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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable.
history: <unk>f with chest pain, dyspnea // eval for structural process
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The heart is mild to moderately enlarged. The mediastinal and hilar contours appear unchanged. There is marked lung opacification, particularly involving the right upper lobe, both lower lobes to some extent, however, and also the left perihilar region in the left upper lobe. There is no definite pleural effusion.
cough, fever, and shortness of breath.
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Cardiac silhouette size is mildly enlarged. The aorta is diffusely calcified and tortuous. Mediastinal and hilar contours are unremarkable. Lungs are hyperinflated with flattening of the diaphragms, findings suggestive of copd. No pulmonary edema is present. Scarring is noted within the lung apices, as well as a linear opacity within the left mid lung field which may reflect an additional site of scarring or subsegmental atelectasis. Streaky opacities in the lung bases may reflect atelectasis, but no focal consolidation or pneumothorax is present. Minimal blunting of the costophrenic angles could suggest pleural thickening or trace pleural fluid. No acute osseous abnormality is demonstrated. The distal right clavicle may have been surgically resected with elevation of the right distal clavicle relative to the acromion, findings suggestive of chronic injury.
history: <unk>f with copd, ckd, chf presents with increased lower extremity edema and dysphagia
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>f with cough shortness of breath, elevated d-dimer // eval for pna pulmonary edemacta chest -->eval for pulmonary embolism
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The lungs are well expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. A saccular aneursym of the aortic arch is calcified. There are healed right rib fractures. Elevation of the right hemidiaphragm is mild.
rhonchi on exam. evaluate for infiltrate.
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An opacity in the left lower lobe obscures the left heart border and could reflect pneumonia or atelectasis. No pleural effusion or pneumothorax. Heart is normal size. Mediastinal and hilar structures are unremarkable.
chest pain. evaluate for a pneumothorax or infiltrate.
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Pa and lateral chest views were obtained with the patient in upright position. Comparison is made with the next preceding single view chest examination obtained four hours earlier during the same day. On the present examination, the apical right-sided pneumothorax has increased in size and measures now <num> to <num> cm in width surrounding the apical area. No marked decrease in lung volume and no new pulmonary infiltrates are identified. The right-sided port-a-cath system remains in unchanged position. No new pulmonary abnormalities or pneumothorax in the left hemithorax. Lateral view discloses that the pneumothorax separation reaches also anteriorly as well as posteriorly terminating with a small loculated air-fluid level at the level of the eighth vertebral body of the thoracic spine as seen on the lateral view. No other new pulmonary or pleural abnormalities are identified. There exists moderate gas distension of the bowel pull-through in the right-sided mediastinal area. Increase in right-sided pneumothorax was observed and immediately submitted via page to <unk> at <time> p.m.
<unk>-year-old male patient status post esophagectomy six days ago, evaluate for pneumothorax after ct removal.
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Again noted is an opacity in the lingula, better evaluated on dedicated chest ct on <unk> and suggestive of a primary lung cancer. However, there is new opacity overlying the left lower lobe which is likely a small pleural effusion. Additionally, there is a new right lower lobe opacity suggestive of pneumonia. Previously noted multiple other nodules involving the left upper lobe, left lower lobe, right middle lobe, and right lower lobe are better delineated on the dedicated chest ct. Severe emphysema is again noted. Cardiomediastinal silhouette appears stable. Dextroscoliosis of the thoracic spine appears stable.
cough.
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A focal density overlying the spine on the lateral radiograph could represent a small pleural effusion, subsegmental atelectasis, or early consolidation, likely in the medial right base. There is no pneumothorax or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The previously described large, peripherally-calcified splenic cyst appears grossly similar to prior ct.
<unk>m with dyspnea, evaluate for pneumonia.
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Mild interstitial edema and tiny bilateral pleural effusions have not changed. The heart, mediastinal and hilar contours are normal. Opacity of the right hemidiaphragm and lung base is concerning for possible pneumonia. Deep brain stimulator battery packs are unchanged bilaterally.
<unk>-year-old man admitted for fevers, previous chest x-ray showed mild pulmonary edema and bilateral pleural effusions. evaluate for interval change.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. A known opacity in the left lower lobe has resolved. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
fever. question infiltrate.
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The cardiac silhouette is mild to moderately enlarged. There is mild pulmonary vascular congestion. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. No definite rib fracture identified.
history: <unk>f with msk chest pain // rib rx?
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Fibrotic changes with reticulation and honeycombing, most pronounced at the lung bases are again seen and are stable when compared to prior chest radiograph from <unk>. There is redemonstration of emphysematous changes. Increased left basilar opacity with blunting of the costophrenic sulcus could suggest a small pleural effusion and adjacent atelectasis. There is no overt pulmonary edema. There are no other areas of new focal opacification or pneumothorax. Chain sutures are noted within the left upper lobe, compatible with prior wedge resection. Tracheomegaly is again demonstrated. There are no acute osseous findings.
angina, shortness of breath. rule out pulmonary effusion.
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Pa and lateral views of the chest. The right basilar pneumothorax with a component of tension is unchanged. The right pleural effusion is smaller. The left lung is clear. No focal consolidation. The cardiomediastinal and hilar contours are unchanged.
status post vats wedge resection with postop air leak, pneumostat in place, assess for pneumothorax.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. Elevation of the right hemidiaphragm is again noted. Previously noted ill-defined opacities within both lung bases have improved from the prior exam, with only minimal residual patchy opacity seen. No pleural effusions are identified, and there is no pneumothorax. Minimal scarring is noted within the right lung apex. There are no acute osseous abnormalities.
hypotension.
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The cardiomediastinal and hilar contours are within normal limits. Bilateral lower lobe nodules, likely reflect nipple shadows, specifically in light of no correlation with recent chest ct. There is no focal consolidation, pleural effusion or pneumothorax. Pulmonary nodules described on prior chest ct are not seen on this examination.
right and left-sided pleuritic chest pain. question acute cardiopulmonary process
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Frontal and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old female with chest pain.
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Pa and lateral views of the chest provided. Dense breast tissue partially obscures the lower lungs on the first image of the series. On the second image of series, there is improved inspiratory effort resulting a more diagnostic quality imaged. 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. Clips in the right upper quadrant noted.
<unk>-year-old with asthma
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Right middle lobe linear atelectasis/scarring is again seen. There has been interval resolution of previously seen left lower lobe pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No evidence of free air beneath the diaphragms.
abdominal pain question free air.
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The cardiac silhouette is severely enlarged but unchanged. Diffuse perihilar opacities are compatible with moderate pulmonary edema. Bibasilar opacities could be part of the same process although developing consolidations are also possible. No large pleural effusion or pneumothorax.
<unk> year old man with esrd and sob. evaluate for pneumonia versus pulmonary edema.
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. There is a slight increase in interstitial markings bilaterally. There is a a opacity projecting over the right upper lobe, which may represent a rib overlapping a trifurcation of a vessel versus a nodule. There is massive cardiomegaly, increased in the prior study, which may be with reflective of cardiomyopathy versus pericardial effusion. There is no pneumothorax or pleural effusion.
<unk>-year-old man with heart failure worsening shortness of breath.
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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.
cough, shortness of breath
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Pa and lateral views of the chest. No prior. Two nodular opacities are identified, one in each of the lower lobes on the frontal view, however, they are not clearly delineated on the lateral. Lungs are otherwise clear. There is minimal blunting of the posterior costophrenic angles suggesting either trace effusion or perhaps atelectasis. The cardiomediastinal silhouette is within normal limits as are the osseous and soft tissue structures.
<unk>-year-old male with dizziness and shortness of breath. new left bundle-branch block.
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Focal right upper lobe opacity seen on <unk> persists, extending more into the periphery of the lung and now better seen on the lateral. No pleural effusion or pneumothorax is seen. There is no evidence for pulmonary edema. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with pneumonia.
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Right chest wall accessed port is seen with catheter tip in the mid to lower svc. Nodular opacities projecting over lung bases are compatible with nipple shadows. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with picc line with cap missing on presentation today // assess picc line placement
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.
cough and fever.
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Patient is rotated somewhat to the left.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. Central pulmonary vascular engorgement is stable. No overt pulmonary edema is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with abdominal pain that sometimes radiates to her chest. // ? acute cardiopulmonary process
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Heart size is moderately enlarged, increased when compared to the previous radiograph, but similar in size compared to the previous ct, and likely reflects a combination of cardiomegaly and a small to moderate pericardial effusion given the globular configuration. Pulmonary vasculature is normal. Mediastinal and hilar contours are stable. Small bilateral pleural effusions are noted with retrocardiac opacity, possibly reflective of atelectasis. No pneumothorax is demonstrated. No acute osseous abnormalities seen.
history: <unk>m with history of congestive heart failure presenting with anasarca
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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. Calcified densities in the anterior mediastinum most likely represent calcified lymph nodes, and are unchanged.
<unk> year old man with recent treated lll pneumonia // f/u for cure -- lll pneumonia
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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 chest pain, evaluate for acute cardiopulm process
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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 woman with wheezing // eval for hyperinflation, parenchymal changes
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The lungs are clear. No pneumothorax, pleural effusion, focal consolidation, or pulmonary edema. The cardiomediastinal silhouette, hila, and pleura are unremarkable. There is probable eventration of the right hemidiaphragm. Surgical clips project in the right upper abdomen.
<unk>-year-old woman with left-sided weakness status-post tpa.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
fever and cough.
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The cardiac silhouette size is normal. The aorta remains mildly tortuous. Fullness of the right hilum is unchanged, compatible with underlying lymphadenopathy. Previously noted enlargement of the right mediastinal contour at the level of the azygos is less pronounced on the current study suggesting somewhat improved lymphadenopathy. The lungs are hyperinflated. The pulmonary vascularity is not engorged. Extensive emphysematous changes are again noted, most pronounced within the lung apices. Nodular opacity within the posterior aspect of the right upper lobe is not as clearly visualized on the current study. There is no new focal consolidation. Linear atelectasis or scarring is seen within the lung bases. There are multilevel degenerative changes in the thoracic spine.
fever.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. Hilar and pleural surfaces are normal.
<unk>f with cough and myalgias, pls eval for pna vs edema
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Blunting of the right costophrenic angle, unchanged since <unk>, is likely due to pleural thickening or a small effusion. Otherwise, the lungs are clear without focal opacity, edema or pneumothorax. The cardiac and mediastinal contours are normal.
<unk>m with cought and shortness of breathe. evaluate for pneumonia.
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Lung volumes are somewhat low.no focal consolidation is seen. There may be a very trace right pleural effusion, as there is blunting of the right costophrenic angle on the frontal view. No pneumothorax is seen. The cardiac silhouette is top-normal in size. Cervical surgical hardware is incidentally noted. No overt pulmonary edema.
history: <unk>m with dyspnea, lower extremity swelling // evaluate for pulmonary edema
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The heart is moderately enlarged with a globular configuration similar to perhaps minimally increased. There is a mildly asymmetric interstitial abnormality that is predominantly seen in the infrahilar region of the right lung with fine reticulation. A new band-like opacity in the right costophrenic angle suggests mild coinciding atelectasis. There is similar slight relative elevation of the right hemidiaphragm. Surgical clips project along the right upper quadrant. There is no evidence for pleural effusion or pneumothorax. Mild degenerative changes are similar along the thoracic spine.
recent falls.
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Pa and lateral views of the chest. No prior. The lungs are clear. Costophrenic angles are sharp. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain. question pneumonia.
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Pa and lateral chest radiographs were obtained. There is volume loss at the left lung base with area of focal opacity, likely due to atelectasis. The cardiac silhouette is moderately enlarged. Hilar and mediastinal contours are stable. There is no pleural effusion or pneumothorax.
fever, evaluate for pneumonia.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old woman with fever and myalgias evaluate for pneumonia
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Pa and lateral chest radiographs were obtained. Bibasilar pleural effusions are small. The lungs are well expanded. There is no consolidation or pneumothorax. Cardiac and mediastinal contours are normal. Atherosclerotic calcification is moderate.
altered mental status.
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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with chest pain, hx of hiv // eval for infiltrate
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Small right pleural effusion. The lung volumes are normal. Normal size of cardiac silhouette. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours. Mild thoracolumbar scoliosis.
<unk> year old woman with pleural effusion // eval
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The lungs are clear. No pleural effusion or pneumothorax. Normal heart size. Tortuous aorta is stable. Moderate hiatal hernia is unchanged.
weight loss. question pulmonary abnormality.
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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.
history: <unk>f with rt upper quad pain, lower right rib pain // retained gall stone? rib fx?
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Low lung volumes cause bronchovascular crowding. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
<unk>m with dyspnea on exertion, evaluate for acute process.
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.
chest pain. shortness of breath.
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There is a dual-lead pacemaker device with leads terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Streaky posterior opacity on the lateral view suggests minor atelectasis, but otherwise the lungs appear clear. There is no definite acute disease.
left-sided weakness.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits aside from slight unfolding of the thoracic aorta. Slight blunting of each costophrenic sulcus is indeterminate but could reflect tiny effusions. The lateral view suggests interstitial changes, but probably mild, in the periphery of the posterior costophrenic sulci. This may correlate with vague reticular opacities in the lower lungs on the ap view. Otherwise, the lungs appear clear, however. There is no pneumothorax. The bones appear demineralized, but there is no evidence of fracture. Degenerative changes involve the shoulder, where the glenohumeral and acromioclavicular joints appear narrowed with prominent marginal osteophytes bilaterally. There is mild rightward convex curvature centered along the mid thoracic spine with small osteophytes along the thoracic spine.
status post fall, laceration to the left eyebrow. question fracture.
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The lungs are well-expanded and clear. There is no pleural effusion or pneumothorax. Heart size is normal. The mediastinal and hilar contours are normal. No displaced rib fractures detected.
history: <unk>m with s/p fall <num> days prior now with r sided cough associated chest pain // r/o fractures r sided, pna, atelectesis
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Frontal and lateral views of the chest. When compared to prior, there has been significant opacification of the inferior left hemithorax likely due to large pleural effusion. There is mediastinal shift to the right. The left lung apex and right lung remain clear. There is trace right pleural effusion as well. Cardiac silhouette cannot be assessed given silhouetting on the left. No acute osseous abnormality is identified.
<unk>-year-old female with left-sided chest pain with fever and cough.
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No focal consolidation or pleural effusion is identified. There is a persistent lucency projecting over the peripheral right lung base which may reflect the basal pneumothorax. The right apical pneumothorax is not definitively identified. The size of the cardiac silhouette is within normal limits. There is mild unfolding of the thoracic aorta.
<unk> year old man with spontaneous ptx, s/p pigtail removal at <num> am. // interval change. please complete at <num> pm
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The cardiac, mediastinal and hilar contours are unremarkable with the heart size top-normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.
recent syncope.
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Pa and lateral views of the chest. There is persistent opacity at the left lateral costophrenic angle when compared to prior likely due to prominent fat pad. There is however new opacity in the posterior costophrenic angle which localizes to the right. Superiorly the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old female with tremors.
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Pa and lateral views of the chest the lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged. No free air seen below the diaphragm.
<unk>-year-old female with cough and right flank pain.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal. Fat containing morgagni hernia at the right cardiophrenic angle is similar compared to chest ct from <num> months prior. No pleural abnormality is seen.
<unk>f with chest pain, ekg- inverted ts v<num>-v<num>. rule out acute cardiopulmonary changes
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Pa and lateral views of the chest were provided. The lungs are clear though hyperinflated. No focal consolidation, effusion, or pneumothorax seen. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with dyspnea
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In comparison with study of <unk>, there is no convincing evidence of pneumothorax. The patient has taken a mildly better inspiration. Substantial atelectatic changes are again seen at the bases, especially above the left hemidiaphragm and in the right mid zone.
chest tube clamped, to assess for pneumothorax.
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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>m with cough/thoracic back pain // r/o acute process r/o acute process
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Cardiomediastinal silhouette and hilar contours are normal. Heterogeneous, left greater than right bibasilar consolidations are present with a particularly large area of consolidation in the left lower lung which silhouettes the left hemidiaphragm. There is a small left pleural effusion. There is no pneumothorax.
<num> weeks and <num> days pregnant presenting with fever and desaturations.
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Two views were obtained of the chest. The lungs are low in volume but clear aside from left basal atelectasis. Haziness in the costophrenic sulci bilaterally is likely due to obscuration and artifact due to body habitus rather than effusion. There is no pneumothorax. The heart is top-normal in size with normal cardiomediastinal and hilar contours.
chest pain.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in comparison with the next preceding similar chest examination obtained two and a half hours earlier. Sternotomy status post bypass surgery as before. No change in heart size. The amount of left-sided pleural effusion has decreased moderately, but still pleural effusion blunts the left lateral pleural sinus and major portion of the diaphragmatic contours. No pneumothorax can be identified in the apical area in this patient examined in upright position.
<unk>-year-old male patient with effusion, now status post thoracocentesis, evaluate for pneumothorax.
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Frontal and lateral radiographs of the chest demonstrate bibasalar atelectasis. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
<unk> year old woman with chest pain // ?acute intrathoracic process
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
chest tightness and dyspnea, evaluate for pneumonia or cardiomegaly
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Pa and lateral views of the chest provided. Lungs are hyperinflated. There is left lower lobe opacity, concerning for pneumonia. Heart size is normal. There are no pleural effusions.
<unk> year old man with history of multiple myeloma presents with persistent cough
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Patient is status post median sternotomy and cabg. Scattered linear bibasilar atelectasis is seen. No focal consolidation to suggest pneumonia is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with dizziness and lightheadedness <num> minutes after contrast for echo. has hx of aortic stenosis, on furosemide. // please assess for pulmonary edema, effusions
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with shortness of breath, evaluate for abnormalities.
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Ap and lateral views of the chest. Lower lung volumes seen on the current exam. Even with this, indistinct pulmonary vascular markings suggest component of pulmonary vascular congestion. Bibasilar opacities may be due to atelectasis given low lung volumes, although infection cannot be entirely excluded. Cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities identified. Anterior wedging of the t<num> vertebral body is unchanged from prior. Air-fluid levels identified in the abdomen, better characterized by ct of the abdomen performed the same day.
<unk>-year-old female with abdominal pain and low flow in the right lower lobe.
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There is increased opacity in the right perihilar region. The right cardiac margin is not clearly identified on the frontal view. While this may be partially due to rotation, given subtle increased opacity on the lateral view projecting over the cardiac silhouette underlying right middle lobe consolidation is likely present. Elsewhere, the lungs are clear. Median sternotomy wires are intact. Cardiomediastinal silhouette is otherwise unremarkable. No acute osseous abnormalities.
<unk>f with fever and cough // r/o acute infectious process
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The lungs are low. Bibasilar atelectasis is seen. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with fall, right rib pain // eval for rib fx, right anterior
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Frontal and lateral chest radiographs demonstrate clear lungs without effusion or pneumothorax. The cardiac silhouette is normal in size given the mediastinal contours are normal. Pulmonary vasculature is normal.
<unk>-year-old female with cough, question pneumonia.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old male with chest pain.
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Dual lead left-sided pacer device is stable in position. The cardiac silhouette is moderately enlarged. There are small bilateral, left greater than right, pleural effusions. Left base atelectasis is also noted. No definite focal consolidation to suggest pneumonia. There is no pulmonary edema. The aorta remains calcified.
history: <unk>f with sob, ams // infiltrate
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A right-sided port-a-cath terminates at the cavoatrial junction, unchanged from prior examination. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged. Multiple chronic left-sided rib fractures are noted. Severe degenerative changes are seen at the bilateral acromioclavicular joints.
history: <unk>m with dyspnea on exertion // ? acute cardiopulm process
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly is mild. Hila are equivocally prominent. Mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough, malaise // pna?
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Ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. The heart appears normal in size. There is prominence of the outline of the main pulmonary artery and clinical correlation for possible pulmonary arterial hypertension is recommended. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Clips are seen in the right upper quadrant.
<unk>f s/p fall // eval for rib fx
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.
shortness of breath, epigastric pain.
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Cardiomediastinal silhouette and hilar contours are normal. Two subcentimeter elliptical nodular opacities overlying the posterolateral aspect of the left fourth rib are most likely rib based. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. A mild anterior wedge compression of one of the lower thoracic vertebral bodies is noted.
multiple myeloma, evaluation pre-bone marrow transplant.
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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. There has been no significant change.
chest tightness.
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In comparison with the study of <unk>, there are substantially lower lung volumes. There is pulmonary vascular congestion with bilateral pleural effusions, worse on the right, with underlying compressive atelectasis. Biapical scarring is again seen. Evidence of previous cabg with intact midline sternal wires and dual-channel spacer in place. Severe loss of height of a lower thoracic vertebra has been stable.
shortness of breath.
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There is a <num> cm rounded opacity just inferior to the right scapular border. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. A right-sided port-a-cath terminates in the mid svc.
history: <unk>f with painless jaundice, fevers, cough // evaluate for masses, pneumonia
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. No change from prior study.
history: <unk>f with left chest pain and numbness/weakness in left arm, tenderness in c-spine c<num>, fall <num> weak ago // eval for acute process or spinal cord disruption
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There has been interval removal of the pigtail catheter with placement of an pleura stat. The loculated right pneumothorax appears slightly larger. Small right pleural effusion is also slightly increased. The lungs are clear. The heart and mediastinum are within normal limits. Hiatal hernia is re-demonstrated.
<unk> year old man s/p r spontaneous ptx, had pigtail placement, removed // eval of r ptx with pneumostat in place
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As compared to the previous radiograph, the lung volumes have increased. The size of the cardiac silhouette and the appearance of the hilar structures are constant. No pleural effusions. No acute changes such as pneumonia or pulmonary edema. However, reduction in lung density at both lung apices might reflect apical pulmonary emphysema.
cough, rule out pneumonia.
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The cardiac, mediastinal, and hilar contours are normal. Lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine as well as within the right acromioclavicular joint.
intermittent left-sided chest tightness.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette, with the size likely exaggerated by mildly low lung volumes. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
<unk>m with seizure, infx w/u and stroke r/o // pna? stroke? ich
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. Specifically, no evidence of acute pneumonia.
fever, to assess for pneumonia.
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The heart is mildly enlarged. Mediastinal and hilar contours are unremarkable. No evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. Endplate degenerative changes are noted in the thoracic spine.
<unk>-year-old woman with left chest pain and left shoulder pain. evaluate for infiltrate.
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The heart is normal in size. The cardiomediastinal and hilar contours are within normal limits. Streaky bibasilar opacities are consistent with atelectasis. No focal consolidation or pneumothorax is identified. There is no evidence of pulmonary edema.
<unk>f with dyspnea // eval effusion, chf
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unchanged. No pneumothorax, pleural effusion, or consolidation. Right-sided central catheter tip ends at the cavoatrial junction.
history: <unk>m with all s/p allo transplant <num> days ago here with fever // evidence of acute cardiopulmonary process
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No comparison is available. At right lung bases, there is a zone of very subtle increased opacities that are rather widespread and peribronchial and perivascular in distribution. In the appropriate clinical context, the findings are likely to reflect pneumonia. No other parenchymal changes, no pleural effusions, no lymphadenopathy. Normal size of the cardiac silhouette. At the time of observation and dictation, <time> p.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification and the findings were subsequently discussed over the telephone.
treatment for head and neck cancer, elevated white blood cell count and chills, evaluation for pneumonia.
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The previous right picc line and left subclavian central venous catheter have been removed. Bibasilar consolidations are most likely due to atelectasis, but infection at the right lung base would be difficult to exclude in the appropriate clinical setting. Lung volumes are low. There is no pneumothorax. The heart and mediastinum are within normal limits.
<unk> year old woman with cirrhosis and worsening ascites, productive cough // eval for infiltrate
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Left-sided pleural effusion which is now moderate has increased in size since prior. There may be trace right-sided pleural effusion as well. No convincing evidence for pneumonia. Cardiac silhouette is moderately enlarged as on prior. Median sternotomy wires are intact. No acute osseous abnormalities.
<unk>m with hx of chf with cough and shortness of breath // ?pneumonia, effusion, cardiomegaly, pulmonary edema
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Moderate cardiomegaly has increased in size compared to the most recent prior exam, raising concern for worsening cardiomegaly or a pericardial effusion. The hilar and mediastinal contours are normal. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of dyspnea and fatigue. please evaluate for pneumonia.
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Compared to <unk>, i doubt significant interval change. The heart is not enlarged. The aorta is minimally unfolded, also unchanged. Within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. No chf, focal infiltrate, pleural effusion, or pneumothorax is detected. Slight elevation of the right hemidiaphragm is also unchanged. Minor degenerative spurring is again noted in the thoracic spine.
history: <unk>f with cp // acute process
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Ornamentation projects over the left upper chest. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is a small but confluent opacity projecting over the left lower lung seen on the frontal view, probably within the lingula, concerning for pneumonia. Bony structures are unremarkable.
type <num> diabetes and fever, cough, shortness of breath.
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Heart size is normal with mild unfolding of the thoracic aortic arch. Left hilar contour is normal. Right hilar contour is not well assessed due to presence of a moderate right pleural effusion which was partially visualized on the same day outside ct examination. This right pleural effusion appears partially loculated on ct from earlier today. Increased adjacent densities may be secondary to compressive atelectasis though infection is not excluded. There is mild linear left base atelectasis. There is no pneumothorax.
tachypnea and increased oxygen demand. recent appendectomy.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
lower back pain and left leg and arm numbness.
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There are streaky bibasilar opacities. Lung volumes are relatively low. No definite areas of consolidation are identified. Cardiomediastinal hilar contours are unremarkable. No pneumothorax or pleural effusion.
history: <unk>f with cough, fever // pna?