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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
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history: <unk>f with chest pressure, palpitations x <num> hr // eval ? effusion, edema
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Pa and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. Rounded calcific density projecting over the right lung apex is within the soft tissues demonstrated on ct as opposed to within the lung. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
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<unk>-year-old female. left-sided numbness.
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Pa and lateral views of the chest. Linear opacity at the left lung base most suggestive of atelectasis versus scar given persistence. Elsewhere, the lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous structures demonstrate no acute abnormality.
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<unk>-year-old male with neck pain.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old man with history of cirrhosis, here with upper abdominal pain // please assess for pna
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Lung volumes are low, resulting in bronchovascular crowding. There is bibasilar atelectasis. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax or pleural effusion. There is gaseous distention of loops of bowel in the upper abdomen. Mediastinum is not widened.
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history: <unk>f with tonsillectomy today p/w dyspnea // ?acute cardiopulmonary process
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Pa and lateral images of the chest. There is slightly low lung volumes, but the lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. A device likely representing a gastric stimulator is seen overlying the area of the stomach.
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chest pain.
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Assessment is limited due to the patient's kyphotic positioning, rotation, and low lung volumes. Additionally, soft tissues of the neck obscure evaluation of the lung apices. Given these limitations, the heart size appears grossly unchanged, and mildly enlarged. The aorta remains tortuous and diffusely calcified. Known aneurysmal dilatation of the descending thoracic aorta is not well assessed on the current views. Crowding of the bronchovascular structures is present, and there appears to be mild pulmonary vascular congestion. No pleural effusion or pneumothorax is clearly noted. Patchy bibasilar airspace opacities could reflect atelectasis though infection or aspiration is not excluded. Multilevel degenerative changes in the thoracic spine are re- demonstrated.
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confusion.
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Pa and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>-year-old female with cough.
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The lung volumes are low. There are bilateral pleural effusions, left more than right. On the left, the effusion occupies approximately one-third of the hemithorax. Subsequent atelectasis at both lung bases. In the well-ventilated lung parenchyma, there is no evidence for pneumonia or pulmonary edema. At the time of dictation and observation, <time> on <unk>, the referring physician, <unk>. <unk>, was paged for notification. Findings were discussed a minute later over the telephone.
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cirrhosis, worsening ascites, evaluation.
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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 present. There are no acute osseous abnormalities.
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cough, fevers.
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Pa and lateral chest radiographs were provided. There is no change from most recent prior study. Again seen are coarsened reticular interstitial opacities compatible with chronic interstitial lung disease. There is no new focal consolidation, pleural effusion, or pneumothorax. Mediastinal and hilar contours are stable with aortic knob calcifications redemonstrated. The heart size remains moderately enlarged.
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<unk>-year-old woman with generalized edema, question pulmonary edema.
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Lungs remain hyperexpanded, and note is made of new patchy bibasilar opacities. There is blunting of bilateral costophrenic angles consistent with small bilateral pleural effusions. There is no pneumothorax or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Suture anchors are noted within the right humeral head. There is a moderate hiatal hernia.
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<unk>f with chest tightness, cough, evaluate for abnormality
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Ap and lateral views of the chest are compared to previous exam from <unk>. Increased interstitial markings are seen throughout the lungs which have progressed since <unk>. There is no confluent consolidation or large effusion. Cardiomediastinal silhouette is unchanged, noting atherosclerotic calcifications at the arch. Thoracic dextroscoliosis is again seen.
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<unk>-year-old female status post fall with left-sided hip and knee tenderness. question rib fracture.
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The lungs are hyperexpanded with flattening of the hemidiaphragms and increase in the retrosternal space. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no airspace opacity to suggest pneumonia.
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<unk> year old woman with <num> days of cough, sob, wheezing, +sick contact. was in <unk> // pneumonia
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Pa and lateral views of the chest provided. Minimal left basal atelectasis is noted. Otherwise, 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 // eval for acute process
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Pa and lateral views of the chest provided. Low lung volumes. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with mildly enlarged heart and unfolded thoracic aorta. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Both humeral heads appear high riding at the shoulders, suggesting chronic rotator cuff disease. Clips in the right upper quadrant noted. Tiny clips in the right neck likely reflect prior thyroid surgery.
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<unk>f with c/o cp and weakness // ? 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 with <num> week of cough, s/p mcv collision <num> days ago with r knee pain
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Compared to the study from <unk>, there is increased bilateral pulmonary edema. Previously seen focal left lung opacity likely represents pulmonary edema. Small bilateral pleural effusions if any. Mild cardiomegaly is unchanged. No pneumothorax.
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chf. follow-up opacity left lung
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Pa and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Osseous structures demonstrate no acute abnormality.
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<unk>-year-old male with cough and fever, history of sarcoid and hiv.
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There is moderate cardiomegaly. The small left pleural effusion is unchanged compared to the prior exam. There appears to be mild interstitial edema. No new focal consolidations are identified. There is no pneumothorax. The transvenous right atrial and left ventricular pacer leads and right ventricular pacer defibrillator leads are unchanged in position compared to the prior exam.
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<unk>-year-old male with a history of chf, who presents for evaluation of abnormal left base breath sounds.
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Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
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history: <unk>m with chest 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>m with chest pain // r/o acute process
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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. Spinal fusion hardware with evidence of lower thoracic corpectomy and reconstruction noted. A left seventh partial reverse section is noted. No free air below the right hemidiaphragm is seen.
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<unk>f with shaking/shivering
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.note is made of a calcified granuloma in the right upper lung.
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history: <unk>m with fever <num> and tachy to <num>s, pls eval for pna // history: <unk>m with fever <num> and tachy to <num>s, pls eval for pna
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No focal consolidation or pneumothorax is seen. Mild pulmonary vascular congestion has increased. Small if any pleural effusion is decreased compared to ct dated <unk>. Heart and mediastinal contours are stable. Mediastinal clips and aortic calcifications are present. Sternal wires are again seen with discontinuity of the inferior-most wire, as seen previously. Valve replacement hardware is similarly positioned. Compression deformity of an upper lumbar vertebral body was present on lumbar spine radiographs dated <unk>.
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<unk>-year-old female with copd and atrial fibrillation, now with dyspnea and altered mental status.
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The lungs are clear without focal consolidation. There is no pneumothorax or pleural effusion. The cardiomediastinal and hilar contours are within normal limits.
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<unk>m with l sided chest pain. evaluate for pneumonia.
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The lungs are mildly hypoinflated with crowding of vasculature and right lower lobe atelectasis. Previously identified left lower lobe pulmonary nodule on <unk> is not seen on today's examination. No pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are unremarkable. Limited assessment of the osseous structures are unremarkable. No displaced rib fracture. Bilateral surgical screws from prior rotator cuff surgery is noted. A right port tip is in the right atrium.
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<unk>m with htn, ca, dm with syncope/fall. assess for fracture
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The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
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chest pain.
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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. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
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cough with green sputum.
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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. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
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daytime sleepiness, high hematocrit.
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Two views of the chest demonstrate a normal cardiomediastinal silhouette. The lungs are well aerated and clear without focal consolidation, pleural effusion, or pneumothorax. Degenerative changes of the thoracic spine are again seen. The visualized upper abdomen is unremarkable.
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chest pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No pulmonary edema is seen.
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history: <unk>f with cp // pna?
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Pa and lateral views of the chest. The lungs are clear without consolidation or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
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<unk>-year-old male with dyspnea in cardiac stent placed on <unk>. question infection.
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Right basilar opacity again seen, concerning for pleural effusion with overlying atelectasis, appears somewhat decreased as compared to the prior study, but still significant. A larger component of the opacity may now represent atelectasis and known underlying pulmonary malignancy, however, there is persistent shift of the mediastinum to the left. No evidence of pneumothorax is seen. Pulmonary nodules seen on prior chest ct from <unk> are better appreciated on that study. No new focal consolidation is seen in the left lung. Cardiac and mediastinal silhouettes are grossly stable.
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history: <unk>f with dyspnea, s/p thoracentesis // eval for interval resolution of r pleural effusion
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There is a new opacity of the left lung base which may represent a combination of small pleural effusion and atelectasis however, an underlying infectious process cannot be excluded. Evaluation of the cardiac silhouette is limited. Mediastinal contours are stable. There is tortuosity of the descending aorta. Flattening of the diaphragms is consistent with chronic obstructive lung disease. The right lung is essentially clear. There is no pneumothorax. There is redemonstration of a compression deformity in the lower thoracic spine.
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left sided pleuritic pain.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Seen on the frontal view only is equivocal increased opacity in the left mid lung, possibly a subtle lingular pneumonia or atelectasis. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
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cough, fever and shortness of breath.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Thoracolumbar s-shaped scoliosis is noted.
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<unk>-year-old female with chest pain.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Streaky and linear opacities are noted in both perihilar regions and lung bases likely reflective of atelectasis and/or scarring. No focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is not engorged.
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history: <unk>m with hyperglycemia, diaphoresis
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. No old pulmonary edema seen.
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history: <unk>f with signs symptoms concerning stroke. // stroke w/u
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There is an opacity at the right lung base with silhouetting of the right hemidiaphragm likely representing small-to-moderate right pleural effusion with adjacent atelectasis. However, a developing pneumonia in this region cannot be excluded. Additionally, there is a small left pleural effusion. Cardiomediastinal silhouette is normal. The upper lung zones are clear. There are no acute fractures identified.
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evaluation of patient with hypoxia and liver failure.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. Ill-defined focal opacities within the right upper lobe are concerning for pneumonia. Streaky left lower lobe opacity is also likely present, and could reflect an addition area of infection. Minimal blunting of the costophrenic angles may suggest trace bilateral pleural effusions. No pneumothorax is identified. There are no acute osseous abnormalities.
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chest pain and hemoptysis.
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Lung volume is low. Large left pleural effusion is similar to <num> day ago. There is collapse of the left lower lobe. Mild opacity in the right lung base likely reflect atelectasis. Cardiac silhouette appears unchanged. Prominent pulmonary vasculature is stable. Old displaced fracture is noted at the lateral right ninth rib. Heavy calcification is noted throughout the aorta.
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<unk>m w/shortness of breath, left-sided pleural effusion on osh cxr //
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There is a <num> cm nodular opacity projecting over the right upper lung between knee anterior right second and third rib spaces, which also appears to been present on prior chest radiographs from <unk> and also seen on chest ct from <unk>. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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history: <unk>m with chest pain, dyspnea, wheezing // ? pneumonia, acute cardiopulm process
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Pa and lateral views of the chest provided. Left chest wall pacer is seen with leads extending to the region the right atrium and right ventricle. Midline sternotomy wires are noted. Extensive calcified pleural plaque as seen on prior ct accounts for the scattered opacities projecting over both lungs. Given this, a subtle nodule or consolidation is difficult to exclude though none is clearly seen. No large effusion or pneumothorax. The heart is top-normal in size. Mediastinal contour is normal. Bony structures appear intact. No free air below the right hemidiaphragm.
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<unk>m with cough, sob, and wt gain // eval pneumonia vs chf
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Massive increase in extent of the right pleural effusion that now covers approximately half of the right hemithorax. Subsequent areas of atelectasis. The left lung is unchanged and normal. Unchanged size of the cardiac silhouette.
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pleural effusions, evaluation.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
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productive cough for two to three weeks, assess for acute process.
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Endotracheal and enteric tubes have been removed. Lung volumes are slightly improved since the next most recent study. There is new fullness of the hila bilaterally without <unk> pulmonary edema. There are new bibasilar opacities in the left retrocardiac and right infrahilar regions. There is <unk> pleural effusion or pneumothorax. Heart size is exaggerated by low lung volumes, likely top-normal.
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<unk> year old man s/p extubation, originally intubated for anaphylaxis and question of bilateral infiltrates on cxr // evaluate for infectious process, edema
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. A circumscribed area of sclerosis along the anterior superior endplate of t<num> vertebral body is consistent with a bone island, as correlated with prior mri dated <unk>. T<num>-<unk> anterior endplate sclerosis is related to degenerative disease. Trace left costophrenic angle dependent atelectasis is noted.
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<unk>-year-old female with syncope. question pneumonia.
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Pa and lateral views of the chest provided. Lungs appear hyperinflated. 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 chest pain
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The lung volumes are normal. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. Small bilateral apical thickening that is symmetrical in severity and distribution.
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hemolytic anemia, evaluation for pneumonia.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There are no pleural effusions or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the lower thoracic spine.
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shortness of breath.
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Pa and lateral chest radiographs. The right costophrenic sulcus is blunted. However, this appearance appears similar to prior ct chest which showed scarring. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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right flank pain. evaluation for pneumonia or effusion.
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The cardiac, mediastinal and hilar contours appear unchanged. The heart is normal in size. Previously, the left hemidiaphragm was somewhat elevated, but this has resolved. Although volume loss has resolved, a lateral view now depicts a posterior basilar opacity, probably in the left lower lobe, concerning for pneumonia. There is no pleural effusion or pneumothorax. Lumbar spinal fusion hardware is only partly visualized and not well assessed.
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shortness of breath.
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There is severe cardiomegaly, unchanged. Mild vascular congestion may be slightly increased. There is no overt pulmonary edema. There is no pleural effusion or pneumothorax. A right chest wall pacing device and its leads are stable in position within the right atrium and right ventricle.
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<unk>-year-old man with a history of congestive heart failure and dyspnea.
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The left costophrenic angle is incompletely imaged. Lung volumes are low. There is elevation of the right hemidiaphragm. Small bilateral pleural effusions are new since <unk>. Heart size is enlarged. The aorta is tortuous with calcification. Within the aerated portion of the lungs, no focal consolidation or pulmonary edema is detected. No pneumothorax is detected on these views. An abdominal aortic graft is partially imaged.
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<unk>-year-old male with dyspnea.
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The previously mentioned pulmonary nodule is no longer visualized. No consolidation. The hila and pulmonary vasculature are normal and unchanged. No pleural effusions or pneumothorax. Biapical pleural thickening is unchanged. The cardiomediastinal silhouette is unchanged.
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<unk> year old man with ? left lung nodule on portable xray // <unk> year old man with ? left lung nodule on portable xray
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Frontal and lateral views of the chest. Low lung volumes are noted with crowding of the bronchovascular markings. The lungs however are grossly clear of consolidation. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. No free air seen below the diaphragm. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>-year-old female s/p colonoscopy yesterday now with right upper quadrant pain. question free air.
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Dual lead left-sided pacer device is again seen. Cardiac and mediastinal silhouettes are stable. Midlung and basilar atelectasis is seen. There is minimal pulmonary vascular congestion. Streaky left base opacity is similar to prior and more likely relates to atelectasis and consolidation. No definite new focal consolidation. No pleural effusion or pneumothorax.
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history: <unk>m with left lower chest/flank pain concerning for pna // pna? particularly in lll?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. There is mild elevation of the right hemidiaphragm.
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<unk> year old woman with cough, wheezing, and pain with deep breathing // r/o acute process
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Mild to moderate cardiomegaly is unchanged. Mediastinal contour is unremarkable. There is no focal lung consolidation, pleural effusion, or pneumothorax. There is increased interstitial markings bilaterally, consistent with mild interstitial edema.
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<unk> year old woman with <num> days of cough and wheezing, evaluate for pneumonia
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There is minimal chronic-appearing anterior wedging of a mid thoracic vertebral body. More generally, slight degenerative changes are noted along the thoracic spine.
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cough.
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The heart is normal in size. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. No focal consolidations concerning for pneumonia are identified. There are no pleural effusions or pneumothorax. The osseous structures are grossly unremarkable.
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<unk> year old male patient with cough, fevers, wheezing in rll. study requested for assessment of pneumonia.
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Mild cardiomegaly has been stable compared to multiple prior exams dating back to <unk>. The hilar and mediastinal contours are unremarkable. Small bilateral pleural effusions are persistent. There is mild bibasilar atelectasis. There is no evidence of a pneumothorax.
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history of post-op. please evaluate for infection.
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In comparison with the study of <unk>, there is no evidence of acute cardiopulmonary disease at this time. No vascular congestion, pleural effusion, or acute pneumonia. No evidence of old granulomatous disease.
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positive ppd.
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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. Moderate s-shaped thoracolumbar scoliosis appears unchanged.
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chest pain and shortness of breath.
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Heart size is moderately enlarged. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. Lungs are clear. There is no evidence of pulmonary edema. No pleural effusion or pneumothorax is seen.
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<unk> year old man with a hisotry of mm now with productive cough. please evaluate for pna // <unk> year old man with a hisotry of mm now with productive cough. please evaluate for pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are low with mild streaky opacities in the lung bases likely reflective of atelectasis. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities including no displaced rib fractures.
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history: <unk>f with right rib pain
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Pulmonary vascular engorgement seen on <unk> has resolved. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. Median sternotomy wires are noted. The cardiac, hilar, and mediastinal contours are within normal limits.
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delirium. concern for pneumonia.
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Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. No focal consolidation is identified. Increased interstitial markings are noted at the lung bases, similar to that seen on the previous exam. No pleural effusion or pneumothorax is identified. Mild degenerative changes are seen in the thoracic spine as well as within the ac joints bilaterally.
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frequent pneumonias, cough, vomiting
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Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. Heart size is normal. Again demonstrated is a consolidative opacity within the right perihilar and suprahilar region, unchanged from chest radiograph from <unk> but new compared to the ct chest from <unk>. Remainder of the mediastinal and hilar contours are unchanged. Spiculated opacity within the right lung base appears new compared to the previous exam from <unk>, and likely present on the prior ct but increased in size. Other previously demonstrated nodules throughout the lungs appear grossly unchanged, the largest within the right lower lobe along the minor fissure. No pleural effusion or pneumothorax is present. Clips are seen in the right upper quadrant compatible prior cholecystectomy. Known osseous metastatic lesions are better assessed on the recent ct.
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history: <unk>f with cough and feels weak all over
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities. Pectus excavatum deformity is noted.
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epigastric discomfort.
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Cardiac silhouette size is mildly enlarged with a left ventricular predominance, unchanged. Mediastinal and hilar contours are within normal limits with mild atherosclerotic calcifications of the aortic arch. Pulmonary vasculature is not engorged. Scattered calcified granulomas are seen within the lungs as well as calcified hilar and mediastinal lymph nodes. Lungs are otherwise clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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history: <unk>m with diaphoresis, chills, needs infectious workup
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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.
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productive cough. question pneumonia.
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Lung volumes are slightly lower. There is a left chest wall pacemaker with leads in the right atrium and right ventricle. Patient is status post cabg. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
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history: <unk>m with s/p fall // ?ich ?vertebral fractures
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Assessment is slightly limited by patient rotation. The heart size remains mildly enlarged. The aorta remains tortuous. Hilar contours are unremarkable, and pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. The osseous structures are diffusely demineralized. Multiple chronic appearing right-sided rib and bilateral clavicular fractures are noted.
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history: <unk>m with reported atraumatic left femoral neck fracture on outside radiographs
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Again seen are opacities overlying the anterior heart, best seen on the lateral view, which are not significantly changed. This likely corresponds to the area of peribronchial infiltration seen in the right medial lobe in the frontal radiograph. The cardiomediastinal and hilar contours are within normal limits. No pleural effusion or pneumothorax.
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<unk> year old woman with sle, osa with history of dry cough, recently producing sputum concerning pneumonia. // opacity seen in cxr on <unk>, suggesting pneumonia or bronchitis, re evaluate. opacity seen in cxr on <unk>, suggesting pneumonia or b
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The cardiac silhouette largely unremarkable. There is mild right hilar prominence, not significantly changed since prior examination. A left-sided tunneled line is in stable position since the prior examination, with the tip terminating in the cavoatrial junction. Midline surgical clips are noted. No definite consolidation is identified. Again noted is prominent soft tissue in the upper mediastinum on both the left on the right, which persists on lateral view. There is no pleural effusion or pneumothorax.
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<unk>f with visual hallucinations, word finding difficulty, // eval for consolidation
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Pa and lateral chest radiographs demonstrate mild to moderate cardiomegaly, increased compared to <unk>. The lungs are moderately well-aerated, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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evaluate for acute process in a patient with chest pain.
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In comparison with chest radiograph from <num> days earlier, lung volumes have improved. Heterogeneous area of opacification in the left lower lobe suggests pneumonia. Mild bibasilar atelectasis. Bilateral pleural plaques reflect prior asbestos exposure. Mediastinal and cardiac silhouettes are stable.
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<unk> year old man with cough and wbc of <num> // ? pna
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There is mild pulmonary vascular congestion. There is increased retrocardiac opacity also seen on the lateral view. Elsewhere, there is no focal consolidation. There is mild cardiomegaly. No acute osseous abnormalities.
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<unk>f with cp, sickle cell // infiltrate
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Frontal and lateral views of the chest. When compared to prior, there appears to be slight interval progression of the pulmonary edema with more confluent opacities at the bases. Prominent extrapleural density seen on the right laterally suspicious for a small effusion. There is no definite left pleural effusion. Degree of cardiomegaly is unchanged.
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<unk>-year-old female with chest pain. additional history of end-stage renal disease per patient's prior radiology report.
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Ap and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. The heart size is normal. There is no free air under the diaphragm. Gastric distention is better appreciated on the abdomenal radiograph.
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hypoxia and wheezing.
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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 lupus flare, chest pain // pneumonitis vs pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. There is stable scarring in the right upper lung when compared to prior and probably similar changes on the left as well. There is no new confluent consolidation. Surgical chain sutures project over the right upper lung as well. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with dyspnea, status post recent d&c.
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Normal lung volumes. Potential minimal dorsal pleural effusions, seen on the lateral radiograph only. Normal appearance of the lung parenchyma. Normal hilar and mediastinal structures. No pneumothorax. No opacities. Nasogastric tube in correct position. The tip projects over the proximal to middle parts of the stomach.
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history of swallowing foreign bodies, evaluation of retropharyngeal abscess. nasogastric tube placement.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette is mild to moderately enlarged. No pulmonary edema is seen. Cervical surgical hardware is noted but not well assessed on the current study.
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history: <unk>f with right sided chest pain // ptx
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascularity is normal. No acute osseous abnormalities are detected.
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cough and tachycardia.
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Since the most recent comparison radiograph, the lungs are better inflated, and there is worsened airspace opacification in the left mid lung.left hilus is asymmetrically enlarged compared to the right, possibly due to lymphadenopathy.there is no pleural effusion or pneumothorax.
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<unk>f with chest pain, hiv, productive cough. evaluate for pneumonia
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Pa and lateral chest radiographs demonstrate multiple right posterolateral healed rib fractures. The lungs are clear. The visualized cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
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syncope and hypertension.
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Right-sided port-a-cath terminates in the upper to mid svc without evidence of pneumothorax. No focal consolidation is seen. There is no pleural effusion. Cardiac and mediastinal silhouettes are stable and unremarkable.
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history: <unk>f with fatigue, cough // ? pneumonia
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Left-sided dual-chamber pacemaker device with leads terminating in the right atrium and right ventricle are in unchanged positions. Heart size is borderline enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
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history: <unk>f with chest
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The lungs are clear without focal consolidation, pneumothorax, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with substernal chest pain, hx osa, strong fh heart disease. // acute process?
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The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are clear without evidence of focal consolidations, pleural effusions or pneumothoraces. The visualized osseous structures are unremarkable.
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history of cough, chest discomfort. please evaluate for pneumonia.
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The lungs are well inflated and clear. Heart size mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
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history: <unk>m with chest pain // 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 with report of cough // evaluate for pneumonia
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pneumothorax, or pleural effusion. Lung volumes are slightly diminished. Cardiomediastinal silhouette is unremarkable and stable from prior exam. There are no suspicious osseous lesions.
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a <unk>-year-old man with dyspnea, question acute process.
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Following removal of right pleural catheter, there is no evidence of apical pneumothorax. Small pockets of gas in the retrosternal region on the lateral view could potentially represent small loculated hydro pneumothoraces. A multiloculated right pleural effusion has slightly increased in size. Additionally, right juxta hilar and left retrocardiac opacities have slightly worsened. Small left pleural effusion is unchanged. Subcutaneous emphysema in right supraclavicular region is minimally improved.
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<unk> year old woman s/p tracheobronchoplasty // r/o ptx post ct removal
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The lungs are clear. There is no effusion, consolidation, or edema. Mild cardiomegaly is noted. Atherosclerotic calcifications are seen at the aortic arch. There is no visualized acute displaced fracture. Deformity of the left anterior ribs appears chronic. No definite acute displaced fracture identified.
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<unk>m with cough, r sided rib pain // r rib fractures? pna?
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Increased interstitial markings are seen in the mid to lower lung fields bilaterally may be due to chronic interstitial pulmonary disease although an acute component is not excluded in the absence of priors for comparison. No pleural effusion or pneumothorax is seen. The patient is status post median sternotomy. The aorta is calcified and tortuous. The cardiac silhouette is top-normal. Degenerative changes are not well evaluated along the spine.
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history: <unk>m with chest pain // eval for pneumothorax
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Mild bibasilar atelectasis is noted, left greater than right. The lungs are otherwise grossly clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Multiple, known, punctate calcified granulomas are better assessed on the patient's prior chest ct dated <unk>. The cardiomediastinal silhouette is grossly within normal limits.
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history: <unk>m with persistant neck pain and swelling // ? abcess ?epiglottitis
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