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Ap upright and lateral views of the chest provided. Midline sternotomy wires again noted. Prosthetic cardiac valve is noted. There is diffuse ground-glass opacity which is concerning for moderate to severe pulmonary edema. Difficult to exclude a superimposed pneumonia. No large effusion or pneumothorax. Heart and mediastinal contours are stable. Atherosclerotic calcification of the aortic knob is again noted. Severe degenerative disease at the left shoulder is again noted.
<unk>f with weakness
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There is mild pulmonary vascular congestion. A nodular density in the left upper lung zone is likely an engorged vessel, as it was present on prior chest radiographs dating back to <unk>. There is no evidence of pulmonary edema, consolidation, pleural effusion, or pneumothorax. The size of the cardiac silhouette is moderately enlarged and unchanged from the prior exam. There is atherosclerosis in the aortic arch. The mediastinal and hilar contours are normal. Posterior fusion hardware of the lower thoracic and upper lumbar spine is visualized, but not completely evaluated. There has been no significant change from the prior radiograph.
altered mental status. evaluate for acute process.
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No edema, focal consolidation, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. There is a small left calcified granuloma.
<unk> year old man with productive cough x <num> weeks // r/o cap
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Situs inversus is again seen. Heart size is normal. Normal hilar contours. Lungs are clear. Pleural surfaces are normal.
<unk>-year-old man with possible prior exposure to tb.
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The heart size is normal. Note is made of a mildly tortuous aorta, otherwise the hilar and mediastinal contours are normal. There is no evidence of aortic dilatation. The lungs are clear without evidence of focal consolidations concerning for infection. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
chest pain radiating to the back, now resolved. please assess for possible aortic dissection.
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
panic attacks, presenting with chest pain. ambulatory o<num> saturation in the high <num>s. evaluate for acute process.
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There has been interval removal of the left-sided pleural drainage catheter. No pneumothorax remains. Overall, lung volumes are low. The cardiomediastinal and hilar contours are unchanged.
<unk> year old man with l ptx s/p pigtail placement, now s/p chest tube pull // interval change s/p chest tube pull, please evaluate; please perform at <time> pm
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Pa and lateral views of the chest provided. Clips noted in the right upper quadrant. 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 cp // ? food bolus
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Pa and lateral views of the chest. Left-sided pacemaker with leads in an appropriate position, unchanged. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is top normal. Cardiomediastinal and hilar contours are stable.
shortness of breath.
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The lungs remain hyperinflated, in keeping with history of asthma. Since the prior study, there are streaky opacities in the bilateral lung bases which may be due to bronchial wall thickening, small airways disease without discrete lobar consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with sob // pna?
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There is mild vascular crowding, particularly at the right lung base. There is no focal consolidation or pleural effusion. The heart and mediastinum are within normal limits. There is no pneumothorax. Old healed left rib fractures are identified. There is no evidence of an acute rib fracture. No soft tissue abnormality is identified.
<unk> year old man with right chest wall pain // evaluate lungs and chest wall
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding chest examination of <unk>. As before, relatively high positioned diaphragms obscure partially the cardiac silhouette, but significant increase of the heart size is unlikely. Thoracic aorta, as before, mildly widened and elongated but without local contour abnormalities or advanced wall calcifications. Pulmonary vasculature is not congested, and no new acute parenchymal infiltrates can be identified. Also, the lateral pleural sinuses are free and the same holds for the posterior pleural sinuses on the lateral view. Again, no new parenchymal infiltrates are seen. On the preceding examination, the right basal lung portion was considered to be improved in comparison with a more remote study of <unk>, but no reoccurrence of infiltrates has occurred. A chest ct of <unk> is also reviewed, and the findings reported the diagnosis of scattered inflammatory processes in the lower lobe area as seen on chest examination of <unk>. Today's followup examination does not show any reoccurrence of the acute infiltrates in this patient with general findings compatible with copd. Centered at kyphotic curvature related to a vertebral body compression fracture of old date is again seen and appears stable.
<unk>-year-old female patient with history of recent pneumonia, routine followup to evaluate for resolution.
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Frontal and lateral radiographs the chest demonstrate well expanded lungs. There is minimal blunting of the bilateral costophrenic angles. There is no pneumothorax. The cardiomediastinal and hilar contours are unchanged. No acute displaced rib fracture is identified. A chronic compression fracture is present at the thoraco-lumbar junction.
anemia and witnessed fall. evaluate for fracture or acute process.
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The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous injury identified.
status post fall with left rib tenderness. rule out pneumonia, evaluate for left rib fracture.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes with resultant bronchovascular crowding. Prominence of interstitial markings and of the pulmonary vasculature is consistent with pulmonary edema. There is a small left-sided pleural effusion with ajacent atelectasis, however pneumonia could be considered in the appropriate clinical setting. Patient is status post sternotomy with unchanged broken sternotomy wires. Cardiomediastinal and hilar contours are unchanged. No pneumothorax.
<unk> year old woman with chf, likely pulm edema, r/o pna // r/o pna
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are hyperinflated but clear. There is no pleural effusion or pneumothorax. Small osteophytes are noted along the mid thoracic spine. There are also subchondral cystic changes in the right humeral head.
fever. question pneumonia.
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The cardiac and mediastinal contours are normal. Calcified mediastinal lymph nodes are again noted. Areas of scarring in the right mid and lower lung zones are again seen. There is no evidence of pneumonia or pulmonary edema. No pleural effusion or pneumothorax.
history: <unk>m with nausea and epigastric pain. evaluate for pneumonia.history of sarcoidosis.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.chest radiograph is not optimal for evaluation of chest trauma. However, no bony abnormality identified.
<unk>m with chest pain. reproducible with palpation of the left chest. eval for chf/pneumonia.
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Pa and lateral views of the chest provided. Right port-a-cath ends at the mid svc. Radiation changes in the mid to upper lung on the left in the perihilar region with retraction of the trachea. Mild tenting of the left hemidiaphragm also likely represents radiation changes. No pleural effusion or pneumothorax. A large mediastinal mass is stable from <unk>. Moderate degenerative changes throughout the lower thoracic spine are unchanged.
<unk> year old woman with pleural effusion // interval change
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Apart from minimal left basilar atelectasis, the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain
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Pa and lateral views of the chest provided. There is a subtle nodular opacity at the right lung apex projecting at the overlap between the right clavicle and right first rib, appears more conspicuous than on prior exam, possibly a pulmonary nodule. Please correlate with nonemergent chest ct. Otherwise lungs are clear. There is no pleural effusion, 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 // assess for infiltrate, effusion, ptx
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The lungs are hyperinflated with significant pulmonary vascular congestion, increased interstitial markings, and moderate cardiomegaly.the aortic knob is calcified, as before. There is no focal parenchymal consolidation to indicate pneumonia.osseous structures demonstrate significant osteopenia. No pleural effusion or pneumothorax.
<unk>f with congestive heart failure , with lower extremity swelling and cough. evaluate for pulmonary edema versus pneumonia.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Slight degenerative change is noted along the mid thoracic spine.
chest pain.
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The cardiac silhouette is within normal limits. The hilar and mediastinal contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>f with right sided flank pain // eval for pneumonia, chf
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with cough and fevers. evaluate for evidence of infiltrate.
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There is a right-sided pic line which terminates in the mid svc. The cardiomediastinal silhouette has a normal postoperative appearance. There are small bilateral pleural effusions. No pneumothorax is identified. There is mild bibasilar atelectasis, however the lungs are otherwise unremarkable.
history of mitral valve repair/cabg, please evaluate for postoperative changes.
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Pa and lateral views of the chest. The lungs remain clear where not obscured by overlying leads or wires. There is no focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormality identified.
<unk>-year-old female with chest pain.
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The lungs are well expanded. A <num> mm nodule is seen projecting over the spaxce between the right anterior <unk> and <num>th ribs, of unclear significance. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with history of cirrhosis now presenting with abdominal distention, dyspnea on exertion. evaluate for evidence of acute cardiopulmonary process.
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Heart is moderately enlarged with left atrial enlargement. Lungs are clear and there is no pleural abnormality. Transvenous right atrial and left ventricular pacer leads and right ventricular pacer defibrillator leads are continuous from the left pectoral generator in follow their expected courses. Both hila are enlarged, right greater than left, due to pulmonary artery enlargement. No pneumothorax.
<unk> year old man s/<unk> crt-d implant // ptx, leads
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Cardiac, mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vascularity is not engorged. Minimal streaky bibasilar airspace opacities likely reflect atelectasis. There is no focal consolidation. No pleural effusion or pneumothorax is identified. Scarring within the lung apices is re- demonstrated. No acute osseous abnormalities are visualized.
dizziness.
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Moderate to severe enlargement of cardiac silhouette is unchanged. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is mild pulmonary vascular congestion. There is no overt pulmonary edema.
<unk>-year-old woman with concern for fluid overload evaluate for pulmonary edema or infection.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>-year-old female with <num> days of viral like syndrome with chills and dry cough. question pneumonia.
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Frontal and lateral views of the chest were obtained. The heart is of top normal size, exaggerated by low lung volumes. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with hypoxia. evaluate for pneumonia.
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The lungs are well expanded and clear. The mediastinal contours, hila, cardiac silhouette are normal. No pleural effusion or pneumothorax.
<unk>f with chest pain // acute cardiopulmonary process
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There are low lung volumes which accentuates the heart size, which is likely mildly enlarged. The aorta is unfolded. Crowding of the bronchovascular structures is noted. Calcified bilateral pleural plaques limit assessment of the underlying pulmonary parenchyma. There is a focal opacity noted within the left lung base, which could reflect an area of atelectasis or infection, but is nonspecific. Eventration of the right hemidiaphragm anteriorly is chronic. There is no pleural effusion or pneumothorax.
altered mental status.
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Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. Lungs are hyperinflated with no focal consolidation. No pleural effusion or pneumothorax is identified. The pulmonary vasculature is normal. The osseous structures are diffusely demineralized with marked thoracic kyphosis, rib cage deformity, and fusion of several mid thoracic vertebral bodies.
history: <unk>f with shortness of breath, presumed asthma exacerbation
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Pa and lateral chest radiograph demonstrates innumerable pulmonary nodules diffusely through bilateral lobes. Relative to prior study dated <unk>, this appears unchanged. No new large focal opacity is identified. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old female with suspected pulmonary metastasis with small volume hemoptysis.
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In the lateral view the left atrium appears enlarged. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>f with tachycardia // ? ptx, effusion, consolidation
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In comparison with study of <unk>, there is progressive fluid collection in the right hemithorax with air-fluid level. Extensive subcutaneous gas is seen along the right lateral chest wall and extending into the neck and abdomen. Otherwise, there is little overall change and the left lung remains clear.
pneumonectomy.
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The heart is severely enlarged. Mediastinal and hilar contours are normal. There is no focal consolidation, pleural effusion, or pneumothorax. Calcified, tortuous aorta causes rightward deviation of the lower trachea.
<unk>-year-old woman with altered mental status. evaluate for pneumonia.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no pulmonary edema. There is no focal lung consolidation.
<unk>m with syncopal episode, doe, crackles at lung base, evaluate for of pulmonary edema.
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The heart is normal in size, and cardiomediastinal contour is unchanged compared to the prior study. Lungs are well expanded and clear bilaterally without focal consolidation, pleural effusion, or pneumothorax. There is no evidence of free air under the diaphragm. Gastric bubble is noted on the left.
<unk>-year-old man with left upper quadrant and left lower quadrant pain, history of sbo, evaluate for acute cardiopulmonary disease or air under the diaphragm.
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The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax.
chest pain. question pneumonia.
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As compared to the previous radiograph, there is no relevant change. Minimal atelectasis at the right lung base. Moderate cardiomegaly without overt pulmonary edema. Aortic valve replacement, the sternal wires are in unchanged alignment. Known left humeral changes. No pulmonary edema. No pleural effusions.
status post redo mitral valve replacement, evaluation for pneumonia.
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The heart size is mildly enlarged. The mediastinal and hilar contours are normal. Note is made of a small right pleural effusion. There is no pneumothorax. No focal consolidation. Pulmonary vasculature is within normal limits.
dizzy, lightheaded, fever.
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Pa and lateral views of the chest are obtained. There is a large hernia containing a large amount of bowel but is better seen on recent ct scan from <unk>. There is a small right pleural effusion. The left lung base is difficult to assess due to large hernia. There is no focal consolidation, significant pulmonary edema, or pneumothorax.
<unk>-year-old female with right rib fractures. increasing oxygen requirements. evaluation for effusion or edema.
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Frontal and lateral chest radiographs were obtained. There is persistent opacity in the left upper lobe, consistent with known left upper lobe collapse and left upper paramediastinal mass, as well as previous radiation therapy. There is slightly increased left pleural effusion and continued elevation of the left hemidiaphragm. The right lung is fully expanded and clear. The cardiomediastinal silhouette is stable. There is no pneumothorax.
patient with pleural effusion, evaluate effusion.
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Severe cardiomegaly is chronic. A right pacemaker generator projects over the right chest wall contiguous with leads which are in unchanged position. Lung volumes are low. There is mild bronchial cuffing consistent with mild edema. Diffuse osteopenia and mild degenerative change of thoracic spine. There is no pneumothorax or pleural effusion.
history: <unk>m with chf, dyspnea, hypoxia, crackles r>l // eval ? volume overload, infiltrate
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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 non-reproducible, pleuritic right sided chest pain
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with purpura // evaluate for mass
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There is a persistent opacity at the right base, which appears slightly more confluent than on the prior exam. The right effusion has improved, though a small one persists. There is a small retrocardiac opacity with associated volume loss and a small left pleural effusion. This likely represents atelectasis, though an associated pneumonia is difficult to exclude. There is no pulmonary edema or pneumothorax. The cardiomediastinal silhouette is normal. The tracheostomy tube is in satisfactory position.
known left lower lobe pneumonia, status post seven-day antibiotic course. evaluate for change.
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Heart size remains moderately enlarged. The aorta is tortuous. Low lung volumes are present. There is crowding of bronchovascular structures with mild pulmonary vascular engorgement. Patchy atelectasis is seen in the lung bases. No focal consolidation, pleural effusion or pneumothorax is identified. Thoracolumbar fusion hardware is incompletely imaged. Osseous structures are diffusely demineralized. Remote fractures of the right-sided ribs are noted. Extensive degenerative changes of both glenohumeral joints are re- demonstrated.
history: <unk>f with recent fall
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The heart is at the upper limits of normal size. The aortic arch is calcified. A small oval nodular focus projects along the superior aspect of the left hilum. The lungs are hyperinflated. There are trace bilateral pleural effusions. Nipple shadows are visualized bilaterally. The lungs appear clear. The bones appear demineralized.
shortness of breath.
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Pa and lateral views of the chest provided. Multiple buckshot fragments are again seen projecting over the chest and upper abdomen unchanged from prior. The 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 shortness of breath // eval heart and lungs
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Small right pneumothorax is a stable. Cardiac size is top-normal. The aorta is tortuous. Dobhoff tube tip is post pyloric. There is no pleural effusion. There is mild vascular congestion
<unk> year old woman w/ r ptx. chest tube removed // perform at <num>pm. r/o ptx
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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. Hilar contours are stable.
history: <unk>f with ams and hypotension // infiltrate?
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear hyperinflated. The lungs are clear. Bony structures are unremarkable.
cough and subjective fever.
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Pa and lateral views of the chest provided. Right upper extremity picc line is again seen with its tip extending into the right atrium. Lung volumes are low. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. No signs of pneumomediastinum or pneumoperitoneum. Clips in the right upper quadrant noted. Bony structures are intact.
<unk>f with hematemesis // evidence of pneumomediastinum or air under diaphram
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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.
cough and 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>f with history of hiv (last cd<num>><num>) and history of cmv retinitis and cryptococcal meningitis here with headache and fever // evidence of pna
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Frontal and lateral views of the chest. As on prior, there are small-to-moderate effusions, not significantly changed. Degree of cardiomegaly is unchanged with possible underlying effusion not excluded. Prominence of interstitial markings is again seen but slightly improved compared to prior exam. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain and prior fluid overload. evaluate volume status.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular engorgement appears similar compared to the prior study. Linear and streaky atelectasis is noted in the lung bases without focal consolidation. Small pleural effusions are similar. No pneumothorax is identified. Right picc tip appears somewhat withdrawn in the interval, terminating within the proximal right subclavian vein.
history: <unk>m with shortness of breath
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. The heart size remains within normal limits. No configurational abnormalities are identified. There is now a hazy density over the right lower lung field and a mild degree of blunting of the right lateral pleural sinus is noted. The lateral view reveals a pleural density that fills in the right posterior pleural sinus and extends along the right posterior chest wall. There is no evidence of coinciding new pulmonary parenchymal infiltrates and no evidence of pneumothorax in the apical area can be identified. Skeletal structures of the thorax grossly within normal limits. In comparison with the next preceding chest examination of <unk>, the presently described rather loculated pleural density is new and is located to the lower posterior aspect of the right pleura. No evidence of coinciding pulmonary parenchymal infiltrates. The left hemithorax remains normal. Comparison with the most recent abdominal/pelvic ct of <unk> demonstrates that a small amount of right-sided pleural effusion existed already at that time. The present chest examination indicates that the amount of pleural effusion has increased. Further followup recommended.
<unk>-year-old female patient with persistent pleuritic pain on right side of chest and right mid back, ct of abdomen/pelvis noted small right pleural effusion, the presence of bilateral small atelectasis, reevaluate for pathology.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion pneumothorax. The lungs are well-expanded clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable. Multiple wedge deformities in mid thoracic spine are again seen.
<unk>f with fever and nausea // eval pna
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Compared with prior radiographs on <unk>, a previously seen oval opacity in the mid left lung is no longer visualized.the lungs are clear without focal consolidation. There is chronic fibrosis of the left left lower lung. There are post radiation changes in the right upper lobe. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with metastatic breast cancer with known pleural disease. hx uri and now with wheezing/inspiratory squeaks lll // ? pna vs. effusion vs progression
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Pa and lateral views of the chest provided. Midline sternotomy wires are again seen. Lung volumes are somewhat low though allowing for this, the lungs are clear. Subtle linear peripheral opacities in the left upper lung are unchanged and could reflect subtle areas of perifissural scarring. No effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Imaged bony structures are intact.
<unk>f with abd pain, cough, chf // eval for pulmonary edema
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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 w/ ohss r/o pleural effusion
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Previously visualized spiculated right upper lobe opacity appears less conspicuous in comparison to the prior study suggesting a resolving infectious or inflammatory process. Bibasilar opacities are noted likely representative of atelectasis. Biapical bullous emphysematous changes are again noted. Otherwise, the lungs are without any new focal consolidation. The cardiac and mediastinal contours appear stable. There is no pleural effusion or pneumothorax. No acute fractures are identified.
cough with history of copd.
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A right-sided picc terminates in the low svc/cavoatrial junction. There are somewhat low lung volumes. Bibasilar opacities are seen, right greater than left, which may reflect atelectasis or possibly aspiration or pneumonia in the right clinical setting. Opacities are also seen in the bilateral lung apices, concerning for additional foci of pneumonia. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is top-normal in size, similar prior exam.
history: <unk>m with fever, cough // acute process?
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with syncope and weakness and headache // infectious process/malignancy?
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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
palpitations, dyspnea, and cough.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits.
productive cough.
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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 chest examination of <unk>. The heart size remains unchanged and is within normal limits. No typical configurational abnormality is present. Thoracic aorta of ordinary dimension but mildly elongated. No local contour abnormalities are seen. 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. On the frontal view, a few metallic dense tiny structures are identified in the thyroid area possibly relating to previous surgery in this area. These findings existed already on the previous chest examination and are unaltered.
<unk>-year-old female patient with end-stage renal disease, on dialysis, requires chest examination to receive dialysis in <unk>. evaluate for any possible active pulmonary disease.
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Frontal and lateral views of the chest when compared to prior, there has been no significant interval change. Increased interstitial markings at the bases are present although somewhat less conspicuous on today's exam and are likely chronic. Superiorly, the lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old male with fever.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette remains top-normal to mildly enlarged. Mediastinal and hilar contours are stable. No overt pulmonary edema is seen. Metallic hardware is partially visualized in the cervical spine.
cough.
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The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. No focal consolidations, pleural effusions, pulmonary edema, or pneumothorax are seen.
<unk> year old man with cough for <num> weeks, smoker // rule out pneumonia
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. Multilevel mild to moderate degenerative changes are visualized in the thoracic spine.
history: <unk>m with fall, weakness
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Frontal and lateral views of the chest were obtained. The lung volumes are low, exaggerating heart size and bronchovascular markings. Heart size and cardiomediastinal contours are stable. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with history of myocardial infarction and pes presenting with chest pain. evaluate for acute cardiopulmonary process.
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Right picc is again seen. Diffuse bilateral parenchymal opacities overall have not significantly changed. There is no large effusion or new consolidation. The cardiomediastinal silhouette is within normal limits.
<unk>m with slurred speech // acute process?
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Increased density projecting over the right side of the cardiac silhouette is again noted, potentially left atrium. The azygoesophageal recess is not displaced. No acute osseous abnormality detected.
<unk>-year-old female with chest pain.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. There has been interval improvement in the interstitial abnormality seen in <unk>. Heart size is mildly enlarged, similar compared to prior. Mediastinal contours are stable.
<unk>-year-old female with chest pain.
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The heart is mildly enlarged. There is mild unfolding along the aorta. The aortic arch is calcified. There is patchy left basilar opacity partly obscuring the left hemidiaphragm, seen only on the frontal view and most likely due to minor atelectasis. Otherwise, the lungs appear clear. Bony structures are unremarkable.
rapid atrial fibrillation.
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The lungs remain clear. The cardiomediastinal silhouette is within normal limits. There is tortuosity of the descending thoracic aorta. No acute osseous abnormalities.
<unk>f with epigastric pain recurrent x <num> weeks, rlq tenderness on exam // cxr eval for pnact-eval for appendicitis versus diverticultiis
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized. No free air is noted under the diaphragms.
abdominal pain compatible with prior gastroparesis and diabetic ketoacidosis.
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The heart size is normal. The mediastinal and hilar contours are unchanged and within normal limits. Pulmonary vascularity is normal and the lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax present. Posterior fusion hardware within the lower lumbar spine is re- demonstrated as well as a compression fracture of the t<num> vertebral body.
fever and shortness of breath.
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The cardiac silhouette size is normal. The aortic knob is calcified. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
weakness.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Consolidative opacity in the left lower lobe is concerning for pneumonia. Right lung is clear. No pneumothorax or pleural effusion is identified. No acute osseous abnormalities seen. Dextroscoliosis of the thoracolumbar spine is re- demonstrated.
history: <unk>f with fever,cough // pneumonia
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The lungs are well-expanded. No focal consolidation, effusion, edema, or pneumothorax. Linear bandlike opacities in the left lower and right middle lobe are consistent with atelectasis. A <num>-mm well-defined opacity projecting over the right apex is unchanged since at least <unk> and could be a calcified granuloma. The heart is normal in size. Hilar contours are unchanged. Mild increase deviation of the trachea left at the level of the thoracic inlet is more prominent since <unk> but may be positional without correlate on the lateral view. Bilateral acromioclavicular joint degenerative changes are moderate. Multilevel degenerative changes in the thoracic spine with prominent anterior osteophytes are moderate. Dextroconvex scoliosis of the thoracic spine is mild.
<unk>-year-old man presenting with chest pain.
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The lungs are clear without consolidation or edema. The mediastinum is unremarkable. No pneumomediastinum is detected. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. The osseous structures are unremarkable.
chronic pancreatitis and intractable vomiting.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is normal. Widened appearance of the mediastinum likely due to unfolded thoracic aorta, though dissection cannot be excluded.
history: <unk>f with cp // ptx
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours unremarkable. No pulmonary edema is seen.
history: <unk>f with chest discomfort, sob // rule out pna, pulmonary edema
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. Osseous structures are intact.
<unk>-year-old female with chest pain and triscuspid regurgitation. evaluate for acute intrathoracic process.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear, without pneumothorax, vascular congestion, or pleural effusion. Note is made of mild insterstitial prominence, most commonly seen in asthma.
<unk>-year-old female with right upper quadrant pain and chest pain. question acute process.
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The cardiac silhouette size is top normal. The mediastinal and hilar contours are unchanged. Atherosclerotic calcifications are noted throughout the thoracic aorta. Pulmonary vasculature is normal. Lungs are hyperinflated. Known spiculated lesion within the right lower lobe persists, but better assessed on the prior ct. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Prior bilateral rib fractures are again seen.
chest pain.
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Pa and lateral views the chest provided demonstrate bilateral lower lobe consolidation concerning for worsening pneumonia. Airspace opacities also suspected in the right upper lobe. There are pleural effusions which are small though slightly increased from prior. There may be a component of lower lobe atelectasis as well. The heart and mediastinal contour appears stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with ?pna // eval for pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Incidental note is made of an azygos lobe. The aorta is slightly tortuous. The cardiac silhouette is not enlarged. No pulmonary edema is seen. No displaced fracture is identified.
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. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with bibasilar crackles // pulmonary edema?
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Pa and lateral radiographs of the chest demonstrate clear lungs aside from minimal left basilar atelectasis. There is no pneumothorax or pleural effusion. The heart size is normal. The aorta is tortuous. Pulmonary vascularity is normal.
preoperative evaluation before repair of fractured left total hip replacement.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
shortness of breath.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
history: <unk>f with rll crackles, ams, hypothermia // pna?