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Cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. No focal consolidation or pneumothorax is present. Patchy opacities in the lung bases likely reflect areas of atelectasis. Minimal blunting of the costophrenic angles posteriorly suggests the presence of trace bilateral pleural effusions. Mild to moderate degenerative changes are noted in the thoracic spine. Clips from prior cholecystectomy are seen in the right upper quadrant of the abdomen.
history: <unk>f with lightheadedness and hypotension // etiology of infection?
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Frontal and lateral views of the chest. No prior. The lungs are hyperinflated but are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. No free air is seen below the diaphragm.
<unk>-year-old male with epigastric pain.
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The lungs are clear. Mild bibasilar atelectasis is noted. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pneumothorax, or pleural effusion. No focal consolidations are seen. A large mid thoracic spine anterior spur is noted. Clips noted in the upper abdomen.
<unk>f with weakness
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There is redemonstration of low lung volumes which accentuate the bronchovascular structures. Increased opacities at the lung bases bilaterally are likely secondary to atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. There is mild prominence of the pulmonary vasculature with no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits.
fluid overload. question pneumonia.
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Focal opacity in the right lower lobe seen both on the frontal and lateral radiographs are compatible with right lower lobe pneumonia. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. Again seen are median sternotomy wires and surgical clips in the left hemithorax.
<unk>-year-old man with fever, shortness of breath, evaluate for infiltrate.
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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. Osseous structures are unremarkable. No radiopaque foreign body.
chest pain. evaluate for infiltrate.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Retrocardiac opacity is new since <unk> and may represent infection in the appropriate clinical setting. No pneumothorax. Right upper quadrant metallic clips are compatible with prior cholecystectomy.
<unk>-year-old male with fever. 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 unremarkable.
history: <unk>m with sob and cp, pls eval pna and effusion // history: <unk>m with sob and cp, pls eval pna and effusion
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation.
history: <unk>f with hemoptysis // r/o acute process
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Tortuous and diffusely dilated thoracic aorta is re- demonstrated, with marked enlargement of the aortic knob compatible with known aortic arch aneurysm, better depicted on the prior chest cta. Heart size is top normal. The pulmonary vascularity is not engorged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
shortness of breath, productive cough.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.
history: <unk>f with cough x <num> weeks
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Pa and lateral views of the chest. Left chest wall dual lead pacing device is again seen. The lungs are clear consolidation or pulmonary vascular congestion. There is no effusion or pneumothorax. Cardiomegaly is again seen. No acute osseous abnormalities detected.
<unk>-year-old female with recent septal ablation with right-sided arm and chest pain.
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Small right pleural effusion with adjacent atelectasis is new since the prior radiograph but present and probably slightly decreased compared to the recent cta. Opacities on ct concerning for infection are not conspicuous on radiograph exam today suggesting interval improvement. No left pleural effusion. Pulmonary nodule in the superior aspect of the right lower lobe persists and is better appreciated on the recent cta, likely overall unchanged. The heart size is normal. The mediastinum and hila are within normal limits. Calcification of the aortic knob is unchanged. No pulmonary edema or pneumothorax.
<unk> year old man with pleural effusion // eval
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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.
<unk> year old man with cough, fever and scattered rhonchi // r/o pneumonia .
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Cardiomediastinal contours are normal. A subtle patchy opacity is present in the right infrahilar region, obscuring a very small portion of the right heart border and associated with a corresponding opacity overlying the heart on the lateral view. Lungs are otherwise clear, and there are no pleural effusions or acute skeletal findings.
<unk> year old woman smoker with <num> weeks cold no with worsening cough and wheezing // r/o infectious process
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Cardiomediastinal silhouette and hilar contours are unremarkable. Some increased vague density of the lower lung fields on lateral view could suggest bronchiectasis. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. There is mild elevation of the right hemidiaphragm. Numerous surgical clips project over the upper abdomen.
status post fall with chest pain.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with possible recrudescence of her previous stroke. looking for infectious cause // ?pna
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The lungs are well expanded. No chf, focal infiltrate, effusion or pnemothorax is detected.cardiomediastinal and hilar contours are within normal limits. No rib fracture is detected on these lung-technique films.
chest pain. evaluate for acute process.
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Low lung volumes are again noted and there is relative elevation the right hemidiaphragm. Right-sided central venous catheter seen with tip over the right atrium, new since prior. There is no pneumothorax. There are diffusely increased interstitial markings throughout the lungs bilaterally. There is no effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with new r tunneled line // eval for line placement
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There is biapical scarring. The lungs are otherwise clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Surgical clips are noted in the upper abdomen. No acute osseous abnormalities.
<unk>f with syncopal vs seizure episode // pneumonia
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Pa and lateral views of the chest provided. The lungs appear hyperinflated. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Probable old rib deformities are noted on the left. There appears to be mild loss of height involving a lower thoracic vertebra, likely chronic. No free air below the right hemidiaphragm is seen.
<unk>f with pleuritic cp, radiating to back // ptx?
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The cardiac, mediastinal and hilar contours appear unchanged. There is a patchy left basilar opacity obscuring the left cardiac border, probably within both the left lower lobe and lingula but not significantly changed and accordingly perhaps chronic. It is difficult to exclude a recurrent opacity at the same location, however. There is no definite pleural effusion or pneumothorax.
weakness.
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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with new afib. ?pna // eval for new onset afib
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Compared with prior radiographs on <unk>, there is no significant change.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Median sternotomy wires are stable in appearance.
<unk> year old man with sob, ?recrudescence of prior stroke symptoms // assess for pneumonia
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The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. Aortic knob calcification is again noted. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Degenerative change is incidentally noted at the right acromioclavicular joint.
history: <unk>m with parkinsons disease, more frequent falls here with ams //
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Frontal and lateral views of the chest demonstrate interval placement of a dual-channel dialysis catheter with tip visualized to the level of lower svc. The lungs are slightly low in volume accentuating prominent cardiac silhouette, unchanged. Mild interstitial edema persists though has improved since <unk>. There is likely left basilar atelectasis as well as prominent pericardial fat producing overlapping opacity in the left base. Several clips are seen projecting over the gallbladder fossa. Spondylosis is present at the thoracolumbar junction.
<unk>-year-old male with fever. question congestive heart failure or pneumonia.
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The heart is top-normal in size, unchanged. Lungs are well inflated and clear. Hilar and pleural surfaces are unremarkable.
<unk>f with dka // eval pneumonia
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Pa and lateral views of the chest show dense horizontal linear scar in the right middle lobe and somewhat stellate increased opacity just below this in the region of the patient's cyberknife markers. This is not significantly different compared to recent plain films and no other areas of consolidation are seen suggestive of pneumonia. Cardiac contours and bony structures including intact lower cervical fixation plate are unchanged.
<unk> year old woman with h/o lung ca s/p cyberknife with scar vs. recurrence, now with fever/cough // ?new infiltrate
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
<unk>m with fever // r/o pna
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The heart size is top normal. A moderate-sized hiatal hernia is noted. The mediastinal and hilar contours otherwise are unremarkable. The pulmonary vascularity is normal, and the lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
confusion.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The mediastinum is less wide than on prior radiographs of the time of discharge, consistent with decreasing postsurgical mediastinal hematoma. Median sternotomy wires are noted.
history: <unk>f with chest pain // acute process
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There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart is top-normal in size. Intravenous contrast material seen within the renal collecting systems from preceding ct.
history: <unk>f with abdominal pain and elevated lactate // evaluate for pneumonia
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Lung volumes are relatively low with secondary vascular crowding. There is no evidence of overt edema, consolidation or effusion. Cardiac silhouette is accentuated by low lung volumes and likely top-normal. Atherosclerotic calcifications seen at the aortic arch. Compression deformity of a lower thoracic vertebra is unchanged. Chronic changes also seen at the shoulders bilaterally.
<unk>f with increased leg swelling, history of chf but no orthopnea, pnd or sob/doe // eval for pulm edema
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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 hypertension, status post syncope. evaluate for acute cardiopulmonary process.
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In comparison with the study of <unk>, there are lower lung volumes. Again there is enlargement of the cardiac silhouette with mild tortuosity of the aorta and multiple calcified plaques. This probably accounts for the apparent parenchymal opacifications, though in the appropriate clinical setting supervening pneumonia would be difficult to exclude. On the lateral view, there appear to be small bilateral pleural effusions.
elevated white count, to assess for pneumonia.
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Subtle left base opacity is worrisome for pneumonia. The right lung is clear. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with c/o left side cp with sob // ? pna
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In comparison with study of <unk>, there is little overall change in the large right pleural effusion. Blunting of the left costophrenic angle persists, consistent either with small effusion or pleural thickening. The diffuse bilateral pulmonary nodules consistent with metastases are again seen.
pleural effusion.
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Pa lateral and images of the chest. The lung volumes are low. There is mildly increased opacity in the right medial lung base, which may represent atelectasis but is concerning for pneumonia or aspiration in the right clinical setting. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
alcohol intoxication, o<num> sat <unk>%.
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Tehcnically limited study due to semi upright positioning, relatively low lung volumes, and ap technique. No lobar consolidation. . Mediastinal contours, hila, and top-normal heart size are unchanged from <unk>. There is no pleural effusion or pneumothorax.
<unk>f with shortness of breath // eval for pna
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Frontal and lateral views of 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. Lower thoracic and upper lumbar spinal fusion construct with pedicle screws and vertical fusion rods is incompletely imaged but in similar position to <unk> without evidence of hardware complication. A mid thoracic vertebral body wedge compression deformity is similar to prior. Chronic left rib deformities are also similar to prior.
mechanical fall. evaluate for fracture.
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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. Noting soft tissue attenuation that obscures each costophrenic sulcus, it is difficult to exclude very small pleural effusion, although doubted. The lungs appear clear. The lungs appear hyperinflated. Bony structures are unremarkable. There has been no significant change allowing for differences in technique.
mild hyponatremia. question mass or infiltrate.
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The lungs are normally expanded and clear. Costochondral calcifications project over the airways on the frontal radiograph and should not be mistaken for lung masses. There is no evidence of pneumonia. Heart size is normal. The mediastinal and hilar contours are normal. The aorta is unfolded. There is no pleural effusion or pneumothorax. Bibasilar atelectasis is mild.
<unk>f with nausea // acute process?
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax is seen. The pulmonary vasculature is normal. No displaced fractures are seen.
left-sided chest pain with tenderness to palpation over left anterior chest, midclavicular line at the level of the <unk> through <num>th ribs.
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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.
multiple sclerosis, cough x <num> weeks. evaluate for consolidation.
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Pa and lateral views of the chest. Better lung volumes compared to most recent study. A small left pleural effusion is new. A right double-lumen dialysis catheter ends in the mid svc. The lungs are clear. There is no evidence of pneumonia. No pulmonary vascular congestion or pulmonary edema. No pneumothorax. Moderate cardiomegaly is stable. Mediastinal and hilar contours are normal.
status post tracheal resection and reconstruction and bronchoscopy, assess for interval change.
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A dual lead pacemaker/icd device with leads terminating in the right atrium and ventricle, apparently via an anomalous left-sided superior vena cava, appears unchanged. The heart is again moderately enlarged. Patchy opacities about the heart suggest unchanged atelectasis or scarring in the adjacent lung parenchyma associated with cardiomegaly. The mediastinal and hilar contours appear similar. The aorta is tortuous and calcified. There is a slight upper zone redistribution of the pulmonary vascularity, but no overt congestive heart failure. There is patchy posterior basilar opacity, silhouetting the right hemidiaphragm suggesting a trace right-sided pleural effusion. There is no pneumothorax.
worsening nocturnal dyspnea.
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The lungs are symmetrically well expanded with no focal consolidation, concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
cough and sore throat, here to evaluate for pneumonia.
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The lungs are clear. No pleural effusion or pneumothorax is identified. The cardiomediastinal and pleural surface contours are normal.
pleuritic chest pain.
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Previously identified right branching hilar opacity consistent with pulmonary vasculature. The lungs are well expanded and clear with no focal consolidation, pleural effusion, or pulmonary edema. The cardiomediastinal contour remains within normal limits.
<unk>-year-old male with diaphoresis and shortness of breath. evaluate prior hilar opacity.
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There is an opacity at the right lung base abutting the right heart border, which could represent pneumonia in the appropriate clinical setting. This is best appreciated on the frontal view, with no definite correlate on the lateral view. There is no pleural effusion or pneumothorax. Heart size is top-normal. No acute osseous abnormalities identified.
<unk>f with flu-like symptoms including productive cough x<num> days. // eval for pna
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In comparison with the study of <unk>, there has been placement of a dual-channel icd device with the leads in the region of the right atrium and apex of the right ventricle. Lower lung volumes without definite vascular congestion. Vague suggestion of some opacification at the left base that could represent atelectasis or area of aspiration.
icd placement.
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Right-sided port-a-cath is seen terminating in the low svc without evidence of pneumothorax. Prominence of the interstitial markings bilaterally is similar as compared to the prior study. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
copd and lung cancer here with increased dyspnea.
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal cardiomediastinal contours, with stable juxtacardiac opacities consistent with known prominence of the epicardial fat pad. There is no pneumothorax or pleural effusion, and pulmonary vascularity is normal. Atherosclerotic calcifications along the aortic arch are once again noted.
three weeks of cough, diffuse end-expiratory wheezing, and anterior rhonchi.
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Ap and lateral upright images of the chest were obtained. These demonstrate clear lungs bilaterally. Re-demonstration of right hemidiaphragm elevation. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are stable in appearance when compared to radiographs dated <unk>. There is no intra-abdominal free air. A stent is identified in the right upper quadrant, presumably biliary.
<unk>-year-old male with subjective fever and abdominal pain x <num> hours.
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Again seen, is volume loss within the right hemi thorax with diffuse, smoothly marginated right pleural thickening and or loculated fluid. As compared to scout image from chest see ct of <unk>, the amount of pleural fluid posteriorly appears increased as well as worsening in the extent of right lower lobe opacification with configuration suggestive of collapse. The heart is normal in size. There is no the left lung is clear. Deformity from prior left rib fractures are noted. There is no evidence of pneumothorax.
<unk>m with fever, evaluate for infection..
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are unchanged.
chronic neck pain, status post mvc today, evaluate for new pathology.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Lungs appear hyperinflated with flattening of hemidiaphragms, suggestive of emphysematous changes. Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax.
<unk>m with shortness of breath
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
fever and near-syncope.
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Allowing for differences in rotation, the cardiac, mediastinal and hilar contours appear unchanged. The lungs remain clear. There is no pleural effusion or pneumothorax.
returned right-sided numbness.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with <num> months of cough after returning from <unk>.
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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>. Significant cardiac enlargement appears to be present; however, difficult to identify radiographically as bilateral pleural effusions obscure diaphragms and cardiac contours. The lateral view discloses bilateral pleural effusions extending into the posterior pleural sinuses. As before, the patient has marked s-shaped scoliosis and accentuated kyphosis in the thoracic spine. There is evidence of aortic wall calcifications both in the arch as well as in the entire descending and abdominal aorta. In comparison with the next preceding similar study of <unk>, the findings are grossly identical although some possible further increase of pleural effusion is suggested. No evidence of new acute parenchymal infiltrates, although the bases remain obscured by the bilateral pleural effusions. No pneumothorax is seen.
<unk>-year-old female patient with history of lymphoma with prior pleural effusion, now with increased shortness of breath.
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Ap and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with cough.
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Frontal and lateral views of the chest. Despite lower lung volumes, the lungs remain clear. There is no effusion or consolidation. Cardiomediastinal silhouette is within normal limits. Coronary artery stents are identified. A right picc is seen with tip in likely in the lower svc. There is no free air below the diaphragm. Multiple tubes identified in the upper abdomen.
<unk>-year-old female with abdominal pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. A gastric band projects over the upper abdomen.
: <unk>f with pmh cluster/migraine headaches, anxiety, previous pe who presents with n/v/d and chest pain and dyspnea
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Pa and lateral radiographs were acquired. The lungs are hyperinflated, and there is flattening of the hemidiaphragms as well as enlargement of the retrosternal airspace and attenuation of the upper lobe vascular markings, findings consistent with severe emphysema. The lungs are clear. Surgical clips at the left lung base are again noted. Heart size is normal. The mediastinal contours are unchanged. There are no pleural effusions. No pneumothorax is seen. Aortic arch calcifications are noted.
shortness of breath. evaluate for infectious process.
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Frontal and lateral views of the chest demonstrate no acute cardiopulmonary process. The lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Cardiac and mediastinal contours are normal.
asthma with increased shortness of breath and cough. evaluate for pneumonia.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. A trace amount of linear atelectasis is present at the left lung base. No focal opacity concerning for pneumonia is identified. Aortic knob calcifications are again seen. The cardiomediastinal silhouette is unremarkable. No pulmonary edema or pleural effusion. No pneumothorax is identified.
<unk>-year-old female with nausea and vomiting. evaluation for pneumonia.
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The lung volumes are normal. Normal size of the cardiac silhouette. No pleural effusions, no pulmonary edema. The lung structures are normal, the transparency of the lung parenchyma is unremarkable. No acute or chronic lung changes.
bilateral finger pain, evaluation for thoracic abnormalities.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Linear lucencies paralleling the upper mediastinum extending into the neck is compatible with pneumomediastinum. Pulmonary vasculature is normal. There is no pneumothorax or pleural effusion. No air under the right hemidiaphragm.
<unk>f with chest pain // ?pna
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There has been interval removal of a left chest tube. There is a small left apical pneumothorax. Subcutaneous emphysema overlying the left lateral chest is unchanged. Minimal pneumoperitoneum noted under the left hemidiaphragm. The lungs are clear without focal consolidation. Small right pleural effusion versus pleural thickening. The cardiac and mediastinal silhouettes are unremarkable. Previously seen well-circumscribed gas collection in the left lower lateral chest wall previously discussed as possibly representing gut herniation.
<unk> year old man s/p colon interposition // r/o ptx post ct removal
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There is no evidence of hilar or mediastinal lymphadenopathy. Heart is normal size. The lungs are clear and lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation.
new petechial rash, evaluate for lymphoma.
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Mild basilar atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is not enlarged. The aorta is tortuous.
history: <unk>f with htn, dm, now with lactic acidosis, no localizing symptoms // ?infiltrate
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The heart is normal in size. The mediastinal contours appear within normal limits. There is no mediastinal widening radiographically. There is no pleural effusion or pneumothorax. The lungs appear clear aside from patchy left perihilar and infrahilar opacity which is suspected to reflect slight atelectasis. Otherwise, the lungs appear clear. Small anterior osteophytes are present along the anterior lower thoracic spine.
question wide mediastinum or effusions.
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Pa and lateral views of the chest provided. The lungs are clear. There is no pleural effusion or pneumothorax.the cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old woman with cough and sob
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is top-normal with left ventricular configuration.
history: <unk>f with cough // pna?
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There is no focal consolidation, pleural effusion, pulmonary vascular congestion, or pneumothorax. The heart size is normal. The cardiac, hilar, mediastinal contours are within normal limits.
fever of unknown origin.
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Frontal and lateral views of the chest. The lungs are clear of consolidation, large effusion or pulmonary vascular congestion. The cardiac silhouette is mildly enlarged, similar to prior. No acute osseous abnormality is detected.
<unk>-year-old female with cough.
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As compared to the previous radiograph, the right basal atelectasis, combined to a small pleural effusion and the left basal parenchymal opacity has not substantially changed. There is unchanged evidence of moderate cardiomegaly. No pneumothorax. Left-sided picc line. Nasogastric tube in situ. No newly appeared parenchymal opacities.
history of pancreatic fistula, evaluation.
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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.
<unk>m w/recent chest cold, please eval for occult pna // <unk>m w/recent chest cold, please eval for occult pna
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. Moderate cardiomegaly is similar in appearance compared to prior. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality is identified.
<unk>-year-old female with history of thoracic aneurysm.
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Pa and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
cough and decreased breath sounds in the right lower lobe. evaluate for consolidation.
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There is hazy opacity in the right upper lobe seen best on the frontal view lateral to the right hilum consistent with pneumonia. Heart size and mediastinal contour are normal. No suspicious bone findings.
history: <unk>f with cough, fever, chills // eval for pneumonia, other acute process
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cp // eval for ptx
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The heart is mildly enlarged and there is mild interstitial edema. Fluid is noted within a fissure on the lateral projection. There is a nonspecific patchy infrahilar opacity in the right lung. There is no pneumothorax. The imaged upper abdomen is unremarkable tear.
history: <unk>m with dyspnea // infiltrate?
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. No acute rib fracture is detected.
<unk>-year-old male with cough and right rib pain.
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Heart size is mildly enlarged, similar to the previous study. Mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No displaced fractures are evident.
history: <unk>m with motor vehicle collision, c<num> pain to palpation and chest pain
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The lungs are well expanded and clear. No focal consolidation, effusion, or pneumothorax. Several healed rib fractures are noted.
<unk>-year-old man with fever.
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Pa and lateral views of the chest provided. There is a linear opacity in the right lower lung, not well visualized on the lateral. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cough, lethargy // eval for pna.
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A linear opacity in the left mid lung zone is new from the prior exam, and likely represents atelectasis. There is persistent scarring at the right base with a small pleural effusion or pleural thickening, which has slightly increased in size since the prior exam. There is no left pleural effusion. There is no pneumothorax. Apical scarring and pleural thickening appears stable. The cardiomediastinal silhouette is normal. No fracture is identified.
syncope. evaluate for fracture.
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<num> views were obtained of the chest. Lungs are low in volume but clear aside from minimal basal scarring/atelectasis. Blunting of the costophrenic sulci bilaterally could reflect trace pleural effusions or pleural thickening. The heart is top-normal in size with normal mediastinal and hilar contours aside from a tortuous aorta.
shortness of breath.
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There is moderate cardiomegaly, possible pericardial effusion, and a moderate left and small right pleural effusion. A tortuous aorta is seen with aortic arch calcifications. There is no pneumothorax and no focal lung consolidation. Vertebroplasty material is seen in the upper lumbar spine.
<unk>-year-old with hypoxia. please assess for pneumonia.
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Pa and lateral views of the chest provided. Lungs are hyperinflated with flattened diaphragms suggesting copd. Lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with chest pain// eval pneumonia
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
cough and fever.
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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 chest pain
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Lung volumes are low which leads to bronchovascular crowding. There is no focal consolidation. There is mild interstitial edema. The cardiomediastinal silhouette and normal hilar contours are normal. There is no pleural effusion or pneumothorax. No definitive rib fracture is seen. Visualized upper abdomen is unremarkable.
status post mvc, evaluation for rib fracture or pneumothorax.
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There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is normal. The slight blunting of the left costophrenic angle likely due to a trace left pleural effusion. There is no evidence of pulmonary vascular congestion.
dyspnea, hd from mvc. evaluate for pneumothorax.
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Compared to the study from <num> days prior there is new pulmonary edema and small bilateral pleural effusions. Left lower lobe opacity likely reflects a combination of atelectasis and effusion though superimposed infection is possible. Mild enlargement of the cardiac silhouette is stable. The chronic right shoulder fracture is unchanged.
history: <unk>f with cough // eval for pneumonia
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Status post midline sternotomy. The lungs are hyperinflated but clear. There is no pneumothorax or pleural effusion. There has been no change compared to the <unk> chest radiograph. The cardiac and mediastinal contours are stable.
history: <unk>m with cp // ? ptx
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with cough and sinus congestion.
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Pa and lateral views of the chest. Lungs are clear. There is no pleural effusion or pneumothorax. A nipple shadow projects over the left lower lung. Cardiac, mediastinal and hilar contours are normal.
<unk>-year-old female with vision changes and headache, evaluate for infectious process.