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Ap upright and lateral views of the chest provided. Faint linear densities in the lower lungs likely represent platelike atelectasis. There is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax. Emphysema is present. The cardiomediastinal silhouette appears stable with aortic calcifications. Scoliosis involving the lower thoracic and upper lumbar spine is unchanged.
<unk>f with weakness // eval for pna
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Lung volumes are slightly low. Streaky bibasilar opacities are most likely atelectasis. The lungs are otherwise clear without consolidation, effusion, or edema. Cardiac silhouette is top-normal. There is slight tortuosity of the descending thoracic aorta. No acute osseous abnormalities, hypertrophic changes are noted in the spine.
<unk>m with ekg changes // assess for cardiac abnormalities
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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>f with chest pain and left arm pain earlier today lasting <num> minutes
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Cardiomediastinal shadow is normal. Cardiac monitoring device in situ. No pulmonary edema. Mild bronchiectatic changes on the right lower lung zone is unchanged. No new areas of airspace consolidation. No pleural effusions. Background osteopenic bony changes with insufficiency type fractures of the vertebral body endplates. Evidence of previous vertebroplasty.
<unk> year old woman with cough ongoing x <num> weeks, sometimes productive // eval for any evidence of pna? volume overload?
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The heart is of normal size. Hilar and mediastinal contours are within normal limits. Linear opacities at the lung bases consistent with atelectasis. There is no evidence of pneumonia. Mild degenerative changes are seen in the thoracic spine. There is no pleural effusion.
altered mental status question pneumonia.
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. There is no convincing evidence for pneumonia or edema. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette appears grossly unremarkable. There is an old left mid shaft clavicle fracture. Otherwise bony structures are intact.
<unk>m with hiv p/w fever, malaise, cough. // ? pneumonia
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As compared to the previous radiograph, there is no evidence of pneumonia on the current image. However, the lung volumes are low with reticular changes bilaterally with peripheral predominance. Overall, the chest radiographic findings would be consistent with lung fibrosis. Sternal wires in situ. Normal size of the cardiac silhouette.
recent pneumonia, evaluation for resolution.
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. No displaced rib fracture identified
<unk> year old woman with pleuritis pain // ?fx ?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 vertigo/lightheadedness
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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>f with pmh hld presenting with palpitations.
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Two-view chest provided. Dual lead pacer again noted as are midline sternotomy wires. Cardiomegaly is re- demonstrated with small bilateral pleural effusions and moderate pulmonary edema. Difficult to exclude a superimposed pneumonia.
<unk>m with ams and cough on plavix
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The lungs are mildly hyperinflated. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with fever.
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Cardiomediastinal silhouette and hilar contours are unchanged from prior exam. Incidental note is made of an azygos fissure. Architecture at the base of the azygos fissure is somewhat complicated; however, there has been no change in appearance since <unk>. Lungs are otherwise clear. There is no pleural effusion or pneumothorax.
smoking history with prolonged cough.
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Again seen is a right pleural effusion with relaxation atelectasis of the adjacent right lower and right middle lobes. There may be a minimal trace residual left pleural effusion. The cardiomediastinal silhouettes are stable. The bilateral hila are unremarkable. Aside from right basal atelectasis, the lungs are clear without focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax.
<unk>-year-old man with epigastric pain, evaluate for pneumonia.
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The lungs are well expanded and clear. The hilar and mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cold and congestion. evaluate for evidence of pneumonia.
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The cardiac silhouette is at the upper limits of normal. No chf, focal infiltrate, pleural effusion, or pneumothorax is identified. No mediastinal widening or apical capping is detected. No rib fractures are identified on these lung-technique films. The shoulders are not evaluated on these films.
shoulder pain status post motor vehicle accident. question rib fracture or pneumothorax.
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with epigastric pain.
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Pa upright and lateral chest radiographs demonstrate well-expanded and symmetric lungs. No focal opacity is seen. Cardiomediastinal and hilar contours are within normal limits. There is no pulmonary edema or pleural effusion. There is no pneumothorax. Visualized osseous structures are without acute abnormality. Prior right clavicular healed fracture is identified.
<unk>-year-old male with hemoptysis.
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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. Surgical clips are noted in the left upper quadrant, unchanged from comparison study.
<unk>m with generalized weakness/lethargy // ?pna
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Pa and lateral views of the chest were obtained. The heart is normal size and cardiomediastinal contour is unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old woman status post mvc with minor chest pain.
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Opacity in the left retrocardiac region has resolved. Subtle increased asymmetric opacity in the right lower lobe with corresponding increased retrocardiac opacity on the lateral view over the spine, could reflect an early pneumonia in the appropriate clinical situation. The cardiomediastinal silhouette is unchanged. No pleural effusion or edema. No pneumothorax.
history: <unk>f with hemoptysis, cough. rule out pneumonia.
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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>m with weeks of right ankle pain, days of right flank pain and hematuria, hours of chest pain
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There is slight prominence of the interstitial markings and mild hyperinflation of the lungs, suggesting mild copd. The cardiomediastinal silhouette and hila are normal. There is slight elevation of the left hemidiaphragm, nonspecific.
woman with failure to thrive.
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Frontal and lateral chest radiograph demonstrates well expanded lungs. There is no focal consolidation with in the left lower lung. Prior seen left upper lobe two tubular opacities persist, largely unchanged since prior examination in <unk>. In the setting of largely unchanged appearance, question bronchiectasis and impaction. The right lung is grossly clear. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or pulmonary edema. Eventration of the right hemidiaphragm is incidentally noted.
<unk>-year-old male with dullness on physical exam in left upper lobe and decreased breath sounds.
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
concern for infection.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.
sudden onset of chest pain.
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Lung volumes are persistently low. This accentuates the size of the cardiac silhouette which appears at least moderately enlarged but unchanged. Widening of the mediastinal contour is likely reflective of the low inspiratory lung volumes and is similar to the prior study. Mediastinal and hilar contours are otherwise unremarkable. There is crowding of the bronchovascular structures without overt pulmonary edema. Patchy opacities in the lung bases likely reflect areas of atelectasis though infection is not completely excluded. No large pleural effusion or pneumothorax is identified. Marked degenerative changes are again noted throughout the imaged thoracolumbar spine without a definite acute abnormality.
history: <unk>m with confusion/ altered mental status
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Lung volumes are low, accentuating the cardiomediastinal contours and resulting in crowding of bronchovascular structures. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size considering low lung volumes.
history: <unk>m with cp, sob, // eval for consolidation
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There is a linear opacity projecting over the right middle lobe likely represent atelectasis/scarring. Subtle right base opacities most likely represent atelectasis, however, underlying consolidation is not excluded in the appropriate clinical setting. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. The aorta is slightly tortuous. No overt pulmonary edema is seen.
cough and wheezing.
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Compared with <unk>, there has been resolution of pulmonary vascular congestion and edema.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Mild cardiomegaly is unchanged.
<unk>m with syncope. // evaluate for acs
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Pa and lateral views of the chest. The lungs are clear of consolidation or pneumothorax. Nodular opacities in the lower lungs bilaterally on the frontal view are thought to represent nipple shadows. The cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old male with etoh with chest pain and palpitations.
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pneumomediastinum or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>f with vomiting // eval for e/o pneumomediastinum
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The heart size is normal. The mediastinal and hilar contours are unremarkable except for aortic knob calcifications. The lungs are clear. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
unstable angina.
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There is a large right-sided pleural effusion and adjacent atelectasis. The left lung is clear. Cardiac size is likely normal. No evidence of pulmonary edema.
<unk> year old man with pleural effusion on right incompletely identified on ct abd/pelvis // evaluation of plural effusion
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In comparison with the study of <unk>, there has been a substantial decrease in the left subcutaneous emphysema, though a moderate amount of gas persists. Continued opacification at the left base consistent with pleural effusion and volume loss in the left lower lobe. Again there is mild enlargement of the cardiac silhouette with evidence of elevated pulmonary venous pressure.
hiatal hernia repair, to assess subcutaneous emphysema.
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Pa and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. Streaky bibasilar opacities likely reflect atelectasis and appear slightly improved compared to the prior. No pleural effusion or pneumothorax. No displaced rib fracture identified.
abdominal pain, history of liver failure. high lactate and hyperglycemia. evaluate for acute cardiopulmonary process.
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The previously described left lung base rounded, retrocardiac opacity is not definitively visualized on this examination. Redemonstrated are diffuse, coarse interstitial markings, most significant at the bilateral lung apices, unchanged from the prior examination. Non-specific septal lines are noted along the periphery of left lower lobe, new since the prior examination. Small bilateral pleural effusions are noted. There is no focal consolidation, pneumothorax, or pulmonary edema identified. The cardiomediastinal silhouette is grossly unremarkable. There are no acute bony abnormalities detected.
followup examination for a cortical left lower lobe pneumonia on prior chest x-ray.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No radiopaque foreign body. Osseous structures are unremarkable.
<unk>-year-old male with second syncopal episode in one year. rule out cardiac disease.
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In comparison with the study of <unk>, there is some increasing opacification at the right base with meniscus formation, consistent with pleural effusion. The mass at the right base is again seen and there is prominence of interstitial markings suggesting some elevated of pulmonary venous pressure.
lung cancer in right lower lobe after radiation therapy and pleurx catheter placement.
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Lung volumes are lower than on the prior study, accentuating the cardiac silhouette and bronchovascular structures. New patchy bibasilar opacities have developed, right greater than left as well as minimal basilar interstitial opacities. Pulmonary vascularity is within normal limits allowing for accentuation by lower lung volumes. There are no pleural effusions. Note is made of previous median sternotomy and aortic valve surgery.
<unk> year old woman with sob, cough, fever // ? infiltrate
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There is a tortuous and calcified thoracic aorta. The cardiac silhouette is top-normal in size, possibly mildly enlarged. The bilateral hila are unremarkable. Diffuse interstitial prominence likely relates to bronchovascular crowding in the setting of low lung volumes and a sub-optimal inspiratory effort. There is no focal lung consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
a <unk>-year-old woman with fever and cough, evaluate for infiltrate.
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In comparison with study of <unk>, there are lower lung volumes. On the lateral view, there is evidence of what appears to be right pleural effusion. Cardiac silhouette is at the upper limits of normal in size and there is tortuosity of the aorta. However, no evidence of vascular congestion or definite acute pneumonia.
cough, to assess for pneumonia.
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The heart, mediastinum, and hila are normal. The lungs are hyperinflated with new symmetric biapical pleural parenchymal scarring. There is no evidence of active tb are intrathoracic malignancy.
<unk> year old woman with night sweats , coughh/o positive ppd. evaluate for active tb.
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Heart size is normal. Mild prominence of the pulmonary arteries is similar to prior exam; the mediastinal and hilar contours are otherwise unchanged. Right lower lobe opacity corresponding with the biopsied lung nodule is slightly increased in size compared with the prior chest radiograph. Mild pleural thickening at the lung basis causing blunting of the costophrenic angles is unchanged. No pneumothorax is currently seen. The very small pneumothorax that was present on post procedure ct is either resolved or not visible radiographically.
<unk> year old woman s/p right lung bx. please do asap. patient is in rcu. // ? ptx
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As compared to the previous radiograph, the lateral radiograph now confirms the presence of a right lower lobe opacity, strongly suggestive of pneumonia. Enlargement of the right hilus, indicative of hilar lymphadenopathy, persists. There is unchanged moderate cardiomegaly but no evidence of pleural effusions or pulmonary edema. No pneumothorax.
copd, asthma, evaluation for pneumonia.
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Pa and lateral views of the chest demonstrate low lung volumes with top normal heart size. A pulse generator is present in the left chest wall, with pacing leads terminating in the right atrium and right ventricle. There is no pneumothorax, pleural effusion, pulmonary edema, or focal airspace opacity. Mild pleural thickening or scarring is noted on the right.
<unk>-year-old male with chest pain. evaluation for cardiomegaly or pulmonary edema.
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Heart size is normal. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Previous pattern of pulmonary vascular congestion has improved. There are minimal linear streaky opacities in both lung bases likely reflective of atelectasis. No pleural effusion, focal consolidation or pneumothorax is identified. There are degenerative changes in the right glenohumeral and acromioclavicular joints. No acute osseous abnormality is identified.
fever.
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The lungs are well expanded. There is mild interstitial edema. There is no nodule, consolidation, or mass. Heart size is top-normal. There is no pneumothorax or pleural effusion.
<unk>-year-old female with fever and hypoxia, concerning for pneumonia.
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The 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.
chest pain.
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Frontal and lateral chest radiographs were obtained. A right chest port-a-cath terminates in the lower svc. There are diffuse coarse interstitial markings. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The cardiomediastinal and hilar contours are stable.
patient with wheezing, hypoxemia and rhonchorous breathing, assess cardiopulmonary architecture.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The patient is status post incompletely assessed posterior thoracolumbar fusion.
hypotension, status post fall with head strike.
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Since prior, there has been interval progression of disease. There is a approximately <num> cm ap by <num> cm cc rounded density within the right lower lobe. There is also likely some superimposed component of atelectasis given subtle right-sided volume loss. On prior exam from <unk> there had been a <num> cm nodule in this region in addition to a sub- carinal density which on the current exam cannot be differentiated. On today's exam, there is also a new right apical pulmonary nodule projecting over the posterior right fourth rib. Cardiac silhouette is enlarged but stable. Atherosclerotic calcifications noted at the aortic arch.
<unk>f with dyspnea // r/o infectious process
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
patient hiv positive, now with uri symptoms and cough, rule out consolidation.
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Cardiac silhouette size remains borderline enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormality is detected.
history: <unk>f with chest pain
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The lungs are clear. There are few left hilar lymph node calcifications. A calcified breast implant is seen in the right breast. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.
cough and fever. evaluation for pneumonia.
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In comparison to the chest radiographs obtained <unk>, no significant changes are appreciated. Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk> year old man with remote tobacco use, well controlled hiv <num>wks of l sided cp, pleuritic, decreased breath sounds in lul posteriorly // r/o lul lesion
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Lung volumes are low. There are small bilateral pleural effusions, increased since <unk>. Prominent interstitial markings may reflect mild pulmonary edema. The cardiomediastinal silhouette is unchanged.
history: <unk>m with hyponatremia, <unk> edema // eval for volume overload
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. Moderate enlargement of cardiac contours similar as before. Noted is a regression of the previously existing distention of the azygos vein contour. The pulmonary vasculature which was congested with distended appearance of the pulmonary vasculature and considerable perivascular haze has now normalized. No evidence of acute pulmonary infiltrates remain and the lateral and posterior pleural sinuses are free. No pneumothorax exists in the apical area. Skeletal structures of the thorax remain unremarkable as before.
<unk>-year-old female patient with asthma, right lower lobe pneumonia diagnosed on <unk> on ct. evaluate for progression.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
<unk> year old man with hx myeloma. recent line which has since been d/c'd. pt reporting shortness of breath. please assess for pneumothorax or other acute process.. // <unk> year old man with hx myeloma. recent line which has since been d/c'd. pt reporting shortness of breath. please assess for pneumothorax or other acute process..
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Lung volumes are low. Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
nausea and ecg changes.
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Support devices: none. The lungs are clear and mildly hyperinflated. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
history: <unk>f with malaise. infiltrate?.
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A left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart is mildly enlarged but unchanged. The aorta is tortuous with calcifications noted at the aortic knob. The pulmonary vasculature is not engorged. Patchy opacities are seen within the right upper lobe as well as in both lung bases, new compared to the previous exam and concerning for areas of multifocal infection. No pleural effusion or pneumothorax is seen. There is diffuse demineralization of the osseous structures. A left humeral head prosthesis is partially imaged.
weakness and shortness of breath.
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Since <unk>, minimal pulmonary edema, small residual bilateral pleural effusions, left greater than right, and mild bibasilar and retrocardiac atelectasis are improved. Mild cardiomegaly is unchanged. No pneumothorax. Calcifications are noted in the mitral and aortic annulus.
<unk> year old man with chf exacerbation // interval change
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Moderate to large right pleural effusion is slightly smaller when compared to previous exam. There is associated atelectasis. Left lung is clear besides a small left pleural effusion which is new. The cardiomediastinal silhouette is within normal limits.
<unk>m with cirrhosis and fatigue // eval for pna
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
positive blood cultures and fevers for <num> weeks.
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Interval placement of a dual-chamber cardiac pacemaker with leads terminating in the right atrium and right ventricle. Lungs are fully expanded. An <num> mm densely calcified granuloma in the posterior right lower lobe is unchanged. Lungs are otherwise clear. No pneumothorax or pleural effusion. Heart size is top-normal to mildly enlarged. Cardiomediastinal and hilar silhouettes are unremarkable. Incidental note made of a moderate hiatal hernia and multiple consecutive posterolateral right rib fractures, likely chronic.
<unk> year old man s/p dual chamber ppm. // assess leads placement and r/o ptx.
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Ap and lateral images of the chest. The lungs well expanded. Prominent interstitial markings are seen, predominantly in the bases. This may be due to chronic underlying lung disease, but the presence of cardiomegaly suggests it may be a component of mild pulmonary. No pleural effusion or pneumothorax is seen.
leg swelling and shortness of breath.
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Lungs are hyperinflated suggesting chronic obstructive pulmonary disease. There is no pleural effusion, focal consolidation or pneumothorax. The heart is normal in size. Normal cardiomediastinal silhouette.
cough and congestion with hiv assess for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There no pleural effusions or pneumothorax. The thoracolumbar spine curves slightly to the left at the thoracolumbar junction.
chest pain, dyspnea, and hypoxia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal.
history: <unk>f with chronic light headedness and chronic productive cough // evaluation for pneumonia, lung mass
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest is hyperinflated. The lungs appear clear. Bony structures are unremarkable.
cough and fever.
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The lungs are clear. No pleural effusion, edema, or pneumothorax. The cardiomediastinal silhouette is normal. Levoconvex scoliosis of the upper thoracic spine is mild, similar to the prior exam. No evidence of an acute osseous abnormality.
history: <unk>m with right sided chest pain, malaise // r/o pna
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The lungs are well inflated and clear. No nodule or consolidation is present. Blunting of the posterior hemidiaphragm is stable since <unk>, likely reflecting scarring. No effusion or pneumothorax is present. The cardiac and mediastinal contours are normal. Minimal left convex scoliosis.
<unk>-year-old woman with mid thoracic back pain, no trauma.
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. No hiatal hernia. No dilated air-filled esophagus. Limited assessment of the upper abdomen is within normal limits.
chest pain. assess for enlarged esophagus or hiatal hernia.
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The heart is severely enlarged but unchanged. Dialysis catheter has been removed. Mediastinal and hilar contours are similar, with calcification of the aortic knob again demonstrated. There is mild pulmonary vascular congestion. Assessment of the lung bases is somewhat limited due to underpenetration, though there is likely left basilar atelectasis. No large pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
cough.
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Median sternal wires are intact. Heart size is moderately enlarged. Linear opacities lung bases likely reflect atelectasis. There is no pleural effusion or pneumothorax. No definite displaced rib fractures appreciated.
<unk>f with unwitnessed fall // rib fracture
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Pa and lateral views of the chest provided. Lungs appear <unk> markedly hyperinflated with widened ap diameter of the chest and prominent retrosternal airspace consistent with copd. Scattered areas of calcified pleural plaque noted bilaterally likely reflecting chronic asbestos exposure. Biapical pleural parenchymal scarring is more clearly assessed on the same day cta head and neck. No focal consolidation, effusion or pneumothorax is seen. The heart is top-normal in size. Mediastinal contour is normal. No acute bony injury.
<unk>f with dizziness, weakness, pls eval cxr for pna as cause of weakness.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
<unk>m with pleuritic chest pain, evaluate for acute process.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
chest pain.
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Mild cardiomegaly is present, decreased in size compared to the prior study. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. There is minimal patchy retrocardiac opacity which may reflect atelectasis, however early infection is not excluded. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.
history: <unk>f with cough
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Heart size is mildly enlarged. Aorta is tortuous and diffusely calcified. Bullous emphysematous changes are most severe within the lung apices. Bibasilar patchy opacities, right more than left, likely reflect atelectasis. Blunting of the right costophrenic angle posteriorly is suggestive of a small pleural effusion. No pneumothorax is identified. Compression fractures of t<num> and l<num> with evidence of prior kyphoplasty of l<num> is re- demonstrated.
cough productive of white sputum.
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Pa and lateral radiographs of the chest demonstrate a small amount of pleural fluid tracking into the right major and minor fissures. Multifocal consolidations have improved from <unk>, but some residual opacities, particularly in the right upper lobe, persist. A possible left upper lobe nodular opacity also remains. Bilateral, right greater than left apical pleural thickening is seen. The hilar and cardiomediastinal contours are normal. Pulmonary vascularity is normal. There is no pneumothorax.
evaluate interval change in pleural effusion.
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Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lung volumes are low with chronic interstitial opacities and bronchiectasis at the lung bases and periphery bilaterally, similar to prior. Increased patchy opacities in the lung bases compared to the previous radiograph may reflect superimposed atelectasis. Chronic blunting of the right costophrenic angle suggests chronic pleural thickening. No focal consolidation, pleural effusion or pneumothorax is present. There are moderate degenerative changes in the thoracic spine.
history: <unk>m with chest pain // eval for infiltrate
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The cardiomediastinal and hilar contours are stable with mild unfolding of the descending thoracic aorta. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without new focal consolidation concerning for pneumonia. A small calcified granuloma is again noted at the right lung base. A surgical clip is noted in the right upper quadrant. Chronic changes of the right shoulder are again noted.
dizziness, rule out pneumonia.
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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are again hyperinflated with flattening of the diaphragm, but otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. If a large, centrally umbilicated soft tissue density projecting over the left axilla isn't an external artifact it is a large, ulcerated lestion in the left chest wall, presumably abscess or traumatic.
rales, evaluate for chf.
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There is no evidence of overinflation, the shape of the diaphragms is unremarkable. Normal size of the cardiac silhouette, normal hilar and mediastinal structures. No recent parenchymal opacities suggesting an infectious episode. No fibrotic lung parenchymal changes.
hiv, asthma, persistent cough, evaluation for infrapulmonary process.
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The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no evidence of congestive heart failure. Dish is seen along the thoracic spine, unchanged from prior exam.
abdominal pain, evaluate for infiltrate.
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As compared to the previous radiograph, there is no relevant change. Large hiatal hernia, partially obscuring the heart contours on the frontal radiograph. Minimal blunting of the right costophrenic sinus. No evidence of focal parenchymal opacity suggesting pneumonia. No pulmonary edema.
hepatitis c, new metabolic alkalosis. altered mental status.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk> year old woman with persistent cough // rales left base
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Bibasilar opacities are seen which may be due to pleural effusions and overlying atelectasis. Persistent left base opacity. There is prominence of the interstitial markings bilaterally suggesting mild to moderate interstitial edema. The cardiac silhouette remains mildly enlarged. Mediastinal contours are stable.
history: <unk>f with cirrhosis, c/o cough, abdominal distention // pls eval for pna, edema
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>m with hx hcc, possible hepatic encephalopathy undergoing infectious workup // eval ? infection
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy opacities are seen within the lower lobes bilaterally, more pronounced on the left. No pleural effusion or pneumothorax is seen. Hypertrophic changes are noted in the thoracic spine.
history: <unk>m with cva with mild deficits who has been vomiting and syncopized today.
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Frontal and lateral chest radiographs were obtained. A left chest aicd has leads terminating in the appropriate positions in the right ventricle, right atrium, and a pacer lead coursing through the coronary sinus. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is top normal. The mediastinal and hilar contours are within normal limits.
patient is status post biventricular aicd placement, confirm lead placement.
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Pa and lateral views of the chest. The lung volumes are very low compared to prior study. This crowds the pulmonary vasculature. Within that limitation, heart size is top normal. There is mild pulmonary vascular congestion. There is a right lower lobe opacity and possible left lower lobe opacity. There may be a small left pleural effusion. There is no pneumothorax.
<unk>-year-old male with fever, cancer, cough, question pneumonia.
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Heart size remains within normal limits. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
<unk> year old woman with asthma, sleep apnea non on cpap presents with productive yellow/green cough x <num> days
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Since prior, the patient has had a left thoracentesis with substantial decrease in left pleural effusion. There is no pneumothorax. Small right pleural effusion is unchanged. Bibasilar atelectasis is stable. Pacer leads end in the right atrium and right ventricle. Fracture sternal wire is unchanged.
<unk> year old man with chf s/p left thoracentesis with <unk> ml removed, evaluate for pneumothorax.
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The lungs are mildly hyperinflated. A compression deformity of a mid thoracic vertebra is unchanged from prior studies. There is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The previously seen nodular opacity at the left lung base is unchanged from the prior study. A subtle opacity overlying the left upper lung appears new from the prior study.
<unk>f with fever, evaluate for pneumonia.
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The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with left chest discomfort.
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The cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact and in normal alignment. The patient is status post mitral valve repair. A left pacer is re-demonstrated. There is no pneumothorax or pleural effusion. Right juxta hilar triangular opacity corresponds to collapsed right upper lobe as seen on prior. Blunting of the right costophrenic angle and irregularity along the right hemidiaphragm and right heart border are sequelae of radiation fibrosis/atelectasis.
<unk> year old woman with lung cancer, thrombocytopenia on anti-coag with worsening sob and epistaxis // assess for worsening volume overload vs. less likely alveolar hemorrhage.
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Frontal and lateral chest radiographs demonstrate a relatively well-aerated lungs in a normal cardiomediastinal silhouette. There is minimal atelectasis in the left lung base. No focal consolidation, pleural effusion, pneumothorax is appreciated. The visualized upper abdomen is unremarkable. No displaced rib fracture is identified.
evaluate for rib fracture in a <unk>-year-old man with chest wall ecchymosis.