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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. Relative elevation of the right hemithorax may be related to respiration.
history: <unk>m with h/o asthma and prostate cancer, presenting with chest pain // acute process to explain chest pain?
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Heart size appears similar, at least mild to moderately enlarged. Aortic knob remains calcified. Mild interstitial pulmonary edema appears slightly improved compared to previous exam. A moderate size left pleural effusion may be slightly increased in the interval. Trace right pleural effusion is relatively similar. Left basilar consolidative opacity persists with air bronchograms, which may reflect atelectasis or pneumonia. There are no acute osseous abnormalities.
dyspnea.
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A right picc is unchanged with the tip terminating in the mid svc. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits.
history of cml now with concern for acute leukemic crisis. picc line placed during previous admission, here to evaluate picc position. evaluate for acute cardiopulmonary process.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Scarring within the lung apices is unchanged. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.
chest pain.
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There is no focal consolidation, pleural effusion, or pneumothorax. Prominence of interstitial markings at the bases is likely due to chronic interstitial disease as seen on the prior ct chest. Small nodules within the upper lobes are most consistent with granulomas as seen on the prior ct. Rounded density at the left base is most consistent with atelectasis. The heart size is top normal. There are degenerative changes within the thoracic spine but no acute fractures.
<unk>-year-old man with palpitation. evaluate for cardiomegaly.
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Moderate cardiomegaly is slightly smaller with unchanged calcification of the aortic knob. Compared with the prior radiograph, the pulmonary edema has improved, if not completely resolved. The severity of pulmonary vascular congestion is improved, with a persistent left pleural effusion. Greater opacification of the right lower lobe is apparent. However, prior episodes of asymmetric pulmonary edema have shown collection is specifically in the right lower lobe. Therefore while pneumonia cannot be excluded, we do not have to invoke its presence to explain these findings. A fractured, undisplaced sternal wire is unchanged.
<unk> year old man with cough and wheeze. ?pneumonia or pulm edema.
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There is blunting of the left lateral costophrenic angle thought to represent a small effusion. The lungs are clear without consolidation. Cardiac silhouette is within normal limits. The thoracic aorta is aneurysmal and tortuous. The arch measures in the range of <num> cm. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with palpitations, jvd // ?cpd
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The left port-a-cath terminates in the right atrium. There is no pneumothorax.the lungs are clear without focal consolidation or pleural effusion. The cardiac and mediastinal silhouettes are unremarkable.
evaluate port placement. // evaluate port placement.
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Pa and lateral views of the chest provided. There are prominent bilateral interstitial marking including <unk> b-lines, consistent with mild pulmonary edema. 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 acute-onset unsteadiness, urinary incontinence today, expressive aphasia, altered mental status; borderline febrile
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The lungs are hyperinflated with underlying emphysematous changes. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is notable for prominent main pulmonary artery and right pulmonary artery, likey due to pulmonary hypertension. Again seen is compression fractures of t<num> and l<num>, unchanged. No new fractures are identified.
history of dyspnea for two to three days and copd. rule out effusion or pulmonary nodules.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There are streaky basilar opacities most suggestive of atelectasis. These are somewhat conspicuous in the retrocardiac area on the lateral view. There is a slight peribronchial vascular thickening bilaterally with peribronchial cuffing suggesting an inflammatory or perhaps infectious process involving lower airways. Moderate degenerative changes are noted along the lower thoracic spine.
question pneumonia.
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There is an well-circumscribed irregular opacity in the right upper lobe that was not seen on <unk>. This can represent a pulmonary nodule in the right upper lobe vs right upper lobe pneumonia vs focal mediastinal calcification from radiation therapy. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumothorax. No pulmonary edema. No pleural effusions.
<unk> year old woman with history of hodgkins lymphoma years ago sp treatment who has right sided flutter sensation in her chest on deep inspiraiton, lung exam not impressive, peak flow a bit down. evalute for pulmonary process // infection? mass?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
neck and right-sided back pain status post mva <num> day prior.
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Cardiac silhouette size is normal. The aorta is tortuous. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Linear opacities in the left lung base are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion, or pneumothorax is present. Moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with myelodysplasia presenting with fever
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Frontal and lateral radiographs of the chest were acquired. There is re-demonstration of a left-sided pacemaker with associated right atrial and right ventricular leads, not significantly changed in position. The lungs are clear. The heart size is unchanged. Mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
acute onset chest pain.
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Ap and lateral images of the chest. A pacer is seen overlying the left anterior chest in a different location than on prior exam, with intact leads in appropriate position. Increased interstitial markings are seen bilaterally, consistent with mild to moderate pulmonary edema. Bilateral pleural effusions are seen, left greater than right. No pneumothorax is seen. The cardiomediastinal silhouette is incompletely assessed due to adjacent pulmonary effusion, but it appears to be enlarged.
cough and shortness of breath.
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Heart size is normal. The aorta is mildly tortuous but unchanged. There are minimal atherosclerotic calcifications of the aortic arch. Mediastinal and hilar contours are otherwise normal. Pulmonary vasculature is normal. There is minimal atelectasis within the right lower lobe. No focal consolidation, pleural effusion or pneumothorax is seen. Partially imaged is posterior fusion hardware within the lower thoracic and upper lumbar spine.
<num> day of acute on chronic shortness of breath.
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Right-sided picc has been removed. Lungs are clear. No pleural effusion or pneumothorax. Mild to moderate cardiomegaly.
<unk> year old man with nhl // pre bmt eval
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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 dka. evaluate for infection.
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Pa and lateral views of the chest provided. Lung volumes are low. There is mild right basal atelectasis. The heart appears mildly enlarged. The aorta is unfolded. No large effusion or pneumothorax is seen. No overt signs of edema. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cholecystitis, hypoxia in setting of smoking hx
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No evidence free air. Lung volumes are low and there is atelectasis at the lung bases bilaterally. There is no pneumothorax. Lung fields are clear.
history: <unk>f with upper abd pain. // pna? free air under diaphragm?
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The cardiac, mediastinal and hilar contours appear stable. Mitral annular calcifications are prominent. The aorta is largely calcified. As seen previously, there is rightward deviation of the mid trachea probably associated with thyroid enlargement and unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There is mildly exaggerated kyphotic curvature, as before, with mild multilevel degenerative changes seen throughout the mid to lower thoracic spine. The bones appear demineralized.
new pedal edema. question congestive heart failure.
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Pa and lateral views of the chest provided. Port-a-cath resides over the left chest wall with catheter tip in the region of the lower svc. Lungs are clear. Clips are noted in the right axilla with absence of the right breast shadow. 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 fever/immunosuppressed. // pneumonia?
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Frontal and lateral views of the chest. Low lung volumes are noted. Exam is also somewhat limited also due to patient body habitus. There is a likely acute right lateral rib fracture with apparent displacement of a rib fracture fragment. There is associated small right sided effusion, potentially hemothorax given setting. No definite pneumothorax. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No other acute osseous abnormality detected.
<unk>-year-old female status post <unk>.
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Pa and lateral views of the chest provided. There is a small right pleural effusion. Lungs are otherwise clear. Aorta appears unfolded. The heart size is normal. No acute osseous abnormality.
<unk>m with hypotension // eval for pna
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a developing opacity in the right medial lower lung, partly obscuring the right hemidiaphragm and perhaps involving both the right middle and lower lobes. Elsewhere, the lung fields remain clear. Bony structures appear normal.
tachycardia.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with stable cardiomediastinal contours. Right perihilar and right perifissural opacities are consistent with the patient's known lung cancer and similar to <unk>. Left apical opacity is also stable and compatible with known apical neoplasm. Blunting of the right costophrenic angle is compatible with a moderate-sized pleural effusion, similar to <unk>. No radiopaque foreign body. Osseous structures are unremarkable.
<unk>-year-old female with history of lung cancer presenting with dyspnea on exertion and cough. rule out acute process.
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Again seen is marked dextroscoliosis of the thoracic spine. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>f with hypertensive urgency // please eval cardiomegaly or acute changes
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Left-sided aicd device is noted with single lead terminating in the right ventricle. Mild enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are normal. Lungs are clear without focal consolidation. No pneumothorax or pleural effusion is present. There is no pulmonary vascular congestion. Subacute right <unk> and <unk> posterior rib fractures are re- demonstrated with callous formation.
chest pain after being punched at pacemaker site.
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The lungs are hyperinflated. No acute focal consolidation, interstitial edema, pneumothorax or pleural effusion. Cardiomediastinal silhouettes are stable. No aggressive bony lesions.
<unk> year old woman with asthma, copd. <num> days of uri, now with purulent sputum and dyspnea // ?pna
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The lungs are well expanded. A vague opacity in the right middle lobe is seen only on the frontal projection without correlate on the lateral projection. No focal consolidation, effusion, or pneumothorax present. The cardiac and mediastinal contours are normal.
<unk>-year-old woman with history of sts of left upper extremity.
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The heart is at the upper limits of normal size. The lung volumes are low. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable.
history of congestive heart failure.
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The lungs remain hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is moderately enlarged. The aorta is calcified and tortuous. There may be very minimal interstitial edema.
history: <unk>f with heart block // acute process
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Pa and lateral views of the chest provided. Retrocardiac airspace consolidation containing air bronchograms is concerning for left lower lobe pneumonia. The right lung is clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette appears normal. No acute osseous abnormalities. No free air below the right hemidiaphragm is seen.
<unk>m with fever cough // eval for pna
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Frontal and lateral views of the chest. Left chest wall pacing device seen with leads in the right atrium and right ventricular apex. The lungs are clear of consolidation, effusion or pneumothorax. Linear opacities at the left costophrenic angle are suggestive of atelectasis. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips again noted. No acute osseous abnormality is detected.
<unk>-year-old male with chest pain.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
<unk> year old man with > <unk> years of chronic cough, former smoker // eval for infiltrates, parenchymal disease
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There is minimal left basilar atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal superior mediastinal contours are stable and unremarkable, as are the hilar contours.
history: <unk>m with general malaise, <unk> pain // ? pna
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There is no consolidation, effusion or pneumothorax. Cardiomediastinal contours are normal. There is no subdiaphragmatic free air. No acute osseous abnormalities identified.
<unk>f with chest pain // ? infectious process, effusion
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There is mild cardiomegaly. The ascending aorta may be prominent. There is mild rightward tracheal deviation at the level of the aortic arch. Lung fields are clear.
history: <unk>f with chest pain // acute process
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Frontal and lateral radiographs of the chest demonstrate top normal heart size. The cardiomediastinal silhouette and hilar contours are normal. Calcification of the aortic knob is unchanged. There is persistent patchy opacities in the right lower lobe and periphery of the left lung. There is new prominence of the interstitial markings consistent with mild pulmonary edema. There are new small bilateral pleural effusions greater on the right than the left. No pneumothorax. No displaced rib fracture identified.
recent diagnosis of pneumonia with worsening shortness of breath and cough. evaluate for pulmonary edema or interval change.
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Compared to the prior study and allowing for technical differences, there is new minimal bibasilar atelectasis. Otherwise, i doubt significant interval change. The heart is not enlarged. The aorta is again seen to be tortuous. No chf, focal infiltrate, effusion, or pneumothorax is detected. Within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy or pulmonary nodule is detected. No free air seen beneath the diaphragm.
history: <unk>m with l facial droop // eval for intrathoracic process
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The heart is mildly enlarged. There is pulmonary vascular redistribution with patchy hazy alveolar infiltrate right greater than left. There small bilateral effusions.
<unk> year old woman with suspected ild/uip, crackles, leukocytosis, fall // ? pna
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Ap and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities identified. Please note lateral view is limited secondary to patient's arm being down by his side.
<unk>-year-old male with altered mental status.
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There is patchy opacification and bronchial wall thickening at the left base, localized to the left lower lobe on the lateral, concerning for an early or developing bronchopneumonia. No pulmonary edema. Stable appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax. Gaseous distention of bowel loops is persistent.
<unk>m with productive cough x<num> days and ams. // ?pneumonia
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The lung volumes are low. Accordingly streaky basilar opacities are most likely due to atelectasis. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours appear unchanged. Small osteophytes are noted along the thoracic spine.
chest pain.
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The lung volumes are normal. There is a lateral ill-defined opacity in right mid lung projecting over the seventh posterior rib which not does correspond to any lesions on prior ct. The cardiomediastinal and hilar contours are normal. The pleural surfaces are normal. The right port-a-cath terminates in the right atrium.
<unk> year old man with gastric cancer on chemotherapy. fever earlier in week, cough, and chest pain rll with sob. // r/o infection. please wet read and <unk> <unk> <unk>
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is slightly tortuous.
history: <unk>f with chest pain // ? process
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Heart size is normal with mild tortuosity of the thoracic aorta. Right apical fibrosis and paramediastinal fibrosis is unchanged from prior examination, compatible with post-radiative changes. The lungs are otherwise clear without new opacity. Likely small chronic pleural effusion. Pleural spaces are otherwise clear without pneumothorax. Old multiple right sided rib deformities.
lung cancer, on chemotherapy, presenting with cough and elevated white count.
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Pa and lateral views of the chest provided. There is plate-like atelectasis at the right lung base. There is no effusion or pneumothorax. Cardiomediastinal and hilar contours are normal. Spinal fusion hardware is seen in the upper cervical spine.
<unk> year old man with fever // r/o pneumonia vs atelectasis
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No previous images. The heart is normal in size and the lungs are clear without vascular congestion or pleural effusion.
evaluation for transplantation.
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Ap and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Perihilar vascular congestion is noted. Tortuosity of the descending aorta is present. The heart is mildly enlarged. There is blunting of the left costophrenic angle, suggestive of small pleural effusion. Bibasilar opacities likely reflect atelectasis. There is no pneumothorax. Compression deformities of the upper or mid thoracic vertebral bodies are likely unchanged since <unk> ct exam. No displaced fracture is seen. The bones are diffusely demineralized, making evaluation for subtle fracture suboptimal.
status post fall. assess for pneumothorax.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are identified.
patient is status post assault with right scapular pain and chest pain. evaluate.
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The cardiomediastinal silhouette is unremarkable. Central pulmonary vasculature is congested, with indistinctness of the pulmonary vasculature overall. Patchy bilateral opacities are noted, worse at the right base. Bilateral pleural effusions are present.
history: <unk>m with sob, chf // ?cpd
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Frontal and lateral views of the chest. Left base opacity appears increased since <unk>, consistent with a moderate size pleural effusion with underlying atelectasis or infection. Pulmonary vascular markings are prominent, consistent with vascular congestion. The right lung appears otherwise clear. No pneumothorax. Heart size is enlarged but difficult to evaluate given the left base opacity. Mediastinal contours are otherwise stable.
shortness of breath.
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The heart is normal in size. The aortic arch is partly calcified. The lungs are hyperinflated. The mediastinal and hilar contours are otherwise unremarkable. Slight subpleural scarring is noted at each lung apex. There is no pleural effusion or pneumothorax. There is patchy opacity projecting over the left mid to lower lobe suggesting pneumonia, not well seen on the lateral view but suspected to reside primarily in the left lower lobe but perhaps involving the lingula.
cough and shortness of breath.
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Compared to <unk>, pulmonary vascular congestion has slightly worsened. No acute focal consolidation. No pleural effusions.mild cardiomegaly.
<unk> year old man with cough and increased sputum // r/o pna
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Unchanged fibrous scarring extending from the right hilum to the right apex similar to that seen on previous ct. Patient has known emphysema better seen on ct. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Compression fracture of the lower thoracic spine better demonstrated on previous ct.
<unk> year old woman with copd, low sat // ? chf
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Frontal and lateral radiographs of the chest were acquired. There is a subtle bilateral interstitial abnormality that is more prominent centrally than peripherally. There is also evidence of kerley b lines along the lateral aspect of the right lower chest wall. There is no focal consolidation. Massive enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are unchanged. There are no definite pleural effusions. No pneumothorax is seen.
productive cough. evaluate for infection.
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The lungs remain clear. There is no consolidation, effusion or vascular congestion. Moderate to severe cardiomegaly is again noted. Median sternotomy wires are noted. No acute osseous abnormalities.
<unk>m with chest tightness, cough for several weeks // please evaluate for infectious process
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The left hemidiaphragm is obscured, likely due to atelectasis, although a superimposed infection is also possible. There is atelectasis at the right lung base. The cardiac silhouette is mildly enlarged. There is no pleural effusion or pneumothorax.
<unk>-year-old man with possible pneumonia. evaluate for pneumonia.
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The heart is normal in size. There is a new convex contour which appears immediately lateral to the upper part of the descending aorta. Otherwise, the mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
worsening shortness of breath and wheezing. chronic smoker.
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Cardiac and mediastinal silhouettes are stable. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax.
history: <unk>f with chest pain, cough, and fever // please eval for pna
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A rounded, macrolobulated <num> x <num> cm mass in the right base is new from the prior study of <unk>. There is no other focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>f with malaise, evaluate for pneumonia
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Pa and lateral views of the chest. The lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Of note, the lateral view has lower lung volumes with bibasilar opacities that are likely due to atelectasis.
<unk>-year-old man with cough and chest pain, syncope.
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Frontal and lateral chest radiographs demonstrate multiple sternal wires. Lung volumes are low, with resultant bronchovascular crowding and prominence of the cardiac silhouette. Retrocardiac opacity likely represents atelectasis, although a superimposed focal consolidation cannot be excluded. There is persistent opacity of the right lower lobe. No appreciable vascular congestion or pulmonary edema is seen. There is no large pleural effusion or pneumothorax
ascites and lower-extremity edema in a patient with metastatic pancreatic cancer. evaluate for pulmonary edema.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough. elevated white blood cell count.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cp // evidence of effusion, pneumonia
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Compared to <unk>, lungs are fully expanded without new opacity. Pleural thickening or scarring at the right lung base is unchanged. Heart size is normal. Cardiomediastinal and hilar silhouettes are unremarkable. Expansile lytic lesions in the right scapula and multiple ribs are essentially unchanged. A chronic posterior right eighth rib fracture is noted. Severe compression deformities in the midthoracic spine are unchanged. A right central venous port terminates in the lower svc.
<unk> year old man with mm, chronic immunosuppression, h/o h. flu pneumonia, here w/ cough and rhinorrhea x few days. // any evidence of lower respiratory tract infection?
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The lungs are mildly hyperinflated but clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
preoperative evaluation for tibial plateau fracture fixation.
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There are areas of streaky atelectasis at the bilateral lung bases. No focal consolidation is seen. There are persistent prominent interstitial markings which suggest chronic interstitial abnormality versus mild interstitial edema. The lungs remain hyperinflated. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.
<unk>-year-old man with shortness of breath. evaluate for pulmonary edema.
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Dense calcification along the pleura of the right hemithorax consistent with history of pleurodesis somewhat limits evaluation of the right lung. There are patchy opacities in the left mid and upper lung and likely in the right mid lung. There may be small effusions. There are severe degenerative changes of the right shoulder with deformity of the right humeral head related to prior healed fracture.
history: <unk>f with hypotension and fever // ?pneumonia
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with cough and wheezing. r/o pneumonia // r/o infiltrate
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Suture lines are noted in the right upper and left upper lungs. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. The left pleural effusion has almost completely resolved. No pneumothorax is seen.
<unk> year old woman s/p vats left upper lobe wedge resection // assess for interval change
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia.pulmonary vasculature is within normal limits.
history: <unk>m with hx of crohns here with productive cough, wheezing, abdominal pain w/ vomiting // eval for pneumonia
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The lungs are hypoinflated with crowding of vasculature and subtle left lower lobe opacity. No pleural effusion or pneumothorax. Heart is top-normal in size, likely accentuated due to low lung volumes. Mediastinal contour and hila are unremarkable.
<unk>m with tachycardia and elevated white count. assess etiology.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.
<unk>-year-old female with cough, here to evaluate for pneumonia.
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Lung volumes remain low. No significant interval change from the prior exam. No focal consolidation, edema, effusion, or pneumothorax. No acute osseous abnormality. Degenerative changes in the thoracic spine are unchanged. Postcholecystectomy clips project over the right upper quadrant.
history: <unk>f with dizziness, fever, n/v // eval for consolidation
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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 fevers // infiltrate?
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There has been interval removal of right-sided ij line. Median sternotomy wires and mediastinal surgical clips are noted. Again seen is severe cardiomegaly, unchanged from prior. There is evidence of pulmonary vascular congestion without overt pulmonary edema, possibly minimally improved in comparison to prior exam. The may be a persistent trace right pleural effusion. There is no left pleural effusion. There is no focal lung consolidation. An abnormal appearance of the right lower lung is similar to priors, at least in part due to right pleural thickening. There is no pneumothorax.
<unk>-year-old woman with chest pain, evaluate for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with r hip fx. // fall, known hip replacement, fx
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The heart size is mildly enlarged. The mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Streaky left basilar opacity likely reflects atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are identified.
knee pain.
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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.
left-sided chest pain.
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Ap and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. Prior presumably posttraumatic changes seen at the right humerus. Old healed right lateral <num>th rib fractures identified.
<unk>-year-old female with left leg pain status post fall.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are hyperinflated, consistent with copd. There is no focal consolidation concerning for pneumonia. Biapical scarring is present. Surgical clips in right upper quadrant are noted. Mild anterior wedging of a mid thoracic vertebral body is present.
<unk>f w/fevers and cough, please eval for occult pna.
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Pa lateral images of the chest. The lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
cp and known history of cad on cath
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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 is small volume pneumoperitoneum, consistent with recent abdominal surgery.
<unk> year old man with h/o uc s/p lap tac w end ileostomy (<unk>); lap proctectomy, j-pouch w loop ileostomy (<unk>) s/p ileostomy takedown with low o<num> sat, tachycardia, and low grade temperature // please evaluate for possible penumonia
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Interstitial lung markings are mildly prominent but stable in comparison to prior studies and are likely due to a chronic interstitial abnormality. No focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is seen. There is no pulmonary edema. The cardiac silhouette remains enlarged. The mediastinal contours are prominent likely related to tortuosity and unfolding of the thoracic aorta, which is unchanged from prior exams. The patient is status post bilateral total shoulder arthroplasties with stable appearance of the prostheses. Soft tissue density in the posterior mediastinum likely corresponds to a moderate-sized hiatal hernia seen on the prior ct abdomen. Several compression fracture deformities of the mid to lower thoracic vertebral bodies are unchanged.
chest pain, here to evaluate for acute cardiopulmonary process.
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Ventriculoperitoneal shunt catheter courses over the right side of the chest. It seems to make a loop where it projects over the lower right costophrenic angle and then extends laterally coursing over the lateral side of the junction between the chest and abdomen. Its distal course is not assessed. There is a moderate hiatal hernia. The patient is status post sternotomy. The heart is mildly enlarged. The aorta is tortuous. The cardiac, mediastinal and hilar contours appear stable. There is no definite pleural effusion or pneumothorax. Streaky opacities at the lung bases, greater on the right than left, have decreased and suggest minor atelectasis.
altered mental status.
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Patient is status post radiofrequency ablation of <num> left lung nodules in the area of the lingula lobe.there is new opacity of the left mid lung consistent with hemorrhage and postoperative changes of the lingular lobe. There is also significant volume loss in the left hemithorax with elevation of the left hemidiaphragm with atelectasis of the left lower lobe. Patient is status post previous right lower lobe wedge resection with postoperative changes in the right base. No pleural effusion or pneumothorax or pneumomediastinum is seen. Cardiac silhouette is enlarged and likely unchanged given differences in technique and position.. The stomach is distended.
<unk> year old woman with metastatic sarcoma s/p rfa to <num> nodules in left lung on <unk> now with severe pain and sob // assess for pneumothorax, consolidation.
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As compared to the previous radiograph performed around a year ago, there is no change in extent, distribution and severity of the pre-existing changes. Most importantly, there is no progression of the fibrotic disease component. Hilar enlargement with streaks of parenchymal structures connected to extensive upper lobe changes. The heart appears normal. No pleural effusions.
history of sarcoid and asthma, evaluation for change of parenchymal disease.
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The patient is status post sternotomy. The heart is mild-to-moderately enlarged. The aortic arch is partly calcified. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild-to-moderate osteophytes are noted along the visualized thoracolumbar spine.
hypotension. question infiltrate.
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There are unchanged areas of scarring most prominently in the right upper and left mid lung. No focal consolidation is identified. There is mild pulmonary vascular congestion without overt edema. The cardiomediastinal silhouette is unchanged. There is persistent tortuosity of the thoracic aorta, which is diffusely calcified. There is no pneumothorax. A small left pleural effusion is likely present. Bilateral apical pleural scarring is symmetric.
<unk>f with asthma, presents with shortness of breath. evaluate for consolidation.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. No displaced fracture is identified.
chest pain
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with fever, chest tightness // please eval for pna
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Pa and lateral chest radiographs were obtained. A left-sided internal jugular catheter tip remains in the low svc. The lungs are well inflated and clear. No focal consolidation, effusion, or pneumothorax is present.
<unk>-year-old man with aml in remission, screening for core transplant.
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The lung volumes are again low. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is similar moderate to severe relative elevation of the right hemidiaphragm compared to the left. Compared to the prior radiographs there is increased widespread opacification of the right upper lobe which is also more prominent than on the more recent of the two chest ct studies. This appearance is concerning for pneumonia superimposed on chronic scarring. There is no pleural effusion or pneumothorax. The patient is status post bilateral shoulder replacements.
malaise, wheezing and low-grade fever.
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The pigtail catheter has been removed. There is a small residual apical pneumothorax, smaller than on the prior study. Left lung is clear. There is no infiltrate.
spontaneous pneumothorax status post evacuation with pigtail catheter. question interval change.
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The lungs are well expanded. The heart is normal in size. A bulging of the right mediastinal contour is likely due to a mediastinal fluid collection and is grossly unchanged from comparison exams. Similarly, a small right pleural effusion is comparable to the frontal radiograph yesterday, but is significantly larger since <unk>. On lateral radiograph, a fluid meniscus in the the right posterior costophrenic sulcus was not seen <num> days prior a small area of atelectasis on the lateral view cannot be further localized to either hemithorax. There is no pneumothorax.
chylothorax. assess for interval change.
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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 cough // ?pna
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Frontal and lateral views of the chest. Lower lung volumes seen on the current exam. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormality is detected.
<unk>-year-old male with oxygen saturation of <num>%. question pneumonia.