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Pa and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The upper trachea appear symmetric and within normal limits on the ap view, although visualization of the trachea on the lateral view is obscured secondary to the patient's arm placement.
<unk>m with difficulty swallowing since last night. // ?partial obstruction
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The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits noting a probable left cardiophrenic fat pad
<unk>m with chest pain // eval heart and lungs
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with stable prominence of the ascending aorta which may be related to unfolded thoracic aorta.. No pulmonary edema is seen.
history: <unk>m with chest pain // ?pneumonia or fractures
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Pa upright and lateral chest radiograph demonstrates a large right pleural effusion. This appears to have been present on prior study dated <unk>, slightly increased in size. There are scattered airspace opacities throughout the left lung field new since prior study. The left aerated lung appears clear. There is a small left pleural effusion. Cardiac border is obscured. Aortic arch calcifications are noted.
<unk>m with dyspnea, hypoxia // eval for acute process
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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. Hilar contours are stable.
history: <unk>m with persistant cough despite abx. // r/o pneumonia
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There is a dialysis catheter overlying the right chest with the tip in the cavoatrial junction. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with new leukocytosis. // r/o infection
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The lungs are hyperinflated. There is no focal consolidation or pneumothorax. There is scarring at the lung bases bilaterally. No right pleural effusion. The heart is enlarged, mainly the left atrium, otherwise the mediastinal and hilar contours are normal.
history: <unk>f with chest pain // eval chf, pna
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Upright ap and lateral views of the chest provided. Midline sternotomy wires again noted. The heart remains mildly enlarged. The mediastinal contour remains widened due to an unfolded thoracic aorta. There is hilar congestion and mild interstitial pulmonary edema. No large effusions are seen. Bony structures are intact.
<unk>f with low o<num> sats, abd distension and diffuse pain // eval for infection
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Pa and lateral views of the chest demonstrate prominent pulmonary vasculature, with no evidence of overt pulmonary edema or pleural effusion. No focal consolidation concerning for pneumonia is identified. There is no pneumothorax. The cardiomediastinal silhouette is stable in appearance. Multiple wedge deformities of the thoracic spine are unchanged.
chest pain and left chest pressure.
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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 borderline. No typical configurational abnormalities identified. There is a relative prominence of the left ventricular contour to the left and posteriorly, but no significant enlargement of the left atrium can be identified on the lateral view. Pulmonary vasculature is not congested. The thoracic aorta is mildly widened and minimally elongated, but does not demonstrate any local contour abnormalities or wall calcifications. 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. Skeletal structures demonstrate some mild-to-moderate degenerative changes in the form of osteophytic reactions at the vertebral body edges, mostly in the lower half of the thoracic spine, but no evidence of vertebral body compression fracture exists. When comparison is made with the preceding examination of <unk>, no significant interval change in the chest findings can be observed. Thus, no evidence of acute infiltrates or chronic pulmonary ailment. Clinical multiple questions asked cannot be answered on a single pa and lateral chest view. Consider repeat of chest ct that was performed in conjunction with a preceding examination of <unk>.
<unk>-year-old female patient with hypertension, hyperlipidemia, hypothyroidism, recurrent diverticulitis, gerd, and mitral valve prolapse. complains of shortness of breath, dyspnea, easy fatigability for four months. questionable evidence for chronic lung disease.
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The lungs are clear and the lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. The mediastinal and hilar structures are unremarkable.
pancreatitis, evaluate for effusions.
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Pa and lateral chest radiographs. The right lower lobe opacity has resolved. The lungs are now clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
evaluation of right lower lobe pneumonia.
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Left chest wall pacing device is again seen with leads in similar position. The lungs are clear without focal consolidation, effusion, or edema. Opacity at the right cardiophrenic angle is compatible with a prominent fat pad. Cardiac silhouette is enlarged but similar compared to prior. No acute osseous abnormalities.
<unk>f with weakness and doe x <num> months // eval for acute process, attn. to chf
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>-year-old female with toxic exposure, question pneumonitis.
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Pa and lateral views of the chest. Again seen is the biapical calcified scarring compatible with prior granulomatous disease and emphysematous changes involving mainly the apices. Mild chronic interstitial changes are seen in the lower lobes bilaterally, better assessed on the prior ct. There is an opacity in the left lower lobe which may represent a superimposed pneumonia. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. The median sternotomy wires and mediastinal clips are stable. Clips are seen in the right upper quadrant. There is no free air. The osseous structures appear unremarkable.
<unk>-year-old female with fever, question pneumonia.
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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>m with dizziness // eval for acute process
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
left-sided chest pain, intermittent and sharp located near the insertion of the pectoralis major on the humerus.
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A left-sided pacemaker remains in unchanged position, with leads terminating in the right atrium and right ventricle. As compared to prior chest radiograph, lung volumes are decreased. There is blunting of the left costophrenic angle which could reflect a small pleural effusion. Otherwise, no focal consolidation or pneumothorax is identified. The cardiac silhouette remains stable in size.
history: <unk>f with productive cough for several days and uri like sx // r/o pna r/o pna
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Lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are intact. No acute osseous abnormalities.
<unk>m with pmh dm and diabetic foot ulcers p/w worsening foot pain and hypotension // ?gas
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are noted. Hypertrophic changes are seen in the spine.
<unk>m with recent intermittent chest pain // eval for acute process
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No focal consolidation, pleural effusion, or pneumothorax. Deformity of the posterolateral right eighth rib is unchanged. Cardiomediastinal silhouette is normal. Evaluation for metastatic disease is limited on chest radiograph.
<unk> year old man with rcc known lung mets s/p resection and recent chemo. presents with fever and weakness. evaluate for pneumonia.
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Two views are compared with most recent radiographs as well as cect of the chest, both dated <unk>. Since those studies, the findings of mild chf, including small bilateral pleural effusions and slight vascular blurring, representing interstitial edema, have cleared. The lungs are now better inflated and clear, without focal airspace process. There is residual cardiomegaly with, in particular, left atrial enlargement and there is dense dystrophic calcification of the mitral annulus, as before. There is chronic scarring at the left lung base with a calcified granuloma at that lung apex, as before. The remainder of the examination is notable for atherosclerosis involving the thoracic aorta and marked diffuse osteopenia with loss of height of several mid-thoracic vertebrae and resultant kyphosis, not significantly changed.
<unk>-year-old female with cough and atrial fibrillation; rule out chf/pneumonia.
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Prior median sternotomy and cabg. The sternal wires are intact and remains in similar position. The lungs are clear. No interstitial pulmonary edema. Mild cardiomegaly. No pleural effusions or pneumothorax.
preop
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There is bilateral interstitial thickening, worse at the bases, reflecting chronic interstitial lung disease, better characterized on the ct from <unk>. There are no focal consolidations. The cardiomediastinal silhouette stable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.
<unk>-year-old female with cough and shortness of breath.
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Frontal and lateral radiographs of the chest demonstrate hyperinflated lungs with increased ap diameter and flattening of the diaphragms, consistent with the patient's history of copd. Compared to the prior study, there has been new coil placement in the right upper lobe. No pneumothorax is seen. Bibasilar opacities are likely a combination of atelectasis and overlying soft tissue. The heart size is mildly enlarged with prominent hila, again consistent with mild pulmonary hypertension. The compression fractures in the mid thoracic spine, previously noted in <unk>, are unchanged. No pneumonia or pleural effusion is seen.
copd, status post endoscopic coil placement. evaluate for pneumothorax.
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Triple lead left-sided pacer device is stable in position. The cardiac silhouette is enlarged. Aorta is calcified and tortuous. There are relatively low lung volumes. No focal consolidation, large pleural effusion or evidence of pneumothorax is seen. There may be minimal pulmonary vascular congestion.
history: <unk>f with ams // acute process?
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The lungs are clear without consolidation or edema. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. The visualized osseous structures are unremarkable.
bilateral chest pain and wheezing.
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Ap upright and lateral chest radiographs were obtained. The patient is markedly rotated and kyphotic which likely in part accounts for the prominence of the superior mediastinum. In addition patient has a known right thyroid goiter. Allowing for this, the lungs appear clear with blunting of the bilateral costophrenic sulci potentially related to overlying soft tissue or pleural thickening particularly given the presence of numerous bilateral old rib fractures. However, there is a retrocardiac opacity which is more pronounced than on the prior study. This could reflect left lower lobe atelectasis; however a left lower lobe pneumonia is also possible. Profound collapse of two mid thoracic spine vertebral bodies is seen with hyperdense material within <num> of them consistent with prior vertebroplasty. The heart remains mildly enlarged with calcified and tortuous aortic contour.
cough, fever and confusion, assess for pneumonia.
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Compared with <unk>, i doubt significant interval change. No focal infiltrate to suggest pneumonia is identified. Again seen is copd, mild cardiomegaly, prominent pulmonary arteries, vascular plethora, bibasilar atelectasis and/or scarring, and an eventrated right hemidiaphragm. The previously seen posterior left effusion is smaller, and there is residual blunting of both costophrenic angles. Osteopenia, compression fractures, hand sites of vertebroplasty are again noted.
history: <unk>f with syncope // please eval for pna
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.
<unk>m s/p fall w/ chest pain // r/o rib injury
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The lungs are well expanded. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pleural effusion, or pneumothorax. No focal consolidations are identified.
history: <unk>m with fever // please eval for pna
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Cardiac, mediastinal and hilar contours are normal. Mild leftward deviation of the trachea at the level of the thoracic inlet with prominence of the right superior mediastinal contour may reflect a thyroid goiter, not substantially changed from prior. Lungs are hyperinflated but clear without focal consolidation. No pulmonary vascular congestion or pneumothorax is present. Blunting of the left costophrenic angle on the lateral view is compatible with a small pleural effusion. No acute osseous abnormalities detected.
<unk>m w/productive cough
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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 chest discomfort, cough productive of green sputum
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. There is linear opacity at the left lung base with tenting of the diaphragm consistent with chronic scarring. The lungs are otherwise clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
shortness of breath for <num> week, history of asthma. question pneumonia or asthma.
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Pa and lateral chest radiographs were provided. Bilateral pacemakers are unchanged in position. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The heart is unchanged in size.
history of subclavian access pacemaker. evaluate for lead position.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old male with cough, fever, wheezing x <num> days. evaluate for pneumonia.
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Right-sided port-a-cath with tip in the lower svc. Small left pleural effusion and adjacent lower lobe opacities. Small right-sided pleural effusion. No interstitial edema. Cardiomediastinal silhouette is within normal limits. No pneumothorax.
<unk> year old man with lymphoma on chemo, new left pleural effusion on <unk>, ongoing cough. // <unk> year old man with lymphoma on chemo, new left pleural effusion on <unk>, ongoing cough.
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The heart size is normal. Mild prominence of hilum is stable and reflects prominent vascular structures as on prior ct scan. The heart size is normal. No focal consolidations concerning for pneumonia are identified. There is mild bibasilar atelectasis. Mild compression deformities of the mid thoracic spine have been stable compared to exams dated back to <unk>.
history of copd, crohn's disease, shortness of breath. please evaluate.
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Innumerable sclerotic osseous metastases are present throughout the visualized bones. The vertebral body heights are maintained. No focal consolidation, pleural effusion or pneumothorax identified. Enteric contrast material is present in the visualized colon. The size the cardiomediastinal silhouette is within normal limits.
<unk> year old man with metastatic prostate cancer, not on chemo, now with acute pancytopenia concerning for infection. // ?pneumonia
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
seizure. evaluate for infection.
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The cardiac and mediastinal silhouettes demonstrate calcification of the aortic arch but otherwise appear grossly unremarkable. There is slight blunting of the right costophrenic angle, probably representing changes of atelectasis. No definite consolidative process is seen. No other focal pulmonary opacity, pleural effusion, or evidence of pneumothorax. Examination of osseous structures demonstrate mild anterior shortening of a mid thoracic vertebral body, but are otherwise unremarkable.
shortness of breath and cough. evaluate for infiltrate.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. There is no evidence for pulmonary edema.
<unk>-year-old female with leukocytosis and gastrointestinal bleeding.
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Heart size is mildly enlarged. The aorta is diffusely calcified. Mediastinal and hilar contours are unremarkable. Lungs are hyperinflated. Ill-defined opacities are noted within both lung bases concerning for multifocal pneumonia or aspiration. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Osseous structures are diffusely demineralized.
history: <unk>f with cough x <num> days with scant bloody and sore throat for the past <num> days.
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The cardiomediastinal and hilar contours remain unchanged. Again seen is a moderate-sized right pleural effusion with atelectasis, not significantly changed from prior. The previously seen right apical pneumothorax has resolved, and there is no left pneumothorax. There is no new parenchymal consolidation. The left basilar consolidation is improved on the current study.
status post open right lower lobe lobectomy for carcinoid tumor.
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Frontal and lateral chest radiographs demonstrate interval further increase in left greater than right pleural effusions, and new opacity in the left lower lobe and right upper lobe indicating developing pneumonia. Additionally, interstitial markings are increased, consistent with increasing though still mild pulmonary edema. The heart size is mildly enlarged, the mediastinal contours are unchanged.
<unk>-year-old female with history of chf, mds, asthma, currently being treated for urosepsis, now with increasing dyspnea.
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A right chest tube has been removed. There is a small right apical pneumothorax measuring no more than <num> cm. Air is seen in the right lateral subcutaneous soft tissues. Right lung volume remains low, with basilar atelectasis. Upper lung is well aerated. There are post-surgical changes at the left apex, with no left pneumothorax, effusion or focal opacity within the left lung to suggest pneumonia.
<unk>-year-old male status post vats right lower lobe basilar segmentectomy, status post chest tube removal. evaluate for pneumothorax.
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The trachea is midline. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. There is no free air beneath the right hemidiaphragm.
history of hiv and hcv, now with flu-like illness, here to evaluate for pneumonia or evidence of lymphadenopathy.
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Cardiac silhouette is upper limits of normal in size with left ventricular configuration, in the aorta is tortuous. Lungs are remarkable for a cluster calcified granulomas in the left lower lung and focal linear atelectasis versus scar the right base. No pleural effusion or pneumothorax is seen. There are no acute, displaced rib fractures evident on this chest radiograph. Note is made of scoliosis and multilevel degenerative change in the spine.
<unk> year old woman with pain on left lower lung field s/p fall and repeated vomiting // lung or rib pathology
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The heart size is top normal. The aorta is tortuous and diffusely calcified. The hilar contours are normal and the pulmonary vascularity is not engorged. The lungs are clear. No pleural effusion or pneumothorax is present. Slightly decreased height of an upper lumbar vertebral body is age indeterminate.
altered mental status.
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<num> there are low lung volumes. There is subsegmental atelectasis at both lower lobes. There are small bilateral pleural effusions. There is mild pulmonary vascular redistribution. The cardiac silhouette is upper limits normal in size. There is retrocardiac opacity that could be due to volume loss/infiltrate/effusion.
hypoxia.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. No focal opacity convincing for pneumonia is identified. Cardiomediastinal and hilar contours are stable relative to examination dated <unk>. There is no pneumothorax, pleural effusion, or evidence of pulmonary edema.
history: <unk>f with leukocytosis // please evaluate for acute infection
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Left port-a-cath terminates in the low svc. The lungs are normally expanded and clear. Moderate cardiomegaly is unchanged since <unk>. There is mild pulmonary vascular congestion without frank pulmonary edema. There is no pleural effusion or pneumothorax.
history: <unk>f with tachycardia // eval for pna
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In comparison with study of <unk>, there has been the development of a substantial right pleural effusion extending into the minor fissure. Volume loss in the lower lung is present. Continued enlargement of the cardiac silhouette with tortuosity of the aorta. No definite vascular congestion or acute focal pneumonia.
cabg with dullness at the right base.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Left retrocardiac opacity has resolved compared to yesterday.
<unk>-year-old with chest pain.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough // ?pna
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Heart size is mildly enlarged. The aorta is tortuous and demonstrates mild atherosclerotic calcifications. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Minimal subsegmental atelectasis is noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. Multilevel degenerative changes are noted in the thoracic spine. Marked degenerative changes are also seen involving both acromioclavicular joints.
history: <unk>f status post fall. poor historian.
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Heart size is normal. Left-sided port-a-cath is noted with tip terminating in the mid/lower svc. Pulmonary vasculature is normal. Minimal atelectasis is noted in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. Several clips are noted in the upper abdomen. There are no acute osseous abnormalities.
history: <unk>m with fever, cough, valvular lesions risky for endocarditis
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The lungs are now clear without consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified
<unk>f with chills, cough, abdominal pain // eval for pneumonia
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The lungs are well expanded and clear. Mild cardiomegaly is not significantly changed compared with prior exam. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain and shortness of breath. evaluate for evidence of pneumonia.
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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 female with pain and coughing.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart, mediastinal and pleural surface contours are normal.
pleuritic chest pain and cough.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. Two nodular opacities project over the right anterior second rib.
<unk>-year-old male with nausea, vomiting, leukocytosis, tachycardia, and possible heroin use.
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Frontal and lateral views of the chest. Compared to prior, the bilateral pleural effusions have decreased in size. Indistinct pulmonary vascular markings without consolidation. Cardiac silhouette is enlarged as on prior. Atherosclerotic calcifications noted at the aortic arch. Left chest wall dual-lead pacing device is seen. Degenerative changes again noted at the left shoulder.
<unk>-year-old female with coronary artery disease with bilateral lower extremity swelling.
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Cardiomediastinal silhouette and hilar contours are normal. There has been interval placement of a left pectorally implanted pacemaker with a single lead terminating in the right ventricle without evidence of pneumothorax. The previously appreciated nodular opacity along the left heart border is not clearly visualized on either views of today's study as the patient is turned and the nodule is obscured by the cardiac silhouette. Lungs are otherwise clear. There is no pleural effusion.
heart block status post pacemaker insertion.
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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 obese with cp s/p mva // assess ptx, fracture
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. The lungs are clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Mild s-shaped scoliosis of the thoracic spine is noted.
ms flare, cough.
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There is elevation of the right hemidiaphragm with concurrent inferior displacement of the right minor fissure towards the lung base which suggests volume loss of the middle lobe. Better seen on the lateral radiograph, is a right middle lobe hazy parenchymal opacity with air bronchograms which may represent atelectasis; however, pneumonia cannot be excluded. There is no other focal consolidation, pleural effusion, or pneumothorax. There is no evidence of overinflation. The cardiomediastinal silhouette is normal.
<unk>-year-old woman with asthma flare and right basilar rhonchi, evaluate for pneumonia.
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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.
<unk> year old man with history of gastroesophageal reflux disease and intermittent chest pain presenting with acute onset chest pain and shortness of breath
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The visualized lung fields are clear of any focal consolidation, pleural effusions or pneumothorax, although streaky opacity in the lingula suggests very minor atelectasis. The heart is at the upper limit of normal in size. The aorta is moderately unfolded. The bony structures are unremarkable.
chest pain, evaluate for pneumonia versus congestive heart failure.
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As compared to prior examinations, the cavitated right upper lobe lesion appears essentially unchanged. Right upper lobe air fluid levels; however, are better visualized on today's examination. The remaining right lung parenchyma is hyperinflated. Previously identified consolidation in the lingula has completely resolved. Left lung is clear. No new focal consolidation concerning for pneumonia is identified. There is no pneumothorax. The heart is normal in size. There is mild tortuosity of the aorta.
<unk>-year-old female patient with known stage iv lung cancer and worsening shortness of breath.
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Pa and lateral views of the chest show unchanged elevated right hemidiaphragm with new development of bilateral small pleural effusions compared to recent study from <unk>. Heart and mediastinal contours are unchanged. No definite focal parenchymal consolidation is seen. The lateral view is underpenetrated in technique. Slight deviation of the upper trachea at level of thoracic inlet may be related to known the left thyroid lesion previously biopsied as benign.
<unk> year old woman with s/p lap chole, with new wheezing, low grade fever // ? pneumonia,
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with left arm chest pain // eval for pna
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
asthma with fever, to assess for pneumonia.
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Heart size is mildly enlarged. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
cough and fever.
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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 smoke inhalation
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with smoke inhalations // ?ptx
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Pa and lateral views of the chest provided. Lungs are hyperinflated though appear 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 cp // ro pna, effusions
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A metallic esophageal stent is again noted in unchanged positions. Blunting of the right cp angle is unchanged and may reflect small effusion and/or pleural thickening. Dual lead pacer is in unchanged position with leads extending to the region the right atrium and right ventricle. Midline sternotomy wires and mediastinal clips again noted. No focal consolidation concerning for pneumonia. There is mild hilar congestion with mild interstitial pulmonary edema. Cardiomediastinal silhouette is unchanged. A coronary stent is in place overlying the left heart border. Imaged bony structures appear intact. Right ac joint arthropathy noted. No free air below the right hemidiaphragm seen.
<unk>-year-old male with cough and shortness of breath, evaluate for pneumonia.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with chills, fever // acute process?
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.
chest pain, dyspnea and productive cough.
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Pa and lateral views of the chest are reviewed. Linear opacities in the right lower lobe represent atelectasis; otherwise, the lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. Scoliosis of the thoracic spine is noted. There are no concerning osseous or soft tissue abnormalities.
cough.
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The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. Cardiac silhouette is mildly enlarged, similar to prior. Atherosclerotic calcifications noted at the aortic arch. Degenerative changes seen at the shoulders. No acute osseous abnormalities identified. Surgical clips project over the right axilla.
<unk>-year-old female with screening for <unk>-psychiatric placement.
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Postoperative appearance of the right mid to lower hemi thorax is grossly stable as compared to the prior study. No definite new focal consolidation is seen. There is persistent blunting of the right costophrenic angle. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with lung ca s/p resecction with fever and cough // pna?
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There is no pleural effusion, pneumothorax or focal airspace consolidation. Prominence of the mediastinum and tortuosity of the aorta is unchanged from the prior ct. Heart size and pulmonary vascularity are normal. There is a minimal left apical scarring. Compression deformities of the lower thoracic spine are again noted.
fever, evaluate for infiltrate.
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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>. Previously described findings status post right lower lobe pneumonia appears unchanged. As there is no appreciable change in these residuals, they most likely represent scar formations. There is no evidence of new acute parenchymal infiltrates to confirm the clinical suspicion of acute aspiration pneumonia.
<unk>-year-old male patient status post cystoscopy and stent placement with aspiration on extubation. evaluate for aspiration pneumonia.
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Patient is status post left upper lobectomy postsurgical changes and volume loss again seen. There is persistent subsequent elevation of the left hemidiaphragm. The appearance of the left lung is without significant interval change. The right lung is clear. The cardiac and mediastinal silhouettes are grossly stable. The old right-sided rib deformities are again seen.
history: <unk>f with gait instability // eval for infectious process
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Hyperinflated lungs with flattening of the diaphragm. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. The median sternotomy wires are intact and well aligned. Small bilateral pleural effusions persist. No pneumothorax.
<unk> year old woman with s/p cardiac surgery <unk>-- has developed clicking/instability of superior sternum // evaluate sternal wires and sternum
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Pa and lateral views of the chest provided. Suggest infiltrative lung disease. There may also be dilated bronchi bilaterally. There is no suggestion of central adenopathy. Cardiomediastinal silhouette is normal. There are no pleural effusions.
<unk>-year-old female presents for preoperative evaluation for craniotomy.
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Mild to moderate cardiomegaly is present, increased in size compared to the previous study. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There are minimal linear opacities in the lung bases compatible with atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Multiple clips are seen within the right upper abdomen. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Left-sided picc is again seen terminating in the low svc.
history: <unk>m with fatigue, picc for abx // eval for picc placement, pna
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The lungs are clear. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. The mediastinum and hila are within normal limits. The previously suggested left lower lobe nodule is not apparent on today's radiograph. Multi-level mild degenerative changes in the visualized thoracic spine are overall unchanged. Mild dextroconvex scoliosis of the thoracic spine is unchanged.
<unk> year old woman with cough, dullness in lll on exam // evaluate for pneumonia
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The lungs are clear without focal consolidation, pleural effusions or pneumothorax. The heart size is top-normal. The cardiac and mediastinal silhouette is unchanged, and there is a stable moderate size hiatal hernia.
<unk>-year-old female with <num> days chest pain. evaluate for consolidation, rib fractures.
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Frontal and lateral views of the chest demonstrate low lung volumes, but clear lungs. The heart is borderline enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Pleural surfaces are normal.
perforated appendicitis, with new oxygen requirement, assess for pneumonia.
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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette without evidence of vascular congestion, pleural effusion, or acute focal pneumonia. The possibility of cardiomyopathy should be considered.
diabetes and recurrent utis.
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Pa and lateral views of the chest provided. Midline sternotomy wires and multiple mediastinal clips are noted. There is mild interstitial pulmonary edema. No large effusion or pneumothorax. No convincing signs of pneumonia. The heart size is mildly enlarged. The mediastinal contour appears normal. Bony structures appear intact.
<unk>m w/ pmh cad, hld, a fib, cabg (<unk>) p/w cp. cp occurred last night - substernal, non radiating, relieved w/ nitroglycerin. typical of cp which occurs <num>/year since cabg.
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Since the prior study, there is unchanged position of a tracheostomy tube, terminating in the mid trachea. There has been interval removal of the right picc. The lungs are well inflated and clear. Cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pneumothorax, pulmonary edema, or focal airspace opacification.
history: <unk>m with trach, now with increased pain and dysphagia // ? acute process
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The lungs are mildly hyperinflated. There is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart is mildly enlarged. Again, there are extensive calcifications of the costochondral junctions. There is mild loss of height in several of the mid thoracic vertebral bodies, which is likely chronic. Comparison is difficult, as there is no lateral view in the prior exam. No acute fracture is identified.
status post fall, with a missing tooth. evaluate for traumatic injury or foreign body.
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As compared to the previous radiograph, there is no relevant change. Mild areas of atelectasis at both lung bases. Neither the frontal nor the lateral radiograph show evidence of pneumonia or other newly appeared parenchymal abnormality. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.
fever and new oxygen requirement, questionable pneumonia.
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Pa and lateral views of the chest. Right-sided central venous catheter which is accessed is seen with tip in the upper/mid svc. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old female with fever and cough.