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The cardiac, mediastinal and hilar contours appear stable. The left atrial appendage appears enlarged. There is persistent moderate blunting of the left costophrenic sulcus, suggestive of an effusion and unchanged. There is no evidence for effusion on the right side. Alternatively, this may be due to chronic pleural thickening. Patchy right basilar density is similar to the earlier radiographs. On this study, the lateral view suggests new posterior density, probably in the left lower lobe, not specific but suggestive of developing pneumonia, however.
dyspnea.
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The lungs are clear. There is no focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires, prosthetic aortic valve, and left chest wall dual lead pacing device are noted.
<unk>f with fever // eval for pna
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. No focal consolidation, effusion, or pneumothorax is present. No effusion or pneumothorax is present. The cardiac and mediastinal contours are normal.
<unk>-year-old man with weight loss and history of scleritis. please evaluate for abnormal adenopathy.
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The lung bases are underpenetrated, likely due to overlying soft tissue. Given this, no focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. There is rightward deviation of the trachea with apparent mass effect on the trachea, increased as compared to the prior study, which may be due to underlying enlargement of the thyroid gland.
history: <unk>f with slurred speech, ataxic upon waking, left sided cn deficits // source of altered mental status
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Two pa and <num> lateral chest radiograph were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal.
palpitations.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Again seen is a left chest wall dual-lead pacing device. There are persistent small bilateral pleural effusions. The degree of pulmonary edema appears less conspicuous on the current which may be due to improved aeration. There is more conspicuous right basilar opacity which could represent a superimposed infection. Cardiac silhouette is enlarged but unchanged. Atherosclerotic calcification is seen at the aortic arch. No acute osseous abnormality detected.
<unk>-year-old female with congestive heart failure with shortness of breath.
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Left lower lobe atelectasis has improved. The lungs are otherwise clear. The cardiac contour is stable and top normal. There is no pleural effusion or pneumothorax.
patient with tracheal resection and reconstruction.
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The left picc terminates in the mid svc. Bibasilar atelectasis and elevation of the right hemidiagraphm is unchanged. There is no pneumothorax. The cardiomediastinal silhouette is unchanged. Deformities of the lower thoracic vertebrae are consistent with known diskitis/osteomyelitis.
assessment of picc location.
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Ap upright and lateral views of the chest provided. Surgical hardware is noted in the cervical spine. A right chest wall port-a-cath is seen with its tip in the svc. Cardiomegaly is again noted with midline sternotomy wires. Lung volumes are low. Motion artifact limits evaluation of lateral projection. Allowing for this there is no overt sign of pneumonia or edema. No large effusion is seen. There is no pneumothorax. The mediastinal contour is unremarkable. Hilar congestion is noted. Bony structures are intact.
<unk>m with dyspnea // r/o infection
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The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history of left-sided chest pain and one month of cough. rule out infiltrate.
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Frontal and lateral chest radiographs demonstrate hyperinflated lungs. Heart is normal in size. Tortuous aorta and calcifications along the aortic arch are relatively unchanged compared to the prior examination. Mediastinal and hilar contours are otherwise unremarkable. No focal areas of consolidation. There is no pleural effusion and no pneumothorax.
<unk> year old woman with new crackles right lower side // ? fluid
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Frontal and lateral views of the chest were performed. The heart is mild to moderately enlarged, unchanged. Prominent and asymmetric interstitial opacities appear improved from the most recent study but similar to <unk>. A worsened appearance of the chest from <unk> is worrisome for progressive and severe fibrosis, however, a component of acute reaction to drug use cannot be excluded. The azygous vein is not enalarged and there are no pleural effusions to think this worsening is primarily related to volume overload. The mediastinal and hilar structures are normal. There are no acute osseous abnormalities.
dyspnea. evaluate for pneumonia or heart failure.
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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 pmh iv drug use, on hiv prophylaxis, no presenting with positive blood cultures.
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The cardiomediastinal and hilar contours are within normal limits. There is redemonstration of plate-like atelectasis at the left and right lung bases, not significantly changed since at least <unk>. Given persistence of linear densities, scar formation can be considered. There is no new focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old female with ams. rule out pneumonia.
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The right pleural effusion and atelectasis has improved. There is a small pleural effusion and atelectasis on the left. There has been interval resolution of the left pneumothorax. Cardiomegaly is stable. Patient is post cabg with sternotomy wires and surgical clips intact.
<unk> year old man with recurrent right pleural effusions. has cirrhosis/hcc, s/p rfa <unk>. s/p cabg, mv repair, tv repair <unk>. // eval for interval change
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. There is minimal increased opacification of the right base, which likely represents atelectasis. The cardiomediastinal and hilar contours are unchanged; moderate cardiomegaly persists. There is no pneumothorax, consolidation or pleural effusion. A left-sided picc line ends in the distal svc. Transcutaneous epicardial pacer leads are in unchanged position.
fever. evaluate for pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain // r/o acute process
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There has been interval placement of a right-sided port-a-cath terminating at the right atrium. There are relatively low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is persistent elevation of the left hemidiaphragm. The cardiac and mediastinal silhouettes are stable. The hilar contours are stable. There is no pulmonary edema.
colon cancer, recently completed <num> cycle of chemotherapy, presents with fever.
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Pa and lateral chest radiographs were obtained. The low lung volumes accentuate the pulmonary vasculature. In addition, pulmonary vascular congestion is mild. No focal consolidation, effusion or pneumothorax is present. Moderate cardiomegaly is stable.
<unk>-year-old man found down. altered mental status. mid t-spine tenderness.
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Compared to <unk>, interval resolution of previously seen right lower lung pneumonia. Lungs are clear. Lungs are mildly hyperinflated, as before. No pleural effusion. No pneumothorax. Heat size is normal and unchanged.
<unk>m w/chest pain, please eval for mediastinal widening, pulm edema, pna
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The lungs are hyperinflated with flattening of the diaphragms likely reflective of underlying copd. Heart size is normal. Aorta remains tortuous. Mediastinal and hilar contours are unchanged and within normal limits otherwise. Calcified granuloma is seen in the left mid lung field. Remainder lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Scarring within the lung apices is detected. There are no acute osseous abnormalities. The pulmonary vascularity is normal.
cough and shortness of breath.
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Right-sided port-a-cath terminates in the upper svc without evidence of pneumothorax. Patient is status post median sternotomy. The cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette enlarged. No pleural effusion or pneumothorax is seen. Patchy retrocardiac opacity may be due to vascular structures, but consolidation due to pneumonia is not entirely excluded. Partially imaged cervical hardware is noted.
history: <unk>m with fever and cough // eval for pna
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Frontal and lateral views of the chest. Mild vascular congestion and pulmonary edema appear improved since <unk>. Cardiomegaly, a moderate left pleural effusion and bibasilar atelectasis are unchanged. Mediastinal widening is unchanged since <unk>.
acute episode of dyspnea.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. The cardiac silhouette is within normal limits. Large calcified mediastinal lymphadenopathy in the right lower paratracheal region appears unchanged.
<unk>-year-old male with hyperglycemia.
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The cardiomediastinal and hilar contours are stable. The lungs are clear. An enteric tube descends below the field of view and likely terminates within the proximal small bowel. No pneumothorax.
<unk>f with blocked ng tube // location of ng tube
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Mild cardiomegaly and pulmonary and mediastinal vasculature are chronically engorged. Mild bilateral interstitial abnormality is partly result of prior episodes of edema or early edema today. . Compared to <unk>, right basal consolidation or atelectasis has improved and previous pleural effusions have resolved. There is no pulmonary consolidation.
<unk>-year-old man status post liver transplant here with fever, evaluate for pneumonia
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Lungs are clear. Heart size normal. Mediastinal contours are within normal limits. No pleural effusion or pneumothorax.
<unk> year old woman with above, former smoker // r/o pna: cough/bibasilar <unk>/dullness
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Heart size is difficult to evaluate due to a large right-sided pleural effusion with adjacent right middle and lower lobe collapse without mediastinal shift. Dense pericardial calcification is best visualized on lateral view. A left-sided single-lead icd is unchanged in position. Compared to earlier examination, there has been worsening of central vascular congestion and interstitial edema. The lungs are otherwise clear. There is no pneumothorax.
dyspnea on exertion for several weeks.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Chronic linear opacities overlying right hemithorax correlate with architectural distortion from prior lung resection seen on the <unk> ct. Increased lucency related to paraseptal emphysema (as shown on prior ct), potentially related to hiv, is unchanged. No focal consolidation, pleural effusion, or pneumothorax. A misplaced right picc present on <unk> has been removed. Chain sutures overlying the right apex are stable. No new radiopaque foreign body.
<unk>-year-old male with febrile neutropenia. rule out consolidation.
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The lung volumes are normal. There is normal shape of the hemidiaphragms. No pleural effusions. Normal size of the cardiac silhouette without evidence of pulmonary edema. No pneumonia. No pneumothorax.
admitted for the rule out of acute chest processes.
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. There is no pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female palpitations and shortness of breath.
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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 evidence of pneumomediastinum is seen. There is no evidence of free air beneath the diaphragm.
history: <unk>f with chest pain after violent episodes of vomiting, intermittent cough. // ?free air, pneumothorax, pneumonia
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Left catheter has been removed since prior. No pneumothorax. Lungs are clear. Normal heart size, pulmonary vascularity. No effusion.
<unk> year old man with ptx // post ctx-pull at <time>
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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.
intermittent burning chest pain and palpitations.
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Lung volumes are increased from <unk>. Right moderate pleural effusion is stable from <unk>. Right basilar atelectasis is mildly worse from <unk>. A concurrent right lower lobe pneumonia cannot be ruled out. Persistent cardiomegaly from <unk>. Engorged pulmonary vessels are seen bilaterally with mild pulmonary interstitial edema. Left lung is clear. There is no pneumothorax. Cardiomediastinal borders and hilar structures are normal.
<unk> year old man with nash cirrhosis, chronic hepatic hydrothorax, admitted with refractory lower extremity edema, with increase in tbili today. // evaluate for interval change
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with leukemia, fever // please eval for pna
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Heart size is normal. Hilar contours are unremarkable. Postsurgical changes from left upper lobectomy with associated volume loss and stable elevation of the left hemidiaphragm. Retrocardiac atelectasis appears has improved. Fluid along the minor fissure has resolved now with a small right-sided pleural effusion. No residual pneumothorax. Lungs otherwise clear. Extensive subcutaneous gas in the left chest wall has improved.
status post left upper lobectomy with cough and air coming from the suture site.
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The heart appears borderline enlarged. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
chest pain.
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Left picc tip terminates in the mid svc. Patient is status post median sternotomy, cabg, and aortic valve replacement. Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with picc
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Frontal and lateral chest radiographs: a left-sided port-a-cath terminates at the upper right atrium. The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
on chemotherapy with fever and rectal bleeding.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Lower lung volumes seen on the current exam. There are bibasilar opacities, potentially due to atelectasis given lower lung volumes; however, component of infection is not completely excluded. There is no effusion or evidence of pulmonary vascular congestion. Cardiac silhouette is stable given differences in technique. Stable calcified nodule projects over the right mid lung. There is diffuse osteopenia. Osseous and soft tissue structures are otherwise grossly unremarkable.
<unk>-year-old female with chest pain.
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Lung volumes are low. Mild bibasilar opacities are noted and likely representative of atelectasis, right greater than left. Otherwise, the lungs are without a focal consolidation, effusion, or pneumothorax. There is mild prominence of the pulmonary vasculature without overt edema. Cardiac silhouette appears prominent but stable. Mild degenerative changes visualized throughout the thoracic spine.
cough.
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Mild cardiomegaly is unchanged. Mediastinal contour is stable. There is no pleural effusion or pneumothorax. The thoracic aorta is mildly tortuous. There is no focal lung consolidation. Partially imaged posterior spinal fusion hardware in the upper lumbar spine.
<unk>-year-old woman with hyperglycemia and weakness, evaluate for pneumonia
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. Aortic arch calcification is noted.
history: <unk>f with severe hypertension (now resolved), cll on chemotherapy, fatigue // evaluate for acute process
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Mildly prominent opacity in the right infrahilar region appears unchanged and is suspected to represent normal descending vascularity, which is unchanged and associated with slight leftward rotation of the heart. There are no pleural effusions or pneumothorax.
mastocytosis and elevated white blood cell count. question pneumonia.
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Pa and lateral views of the chest provided. Elevated right hemidiaphragm again noted. There is persistent right hilar and perihilar atelectasis. Left lung is clear. No convincing evidence for pneumonia. Cardiomediastinal silhouette is normal. No pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with sob // pna
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The heart is moderately enlarged. The mediastinal and hilar contours are stable. There are no definite pleural effusions. On two views, a vague new right middle lobe opacity can be discerned. There is exaggerated kyphosis, bony demineralization and mild-to-moderate mid thoracic degenerative spinal changes.
cough.
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Both lungs are well expanded and there are no opacities concerning for pneumonia. Heart size is normal, mediastinal and hilar contours are unremarkable. Bilateral pleural spaces are normal.
to rule out pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. The heart is again mild to moderately enlarged. A fiducial marker projecting over the superior segment of the left lower lobe appears unchanged. A group of clips projecting over the left breast right breast is also noted. There no pleural effusions or pneumothorax. The lungs appear clear. The bones appear demineralized. There is similar moderate s-shaped thoracolumbar spinal curvature.
status post fall with left chest wall pain.
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As compared to the previous radiograph, the image shows a subtle but newly appeared parenchymal opacity at the medial aspects of the lung bases. On the lateral radiograph, the opacity can be located in the posterior portions of the right lower lobe. The opacity is not very well defined and shows subtle air bronchograms. In the appropriate clinical setting, the changes are likely reflecting pneumonia. Otherwise, the radiograph is unremarkable. Normal size of the cardiac silhouette. No pleural effusions. No pulmonary edema. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification and the findings were discussed over the telephone.
cough, questionable pneumonia.
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Pa and lateral images of the chest demonstrate a right medial basilar opacity and a left basilar retrocardiac opacity which have increased since previous imaging. These findings would be consistent with the clinical diagnosis of pneumonia. There is a small right pleural effusion but no left pleural effusion. No pneumothorax is seen. Cardiac size is top normal. Mediastinal silhouette is unremarkable.
<unk>-year-old male with productive cough.
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There is no comparison available at the time of dictation. Normal lung volumes. Normal size of the cardiac silhouette. No focal parenchymal opacity suggesting pneumonia. No pneumothorax. No pleural effusions. No evidence of pathologic changes in the region of the right shoulder or the right ribs. However, if the clinical presentation persists, addition of the dedicated rib series would be recommended.
persistent right superior shoulder pain, rib pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable. The <num> mm calcified nodule is stable and is likely a granuloma. Bridging osteophytes of the thoracic spine are again noted. Vertebral disc heights are preserved.
<unk> year old man with recent positive quanteferon gold, no symptoms. // r/o tb
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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.
history: <unk>f with cough*** warning *** multiple patients with same last name! // eval for pna
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<num> views of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality.
hypoglycemia. evaluate for infiltrate.
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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 is seen. There is no displaced fracture.
intermittent chest pain, no prior episodes.
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Pa and lateral views of the chest provided. There is a moderate to large right pleural effusion with associated compressive atelectasis involving the right middle and lower lobes. Heart size is difficult to fully characterize due to silhouetting of the right heart border. The left lung appears clear. There is mild hilar congestion with cephalization and possible mild interstitial pulmonary edema. No pneumothorax. Mediastinal contour is normal. Bony structures are intact.
<unk>f with sob, hx of pleural effusion
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. Pulmonary vasculature appears normal. Costophrenic angles are sharp. Cardiomediastinal silhouette is within normal limits. Osseous structures are again notable for lower cervical laminectomies with posterior spinal fixation hardware in place.
<unk>-year-old female with chest pain. question chf.
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Ap upright and lateral views of the chest provided. Persistent small right pleural effusion with mild right basal atelectasis is noted. Left lung remains clear. Cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>m with liver disease here w/ abd pain, sob
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There is blunting of the right costophrenic angle seen on the frontal view, not well substantiated on the lateral view, may be to pleural thickening with a small pleural effusion is not excluded. There is right basilar atelectasis. No definite focal consolidation is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No left pleural effusion is seen. There is no evidence of pneumothorax. Right basilar atelectasis is seen.
history: <unk>f with cough and hypoxia // pna?
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There is obscuration of the left heart border. With increased opacity projecting over the heart on the lateral view. This most compatible with a lingular infiltrate. There is also small area of opacity in the right lower lobe medially skin <unk> are seen around the left neck the upper lobes are clear
<unk> year old woman pod#<unk> s/p left neck dissection with persistent o<num> requirement. // r/o acute cardiopulmonary process causing persistent post op hypoxia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Again noted is a small calcified nodule projecting over the right mid lung consistent with a granuloma. Otherwise the lungs appear clear. There is no pleural effusion or pneumothorax.
shortness of breath and cough. history of asthma.
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The heart is moderately enlarged but unchanged. The mediastinal contours are stable. Enlargement of the main pulmonary artery is again demonstrated compatible with pulmonary arterial hypertension. There is mild perihilar haziness and vascular indistinctness suggesting mild pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
cough.
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Frontal and lateral views of the chest demonstrate low lung volumes. Bibasilar opacities likely represent atelectasis. There is no pleural effusion, focal consolidation or pneumothorax noted. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
cough and shortness of breath.
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Cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen.
history: <unk>m with cough
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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 with the cardiac silhouette enlarged. The patient is status post median sternotomy. Dual lead left-sided pacemaker is stable in position.
history: <unk>f with palpitations/chest pain // r/o acute process
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The lungs are hyperinflated, suggestive of emphysematous changes. Interstitial markings are consistent with chronic lung disease or mild pulmonary vascular congestion. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Good heat
history: <unk>f with sob // eval for pna
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Ap and lateral views of the chest are compared to previous exam from <unk>. Postoperative changes with posterior spinal fixation hardware are again seen. Asymmetry of the thoracic cavities is again noted with chronic deformities of the ribs. The lungs, however, appear grossly clear without confluent consolidation nor effusion. Cardiomediastinal silhouette is unchanged.
<unk>-year-old male with possible <unk>'s node on left finger, possible endocarditis, question septic emboli.
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Ap upright and lateral views of the chest provided. Lung volumes are low though allowing for this the lungs appear clear. No large 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 dyspnea, history of asthma // acute cardiopulm disease
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The lungs are well expanded and clear bilaterally with no opacities, suspicious for lesion or mass. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable and within normal limits. The pleural surfaces are unremarkable. No adenopathy is appreciated.
<unk> y/o male with history of lymphoma presents now with cough.
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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 cough
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Lungs are hyperinflated, likely due to copd. Focal area of scarring in the right upper lobe is unchanged since <unk>, with associated volume loss and upward retraction of the minor fissure and hila. No new focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal contours are normal.
<unk> year old man with n v, hyperglycemia to <num>, chest pain. evaluate for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with hx of <num> renal transplants presenting with fever to <num> and bladder fullness, <unk> out infection // infectious work up in transplant pt r/o pulm process infectious work up in transplant pt r/o pulm process
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The lung volumes are low. The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
history: <unk>m with cough, fever // pna?
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Anterior cervicothoracic fixation hardware is visualized. No acute osseous abnormalities.
<unk>f with fatigue, cough, heavy vaginal bleeding worse than usual // evaluate for acute process
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs appear clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with heart racing and palpitation. question acute process.
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The lungs are clear. No effusion, pneumothorax, or consolidation is present. Heart and mediastinal contours are normal.
<unk>-year-old woman with shortness of breath. rule out pneumonia.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk> year old man with cough, malaise // cough triggered by move to new apartment <num> months ago; apparent mold reaction --> r/o infiltrate
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The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. Surgical chain sutures seen in the right upper lobe, likely from prior resection. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Evidence of multilevel old/chronic right-sided rib fractures are noted.
<unk> year-old man with infection, rule out pneumonia.
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Lung volumes are slightly low. Opacification previously seen in the left lower lung with silhouetting of the left hemidiaphragm has near completely resolved, with minimal residual atelectasis. No pleural effusion. No edema, focal consolidation to suggest pneumonia, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Alignment of the thoracic spine is unchanged.
history: <unk>m with leukocytosis // infiltrate?
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is central pulmonary vascular engorgement without overt pulmonary edema. The heart is mildly enlarged.
<unk>-year-old male with fatigue and history of congestive heart failure. evaluate for pulmonary edema, effusion or infiltrate.
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The left pectoral pacemaker is again seen unchanged in position. Pacemaker leads are seen terminating adjacent to the right atrium and right ventricle. There is no evidence of lead fracture. A right subclavian vein stent is unchanged in position. Finally, sternotomy wires and mediastinal clips are unchanged. The heart is enlarged but unchanged in size from the prior study. The aorta is tortuous and diffusely calcified. Compared to prior, there are new diffuse alveolar opacities and septal thickening, suggestive of new mild pulmonary edema. Bibasilar opacities most likely reflect atelectasis or possibly chronic aspiration.
shortness of breath.
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No definite focal consolidation is seen. Sub cm calcified nodule projecting over the left upper lobe is stable and most likely represents a granuloma. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable.
history: <unk>f with h/o cva p/w worsening stuttering and chills // ?consolidation
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Moderate pulmonary edema and mediastinal vascular pedicle engorgement are increased from <unk>, accentuated by lower lung volumes. Cardiomegaly is stable from <unk>. The aorta is tortuous. Tiny if any pleural effusions.
<unk>m with sob // eval for pulm edema
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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 similar study of <unk>. The heart size remains unchanged and is within normal limits. Unaltered normal appearance of thoracic aorta and mediastinal structures. 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 pneumothorax in apical area. Skeletal structures of the thorax remain unremarkable.
<unk>-year-old male patient with hiv and pruritus. evaluate for lymphoma.
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A right chest port ends in the low svc. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Surgical clips project over the upper abdomen on the lateral view. The lung fields are clear. There is a mild endplate deformity of a lower thoracic vertebral body, unchanged from <unk>.
history: <unk>f with hx of pancreatic cancer and afib on coumadin presents with syncope; please r/o bleed, fracture, e/o infection // <unk> with hx of pancreatic cancer and afib on coumadin presents with syncope; please r/o bleed, fracture, e/o infection
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The lungs are well expanded without focal consolidation, pleural effusion or pneumothorax. Biapical pleural thickening/scarring is noted. Slight increase in prominence of interstitial markings diffusely bilaterally could reflect interstitial disease. The heart is normal in size and unremarkable cardiomediastinal contours.
chest pain.
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In comparison with the study of <unk>, there is little overall change in the bilateral pleural effusions, more prominent on the right, with underlying compressive atelectasis. No vascular congestion or definite acute pneumonia.
right pleural effusion.
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Heart size is normal. Mediastinal hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Percutaneous gastrostomy catheter is new in the interval with tip terminating in the left upper quadrant. Previously noted metallic stent in the distal esophagus has been removed.
history: <unk>f with esophageal mets of uro primary cancer, nausea, vomiting, epigastric pain // evidence of mediastinitis or free air
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There is an accentuated thoracic kyphosis. The lungs remain clear without focal consolidation. There is no overt pulmonary edema or effusion. Mild cardiomegaly is unchanged as well as tortuosity of the descending thoracic aorta. No acute osseous abnormalities. There surgical clips in the upper abdomen.
<unk>f with fatigue // evaluate for pneumonia
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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 and unremarkable.
cough, shortness of breath for <num> weeks.
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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 uri symptoms, multiple myeloma
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Pa and lateral views of the chest provided. There is essentially no change from prior with persistent mild cardiomegaly and hilar congestion. Mild interstitial pulmonary edema again noted with tiny left pleural effusion. No convincing signs of pneumonia. No pneumothorax. Bony structures are intact.
<unk>f with recent pleural and cardiac effusions, p/w report of fever
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The lungs are clear. There is mild cardiomegaly and surgical changes from prior cardiac operation. There is an aortic arch stent and an artificial aortic valve. There is dense calcification of the ascending aorta. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
hypoglycemia. evaluate for acute process.
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Low lung volumes. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
<unk> year old man presenting s/p assault, notes chest pain // chest/intrathoracic pathology?
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There is no focal consolidation. The cardiomediastinal silhouette is unremarkable. No pleural effusion or pneumothorax.
<unk>m with pancreatitis and hypoxia // infiltrate? ards?
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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 // chest pain
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Relatively low lung volumes are noted. The lungs are clear without consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with code stroke // r/o infection
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Frontal and lateral radiographs of the chest demonstrate a stable mildly cardiomegaly. The mediastinal silhouette and hilar contours are normal. Clear lungs. No pleural effusion or pneumothorax.
chest pain, evaluate for pneumonia
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The lungs are mildly low in volume, resulting in crowding of bronchovascular structures, especially in the right lower lobe, and heart size. Otherwise, the upper lungs are clear. No pleural abnormality is seen. The heart is mildly enlarged. The mediastinal and hilar contours are unremarkable.
<unk> year old man with chronic cough. evaluate for pneumonia or intrathoracic mass.