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The lung volumes are low. The heart is normal in size. The aorta is mildly tortuous and calcified. Otherwise, the cardiac, mediastinal and hilar contours appear within normal limits. Streaky left basilar opacity suggests minor atelectasis. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax. Moderate-to-severe narrowing is noted along a lower thoracic interspace with subchondral sclerosis.
dyspnea.
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Suture material is noted in the left apical lung. Previous pneumothorax no longer detected. Mediastinum is normal. Heart size is normal. No bony abnormalities noted.
<unk>-year-old woman status post left upper lobe wedge resection, evaluate for interval change.
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Right-sided dual chamber pacemaker device is noted with leads within the right atrium and right ventricle. The heart remains moderately enlarged. The aorta is tortuous, unchanged, as are calcified right hilar lymph nodes. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are multilevel degenerative changes within the thoracic spine with dextroscoliosis of the thoracolumbar spine again noted. Extensive degenerative changes of the left glenohumeral joint are again visualized.
shortness of breath and chest pain.
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As compared to the previous radiograph, pre-existing small pleural effusions have completely resolved. There is no cardiomegaly or no pulmonary edema. Moderate tortuosity of the thoracic aorta. No evidence of pneumonia.
status post cardiomegaly.
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No previous images. Left subclavian pacemaker leads extend to the area of the right atrium and apex of the right ventricle. No evidence of pneumothorax. Hyperexpansion of the lungs suggest some chronic pulmonary disease. Cardiac silhouette is within upper limits of normal. Mild prominence of interstitial markings could reflect elevated pulmonary venous pressure, chronic lung disease, or both.
pacemaker lead.
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The heart size is within normal limits. The mediastinal contours are within normal limits. The lungs demonstrate airspace opacity in the left base with small left pleural effusion. There is no pneumothorax.
an <unk>-year-old female with cough and fever.
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Subsegmental atelectasis is noted in the left lung base. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Moderate compression deformity is seen at the thoracolumbar junction.
history: <unk>f with fevers on chemotherapy.
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Pa and lateral views of the chest. Previously seen right upper lobe pneumonia has decreased in size. There is still some residual opacity just above the minor fissure. No new areas of consolidation. Mild left basilar atelectasis. No pleural effusion or pneumothorax. Cardiac, mediastinal, and hilar contours are stable and normal.
flow pneumonia on <unk>. still productive cough and infrequent fevers, rule out worsening infiltrate.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are grossly stable. No pulmonary edema is seen.
history: <unk>f with chest pain and cough pls eval pna or effusion *** warning *** multiple patients with same last name! // history: <unk>f with chest pain and cough pls eval pna or effusion
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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. The lungs are mildly hyperinflated but otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.
shortness of breath.
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Lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. There is mild prominence of the vasculature but without evidence of edema. Additionally, there is mild fullness of the infrahilar right lower lobe but without a focal consolidation. Cardiomediastinal silhouette is otherwise normal. No acute fractures are identified.
fever on steroids.
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No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest/midback pain pls eval pna, effusion, // history: <unk>m with chest/midback pain pls eval pna, effusion,
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old female with fever. rule out infectious process.
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Cardiomediastinal contours are normal. Low lung volumes accentuate the bronchovascular structures, especially at the lung bases. There are no focal areas of consolidation or pleural effusion.
<unk> year old man with cough for weeks and mild hemoptysis // r/o infiltrate or lung nodule
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A right internal jugular approach tunneled dialysis line ends in the right atrium in unchanged position. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with chest wall pain // ?port position
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Normal surgical scarring of the right lung is once again demonstrated. Stable volume loss secondary to prior right middle lobe lobectomy. The lungs are fully expanded and clear otherwise. Cardiomediastinal and hilar contours are normal. The pleural surfaces are normal.
<unk> year old man s/p vats rml lobectomy <unk> for typical carcinoid stage <num>a // please assess for interval change
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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
chest pain. evaluate for infiltrate.
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There is a left hydro-pneumothorax with partial collapse of the left lung. Further collapse or re-expansion of the left lung is prevented by chronic lung disease. Notably, in the mid-upper right lung, there is a dense, wedge-shaped opacity extending to the pleura, concerning for a pulmonary infarct. No right pneumothorax is present. The thoracic aorta is calcified and tortuous. Multiple calcifications of the costal cartilage, particularly on the left, is present.
<unk> year old woman with recent pneumonia. have infiltrates resolved?
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The cardiomediastinal and hilar contours are stable, with moderate calcification of the thoracic aorta. The lungs are clear without consolidation, pleural effusion or pneumothorax. Mild bibasal atelectasis is seen.
<unk>-year-old woman with hyponatremia and confusion for the past two days.
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The cardiomediastinal and hilar contours are within normal limits. Multiple tiny rounded densities bilaterally likely represent granulomas. Numerous soft tissue calcifications are seen in the upper abdomen and lower chest. Otherwise, the lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>f with chest trauma // acute process?
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Frontal lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There is no definite focal consolidation, pleural effusion, or pneumothorax. There may be mild vascular congestion. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with fever.
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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>m with cp // ? pna
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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.
<unk>-year-old female with altered mental status.
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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Specifically, no evidence of mediastinal or hilar lymphadenopathy or enlargement of the spleen. There are bilateral cervical ribs, more prominent on the right.
pruritus, to assess for lymphoma.
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Healed fractures of the posterior right fourth, fifth and sixth ribs are unchanged.
partial seizure.? pneumonia.
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Pa and lateral views of the chest. The lungs are clear, there is no region of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old female with weeks of productive cough.
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Heart size is moderate to severely enlarged with a somewhat globular configuration. The mediastinal and hilar contours are unremarkable. There is mild pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality seen.
shortness of breath.
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The lungs are well expanded. There is a vague opacity in the right lower lobe, which has been present intermittently on prior studies. Although this may represent postinflammatory changes, pneumonia can not be entirely excluded. Clinical correlation and follow up imaging would be advised especially if the patient's symptoms persist. There is no pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with dyspnea // eval for pneumonia
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. Lung volumes are low though allowing for this the lungs appear clear. Cardiomediastinal silhouette is stable with mildly enlarged cardiac silhouette. No large effusion or pneumothorax. No convincing evidence for pneumonia or edema. Bony structures are intact. Mildly downsloping right acromion is incidentally noted.
<unk>f with chest and left shoulder pain // evaluate for acs
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Heart size is normal with mildly tortuous thoracic aorta. Hilar contours are unremarkable. There is a subtle increased density in the posterior lower lung fields on lateral view only without frontal correlate which could represent atelectasis or a subtle pneumonia. There is no pleural effusion or pneumothorax.
cough and cold with green sputum.
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Frontal and lateral radiographs were acquired. A radiopaque skin marker is seen along the left anterior second intercostal space. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. No displaced rib fractures are identified.
chest trauma from a "bball." assess for rib fracture.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. Decreased mineralization of the spine.
multiple myeloma with cough and chest congestion.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are normal.
cough and wheezing.
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Frontal and lateral views of the chest demonstrate mild interval improvement of bilateral infrahilar interstitial edema versus atypical pneumonia. Trace effusions persist bilaterally. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits.
<unk>-year-old female recently postpartum with pre-eclampsia, here for followup of a prior pulmonary edema, in the setting of worsening shortness breath.
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Ap and lateral views of the chest. The lungs are clear of focal consolidation or pulmonary vascular congestion. There is no effusion. The cardiac silhouette is mildly enlarged. Descending thoracic aorta is tortuous. No acute osseous abnormality is detected. Hypertrophic changes seen in the thoracic spine.
<unk>-year-old male with altered mental status. syncope.
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There is mild cardiomegaly overall stable compared to the exam from <unk>. Note is also made of pulmonary vascular congestion. The lung volumes are low. There is a subtle increase in opacification overlying the lung bases. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of pleuritic back pain. please evaluate for acute infectious process.
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Lungs are fully expanded and clear. There is no diaphragmatic flattening or enlargement of the retro sternal clear space a suggest copd. Apparent enlargement of the ap diameter is likely related to thoracic kyphosis. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk>f with left knee effusion, further w/u per ortho request, evaluate for copd.
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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 tachycardia // ptx, pna, effusion, pulmonary edema
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There is no focal consolidation. There is a minimal linear opacity at left lung base. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Views of the upper abdomen are unremarkable.
<unk>f with fever, evaluate for pneumonia..
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Heart size remains mildly enlarged. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Minimal blunting of the costophrenic angles posteriorly on the lateral view suggests trace bilateral pleural effusions. No focal consolidation or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with lower extremity swelling
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In comparison to prior radiograph from <unk>, the cardiomediastinal silhouettes are stable. Central bronchovascular and diffuse interstitial prominence likely reflects pulmonary vascular congestion and mild pulmonary edema. There is no focal lung consolidation. There is no pneumothorax or pleural effusion.
a <unk>-year-old man with shortness of breath, evaluate for cardiopulmonary process.
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Pa and lateral views of the chest provided. Midline sternotomy wires and tripolar aicd unchanged. No focal consolidation, large effusion or pneumothorax. There is no convincing signs of edema. Bony structures are intact. Cardiomediastinal silhouette is stable.
<unk>m with hx of chf, pacemaker // eval for edema
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When compared to most recent chest x-ray the appearance of the left lower lobe consolidation appears slightly worse. Left upper lobe bronchiectasis with scarring and volume loss is again noted. Suggestion of a air-fluid level is best seen on the lateral view as on prior, potentially fluid with a large cystic cavity in the left lung. Right apical scarring is also noted. The cardiomediastinal silhouette is unchanged.
<unk>m with weakness, cough, recent pna // eval for acute process
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As compared to the previous radiograph, the pre-existing mild pulmonary edema has completely resolved. On today's image, there is no evidence of fluid overload or pulmonary edema. The lung volumes remain low. There is moderate cardiomegaly and tortuosity of the thoracic aorta. No pleural effusions on the lateral than on the frontal image. No evidence of pneumothorax. Minimal atelectasis at both lung bases, but no evidence of infectious changes.
hepatitis b and hepatitis c cirrhosis with encephalopathy, questionable infection.
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Right-sided port-a-cath is seen with catheter terminating in the low svc, without evidence of pneumothorax. No focal consolidation is seen. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with active chemo sob, cough // r/o pna
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The lungs are well expanded. Bilateral asymmetric pleural thickening with calcifications is seen, suggestive of prior asbestosis exposure. Interval worsening of basilar predominant reticular opacities. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is moderately enlarged. Sternotomy wires are noted.
history: <unk>m with sob and chest pain r/o infectious process // r/o infectious process
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Patient is status post recent right-sided wedge per sec chin. Peripheral right mid lung opacity likely relates to wedge resection, may be post procedural or small focus of hemorrhage. . No focal consolidation is seen elsewhere. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with dyspnea // evidence of pneumothorax
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The cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.
left-sided chest pain.
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Right picc tip terminates in the mid/low svc. Cardiac silhouette size remains mildly enlarged. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. There are mild degenerative changes within the thoracic spine.
history: <unk>f with picc line in place and noticed some drainage around the line today.
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As compared to the previous radiograph, there is a newly appeared zone of increased parenchymal opacities, located in the lingula and, potentially, also in the left lower lobe. The opacities are peribronchial in distribution and predominantly nodular and alveolar in appearance. The findings are strongly suggestive of recent pneumonia. There are no other parenchymal opacities. Unchanged massive overinflation with large lung volumes and diaphragmatic flattening. No reactive pleural effusions. Normal size of the cardiac silhouette. The referring physicians dr. <unk>, covered by dr. <unk>, was paged for notification at <time> a.m., <unk>.
fever, history of immunosuppression, <unk> infection, dry cough.
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The left ij central line has been removed. The left subclavian picc line tip is not well seen on the frontal view and no edge enhanced images are available. However, on the lateral view, the picc line appears to extend beyond the distal svc and to overlie the right atrium. No pneumothorax is detected. Otherwise, left base atelectasis has improved compared with the prior study. There is upper zone redistribution, without other evidence of chf. The cardiomediastinal silhouette is is probably unchanged allowing for technical differences. Suspect background copd. Nodular density at the right lung base projecting between the anterior fifth and sixth ribs was not seen on prior study aa is likely represents artifact. Please see report from <unk> chest ct referring <num> small right nodules. Probable old healed fracture right clavicle as well severe right glenohumeral osteoarthritis.
<unk> year old man with picc s/p central line removal same side // evaluate picc position
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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. There is slight prominence of the hila, which could be due to underlying lymphadenopathy.
history: <unk>m with fever, wbc <unk>, hematuria // eval ? infection
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Frontal and lateral chest radiographs demonstrate clear lungs without pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old male with intracranial lesion and fever. rule out infiltrate.
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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 fever
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Compared with the prior study, moderate cardiomegaly is unchanged. The thoracic aorta is calcified and mildly elongated. The mediastinal and hilar contours are unremarkable. Previous small bilateral pleural effusions have resolved. Minimal bibasilar atelectasis, without focal consolidation or pneumothorax.
<unk>f with hypoglycemia and altered mental status. evaluate for pneumonia.
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The lungs are hyperexpanded similar to the prior study with emphysematous changes. Heart size is normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is anterior fusion of several upper thoracic levels.
history: <unk>f with weakness, malaise // eval for pneumonia
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Pa and lateral images of the chest demonstrates well-expanded lungs which are clear. There is no pneumothorax or pleural effusion. Cardiac size is top normal. Otherwise, the cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.
<unk>-year-old female with chest pain, cough and shortness of breath.
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The heart is normal in size. There is similar mild unfolding along the descending thoracic aorta. The mediastinal and hilar contours appear unchanged. The chest is hyperinflated. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.
new onset of atrial fibrillation and oxygen requirement.
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Frontal and lateral radiographs of the chest were acquired. There is minimal atelectasis or scarring in the lingula as well as evidence of emphysema. A large rounded left infrahilar opacity corresponds to a left lower lobe mass, better assessed on recent ct from <unk>. The lungs are otherwise clear. There are no pleural effusions. No pneumothorax is seen. The heart size is normal. The mediastinal contours are normal.
pleuritic chest pain and dyspnea. evaluate for acute pulmonary process.
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The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. The lung volumes are low; particularly in that context, faint basilar opacities are likely due to minor atelectasis.
<unk>-year-old with shortness of breath. please assess for pneumonia.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are within normal limits. The lungs are hyperinflated but clear. Pulmonary vasculature is normal. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with weakness
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As compared to the previous radiograph, the lateral projection shows a non-recent, slightly displaced sternal fracture. There is no other abnormality seen along the sternum or in the retrosternal space, in particular no evidence of hemorrhage or pathological air-fluid levels. A known large hiatal hernia is unchanged as compared to the previous examination. The trachea shows a normal course. No tracheal displacement. Unremarkable appearance of the lung parenchyma. Borderline size of the cardiac silhouette without evidence of pleural effusions, pneumothorax, pulmonary edema or pneumonia. Moderate tortuosity of the thoracic aorta.
fall in mid <unk>, sternal pain. evaluation.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with hiv/aids with cough // eval for infection
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Pa and lateral views of the chest. No prior. Lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No typical configurational abnormalities identified. Unremarkable 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 the apical area on frontal view. Skeletal structures of the thorax grossly unremarkable. There exists no prior chest examination or records available for comparison.
<unk>-year-old male patient with productive cough and wheezing, evaluate for pneumonia.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. No focal consolidation is identified. There is no pleural effusion or pneumothorax.
<unk>f s/p fall with left orbital floor tenderness. historically thrombocytopenic, r/o intracranial bleed. left elbow tenderness.
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Cardiac silhouette size is mildly enlarged but unchanged. Mediastinal and hilar contours are similar with unchanged prominence of the right superior mediastinal contour likely due to tortuous vasculature. Mild upper zone vascular redistribution suggests mild pulmonary vascular congestion. Streaky opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine.
history: <unk>m with cough, fever after known flu weeks ago
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Frontal and lateral views of the chest demonstrate no pleural effusion, pneumothorax or focal airspace consolidation. Prominence of the basilar interstitium is suggestive of a chronic lung disease. Streaky atelectasis is also noted at the bases. Calcifications within the aortic arch, descending aorta and arteries of the neck are noted. The cardiac silhouette is normal in size.
vomiting, evaluate for acute cardiopulmonary process.
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Heart size is normal. The mediastinal and hilar contours are normal. Mild right-sided pulmonary vasculature congestion, pleural thickening on the right, right effusion, and right-sided subcutaneous air are unchanged. Left lung base atelectasis continues to improve. No pneumothorax.
<unk> year old woman s/p tracheobronchoplasty, pod <num> // pls eval interval change. pls perform non-portable pa and lateral films.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old male with pain.
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Frontal and lateral views of the chest. No prior. The lungs are hyperinflated with flattening of the diaphragms, but they are clear of consolidation or large effusion. There is no pulmonary vascular engorgement. Cardiac silhouette is at upper limits of normal. Atherosclerotic calcifications noted in the thoracic aorta. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fall. question infection.
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Ap upright and lateral views of the chest provided. Lung volumes are quite low limiting assessment. Gas seen below the right hemidiaphragm may reside within bowel loops though clinical correlation is advised as free intraperitoneal air is difficult to exclude in the correct clinical setting. There is no convincing evidence for pneumonia, edema, large effusion or pneumothorax. The cardiomediastinal silhouette appears within normal limits given technique. Bony structures are intact.
<unk>m with worsening parkinsonism x several weeks
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are unremarkable. Surgical clips are noted in the mid to left left upper quadrant. No pulmonary edema, pneumothorax, or pleural effusion. No focal consolidations are identified.
history: <unk>m with shortness of breath, fever, chills, myalgias // evaluate for infiltrates suggestive of pneumonia
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Frontal and lateral radiographs of the chest show a dense calcified opacity in the right paratracheal region which likely represents a calcified lymph node consistent with granulomatous disease. Bibasilar coarse opacities likely represent a combination of atelectasis and fibrosis. The upper and mid lungs are clear bilaterally. No pleural effusion or pneumothorax is present. The inspiratory lung volumes are decreased. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits.
<unk>-year-old male with cough and possible low-grade tuberculosis, here to evaluate for pneumonia.
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In comparison with study of <unk>, there is again opacification at the left base with a small meniscus formation, consistent with residual pleural effusion. The peripheral areas of opacification are essentially unchanged and may represent sequela of areas of infarction as on the prior ct scans.
pulmonary infarction and effusion.
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Lung volumes are low, which leads to bronchovascular crowding. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with shortness of breath and productive cough. rule out pneumonia.
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Lung volumes are better from the prior exam. No focal consolidation, effusion, edema, or pneumothorax. Median sternotomy wires and mediastinal clips are unchanged and appear intact. There is eventration of the right hemidiaphragm. No evidence of fracture on this nondedicated exam. Moderate cardiomegaly.
history: <unk>f with history of cabg presenting after unwitnessed fall with anterior chest pain // rule out fracture
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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. There is mild subsegmental atelectasis at the lung bases. The aorta is slightly tortuous. The hilar contours are normal allowing for lung volumes. Pulmonary vasculature is normal. Degenerative changes seen in the right shoulder girdle. Scattered calcifications in the subcutaneous tissues may be vascular.
<unk>-year-old woman with dyspnea. evaluate for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest appears somewhat hyperinflated. There is no pleural effusion or pneumothorax. There is no indication of lymphadenopathy or parenchymal interstitial disease that would be likely to reflect sarcoidosis. In the lingula, there is persistent minor opacification, but considerably reduced so possibly due to scarring from a prior process.
fever, cough, and shortness of breath.
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The patient is status post sternotomy. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
altered mental status.
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In comparison with the study of <unk>, the areas of consolidation have effectively cleared. Again, there is hyperexpansion of the lungs consistent with chronic pulmonary disease and a dual-channel pacemaker device in place. No evidence of vascular congestion or pleural effusion.
chest congestion.
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Frontal and lateral chest radiographs demonstrate clear lungs without effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. The pulmonary vasculature is normal.
<unk>-year-old female with chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Old left seventh and eighth rib fractures are noted. No free air below the right hemidiaphragm is seen.
<unk>f with syncope and fall // eval for ich, pna, c spine fracture
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The cardiac and mediastinal silhouettes appear within normal limits. There are no focal pulmonary opacities, pleural effusions, or evidence of pneumothorax. Osseous structures appear unremarkable.
cough and fever. evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Degenerative changes are similar along the lower thoracic spine.
chest and abdominal pain.
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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. Mild degenerative changes are seen in thoracic spine. Clips are noted in the right upper quadrant of the abdomen compatible with prior cholecystectomy.
history: <unk>f with fever, cough, facial cellulitis
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When compared to prior, there has been no significant interval change. Moderate cardiomegaly is again noted with atherosclerotic calcifications of the aortic arch. Pulmonary vascular congestion is again noted. Persistent blunting of posterior costophrenic angle is suggest small left effusion. No acute osseous abnormalities identified.
<unk>m with sob // r/o pna
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Probable mild cardiomegaly, though the cardiomediastinal silhouette is unchanged. Again seen is upper zone redistribution, unchanged, without overt chf. Minimal bibasilar atelectasis and/or scarring is unchanged. No focal infiltrate, consolidation, effusion or pneumothorax is detected. Incidental note is made of right upper quadrant cholecystectomy clips and aortic calcification, better depicted on an abdominal ct from <unk>.
<unk>f with pmh of apls on coumadin for hx of pe, poorly-controlled t<num>dm complicated by esrd s/p living kidney transplant in <unk> on mmf, tacrolimus, prednisone, cad s/p mi x <num> and des <unk>, with several-day history of melena/hematemesis // eval for infection, effusion
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain.
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Moderate cardiomegaly is again noted. Increased interstitial markings are seen throughout the lungs. There is no confluent consolidation or effusion. There is no acute osseous abnormality.
<unk>f with sob and cp // chf?
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Frontal and lateral views of the chest. On the lateral view there is increased density projecting over the posterior costophrenic angles. Superiorly the lungs are clear. There is no pulmonary vascular congestion. Cardiac silhouette is enlarged but stable. Dual lead pacing device again noted as well as median sternotomy wires. Osseous structures are unremarkable.
<unk>-year-old male with altered mental status.
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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. Right humeral head anchor noted.
history: <unk>m with shortness of breath
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax.
new liver failure. evaluate for pulmonary pathology.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
cough and hemoptysis.
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The patient has a <num>-cm left pneumothorax. No evidence of tension, no air-fluid level. Normal size of the cardiac silhouette. Normal appearance of the right lung. At the time of dictation and observation, <time> p.m., <unk>, the referring physician, <unk>. <unk> was paged for notification and the findings were subsequently discussed.
painful cough, night sweats, rule out pneumonia.
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Pa and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
fever and leukocytosis.
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Heart size is normal. The mediastinal and hilar contours are normal. Mild pulmonary edema has worsened throughout the lungs and greater opacification at the lung bases could be atelectasis or coalescent edema. No focal consolidation or pneumothorax. Prosthetic aortic valve is present.
<unk> year old man s/p avr // post-op baseline
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Pa and lateral views of the chest provided. Lung volumes are low. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Clips are noted in the right upper abdomen.
<unk>f with c/o 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 and unremarkable. Incidental note is made of eventration of the right hemidiaphragm. No displaced fracture is seen.
chest pain.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Mild bibasilar atelectasis is present. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are detected.
fever and cough.