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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with productive cough, fever. evaluate for pneumonia.
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Dual lead left-sided aicd is seen with leads extending the expected positions of the right atrium and right ventricle. The there is slightly changed in position however, continue to extend to the expected positions of the right atrium and right ventricle. The cardiac silhouette remains mildly enlarged. The mediastinal contours are stable. There is right lung base streaky opacity in a relatively linear configuration, most likely due to atelectasis, and not seen on the lateral view. There is also mild lingular atelectasis/scarring. No pleural effusion is seen. There is no pneumothorax. There may be mild central vascular engorgement.
dyspnea for <num> weeks.
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Lung volumes are slightly lower since the prior study but clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. No displaced fracture is detected.
history: <unk>m with mid throacic spine and rt sided chest pain post injury // evalaute for fracture
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal. No acute bony abnormality is detected.
shortness of breath, chest tightness, with recent orthopedic surgery. evaluate for pe.
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Lung volumes are slightly low. There is no focal consolidation, pleural effusion or pneumothorax. There is mild cardiomegaly with a left ventricular predominance. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with sob // ? pna
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There has been interval placement of right-sided port-a-cath terminating in the distal svc/cavoatrial junction. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is heterogeneous sclerosis involving the vertebral bodies at all levels of the visualized spine as well as projecting over multiple ribs, concerning for osseous metastatic disease. No acute fracture is seen.
near syncope, fall history of prostate cancer.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. A trace left-sided pleural effusion may have decreased slightly. A patchy opacity in the left lower lobe appears similar. A vague opacity in the lingula is similar to perhaps minimally improved.
multifocal pneumonia.
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The cardiomediastinal and hilar contours within normal limits. There is redemosntration of mild elevation of the right hemidiaphragm. There is no focal consolidation, pleural effusion or pneumothorax. No overt traumatic findings. However if clinical concern, further evaluation can be obtained with dedicated rib series.
status post fall. question evidence of infection.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
three days of cough and chills. history of copd, hypertension, and diabetes.
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Median sternotomy wires are intact. A coronary artery stent is noted. The bones are intact. Imaged upper abdomen is unremarkable.
shortness of breath. evaluate for pneumothorax, infiltrate or pulmonary edema.
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The lungs are clear without focal consolidation. Mild perihilar peribronchial thickening is seen bilaterally. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with r sided chest/back pain // acute process?
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Low lung volumes are noted with secondary crowding of the bronchovascular markings. The lungs are clear without consolidation or effusion. Right chest wall port is seen with catheter tip at the ra svc junction. Posterior spinal fixation hardware is again noted, unchanged from prior. No acute osseous abnormalities. No free intraperitoneal air.
<unk>f with h/o rectal ca s/p recent hernia repair with fevers, chills and abdominal pain // eval for infiltrate, effusion
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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 h/o dvt/pe with pleuritic chest pain and bl leg pain
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The lungs are mildly hypoinflated with crowding of vasculature. Right lower lobe opacity is most consistent with atelectasis and only seen on frontal projection. No pleural effusion or pneumothorax. Moderate cardiomegaly is stable. Mediastinal contour and hila are unremarkable. A dual chamber left-sided pacemaker with leads in expected positions of the right atrium and right ventricle.
<unk>f with sss, chf s/p pacer, bibasilar crackles, baseline aphasia, with generalized weakness without clear source, non-productive cough, no fever. evaluate for infiltrate, evaluate volume status
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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.
new oxygen requirement.
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Compared to the prior study there is no significant change in moderate cardiomegaly and minimal pulmonary vascular redistribution with volume loss at both bases.
chest pain and dyspnea.
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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 ongoing cough x <num>mo
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Mildly tortuous descending thoracic aorta is noted. No acute osseous abnormalities.
<unk>m with alport syndrome and poorly controlled htn (<unk> on arrival) // signs of lvh, pulmonary edema
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Frontal and lateral views of the chest were obtained. The heart is mildly enlarged. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old female with sickle cell and recent cough and cold. evaluate for acute process.
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Lung volumes are low. On lateral view, there is opacity projecting over the spine, likely corresponding to a left basilar opacity. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no overt pulmonary edema. A single air-filled distended loop of likely large bowel is seen in the left upper quadrant. There is no acute osseous abnormality.
<unk>m with hypoxia, evaluate for acute process.
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Top-normal size of the heart is unchanged. The mediastinal and hilar contours are similar. Previous pattern of interstitial pulmonary edema has slightly improved from the previous study. Aeration within the right lung base has also improved, potentially reflective of improving atelectasis. Small bilateral pleural effusions are re- demonstrated, decreased in size on the right and similar in size on the left. There is no pneumothorax. Compression deformities of several upper lumbar vertebral bodies are unchanged from ct from <unk>.
history: <unk>f with cough
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The lungs are clear, there is no evidence of pneumonia and there are no pleural effusions. The cardiomediastinal shilhouette and hila are normal. There is no pneumothorax.
patient with history of small-cell lung cancer, now with fevers.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with chest pain, evaluate for pneumonia versus pleural effusion.
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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 views of the chest were compared to previous exam from <unk>. When compared to prior, there has been no significant interval change. Again seen is a right lung base opacity localizing to the lower lobe on the lateral exam. Elsewhere, the lungs remain clear. Pleural thickening versus prominent extrapleural fat seen laterally on the right as well as regions of calcified pleura. There is no pleural effusion. Cardiac silhouette is enlarged but stable. Dual-lead pacing device again noted as well as postoperative changes from median sternotomy. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male 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. No overt pulmonary edema.
history: <unk>m with atrial fibrillation // eval for pulm edema
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Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well-expanded. Increased interstitial markings most notable in the lower lungs and perihilar region may reflect atypical pneumonia. Focal kyphosis at the thoracolumbar junction is again noted. The sternum is not well assessed on this study.
<unk>m with large abscess lesion over sternum, chest pain.
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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette with pulmonary vascular congestion. The degree of bilateral pleural effusions has increased, and there is underlying basilar atelectatic change bilaterally. The upper zones are essentially clear.
worsening dyspnea.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area on frontal view. There exists no prior chest examination or records available for comparison.
<unk>-year-old male patient with low oxygen saturation and egophony in right middle lobe area, evaluate for pneumonia.
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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. Right axillary surgical clips are noted. Severe degenerative changes are noted at the left glenohumeral joint with deformity of the humeral head.
<unk>f with autoimmune hepatitis p/w <unk> edema, shortness of breath. evaluate for pneumonia, pulmonary edema, or effusions.
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Frontal and lateral chest radiographs demonstrate interval clearing of previously noted areas of peribronchovascular abnormality in the bilateral lower lobes. Within the right upper lobe, there is new faint peribronchovascular airspace opacity. There is no focal consolidation, or abscess. There is no pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are notable for unchanged calcified lymphadenopathy. Lingular and right middle lobe bronchiectasis is unchanged.
<unk>-year-old male with hlh status post chemotherapy with multiple pseudomonal pneumonias and worsening cough. evaluate for new abnormalities.
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Previously seen right pleural effusion is now smaller. The lungs are clear of focal consolidation. Cardiac silhouette is enlarged but stable. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities identified.
<unk>m with weakness and shortness of breath // r/o pna
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The lungs are well-expanded. Retrosternal soft tissue only seen on lateral projection may represent a right middle lobe pneumonia or scarring. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures demonstrates a subacute lateral left ninth rib fracture. Additional chronic healed deformities of the anterolateral left fifth through seventh ribs are noted.
<unk>f with cough. assess for pneumonia.
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The heart is at the upper limits of normal size. The aortic arch is calcified with slight unfolding. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Streaky retrocardiac opacities are visible in the left lower lobe, more dense and crowded than on the prior study. Elsewhere, the lungs appear clear. Bony structures are unremarkable.
cough.
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Compared to the prior radiograph, lung volumes are lower, which can cause crowding of bronchovascular structures. However, mild cardiomegaly and increased interstitial markings are new since <unk>, reflecting heart failure. No pleural effusion or focal consolidation identified.
history: <unk>m with cough. evaluate for pneumonia.
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The appearance of the chest is somewhat similar to the prior study with near-complete opacification last the left hemithorax with opacity appearing increased as compared to the prior chest radiographs, and grossly similar compared to scout image from <unk> ct. There is persistent significant leftward shift of the mediastinal structures with subsequent overinflation of the right lung. There is minimal atelectasis/scarring in the right mid lung zone. There is persistent severe compression of a lower thoracic vertebral body in the superior post thoracotomy site postoperative changes are again seen with a prior resection of some of the left-sided ribs.
the left upper lobectomy presenting with shortness of breath and cough.
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Frontal and lateral radiographs of the chest demonstrate a right lower lobe consolidation. The heart is not enlarged. The aorta is tortuous. There is no pneumothorax or pleural effusion.
syncope. evaluate for pneumonia.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old man with sob, cough, fever // acute pulm process
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Left-sided pacer device is stable in position. The patient is status post median sternotomy and cabg. Again, there is diffuse increase in interstitial markings bilaterally consistent with chronic lung disease, which is stable to possibly minimally progressed as compared to the prior study. Basilar atelectasis/ scarring is also seen. No definite focal consolidation. The cardiac and mediastinal silhouettes are stable. No pleural effusion or pneumothorax.
history: <unk>m with chest pain // eval infiltrate
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a coarse interstitial abnormality involving the mid-to-lower lungs to a greater degree on the left than right. How much of this appearance may be associated with pre-existing subpleural abnormalities that were partly visualized on the prior ct is uncertain since no prior radiographs are available for comparison. Mild-to-moderate relative elevation of the right hemidiaphragm compared to the left is similar to the prior examination. There are multiple air-fluid levels, probably in both small and large bowel seen in the upper abdomen, but no free air. Severe degenerative change involves the right shoulder including apparent effacement of the acromiohumeral interval, spurring along the glenohumeral joint and mild acromioclavicular narrowing.
hypotension.
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Pa and lateral views of the chest provided. Multiple tiny surgical clips are seen projecting over the chest wall. Lungs are 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.
<unk>f with chest pain // ? pna
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The cardiac silhouette is within normal limits. The hilar and mediastinal contours are normal. Lung volumes are slightly decreased as compared to prior examination. However, there is no focal consolidation, pleural effusion or pneumothorax.
<unk>f with fever, abd pain, crohns, superficial wound infection, concern for deeper infection. // intra-abdominal abscess?
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.
history: <unk>m with cough
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough // ?pneumonia
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The heart size, mediastinal, and hilar contours are normal. Patchy opacity in the right lung base may be due to atelectasis or early mild infection. No pleural effusions or pneumothorax.
<unk>m with malaise. eval heart and lungs. evaluate for pneumonia.
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There is diffuse increase in interstitial markings bilaterally which could be due to edema however, underlying atypical infection or metastatic disease is not excluded. No pleural effusion or pneumothorax seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with hypothyroid and ovarian cancer here with confusion // eval for pna or ich vs metastaitc disease
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Compared to the prior exam, there has been no detected interval change. The lungs are hyperinflated with flattening of the hemidiaphragms. Heart and mediastinal contours are stable with mild cardiomegaly. Aortic calcification appears unchanged. No focal consolidation, pleural effusion or pneumothorax is detected. Asymmetric density of the right lung appears unchanged.
<unk>-year-old male with shortness of breath and cough.
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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.
history of chest pain. please evaluate for pneumothorax.
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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 weakness and lip tingling // pna?
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Pa and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
hypercalcemia. evaluate for acute process.
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The lungs appear slightly hyperexpanded. Patchy opacification in the left lower lobe is new since <unk>. The prominent aortic knob is consistent with known aortic aneurysm seen on prior ct examination. Postoperative mediastinal contours and cardiac borders are stable. No pleural effusion. Radiopaque marker is seen to sit on the anterior chest wall on lateral view.
<unk> year old man with atrial fibrillation on amiodarone // evaluation of amiodarone toxicity
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There is increased retrocardiac opacification, concerning for pneumonia. The lungs are hyperinflated. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
fever and cough evaluate for pneumonia.
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Heart size is normal. The aorta is calcified, indicating atherosclerosis. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is a moderate right and small left pleural effusion. Adjacent bibasilar atelectasis is noted. There is a <num> mm nodular opacity overlying the left mid lung. Small bilateral, right greater than left, pleural effusions. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk>f with <unk> edema, bnp elevation. no dyspnea. // please eval for acute abnormality, evidence of fluid overload
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In comparison with study of <unk>, there is some decrease in the patchy opacification at the right base, though mild residual persists. Streaks of atelectasis are seen in the region.
pneumonia.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are stable in appearance. Right mediastinal convexity likely reflects mildly dilated or tortuous aorta. There is no pleural effusion. No pneumothorax is seen. Osseous structures demonstrates no acute abnormality. No air is seen the right hemidiaphragm.
<unk>-year-old female with chest pain.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f s/p fall with right wrist pain over medial wrist, humerus pain at midshaft, right rib pain posterior near scapula. // please eval for fx or for ptx
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Pa and lateral views of the chest. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. Stable enlargement of the right pulmonary artery.
cough. left basilar crackles. evaluate for pneumonia.
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In comparison with study of <unk>, there is no change in the appearance of the heart and lungs with mild tortuosity of the aorta. Mild hyperexpansion of the lungs could reflect some chronic pulmonary disease, though there is no evidence of acute pneumonia or vascular congestion. No evidence of impacted opaque foreign body.
swallowed pill capsule for endoscopy, to assess for impaction.
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Bilateral pleural effusions are small, left greater than right. Mild left basilar atelectasis. No change in the left-sided pacer with leads projecting to the right atrium and right ventricle. Interval removal of the right ij sheath. Moderate cardiomegaly is unchanged. No evidence of pneumothorax. Intact median sternotomy wires and mediastinal surgical clips are also unchanged position.
<unk> year old man with s/p cabg. eval for effusion.
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Lung volumes are slightly low. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Streaky opacities in both lung bases likely reflect areas of atelectasis. Linear scarring is noted within the right mid lung field compatible with prior wedge resections within the right upper and lower lobes. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities demonstrated.
history: <unk>f with copd, history of pulmonary embolism x<num> presents with acute shortness of breath and chest pain this morning. well's of <num>
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limites. There is no pleural effusion or pneumothorax. Osseous structures demonstrate no acute abnormality.
<unk> year old female with abdominal pain.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is mildly enlarged but stable. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
history: <unk>f with chest pain // eval for structural process
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A markedly enlarged hiatal hernia is again demonstrated. The cardiac, mediastinal and hilar contours are otherwise unchanged, and the aorta remains markedly tortuous. Heart size is difficult to assess given the presence of the hiatal hernia, but is likely mild to moderately enlarged. Pulmonary vasculature is normal. Streaky atelectasis is seen within the left lower lobe adjacent to the hiatal hernia. Linear atelectasis is also noted within the right lung base. No focal consolidation, pleural effusion or pneumothorax is otherwise demonstrated. There are no acute osseous abnormalities.
chest pain.
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There are increased bibasilar opacities, left greater than right. There is blunting of the right posterior costophrenic angle, likely related to pleural fluid. Evaluation of the cardiac silhouette is limited by overlying opacities. Upper lungs are well aerated. There is no pneumothorax.
infiltrate seen on x-ray earlier this month with some chest congestion. rule out infiltrate.
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The lungs are clear without focal consolidation, effusions or pneumothorax. The cardiomediastinal silhouette is normal.
fever, cough, tachycardia, question pneumonia.
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Pa and lateral views of the chest provided. Bibasilar opacities are most compatible with atelectasis though difficult to exclude an early pneumonia. No large effusion or pneumothorax. No congestion or edema. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with doe
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Heart size is normal. The hilar contours are normal. Aorta is tortuous or dilated. The pulmonary vasculature is normal. Scarring or atelectasis is seen in the right middle lobe. No focal consolidation, pleural effusion or pneumothorax. Healed left rib fractures are again seen.
<unk> year old man with acute asthma exacerbation, ? pneumonia // any evidence of acute infiltrates?
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The lung volumes are normal. No focal parenchymal opacity suggesting pneumonia. No pleural effusions. Normal hilar and mediastinal contours. Normal size of the cardiac silhouette.
cough, shortness of breath, rule out pneumonia.
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Widening of the superior mediastinum due to known thyroid goiter is re- demonstrated with narrowing of the trachea, better visualized on the recent ct. Heart size remains mildly enlarged, and the mediastinal contours are similar with diffuse atherosclerotic calcifications of the thoracic aorta. Mild pulmonary vascular congestion is re- demonstrated with a small left pleural effusion. Assessment for a right pleural effusion is somewhat limited as the posterior right costophrenic angle is not completely included on the lateral view. No focal consolidation or pneumothorax is identified. There are multilevel degenerative changes demonstrated in the thoracic spine.
history: <unk>f with tracheal stenosis add-on or // preop clearance
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Right lower lobe lung nodule is stable dating back to <unk>. No radiopaque foreign body.
<unk>-year-old female with syncope. evaluate for cardiomegaly.
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Pa and lateral views of the chest provided. Focal consolidation is seen in the right middle lobe obscuring the right heart border, compatible with pneumonia. Subtle opacity in the left lung base adjacent to the left heart border may represent an early pneumonia in the lingula. Otherwise lungs are clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with fever and cough // evaluate for pneumonia
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In comparison with the study of <unk>, there is little change in the appearance of the moderate left pleural effusion with compressive atelectasis at the base. The remainder of the study is unchanged, with the right lung clear and no evidence of pulmonary vascular congestion.
pleural effusion.
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Lung volumes are slightly low but the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with altered mental status // r/o 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.
<unk>m with mvc,pain today // eval for f x
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The lungs are hyperinflated. Patchy opacities at the bases bilaterally likely reflect atelectasis, however an underlying pneumonia cannot entirely be excluded. Otherwise, the lungs are clear. Small left pleural effusion. No pulmonary edema. There is moderate cardiomegaly with calcifications of the aortic knob. No pneumothorax.
history: <unk>f with s/p fall from standing with pelvic / l hip pain // evaluate traumatic injury
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The lungs are well inflated. The right apical pneumothorax is not changed. A right chest tube is in place. A left central venous catheter terminates in the svc. A catheter overlies the epigastrium. The splenic flexure of the colon is moderately prominent. The mediastinum is normal. No pleural effusions identified the heart size is normal. Hypertrophic changes are seen in the ac joints.
<unk> year old man with r chest tube, r ptx; please obtain <num> hours after previous film (approx. <time> pm); patient still on water seal // size/persistence of r ptx, possible interval resolution?
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Pa and lateral views of the chest provided. Partially visualized hardware in the cervical spine noted. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. An ivc filter is partially visualized in the upper abdomen.
<unk>f with abdominal pain // abdominal 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.
<unk>m with transient vision loss, study requested by neuro prior to admission // eval for acute process
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Ap and lateral chest radiograph is compared to prior radiograph dated <unk>. Overall appearance of the chest is not significantly changed with stable cardiomegaly and mediastinal contour. Left basilar atelectasis is noted. There is no large pleural effusion, pneumothorax, or evidence of pulmonary edema. S shaped scoliosis of the thoracolumbar spine is present.
history: <unk>f with weakness // eval for pna
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The lungs are well expanded. There is a retrocardiac opacity which is confirmed on the lateral views. Mild peribronchial thickening is present. Cardiomediastinal and hilar contours are unremarkable. There is a tortuous aorta. There is no pleural effusion or pneumothorax.
<unk>-year-old female with fever and chills. evaluate for evidence of pneumonia.
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Since prior, there has been no significant interval change. The right apical hydropneumothorax as well as right pleural effusion are stable. There is mild basilar atelectasis, the left lung is otherwise clear. Cardiomediastinal and hilar contours are unchanged. Surgical clips are noted in the right hilar and mediastinal regions as well as at the right lung apex.
<unk> year old woman s/p rul wedge resection with dyspnea, evaluate for change.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. Extensive flowing osteophyte formation is noted in the visualized thoracic spine.
<unk>m with chest pain, evaluate for pna, chf, ptx
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Lung volumes are low causing accentuation of the heart size and crowding of the central bronchovascular structures. There is no overt pulmonary edema or pneumothorax. There may be small bilateral pleural effusions.
<unk>-year-old male with cough and confusion. evaluate for acute process.
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Mild to moderate enlargement of the cardiac silhouette is unchanged. Mediastinal and hilar contours are within normal limits. Pulmonary vascularity is normal. Biapical scarring is re- demonstrated. There is no focal consolidation, pleural effusion or pneumothorax. Streaky left basilar opacity is likely reflective of atelectasis. There are multilevel degenerative changes in the thoracic spine.
cough.
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Normal heart size, mediastinal and hilar contours. No pleural effusion or pneumothorax. There is a vague opacity obscuring the right heart border which is localized in the retrosternal space on the lateral view concerning for an early right middle lobe consolidation. Note is made of mild pectus excavatum.
history: <unk>f with fever // r/o pneumonia
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Frontal and lateral radiographs of the chest demonstrate low lung volumes resulting in bronchovascular crowding. The low lung volumes accentuate the cardiac silhouette. There are small bilateral pleural effusions. There is adjacent atelectasis in the left base. Chest tubes project over the left hemithorax. There is no definite pneumothorax. Subcutaneous emphysema has not changed significantly over the interval. A right-sided internal jugular central venous line and the distal svc. Median sternotomy wires are in place. Subcutaneous gas is present in the bilateral supraclavicular soft tissues.
<unk> year old man // eval for pneumo
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>m with mm and anc-<num> p/w fevers, evaluate for pneumonia.
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In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. There is continued enlargement of the cardiac silhouette without vascular congestion or acute pneumonia. Streaks of atelectasis are seen at the right base. There is substantial wedging of a mid to lower thoracic vertebra that was not well appreciated on the study of <unk>.
leukocytosis and dyspnea, to assess for pneumonia.
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Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion, or pneumothorax. Pulmonary vasculature is normal without evidence of pulmonary edema. Heart size is normal. Mediastinal silhouette and hilar contours are normal. A <num>cm rounded density in the posterior right upper abdomen is a kidney stone seen on ct <unk>, and is probably larger than on <unk>, but similar to <unk>.
<unk>-year-old woman with dyspnea and lower extremity edema. evaluate for vascular congestion.
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The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
<unk>m with shortness of breath.
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As compared to the previous radiograph, there is no relevant change. No evidence of metastatic disease. No pulmonary nodules or masses. No pleural effusions. No hilar or mediastinal lymphadenopathy. Normal size of the cardiac silhouette.
history of melanoma, evaluation.
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The cardiac and mediastinal silhouettes are stable. Slight prominence of the central pulmonary vasculature suggests pulmonary vascular engorgement. No discrete focal consolidation is seen. There is no pleural effusion or pneumothorax. No overt pulmonary edema is seen. .
history: <unk>f with progressive sob, crackles on exam // pulmonary edema? pneumonia?
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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. 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.
<unk>m with chest pain // eval for acute process
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Lines, tubes and drains have been removed. The heart is moderate-to-severely enlarged. The cardiac, mediastinal and hilar contours appear stable. Diffuse opacification of each lung is most suggestive of pulmonary edema. Opacification is relatively confluent at the right lung base obscuring the right hemidiaphragm, not necessarily a different process, but could be reconsidered in short-term followp-up if coinciding more focal pneumonia is a potential clinical concern. Subpulmonic pleural effusions are difficult to exclude. There is no pneumothorax.
shortness of breath, confusion, congestive heart failure and end-stage renal disease.
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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.
chest pressure.
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pneumothorax or pleural effusion. The cardiomediastinal silhouette is unremarkable. There is no evidence of chf.
<unk>-year-old woman with chest pain. question cardiopulmonary process.
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Pa and lateral views the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart size is top-normal. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>-year-old female with shortness of breath.
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There has been some interval improvement in previously seen interstitial edema with minimal interstitial edema remaining. Right base opacity is seen which could be due to pneumonia versus atelectasis. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.
history: <unk>f with sob, cough and edema // r/o pneumonia
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. Normal cardiac and mediastinal contours.
<unk>f with dyspnea // r/o infiltrate
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Unchanged mild cardiomegaly with mild central vascular congestion and pulmonary edema, slightly improved since the prior study. Linear left lower lobe atelectasis. A subtle, left retrocardiac airspace opacity may represent atelectasis versus pneumonia. No large pleural effusion or pneumothorax. Metallic embolization coils are noted overlying the right upper quadrant.
history: <unk>m c hx lymphoma, on chemo, renal failure, p/w fever. // infiltrate