wall aicd again noted with lead extending into the region of the right ventricle. The heart remains mildly enlarged. The hila are congested and there is mild to moderate pulmonary edema. Overall extent of edema appears slightly less than that seen on prior radiograph. No large effusion or pneumothorax. Bony structures are intact. Small pleural effusions are present.
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<unk>m with rf leg pain worsening chf?
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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. The pulmonary vascularity is normal. <num> mm calcified structure projecting over the left eighth lateral rib is unchanged. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Ill-defined radioopacity projecting over the midline chest appears external to the patient, as it is not identified on the lateral view.
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supraventricular tachycardia.
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Pa and lateral views of the chest provided. Patient is slightly rotated to her left. Lung volumes are low. The heart is moderately enlarged. No convincing signs of pneumonia or edema. No pleural effusion or pneumothorax. Mediastinal contour appears within normal limits. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with chest pain // please eval for cardiomegaly, pna
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Patient is status post median sternotomy. The cardiac and mediastinal silhouettes are grossly stable. Lateral left mid to lower lung opacity which may represent small chronic pleural effusion, adjacent atelectasis and scarring. No pneumothorax is seen. No definite new focal consolidation is seen.
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history: <unk>m with dchf esrd with sob // eval for infection, effusion
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Right lower lobe opacity may reflect a combination of pleural effusion, atelectasis, and probable concurrent pneumonia given the provided history of sepsis. The left lung is clear. No pneumothorax or large effusion. The heart is normal in size. No acute osseous abnormality. Distended air-filled loops of bowel in the right upper quadrant are non-specific.
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<unk>-year-old man with sepsis. evaluate for pneumonia.
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The heart is mild to moderately enlarged. The mediastinal and hilar contours appear stable. Minor lingular opacity is most consistent with atelectasis. Otherwise, the lungs appear clear. There is no pleural effusion or pneumothorax.
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weakness, fever, chills and cough.
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A rounded density projecting over the ivc is unchanged from <unk>. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
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history: <unk>m with cough // pna?
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The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly remains moderate. The aorta remains calcified.
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left flank pain.
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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>f with chest pain // eval for acute process
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear stable. Incidental note is made of an azygos fissure, which is a normal variant. Right basilar opacity suggesting atelectasis has cleared. Vague retrocardiac opacity probably referring the left lower lobe persists but has improved. The lungs appear otherwise clear. A right-sided pleural effusion has resolved. A picc line is been removed. Surgical clips again project over each axilla.
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fever.
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Cardiac silhouette size is normal. Mediastinal contours appear unchanged. Bilateral hilar enlargement with associated streaky perihilar opacities extending into the right upper lobe and left lower lobe are compatible with known areas of tumor with with endobronchial spread and lymphadenopathy. Pulmonary vasculature is not engorged. No new focal consolidation or pneumothorax is identified. Blunting of the left costophrenic sulcus suggests a trace left pleural effusion. There are no acute osseous abnormalities. No subdiaphragmatic free air is present.
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history: <unk>m with nausea and vomiting
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In comparison with study of <unk>, there is opacification above the elevated right hemidiaphragm, most likely representing atelectasis. The left base is clear and there are no definite pleural effusions. There is again evidence of extensive posterior spinal fusion and a port-a-cath that extends to about the level of the cavoatrial junction.
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reflux and hiatal hernia, to assess for pneumonia.
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The lungs are well expanded and clear. Mediastinal contours and hila are normal. Mild cardiomegaly without evidence of acute decompensation. No pleural effusion or pneumothorax.
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<unk>m with confusion, hx of cancer // eval for infiltrate
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. The heart size is top normal. Mediastinal silhouette and hilar contours are normal.
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cerebral palsy, upper respiratory infection and increased seizure frequency.
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The lungs are well inflated. A retrocardiac opacity corresponds with a left lower lobe opacity on the lateral view, compatible with pneumonia. The right lung is clear. Cardiomediastinal silhouettes are normal. No pneumothorax or pleural effusion.
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<unk>-year-old woman with fever and tachycardia. evaluate for pneumonia.
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There is no focal consolidation, pleural effusion, or pneumothorax. There is no evidence of recent or old tb. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable.
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<unk>-year-old woman with history of positive ppd, needs chest x-ray for pre-employment physical tb testing.
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Left picc line remains in unchanged satisfactory position. Compared with most recent prior radiograph, there is persistent increased opacity at the periphery of the right upper lobe concerning for pneumonia. Additionally, there is a new right pleural effusion and increased size of small left pleural effusion. Normal heart size, mediastinal and hilar contours. No pneumothorax.
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possible opacity seen on portable radiograph two-view to evaluate for pneumonia.
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There is increased right basilar opacity which may represent atelectasis or an early developing infection proper clinical setting. Otherwise, the remainder of the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p18052788/s58108184/638ca119-45b13979-e79c2a6f-fb06205f-fdae49eb.jpg
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Pa and lateral views of the chest provided. Cardiomegaly is unchanged. No evidence of pneumonia or overt chf. No large effusion or pneumothorax. Bony structures appear grossly intact.
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<unk>f with sob
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MIMIC-CXR-JPG/2.0.0/files/p19855099/s52622362/3b6bb6d5-2b73eb2d-2a0db27c-b04076e1-0421a274.jpg
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Ap upright and lateral chest radiograph demonstrates moderate cardiomegaly. Bilateral patchy opacities and central pulmonary vascular congestion is suggestive of mild pulmonary edema. There is no pleural effusion. A right central line is seen, its tip terminating in similar position in anticipated location of the right atrium. Patient is status post median sternotomy, the wires appear intact. No acute osseous abnormality is detected.
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<unk>-year-old female with end-stage renal disease and fever.
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MIMIC-CXR-JPG/2.0.0/files/p14866589/s59887536/f5847d6d-8f9722c0-0133c7ab-22a73f7e-31037228.jpg
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The lungs are well expanded and clear. Right picc is seen in terminating in the svc. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion.
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hypotension.
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MIMIC-CXR-JPG/2.0.0/files/p12901194/s55878586/bab1c2ac-1cdc14ff-fcc1dee3-d6009144-0091a5a9.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12901194/s55878586/90ccbe3e-cc5daf66-1ba816a2-4f9bf7bf-3a875282.jpg
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Cardiac, mediastinal and hilar contours are normal. Minimal atherosclerotic calcifications are noted at the aortic knob. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. Clips are noted in the right upper quadrant indicating prior cholecystectomy. No acute osseous abnormalities seen. There are mild degenerative changes noted in the imaged thoracic spine.
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history: <unk>f with cough, fever
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar structures are within normal limits. There is no pneumomediastinum. Subtle lucency along the posterior margin of the trachea and middle mediastinum may represent superimposed shadows although pneumomediastinum cannot be entirely excluded. The trachea is midline. No acute osseous abnormality is detected.
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<unk>-year-old man with dyspnea and question of pneumoediastinum on recent prior chest radiograph, here for further evaluation.
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MIMIC-CXR-JPG/2.0.0/files/p11011872/s58953933/6e5c94ab-47681b45-4bc8a1ff-c9dbaa01-66456b39.jpg
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Pa and lateral views of the chest provided. Overlying ekg leads are present. There is mild left basilar atelectasis. Otherwise the lungs are grossly clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with dyspnea // r/o chf
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Two pa and a single lateral view of the chest were viewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits. Note is made of discontinuity of the right clavicle, secondary to an old fracture.
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fever.
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MIMIC-CXR-JPG/2.0.0/files/p15159488/s54023081/d7367152-c2f31463-ee8f04ae-0035143f-3999e138.jpg
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Unchanged suture line at the left lung apex. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
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<unk>-year-old man with sob, chest "heaviness", history of spontaneous pneumothorax and pericarditis
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There is the small left pleural effusion, which has decreased in size since the prior cxr. Right pleural effusion has resolved. The lungs are otherwise free of focal consolidations or pneumothorax. No pulmonary edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. A metallic density is seen in the left upper quadrant, likely representing a surgical clip. Anterior abdominal wall surgical <unk> have since been removed.
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<unk> year old man with esophageal perf s/p transhiatal esophagectomy // check interval change
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MIMIC-CXR-JPG/2.0.0/files/p19922204/s56340025/baaeb8ad-ac50966a-08c62692-d2da6e59-9aa8287c.jpg
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A right internal jugular double-lumen hemodialysis catheter is present, ending in the right atrium. The size of the cardiac silhouette is at the upper limits of normal. The mediastinum is normal. The lungs are clear without consolidation or pulmonary edema. There is no evidence of active or old tuberculosis. There is no pleural effusion or pneumothorax.
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positive tb test. evaluate prior to starting inh therapy.
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MIMIC-CXR-JPG/2.0.0/files/p16817269/s53490927/829a0fd7-5ff6a704-78f06ee2-a3110300-25e2be2c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16817269/s53490927/fd079d72-07065144-273a65c5-37df6a75-ebdc4fa3.jpg
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Pa and lateral views of the chest provided. Volumes are low. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with dyspnea.
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Lungs: the lungs are well inflated. There is no consolidation. Pleura: no pleural effusion is seen. Heart: the heart is not enlarged. Mediastinum and hila: there is no mediastinal mass. Osseous structures: the osseous structures are normal for age. Other findings: venous access device is again noted
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<unk> year old man with a history of aml sp allo transplant now with fever. please evaluate for infiltrate. // <unk> year old man with a history of aml sp allo transplant now with fever. please evaluate for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p13762217/s51973767/0dc7e348-c3cb4483-b475ee61-a58c73ce-f9e1ac74.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13762217/s51973767/f7e4a802-344107ad-5066e31b-ff33b62b-01a405c3.jpg
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Weighted feeding tube is seen terminating in the expected location of the stomach.mild bibasilar atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with ng placement for malnutrition, p/w new sternal chest pain. // please eval for ng placement. please eval for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18809301/s51181702/9ed360ce-306f0d48-23a2b6d2-4ada261e-5c966724.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18809301/s51181702/3221bb81-77fd6466-dafb8024-34277e5b-40a523e1.jpg
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Pa and lateral chest radiographs were obtained. The lungs are well expanded. Atelectasis at the left costophrenic angle is new. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. There is no pneumoperitoneum. Thoracic degenerative changes are mild.
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abdominal pain.
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MIMIC-CXR-JPG/2.0.0/files/p17909251/s53078312/9d1ddcd5-6a2ca6d8-10e5cc5a-7a08ca03-8fa6fe30.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17909251/s53078312/751f76e2-b4ddc056-1c2454fd-d82db6e3-9aa9ff9c.jpg
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The lungs are clear of consolidation. There is no effusion or pneumothorax. The cardiac silhouette is enlarged, unchanged. Aortic valve replacement is noted. Atherosclerotic calcifications noted at the aortic arch. Rightward deviation of the trachea at the thoracic inlet is compatible with a left thyroid enlargement. There is no free air below the diaphragm. Compression deformity in the upper lumbar spine the similar compared to prior.
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<unk>f with nausea vomiting // air under diaphragm.
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MIMIC-CXR-JPG/2.0.0/files/p18213361/s51476139/68151306-603e3b4b-ba5b2d27-071bb1a6-cad3bb41.jpg
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with chest pain
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MIMIC-CXR-JPG/2.0.0/files/p16769214/s50365068/54389253-1d4ec24a-a7892b40-98d6f592-e5594ef2.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16769214/s50365068/e3ca692b-09efe31f-bfff168c-f61f24e1-16fb4bdb.jpg
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged noting mild wedge deformities of the mid thoracic vertebral bodies similar to prior.
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<unk>-year-old male with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p10542874/s55351172/e2e4b2ca-23726778-f54dedf3-ea0561d0-cf45e807.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10542874/s55351172/90d99805-aee5c077-5a143886-ed234a33-6149f06c.jpg
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with chest pain.
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Heart size and mediastinal contours are unremarkable.
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fever with cellulitis/lymphangitis, assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16352556/s56061275/dfb1193e-05c1e038-a71366f8-731caa69-ebda3aa2.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16352556/s56061275/a874c9b4-492c9aac-9d66dec6-4a82a7e9-4b6c55a5.jpg
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Pericardial leads are present terminating overlying the anterior right ventricle and a second more posteriorly. Lungs are well expanded and clear. No pleural effusion or pneumothorax. Small diameter sternotomy wires are consistent with history of congenital heart history, the most inferior of which is fractured. A lobulated contour of the right heart border and middle mediastinum is of unclear significance without priors for comparison, likely due to congenital history. The left hemidiaphragm is elevated.
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<unk> year old man with congenital heart history // eval for lead and generator
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MIMIC-CXR-JPG/2.0.0/files/p14256999/s50558821/88a9ddfc-031f94b4-92c7cce4-4056670c-639a7fa1.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14256999/s50558821/70627fdf-71ea4d76-27becd3e-3ad2d0cd-56772c0f.jpg
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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. Epicardial fat pad along the left heart border again suspected. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with chest pain // please eval for cardiomegaly
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MIMIC-CXR-JPG/2.0.0/files/p13249211/s53983397/601eb93e-fabe89de-8543d827-30772ce8-914d70c7.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13249211/s53983397/89f6d757-3546da5b-7e8b7bb4-c42c3bce-9b550a1c.jpg
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There is chronic left-sided volume loss from prior left upper lobe resection with associated leftward shift of mediastinal structures and elevation of the left hemidiaphragm, unchanged from prior examination. Heart size is difficult to evaluate due to shift of mediastinal structures; however, appears within normal limits. Hilar contours are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. A moderate-sized hiatal hernia is again noted, best identified on the lateral view.
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syncope.
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MIMIC-CXR-JPG/2.0.0/files/p13224214/s52506523/af52091a-4eb075d4-3cbed695-1c65939d-cf621c0e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13224214/s52506523/71baff56-a152adab-c8af5866-8632cf81-56c55368.jpg
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Pa and lateral views of the chest demonstrate small bilateral pleural effusions, stable since the most recent prior exam with bibasilar atelectasis. No focal consolidation concerning for pneumonia is identified. There is no pulmonary edema or pneumothorax. The bony structures appear intact.
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<unk>-year-old female with unwitnessed fall, and dementia with change in mental status.
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MIMIC-CXR-JPG/2.0.0/files/p10502365/s54512634/ada97431-da07c31f-1fd60f74-7c17278f-c70bfdcf.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10502365/s54512634/1f24e338-766b1ae8-31accf46-b7d5022d-506c96a4.jpg
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The cardiac, mediastinal and hilar contours appear unchanged. The heart is normal in size. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p10840747/s50812606/a630589c-b3841929-0d4ffe50-1f793cb4-b492f586.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10840747/s50812606/ff5413b5-be815d83-97bb78ec-d7c24382-cc31b112.jpg
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There is a vague opacity in the right mid lung zone. The left lung is clear. There is persistent blunting of the right costophrenic angle, likely due to a small persistent right pleural effusion. It comparison to the prior exam, it has slightly decreased in size. There is no left pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is normal.
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history of hepatitis c cirrhosis with cough and encephalopathy.
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MIMIC-CXR-JPG/2.0.0/files/p13915689/s56160576/ff121450-460c5dc5-084f46f0-eb62fd46-4240a4ab.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13915689/s56160576/a26cf55a-4f795e38-6d5df4f9-3217b555-0f96caeb.jpg
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Lung volumes are low with secondary crowding of the bronchovascular markings. Cardiac silhouette is top-normal but also likely accentuated by low inspiratory volumes. There is no large effusion. No acute osseous abnormalities.
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<unk>m with confusion // eval for infiltrates
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