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Mildly enlarged cardiac silhouette is again noted. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature within is within normal limits.
<unk>m with sob, ef of <num>% // eval for volume overload
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The lungs are well expanded. With the exception of biapical pleural parenchymal scarring, there are no other focal opacities. Cardiomediastinal and hilar contours are stable. Sternotomy wires are intact. There is no pleural effusion or pneumothorax. Previously seen bilateral pleural effusions have essentially resolved. There is no pulmonary edema
patient with history of aortic graft and valve replacement, now with lightheadedness. evaluate cardiac silhouette.
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The lung volumes are normal. Normal positions of the hemidiaphragms. No pleural effusions. No lung parenchymal abnormality. Normal size of the heart. Normal appearance of the hilar and mediastinal structures.
chronic cough, assessment for pulmonary abnormality.
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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. Volume loss and opacification with marked pleural thickening in the left upper hemithorax appear unchanged. Similar but less extensive pleural thickening is also unchanged at the right lung apex. No superimposed opacity is observed. There is no pleural effusion or pneumothorax. Overall, there has been no definite change.
cough and shortness of breath.
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Pa and lateral chest radiographs are obtained. In comparison to the prior study, the opacity seen over the mid left lung is no longer present. There are two new subtle areas of increased opacity in the right upper lobe and the medial basal segment of the left lower lobe; in the appropriate clinical context, these would be suspicious for a developing infiltrate. Heart is normal size and cardiomediastinal contours are unremarkable. No significant pleural effusions and no pneumothorax.
<unk>-year-old woman with fever, cough, copious yellow sputum, ? pneumonia.
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Pa and lateral views of the chest. There is left basilar region of consolidation with a somewhat linear configuration. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. No free air seen below the diaphragm.
<unk>-year-old male recent trip and pleuritic left-sided chest pain.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with n/v/sob // pna?
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There is evidence of a small left pneumothorax best seen on lateral views. Stable small left pleural effusion. Otherwise, no significant changes from most recent study from the current day.
<unk> year old man s/p robotic thymectomy // r/o ptx post ct removal
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Pa and lateral views of the chest. Previously seen small-to-moderate left pleural effusion has decreased in size and now there is a small left pleural effusion. There is also a tiny right pleural effusion which is similar to prior study. No focal consolidation, or pneumothorax. The cardiomediastinal and hilar contours are normal.
effusion. evaluate.
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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Degenerative changes are noted at the bilateral glenohumeral and acromioclavicular joints. Surgical clips are noted in the left upper abdomen.
<unk>f with confusion, evaluate for pneumonia.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Heart size is normal. The aorta is unfolded. Mediastinal and hilar contours are otherwise unremarkable. There is no pneumothorax, pleural effusion, or evidence of pulmonary edema. No air is seen under the right hemidiaphragm.
history: <unk>m with chest pain and dyspnea
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The heart size is top normal. There is a prominent pericardial fat pad. There is no pleural effusion and no pneumothorax. There is no focal consolidation.
<unk>-year-old man with hypoglycemia. please assess for pneumonia.
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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. Atherosclerotic calcifications are noted along the aortic arch. No displaced rib fractures are seen. Opacification of multiple intervertebral disc spaces can be seen in ochronosis.
<unk>-year-old female with acute onset right sided chest pain. eval for rib fractures.
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Pa and lateral views of the chest. Since prior, there has been marked interval improvement in the appearance of the lungs which are now essentially clear noting trace bilateral effusions. Cardiomediastinal silhouette is stable noting atherosclerotic calcifications at the aortic arch. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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Heart size is normal. Tortuous aorta with calcifications are unchanged. There is mild central pulmonary vascular congestion without frank interstitial edema. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Thyroidectomy and probable cholecystectomy clips are again noted. Old healed posterior right rib fractures are noted.
increased fatigue and weakness over the past <num> hours.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged, with the superior mediastinum slightly widened likely due to reduced lung volumes. The pulmonary vascularity is normal. There is minimal subsegmental atelectasis in left lung base. No focal consolidation, pleural effusion or pneumothorax is identified. Amorphous calcification adjacent to the greater tuberosities bilaterally may reflect calcific tendinopathy.
chest pain, asthma exacerbation.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. There is no pulmonary edema. Multiple vertebroplasty changes seen in the lower thoracic/upper lumbar spine. Multiple thoracic compression deformities are unchanged from prior.
<unk>-year-old male with fever and cough.
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There are low lung volumes. Left-sided port-a-cath tip terminates at the cavoatrial junction. Cardiac and mediastinal contours are within normal limits. Streaky opacities within the lung bases bilaterally appear more progressed from the prior study, and likely reflect atelectasis. Infection, particularly in the left lung base, cannot be completely excluded. Small left pleural effusion appears not significantly changed in the interval. There is no pneumothorax. Multiple clips are demonstrated within the upper abdomen.
pancreatic cancer, fever. on chemotherapy.
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Heart size is normal. The aorta is calcified, indicating atherosclerosis. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are hyperexpanded and there is flattening of the diaphragms, best seen on the lateral radiograph. Increased opacity projecting over the posterior lung bases on the lateral view, potentially atelectasis or chronic interstitial markings. Infection would be difficult to exclude. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Multilevel degenerative change of the visualized spine.
<unk>m with fever, eval for pneumonia.
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Ap upright 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> year old woman with seizure // ?pna or other acute process
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A left chest wall port catheter tip terminates in the distal svc and is unchanged in position. Lung volumes are slightly lower than the prior exam. There is blunting of both costophrenic angles, likely due to small bilateral pleural effusions. Bibasilar atelectasis is present however infection in the right lower lobe is also possible. An azygous fissure is noted on the right. There is no definite focal consolidation or pneumothorax. The cardiac silhouette remains enlarged. Clips are noted in the imaged upper abdomen.
history: <unk>f with ams and pos blood cx pls eval pna // history: <unk>f with ams and pos blood cx pls eval pna
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Pa and lateral views of the chest provided. Faint platelike atelectasis is noted in the left lower lung. Otherwise the lungs are clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Bony structures are intact. A small calcific density abutting the right humeral head laterally may reflect tendinopathy.
<unk>f with l knee pain, chest pain s/p fall
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Frontal and lateral views of the chest demonstrate hyperinflated, but clear lungs. Bilateral suprahilar patchy opacities have resolved. Cardiomediastinal and hilar contours are normal. Inversion of the right hemidiaphragm is again noted. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable. Pulmonary nodules are better appreciated on chest ct.
<unk> year old woman with copd, stable pulm nodules and prior pna, evaluate for resolution.
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As compared to the previous radiograph, the patient has developed mild bilateral pleural effusions, better visible than on the previous radiograph and better seen on the lateral than on the frontal image. The size of the cardiac silhouette is unchanged. There are mild areas of basal atelectasis but no evidence of acute changes. The right central venous access line has been removed in the interval.
evaluation of pleural effusions.
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Moderate to large left-sided pleural effusion with left upper lobe mass and coarse reticular opacities throughout the left lung are known lung cancer and likely lymphangitic carcinomatosis. Right lower lobe coarse reticular opacities. No pneumothorax.
<unk> year old woman with pleural effusion // eval
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An ap and lateral view of the chest shows no consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiac silhouette is top normal. Mediastinal and hilar contours are normal. The lung volumes are low.
history of cirrhosis, anasarca and facial swelling.
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Mild cardiomegaly is unchanged. No pulmonary edema. Left-sided pigtail in situ. The left-sided pleural effusion is decreased in size. Small right-sided pleural effusion. No new areas of airspace consolidation. The right nipple is again visualized. Marked hyperinflation suggesting copd.
<unk> year old woman with loculated l pleural effusion s/p pigtail // interval change
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The heart is normal in size. There is a mild predominantly central interstitial abnormality with peribronchial cuffing that is not striking but appears increased from baseline examination. This is not entirely specific but would be compatible with airway inflammation. There is no pleural effusion or pneumothorax. Mild rightward convex curvature centered along the lower thoracic spine.
shortness of breath, cough, and weight gain.
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Previous right picc line has been removed. Continued trachea deviation to the left and surgical clips consistent with previous thyroid surgery. The cardiac silhouette continues to be mildly enlarged, and aortic calcifications are stable. There is no focal consolidation, pleural effusion or pulmonary edema is seen. Right subsegmental atelectasis is seen.
<unk>-year-old female with altered mental status, hyponatremia. evaluate for pneumonia.
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The cardiomediastinal and hilar contours are stable. The heart is enlarged as before. Median sternotomy wires are demonstrated. A left internal jugular catheter is stable. A right-sided pacer and leads are in unchanged position. A layering left pleural effusion is minimally increased from the prior examination. Bibasilar subtle opacities are demonstrated and suggest atelectasis. There is increasing pulmonary edema from the prior exam. There is a presumed persistent pericardial effusion, better seen on the ct from <unk>.
<unk> year old man s/p ppm implant // ptx, leads
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Ap and lateral views of the chest were provided. Lungs are clear. Cardiomediastinal silhouette appears normal. No acute bony abnormalities.
<unk>f with pmh dm neuropathy reports <unk> pain, acute on chronic neck and lower back pain, worsening <unk> numbness, and increased fatigue/memory difficulty after fall from standing last week
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.
epigastric and chest pain radiating to the back.
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Patient is status post median sternotomy and cabg. Heart size is normal. Prominence of the right paratracheal stripe may be due to prominent vasculature. Low lung volumes are present with crowding of bronchovascular structures. No overt pulmonary edema is present. Elevation of the right hemidiaphragm is of unknown chronicity. No focal consolidation, pleural effusion or pneumothorax is present. Clips are noted at the gastroesophageal junction.
history: <unk>m with right toe pain with possible amputation pending // preop
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Pa and lateral views of the chest were reviewed. Compared to the most recent prior study of <unk>, lung volumes have improved and persistent bilateral lower lung opacities, greater on the left than on the left represent atelectasis or pneumonia. Moderate cardiomegaly, left atrial enlargement and aortic calcifications are unchanged.
bibasilar crackles and a new oxygen requirement.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. As on prior, there are linear bibasilar opacities suggestive of atelectasis. There is no pleural effusion nor pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are grossly unremarkable.
<unk>-year-old female with fall, preceded by chest pain. c-spine tenderness.
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Again noted punctate small calcific nodules as also noted in the prior study. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob // eval for infiltrate
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Frontal and lateral views of the chest demonstrate a linear opacity at the left lung base, which was worse <unk> year ago. There is no dense consolidation or pleural effusion. The heart and mediastinum are normal. There is no pneumothorax.
status post renal transplant presenting with <unk> and history of pulmonary nodules, evaluate for pulmonary pathology.
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The cardiac, mediastinal and hilar contours appear very similar with cardiac enlargement as well as enlargement of central pulmonary arteries bilaterally. There is a similar mild interstitial abnormality suggesting pulmonary congestion, but the main change is a vague new retrocardiac opacity. There is a small pleural effusion on the right but probably unchanged.
shortness of breath. history of coronary disease and congestive heart failure.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is redemonstration of a peripherally calcified left breast prosthesis.
cough and weakness. assess for pneumonia.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. Hyperexpansion suggests underlying copd. Fibrotic streaks are again noted. The cardiomediastinal silhouette is normal.
worsening shortness of breath.
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There is a large hiatal hernia with adjacent atelectasis. Bibasilar opacities likely represent combination of the above, without clear focal consolidation. No large pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. Cardiac silhouette size is mildly enlarged. No overt pulmonary edema is seen.
history: <unk>f with afib // acute cardiopulmonary abnormality? pna? fluid?
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Cardiomediastinal contours are normal. There is an area of volume loss/ early infiltrate in the retrocardiac region. There small bilateral effusions, similar in size compared to prior. There is no pneumothorax . The osseous structures are unremarkable
<unk> year old man with liver failure and new fever // evaluate for infiltrate
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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> year old man with above // etiol new onset dyspnea on exertion, former smoker, hx asbestos exposure
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
cough and chest pain.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pain.
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Moderate to severe cardiomegaly is unchanged. Widening of the superior mediastinal contour is stable. There is no pulmonary vascular engorgement. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
dyspnea on exertion.
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The cardiomediastinal and hilar contours are normal. Previously noted hilar fullness in the radiograph of <unk> is no longer visualized. Right basilar opacities and pulmonary edema have improved. A moderate-sized left pleural effusion with compressive left basilar atelectasis has slightly worsened since the prior study. There is improved pulmonary edema.
<unk>-year-old man with hilar adenopathy seen in the prior film, to assess interval change.
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As compared to the previous radiograph, no relevant change is seen. The lung volumes are normal. Normal size of the cardiac silhouette. A slightly bulging contour of the left pulmonary artery, leading to a minimal widening of the aortopulmonary window, is unchanged as compared to the previous examination. Also unchanged is an obviously organized intrafissural pleural effusion on the left, visible in almost unchanged manner on a pa and lateral chest radiograph from <unk>. No new parenchymal opacities. No recent pleural effusions. Unchanged size of the cardiac silhouette. In the interval, the right picc line has been removed.
evaluation for acute process.
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Pa and lateral views of the chest provided. Hyperinflated lungs and flattened diaphragms are compatible with chronic obstructive pulmonary disease. There is no focal consolidation, pleural 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 c/o cp and cough // ? pna
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Compared to the most recent ct exam, there has been interval development of a moderate to large right-sided pleural effusion with associated right basilar atelectasis. Rounded opacity within the right lung base likely reflects a metastatic lesion. Other known pulmonary nodules within the lungs are not well seen on the current exam. There is no left-sided pleural effusion or pneumothorax. Pulmonary vasculature is normal. Assessment of the cardiac silhouette size is difficult given the presence of the right pleural effusion. Fullness of the right mediastinal contour is compatible with underlying lymphadenopathy, and appears relatively unchanged compared to the prior ct exam. No acute osseous lesion is demonstrated.
metastatic renal cell carcinoma to the lungs with history of right pleural effusion and new dyspnea on exertion.
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The left pleural effusion has decreased slightly, now small to moderate. Substantial left lower lobe atelectasis is unchanged. The small right-sided peridiaphragmatic collection of air and fluid is unchanged. This collection could be subphrenic or possibly subpulmonic based on the provided images. Cross-sectional imaging could be performed for exact anatomic location. <num> right-sided chest wall drains are in unchanged position. The enteric tube ends within the remaining intrathoracic esophagus.there is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old man with esophageal adenoca at gej (stage iiia pt<num>n<num>m<num>) s/p chemoradiation completed in <unk>, repeat pet/ct shows avidity of esophageal mass s/p mie // evaluate for any interval changes
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The heart size is normal. The mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain.
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A curvilinear soft tissue interface overlies the cervical trachea and could reflect a prominent skin fold or superficial lesion. There is no consolidation, pneumothorax, or pleural effusion appreciated. The cardiomediastinal silhouette and hilar silhouettes are normal size. No acute bony abnormalities nor evidence of acute fracture. Pacemaker seen on the left chest wall with pacer wires terminating in right atrium and right ventricle.
<unk> year old man with right sided cp upon walking and after spicy foods // ? hiatal hernia
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There is persistent left lower lobe atelectasis. , other is likely also a small left pleural effusion. A right-sided picc terminates in the mid svc. A transvenous dual lead pacemaker is unchanged in appearance when compared to the prior study. No pneumothorax seen. Calcific densities again project over the right apex. Remodeling deformities of the bilateral proximal humeri again seen. Extensive vascular calcification noted in the abdominal aorta.
<unk> year old woman with pacemaker lead revision // evaluate for lead placement or pneumothorax
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The cardiomediastinal silhouette and pulmonary vasculature are stable since recent examination. There is no pleural effusion or pneumothorax. The lungs are clear. A right-sided port-a-cath is noted with its tip in the lower svc region.
<unk>m with pleuritic, l chest pain // eval for acute process
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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Anterior bridging osteophytes are noted within the thoracic spine.
history: <unk>m with cough x <num> weeks
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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 evidence of pneumomediastinum is seen.
history: <unk>m with chest pain after vomiting // pneumomediastinum?
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Redemonstrated is a right internal jugular central venous line, with the tip terminating in the proximal right atrium. There is no focal consolidation, pleural effusion, or pneumothorax. The heart is moderately enlarged. Prominent hilar opacity is stable likely reflecting engorged hilar vessels, although lymphadenopathy can't be entirely excluded. There is mild perihilar and interstitial edema, not significantly changed from <unk>. Calcifications are noted involving the aortic arch.
history: <unk>f with hypotension s/p dialysis // r/o pna, pulm edema
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. New slight blunting of the left costophrenic sulcus may relate to minor atelectasis or perhaps a trace pleural effusion. The lungs appear clear.
shortness of breath and chest pain.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lung volumes are low but are clear. Pleural surfaces are clear without effusion or pneumothorax. Pulmonary vasculature is not engorged and there is no edema. Punctate calcifications seen diffusely, localized to the anterior soft tissues on lateral view, new since prior exam, of unclear etiology.
lower extremity edema.
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. Mild biapical scarring appears symmetrical. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. No acute osseous abnormality is detected.
left upper quadrant abdominal pain with productive cough over the past week, here to evaluate for pneumonia.
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Frontal and lateral views of the chest. Large opacification of the right hemithorax is consistent with a combination of consolidation, pleural effusion, and/or tumor progression. In particular, the pleural component appears larger. There slight leftward shift of the mediastinum. The right heart border is obscured but the heart size appears normal. The left lung is clear.
shortness-of-breath and lung cancer.
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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Lung volumes are slightly low. Patchy atelectasis is demonstrated in the right lung base. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. Mildly distended loops of colon are noted in the left upper abdomen.
history: <unk>f with spastic ms with cough and weakness
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There are extensive diffuse patchy multifocal airspace opacities throughout both lungs. Although they appear more pronounced compare with the prior film, this is likely accentuated due to technical differences. Given th the presence of diffuse opacities, it is difficult to exclude superimposed chf, but the left lung base laterally is relatively clear and no pleural effusion is seen on either side, making superimposed chf less likely. Again seen are calcified mediastinal and left hilar nodes and a calcified granuloma in the left upper zone, consistent with prior granulomatous disease. Cardiomediastinal silhouette is prominent, but unchanged allowing for technique. Left-sided pacemaker with leads over right atrium and right ventricle unchanged.
<unk> year old man with cad, chf, a-fib, history of multiple myeloma in remission presenting with pneumonia. // please assess for infiltrates and pulmonary edema
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Frontal and lateral chest radiographs demonstrate clear well expanded lungs. There is interval improvement in pulmonary vascular congestion. There is no pleural effusion, or pneumothorax. The cardiac silhouette remains moderately enlarged. The mediastinal contours are notable for aortic tortuosity and prominent contours of the pulmonary arteries.
<unk>-year-old female with abdominal pain. evaluate for infection.
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There is minimal bibasilar atelectasis. Otherwise, the lungs are free of focal consolidations, pleural effusions or pneumothorax. No evidence of pulmonary edema. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires are unremarkable. A prosthetic aortic valve is re-demonstrated.
<unk> year old woman with chronic obstructive asthma, chronic cough // any change in left lower lobe opacity
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Left picc line is seen ending at approximately the lower left-sided svc probably at the junction with the coronary sinus. No complications including pneumothorax are seen. Cardiac and mediastinal contours are normal. Bibasilar atelectasis continues to be seen with small left pleural effusion.
<unk>-year-old male with new picc line. please evaluate placement.
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Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Pulmonary vasculature is not engorged. Minimal streaky opacity in the right lower lobe may reflect an area of atelectasis though infection is not completely excluded. No pneumothorax or pleural effusion is present. There are no acute osseous abnormalities.
history: <unk>m with worsening shortness of breath, cough
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In comparison with the study of <unk>, there is elevation of the left hemidiaphragm with a dense streak of opacification above it. This could represent atelectasis or fibrosis. The appearance does not have the characteristics of acute pneumonia. Remainder of the examination is within normal limits, and there is no vascular congestion. Cardiac silhouette remains at the upper limits of normal or slightly enlarged.
decreased breath sounds at left base.
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Widespread opacities throughout the lungs has not substantially changed can be a combination of pulmonary edema and or pneumonia. Daily change and relatives asymmetry favors edema. Moderate cardiomegaly persists. Tracheostomy tube midline. Pleural effusions are presumed, but not substantial.
<unk> year old man with history of tbm s/p trach, recent pna, continued hypoxemia // etiology for hypoxemia
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A vague nodular opacity is new and projects over the right upper lung. A new rounded opacity projects over central lower lungs and hilar structures on the lateral view, a possibly nodule versus normal vascular structure.
chest pain.
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Compared with the prior study <unk>, the right pleural effusion has increased, now moderate in size. There is likely compressed atelectasis. There is new obscuration of the left heart border with increased left-sided airspace opacities. In the absence of pulmonary vascular engorgement, this is concerning for a left lower lobe pneumonia.
<unk> year old woman s/p sinus tachycardia ablation. symptoms of dyspnea with increased o<num> demand. // r/o pulmonary edema, pneumonia
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Pa and lateral views of the chest provided. Lateral view is limited due to patient arm position over the chest. Lung volumes are low though allowing for this the lungs appear clear. No definite pleural effusion or pneumothorax is seen. Heart size is difficult to assess due appears grossly stable. Mediastinal prominence likely due to unfolded thoracic aorta, intervally progressed. No acute bony abnormalities.
<unk>m with h/o left shoulder pain, s/p left rotator cuff surgery // pre-op, eval acute process
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Mid thoracic levoscoliosis is noted. No acute osseous abnormalities.
<unk>f with cp, sob // r/o acute process
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The cardiac silhouette size appears mildly enlarged. There is widening of the right paratracheal stripe. The aorta is mildly tortuous. Fullness of the left hilum is demonstrated. There is no pulmonary vascular engorgement. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. A <num> mm nodular opacity in the right upper lobe likely reflects a granuloma. No displaced fractures are identified.
fall with chest pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Clips in the right upper quadrant indicate prior cholecystectomy.
history: <unk>f with chest pain
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There are low lung volumes with bibasilar opacities, somewhat improved compared to prior. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with cp // eval for cp
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There is stable mild enlargement of the cardiac silhouette and tortuosity of the thoracic aorta. Elevation of the left hemidiaphragm is not significantly changed with adjacent subsegmental left lower lobe atelectasis. Calcified granulomas are noted. No focal consolidation, pleural effusion or pneumothorax. Note is made of gastric distension
history: <unk>f with ams // eval for ich or infection
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Frontal 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. Atherosclerotic calcifications again seen of the aortic knob. Hypertrophic changes seen in the spine.
<unk>-year-old male with history of diabetes with progressive shortness of breath.
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The lungs are without a focal consolidation or pneumothorax. A trace right pleural effusion is likely present. Cardiomediastinal silhouette is moderately enlarged. The aorta is tortuous. No acute fractures are identified.
evaluation of patient with weakness and lightheadedness.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with dyspnea
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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A right-sided chest tube has been removed. There is mild bibasilar atelectasis. No focal consolidation concerning for pneumonia. The heart is top normal in size. There is no large pleural effusion or pneumothorax. A pigtail catheter is seen in the right upper quadrant. There is no overt pulmonary edema.
<unk> year old man with cad, recent cholecystitis, status post biliary stenting; with sob // ? pneumonia vs chf ? pneumonia vs chf
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Ap upright and lateral views of the chest provided. The patient's chin obscures the apices and superior mediastinum somewhat. Allowing for this, the lungs appear clear. No large effusion or pneumothorax. The cardiomediastinal silhouette appears grossly within normal limits. No free air below the right hemidiaphragm. Bony structures are intact.
<unk>m with confusion, general weakness, liver pt
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Ap and lateral chest radiographs. Lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Cervical fusion hardware is partially imaged.
history: <unk>f with dyspnea // acute cardiopulm disease
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Pa and lateral views of the chest. Increased soft tissue density slightly limits the lateral view; however, there may be a left lower lobe opacity. There is no pleural effusion or pneumothorax. The right lung is clear. The cardiac, mediastinal, and hilar contours are normal. There is no pulmonary vascular congestion.
cough for two weeks, question pneumonia.
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Lungs are clear without focal consolidation, effusion, or pneumothorax. Azygos fissure is incidentally noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with l. rib pain // acute process
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The lungs are clear. There is no focal consolidation, effusion, or edema. Cardiac silhouette is top-normal, accentuated by slightly low lung volumes. No acute osseous abnormalities.
<unk>f with chest pain, worse with exertion // eval for acute process
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>f with cp, sob? // pna?
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Pa and lateral views of the chest. The chest is clear. The cardiomediastinal silhouette is normal. Atherosclerotic calcifications seen in the aorta. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain and shortness of breath.
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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 sickle cell and body/chest pain // please eval for acute chest
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The heart size is normal. The hilar mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.soft tissue clips above the thoracic inlet, may be secondary to a prior thyroidectomy.
history: <unk>m with cough // evidence of pneumonia
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Similarly to the prior chest radiograph, lung volumes are low, causing crowding of the bronchovascular structures. The previously described right middle lobe heterogeneous opacity has improved. Mild basilar streaky opacifications are likely due to atelectasis. No new focal consolidation or pneumothorax. Mild blunting of the bilateral costophrenic angles are consistent with small pleural effusions.
<unk>f with increased weakness. evaluate for pneumonia.
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The inspiratory lung volumes are decreased from the most recent prior study. There is no 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 cardiac silhouette is top normal in size but stable. The mediastinal and hilar contours are within normal limits. The trachea is midline.
history of migraines, now with worsening sharp pleuritic chest pain, here to evaluate for pneumonia or pleural effusion.
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Cardiomediastinal silhouette is stable. There is no focal consolidation, pleural effusion, or pneumothorax. No pulmonary edema. The sternotomy wires, mediastinal clips, and prosthetic heart valve are unchanged.
history: <unk>f with fatigue and weakness // eval for acute infectious process
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The heart is normal in size. The aorta shows mild unfolding. Patchy calcification is noted along the arch. There is mild elevation of the left hemidiaphragm probably due to mild volume loss at the left lung base and a prominent gastric bubble. There is no pleural effusion or pneumothorax. Mild leftward convex curvature is centered at the thoracolumbar junction. The bones are probably demineralized to some degree.
presyncope.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. S shaped thoracolumbar scoliosis is noted with posterior fixation hardware. Of note, there is a fracture through the left-sided transfixing rod at the uppermost screw, unchanged. Fractured screw also noted in a right-sided pedicle. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with sob // acute process
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The lungs are clear. Left upper lobe lung nodule described in the neck ct is not seen on plain film. Mediastinal and cardiac contours are within normal limits. There is no pneumothorax or pleural effusion.
patient with recent strep infection. ct neck in ed showed a right upper lobe lung nodule, inflammatory or infectious, has slight nonproductive cough, persistence of nodule.
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Heart size is normal. Mediastinal and hilar contours are unremarkable with diffuse calcification of the thoracic aorta again noted. The pulmonary vascularity is not engorged. Chain sutures are seen within the right lung base. There is minimal streaky opacity in the lung bases likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. Multilevel degenerative changes are seen within the thoracic spine. On the lateral view, dilated loops of small bowel are partially imaged.
malaise, vomiting and abdominal pain.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with shortness of breath.