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An electronic device again projects along the left anterior subcutaneous soft tissues. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The bones appear demineralized.
hepatic encephalopathy and cirrhosis.
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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. Chronic bilateral rib deformities are similar to prior.
generalized weakness.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with fever and cough // eval for pneumonia
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.multilevel degenerative changes of the thoracic spine are present.
<unk>f with r-chest pain. evaluate for cardiomegaly.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old male with fever to <num> and cough. myalgias.
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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 chest pain // ? ptx
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Frontal and lateral views of the chest demonstrate dialysis catheter in the right atrium. Pacemaker lead projects over right ventricle and right atrium. Moderate left pleural effusion is present. Small right pleural effusion cannot be excluded. Prominent round opacity in the left hilum reflects left pulmonary artery, better seen on the most recent ct. Heart size is normal. Bibasilar opacities likely reflect atelectasis. No pneumothorax.
patient with history of hypertension, end-stage renal disease, who presents for trial of dialysis. assess for intrathoracic pathology.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.
shortness of breath and cough.
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Ap upright and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. The lungs are clear without focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with sob // veal acute process
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
<unk>m with intermittent episodes of chest heaviness associated with paresthesias in hands/feet // eval for effusions, pnm, cardiomegaly
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Pa and lateral views of the chest provided. There are post pneumonectomy changes in the left hemithorax with multiple surgical clips noted and leftward shift of cardiomediastinal silhouette. There is right apical pleuroparenchymal scarring which is unchanged from prior chest radiograph from <unk>. Otherwise the right lung is clear. Imaged bony structures are intact. Elevated left hemidiaphragm reflects left pneumonectomy.
<unk>m with fever and diff swallowing.
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The lungs are clear of airspace or interstitial opacity. Incidental note of azygos fissure benign variant. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old woman with ai hepatitis on azathioprine, now with <num>d h/o persistent, productive cough // is there evidence of pna or other pulmonary disease?
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected. There are mild degenerative changes within the thoracic spine.
shortness of breath, burning pain from jaw to sternum, pain with deep inspiration.
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The lungs are grossly clear with left basilar atelectasis noted. There is no focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart and mediastinal contours are normal.
<unk>-year-old female with cough and shortness of breath. evaluate for acute process.
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As compared to the previous radiograph, the right pneumothorax has minimally decreased in extent but is clearly visible. The pleural gap still has about <num> cm in diameter. No evidence of tension. Unchanged appearance of the extensive post-sarcoidosis changes in the lung and at the hilar structures.
history of sarcoid, spontaneous pneumothorax, assessment.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Mild atherosclerotic calcification is noted at the aortic knob.
history: <unk>m with cough, increased shortness of breath, subjective fever. evaluate for pneumonia.
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Lung volumes are low but improved compared to <unk> chest radiograph. Bibasilar atelectasis and bilateral pleural effusion have also improved. Previously seen right ij has been removed. There are no complications nor pneumothorax. There is stable mild cardiomegaly without pulmonary vascular congestion or pulmonary edema. Kyphosis of thoracic spine. Median sternotomy wires are intact and aligned. Mediastinal surgical clips are seen.
<unk> year old man s/p cabg // interval change
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Pa and lateral chest radiographs demonstrate hyper expanded lungs. No focal opacity is identified convincing for pneumonia. There is no radiopaque foreign body identified. There is no pleural effusion or pneumothorax. Visualized osseous structures are without an acute abnormality.
<unk>-year-old male with question of foreign body in throat.
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The cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. No pleural effusion or pneumothorax is seen.
history: <unk>m with wheezing, sputum // eval for pna
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Pa and lateral views of the chest provided. Linear atelectasis is noted in the right mid lung. Otherwise the lungs are clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Thoracic spine aligns normally without compression fracture or significant degenerative disease. No free air below the right hemidiaphragm is seen.
<unk>m with posterior pain t spine to ls spine // r/o fx rib
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Bilateral peripheral dominant interstitial opacities are unchanged. Left lower lobe atelectasis is unchanged. No pleural effusions or pneumothorax. The hila are normal. The heart size is normal. Moderate hiatal hernia is unchanged.
<unk> year old woman with ? cop vs. eosinophilic pna - o<num> requirement increased over the past <num> hours // please assess for interval change
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The heart size is top normal in with evidence of prior cabg. Normal postoperative changes are noted overlying the sternum and retrosternum with no air-fluid levels seen in the retrosternal space. No focal opacities, pleural effusions, pneumothorax, or pulmonary edema are seen.
<unk> year old man with a history of sternal wound infection s/p flap closure // please assess for evidence of sternal instability
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The lungs are clear without focal consolidation. The lungs are hyperinflated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Patient is status post median sternotomy and cabg.
history: <unk>m with cad s/p cabg w/ several days dyspnea, severe epig pain // eval ? infiltrate, free air
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Compared to <unk>, there is dense lobulated opacification projecting over the left lower lungs, possibly representing collapse associated with a loculated pleural effusion; however, infiltrative malignancy is not excluded adjacent to dense upper mediastinal opacification likely correlating with large anterior soft tissue mass. A small loculated effusion within the pleural fissure is a less likely possibility. Right lung is clear. Stable severe cardiomegaly identified.
recurrent pleural effusion status post thoracocentesis, assess for interval change.
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The cardiomediastinal and hilar contours are normal and stable. There is streaky atelectasis at the base of the left lung. There is no focal consolidation, pleural effusion or pneumothorax. A right lower lobe opacity has resolved. There is no effusion or
<unk> year old man with rll pneumonia on cxr done in <unk>. // please assess for resolution of pneumonia.
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Heart size is normal and demonstrates left ventricular configuration. The thoracic aorta is tortuous without change. . The pulmonary vasculature is normal. Lungs are clear except for linear scarring in the left mid and both lower lungs as well as a tiny calcified granuloma in the right upper lobe, unchanged. . Persistent slight blunting of posterior costophrenic angles may reflect small pleural effusions or pleural thickening. There are no acute osseous abnormalities.
<unk> year old man with cough and elevated wbc count // ? pna
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable aside from an unfolded thoracic aorta. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain // ? chf
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The cardiac, mediastinal and hilar contours appear stable. There is hazy opacity at the left lung base suggesting small pleural effusion probably with slight atelectasis. On the right there is a small to moderate pleural effusion with overall increased opacification at the base of the right hemithorax suggesting either an increase in effusion, increase in associated atelectasis, or perhaps both. However, lung fields remain otherwise generally clear. Patient is status post open reduction and internal fixation of the proximal right humerus. Exaggerated thoracic kyphosis with mid thoracic compression fractures appear unchanged. The bones appear demineralized. Left-sided rib fracture sites appear unchanged.
dyspnea on exertion and shortness of breath.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Widening of the left ac joint with resorption of the distal clavicle is chronic.
<unk>m with fall // rib fracture
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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
chest and back pain. evaluate for cause of chest pain.
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<num> views were obtained of the chest. The lungs remain low in volume with resultant bronchovascular crowding. No focal consolidation, pleural effusion or pneumothorax is seen. Mild cardiomegaly is unchanged. Mediastinal width and mild aortic tortuosity are stable since <unk>.
chest pain, assess for widened mediastinum.
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Cardiac silhouette size is normal. Moderate size hiatal hernia is re- demonstrated. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Minimal atelectasis is noted in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. There are moderate multilevel degenerative changes within the thoracic spine.
history: <unk>f with tachycardia, left lower quadrant tenderness to palpation
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged, of note in a patient of this age. No pulmonary edema is seen. The mediastinum is not widened.
history: <unk>m with htnive emergency // evaluate for pulmonary edema or widened mediastinum
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The heart is mildly enlarged. The mediastinal and hilar contours are remarkable. There is a patchy posterior basilar opacity, likely within the right lower lobe. It is difficult to exclude a trace pleural effusion on the left noting posterior blunting along the costophrenic sulcus. Slight degenerative changes are noted along the thoracic spine.
fever, weakness and fatigue.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. Mild degree of aortic widening and elongation is present but no local contour abnormalities are seen. The pulmonary vasculature is not congested. No evidence of new acute parenchymal infiltrates can be identified. The pleural spaces are free laterally and posteriorly. No pneumothorax is present in the apical area on the frontal view. Review of multiple previous studies indicates that the patient had a left lower lobe atelectasis in retrocardiac position of <unk>. Chest ct examination two days later demonstrated findings of bronchiectasis in this area compatible with chronic infection. There existed also multiple bilateral patchy confluent infiltrates which most likely represented gvhd in this patient who is undergoing stem cell transplant. As there is presently no evidence on the plain chest examination that the latter type of infiltrates persist in the area of the left lower lobe, a crowded vascular pattern with some interstitial prominent structures remain and most likely represent scar formations after the left lower lobe posterior segment pneumonia.
<unk>-year-old male patient after allogenic sct with wheezing and shortness of breath, assess for infiltrates.
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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f w/dizziness. assess for cardiopulmonary process.
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Frontal and lateral views of the chest. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is stable. No acute osseous abnormality is identified. There is no pneumothorax.
<unk>-year-old male with chest pain.
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Patient is status post median sternotomy. The cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. No pulmonary edema is seen.
history: <unk>m with cp, sob w/ecg changes c/f nstemi // r/o infiltrates
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As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. The lung parenchyma and the hilar regions show changes typical for sarcoidosis, with multiple irregular contours of the mediastinum and the hilar structures as well as bilateral nodules in the lung parenchyma. Perihilar and apical parts of the lung parenchyma also show fibrotic changes. These are documented on a ct examination from <unk>. There are no pleural effusions. Borderline size of the cardiac silhouette. Since the previous examination, no new parenchymal opacities have occurred.
pulmonary sarcoidosis, evaluation for pneumonia.
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing mildly enlarged. There is no pulmonary edema. Left lower lateral pleural thickening appears relatively unchanged. Hazy opacification within the left lung base could reflect atelectasis though infection cannot be excluded. Right lung is grossly clear. No pneumothorax is seen. There are no acute osseous abnormalities.
chest pain after vats biopsy of the left lung <num> weeks previously.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The mediastinal and hilar contours are normal. No pleural effusion or pneumothorax. Calcified granulomas are noted. The lungs are otherwise clear.
left-sided pleuritic chest pain. rule out pneumothorax or infiltrate.
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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 right shoulder pain
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There has been interval removal of the left-sided picc. Subtle patchy left mid to lower lung opacities are seen, best seen on the frontal view, new since the prior study, concerning for infection, less likely atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
cough post were put status post liver transplant.
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The lungs well expanded. There is opacity at the medial right lung base which is compatible with a prominent fat pad as seen on prior ct scan. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Mediastinal clips are noted.
<unk>f with chills // eval for pneumonia
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Elevation of the right hemidiaphragm is chronic, with similar blunting of the right costophrenic angle likely reflective of chronic pleural thickening. Thickening along the right minor fissure however suggests the possibility of a trace right pleural effusion as well. Apart from minimal right basilar atelectasis, the lungs are clear without focal consolidation. Cardiac and mediastinal contours are on remarkable. Hilar contours are normal. Pulmonary vasculature is not engorged. There is no pneumothorax. Mild degenerative changes are noted in the imaged thoracolumbar spine. No acute osseous abnormality is clearly noted. Remote fracture deformities of several right-sided ribs are unchanged. No acute osseous abnormality is detected.
history: <unk>f with past medical history of psychosis presents with fever to <num> and right "rib pain"
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No previous images. The heart is at the upper limits of normal in size and there is mild tortuosity of the aorta. Lungs are clear without evidence of vascular congestion. Blunting of the right costophrenic angle could represent pleural fluid or scarring.
seizures and nonproductive cough, to assess for pneumonia.
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In comparison with study of <unk>, there is again enlargement of the cardiac silhouette with some tortuosity of the aorta without vascular congestion or pleural effusion. On the frontal view, there is asymmetry at the bases with some increased opacification on the left. Although this is not confirmed on the lateral view, in view of the clinical history, the possibility of developing pneumonia must be seriously considered. This information was conveyed to dr. <unk>.
cough and night sweats.
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Opacity at the left base with obscuration of left hemidiaphragm is likely atelectasis. There is a small left pleural effusion. The right lung is clear. The cardiac silhouette is unremarkable. Displaced fractures of the left fourth through eighth ribs are present.
history of fall, clavicle fracture, question pneumothorax or other acute process.
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The heart remains moderately enlarged and demonstrates associated moderate interstitial pulmonary edema. No large pleural effusion is identified. No lobar consolidation or pneumothorax.
history: <unk>f with increasing <unk> edema // eval for volume status
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Pa and lateral views of the chest are compared to prior exam from <unk>. On the frontal, again seen are bibasilar opacities suggestive of atelectasis versus scar. There is, however, more density projecting over the spine on the lateral view inferiorly compared to prior, potentially localizing to the left on the frontal exam. There is blunting of the lateral costophrenic angle on the left suggesting a scar given interval stability. Superiorly, the lungs remain clear. Cardiomediastinal silhouette remains stable, noting moderate-to-large hiatal hernia. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with cough.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old female with mid epigastric burning and chest pain. rule out infectious process.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Minimal atelectasis is seen in the lung bases. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Degenerative changes of the right acromioclavicular joint are noted with a well corticated ossific density superior to the joint seen.
weakness.
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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 congested cough
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Heart size remains mildly enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are seen in the thoracic spine. Multiple clips are noted in the right upper abdomen.
history: <unk>m with generalized weakness. history of renal transplant
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal aside from leftward deflection of the upper trachea most commonly due to thyroid enlargement, which has been imaged in this patient's past. Osseous structures are intact.
history of lightheadedness and new atrial flutter, question infection.
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A left-sided pacemaker is new with leads in the expected position of the right atrium and right ventricle. No focal consolidation, pleural effusion or pneumothorax is present. Normal heart size, mediastinal and hilar contours. No evidence of pulmonary vascular congestion.
status post pacemaker placement.
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Pa and lateral radiographs of the chest demonstrate mild hyperexpansion. The lungs are clear. There is no pneumothorax or pleural effusion. The hilar and cardiomediastinal contours are normal. Some atherosclerotic calcification in the aortic arch is noted. Pulmonary vascularity is normal.
<unk>-year-old man with chest pain. evaluate for acute process.
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The cardiac, mediastinal and hilar contours are within normal limits. Right-sided picc terminates in the upper svc. Both lungs are clear with no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old woman with apml and pleuritic chest pain.
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Degree of inspiration is small with results in crowding of bronchovascular markings at the bases, however even taking this into account, there is probably some streaky left retrocardiac subsegmental atelectasis. No parenchymal or hilar mass is seen and no pleural fluid is present. No central pulmonary vascular congestion or edema is present and cardiac size is within normal limits. Thoracic vertebral bodies appear demineralized from maintained in height alignment.
<unk> year old woman with esrd secondary to polycystic kidney disease here for initiation of hd. // screening cxr prior to initiation of hd
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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 cough x <num> days // eval pnuemonia
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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 atrial fibrillation // please evaluate for infectious process
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Lung volumes are low. No focal opacities are present. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
patient with dizziness. evaluate for acute cardiopulmonary process.
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The lungs are clear. There is no pneumothorax or pleural effusion. Mild to moderate cardiomegaly has increased in this patient with prior sternotomy for cabg and avr. The aortic valve prosthesis is difficult to see on this chest x-ray. Mild pulmonary artery dilatation is also stable.
<unk> year old woman with copd, chf, s/p avr, who now has increased sob of unclear cause // assess for any tell tale evidence of chf
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Pa and lateral views of the chest provided. Multiple surgical clips are noted in the right axilla. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Imaged osseous structures are intact. Pectus excavatum deformity of the sternum noted. No free air below the right hemidiaphragm is seen.
<unk> year old woman with sob
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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 sob // r/o pna
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Portable ap upright chest radiograph was provided. An ng tube courses into the left upper quadrant. A right arm picc line is seen with its tip poorly visualized. There is left <unk> atelectasis. Vague opacity again seen in the right lower lung, a component of which may represent aspiration. No pneumothorax is seen. The cardiomediastinal silhouette appears grossly unremarkable. No large effusion is seen. Bony structures are intact.
<unk>-year-old man with loss of consciousness, had strike.
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The patient is status post sternotomy and probably coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. The right lung remains clear. There is again a moderate to large pleural effusion on the left with associated opacities they can probably be attributed to a atelectasis, with a very similar appearance. There has been no definite change.
chest pain.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is a calcified goiter in the right lobe of the thyroid gland shifting the trachea leftward, unchanged from the prior exam.
chest pain, shortness of breath, and left lower extremity swelling.
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In comparison with the earlier study of this date, the patient has taken a much better degree of inspiration. The apparent increased opacification at the bases, more prominent on the right, most likely represented crowding of interstitial markings. No evidence of acute focal pneumonia at this time. The left mid lung opacification appears stable.
possible new opacities on portable chest.
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There is equivocal subtle opacity in the left lung base, which may represent atelectasis or, possibly, an early, developing pneumonia. No other areas of focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>f with fever and pain // evaluate for pneumonia
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Pa and lateral views of the chest. Right lung sutures are seen in areas of previous biopsy. The lungs are clear. There is no opacity concerning for pneumonia. The mediastinal and hilar contours are normal. There is no pneumothorax. The heart is mildly enlarged. No acute cardiopulmonary abnormality.
acute right elbow pain, history of vasculitis, history of hemoptysis, rule out infiltrate.
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Frontal and lateral views of the chest. Increased interstitial markings seen throughout the lungs are similar compared to prior, and are due to likely combination of calcified pleural plaques and underlying interstitial abnormality. There is no new region of consolidation nor effusion. Cardiac silhouette is enlarged but stable. Left chest wall dual-lead pacing device is again seen. No acute osseous abnormality is identified.
<unk>-year-old male with chest pain in the setting of known coronary artery disease.
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The heart size is mildly enlarged. The mediastinal contours again demonstrate an unfolded aorta. The lungs show prominence with indistinctness of pulmonary vasculature as well as hilar fullness. There is no large pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath.
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Lung volumes are low. No focal consolidation is identified. There is mild pulmonary vascular congestion. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.
<unk> year old woman with fever, evaluate for pneumonia.
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Frontal and lateral views of the chest demonstrate hyperextended lungs. There are trace bilateral pleural effusions. No focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. There are aortic valve calcifications. The aorta appears tortuous. Heart is mildly enlarged. Multilevel degenerative disc disease and vertebral body height loss is noted in the thoracic spine.
chest pain. assess for pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. The heart is at the upper limits of normal size with a left ventricular configuration, as before. Streaky opacities in the right upper and left lower lung suggesting minor scarring appear unchanged. Otherwise, the lungs appear clear. There are no definite pleural effusions or pneumothorax; persistent effacement of the left costophrenic angle is probably due to chronic scarring.
shortness of breath on exertion and history of pneumonia.
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded. There is no focal consolidation against a background of diffuse, prominent interstitial markings. The heart is moderately enlarged but stable. Mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax.
patient with chest pain, eval acute process.
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Frontal lateral chest radiograph demonstrates well expanded and clear lungs. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. No free intraperitoneal air.
<unk>m with hematemesis, multiple epsidoes vomiting, <unk> pain. assess for free intraperitoneal air.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. Nipple shadows project over the lung bases bilaterally. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>f with s/p fall // pneumonia?
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation. Blunting of the posterior costophrenic angles may be due to trace bilateral effusions. The cardiomediastinal silhouette is within normal limits given slightly low lung volumes. No acute osseous abnormality is identified. Lucency projecting over the neck on the right could be subcutaneous gas in the setting of recent surgery.
<unk>-year-old female postop day #<num> from right thyroid lobectomy with extensive dissection, transection of the involved right recurrent laryngeal nerve. fevers and wheezing.
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There relatively low lung volumes. Slight prominence of the interstitial markings suggest minimal interstitial edema. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is slightly tortuous. The cardiac silhouette is top-normal in size.
history: <unk>m with dyspnea, orthopnea // ? acute process, signs of heart failure
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Bilateral widespread pneumonia has completely resolved since <unk>. The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with myeloma and amyloid with shortness of breath, right-sided pain, breathing abnormalities.
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Pa and lateral views of the chest provided. There has been interval placement of a pigtail right chest tube which enters the right lateral chest wall and is quite old in the right mid chest. The previously noted pneumothorax is decreased though a small right apical pneumothorax persists. No signs of tension.
<unk>m with ptx s/p chest tube
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<num> views were obtained of the chest. Post treatment changes are seen in the right apex. The lungs are otherwise well expanded and clear. There is no pleural effusion or pneumothorax. The heart remains enlarged with otherwise normal mediastinal and hilar contours.
preoperative examination.
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Ill-defined opacities in the right middle lobe and lingula are new. Bronchial wall thickening in the right upper lobe has increased. No lobar consolidation. No pleural effusion or pneumothorax. Heart size is normal.
<unk> year old woman with bronchiectasis and a cough with sputum production for the past month // rule out pna
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. There is mild-moderate cardiomegaly. The hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with eval for pna // pna?
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Pulmonary vasculature is unremarkable. No radiopaque foreign body. Osseous structures are unremarkable.
<unk>-year-old female with soreness and fatigue for one week. pyruvate-lactate of <num>. evaluate for pneumonia.
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There is moderately low lung volume bilaterally with no areas of focal consolidation suspicious for infection. A retrocardiac opacity is again observed, consistent with atelectasis and essentially unchanged from prior study. There are no masses, lesions, pleural effusion or pneumothorax. The aorta is tortuous but not dilated; otherwise the cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable. There are stable mild multilevel degenerative changes seen in the thoracic spine.
<unk>-year-old female with colitis presenting with fever and cough.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. <num> mm left lower lobe ground-glass opacity seen on prior ct of the chest is not appreciated on this study.
history: <unk>f with chest pain // rule out acute cardiopulmonary changes
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A moderate size right hydropneumothorax is present with air-fluid level noted projecting over the right lung base. No definite contralateral shift of mediastinal structures or other evidence of tension is clearly noted. Heart size is normal. Mediastinal and hilar contours are unremarkable. Scarring is seen within the left apex. Pulmonary vasculature is normal. Lungs are clear. No acute osseous abnormality is detected.
history: <unk>m with past medical history of spontaneous pneumothorax presents with sudden onset, shortness of breath, chest pain and decreased right-sided sided lung sounds
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The cardiac mediastinal silhouettes are grossly stable. As seen on prior ct from <unk>, the ascending aorta and proximal aortic arch is dilated. The cardiac silhouette remains enlarged. Definite focal consolidation is seen. There is no pleural effusion or pneumothorax. No overt pulmonary edema is seen.
history: <unk>f with altered mental status // eval for ich, pneumonia
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Mild improvement in moderate right pleural effusion. Right basilar opacification likely atelectasis is stable. Left basilar atelectasis is unchanged. No significant change in the anterior right pneumothorax since <unk>. The cardiac and mediastinal silhouettes are unchanged.
<unk> year old man s/p r vats decortication // check interval change
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The lungs are well expanded. There is minimal retrocardiac subsegmental atelectasis, confirmed in the lateral view, but no focal opacities concerning for pneumonia. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
patient with blast cells on blood count. evaluate for mediastinal mass
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Pa and lateral views of the chest. There is an ovoid hyperintensity in the anterior lungs that may represent pleural plaque calcification or calcified lymph node. A <num> mm round opacity in the posterior left lobe represents a calcified granuloma. There is no evidence of interstitial disease. No evidence of pneumonia. Heart size is normal. Mediastinal and hilar contours are normal. No pleural effusion or pneumothorax.
asthma and decreased vital capacity, assess for restrictive process.
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Right chest wall pacing leads and in the right atrium and right ventricle, unchanged. The heart is top-normal in size. Prominence of the left mediastinum is unchanged and may represent pulmonary artery enlargement. The lungs are grossly clear. There is no pneumothorax or pleural effusion.
<unk>-year-old woman with fatigue and dizziness evaluate for pneumonia
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The cardiac, mediastinal and hilar contours appear stable. Patchy opacities in the lower lungs suggest minor atelectasis associated with a prominent epicardial fat pad that extends to each side. There is no pleural effusion or pneumothorax.
shortness of breath. question pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Previously identified small left basilar pleural effusion has resolved. There is no pneumothorax. Biapical scarring is identified. Increased interstitial markings are most suggestive of chronic lung disease. There is no consolidation. Postoperative changes of left lower lobectomy again seen. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough and copd exacerbation. status post left lower lobectomy. question pneumonia.
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Moderate left pleural effusion has slightly increased in the interval with overlying atelectasis. New right base opacity is seen, may represent combination of pleural effusion and atelectasis with overlying consolidation. Fluid is seen tracking in the minor fissure on the lateral view. There is mild pulmonary vascular congestion. The cardiac silhouette difficult x-ray assessed due to the bibasilar opacities. The aorta is calcified. Right-sided port-a-cath is seen, with distal tip in the expected location of the right atrium.
recent admission for pneumonia.
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There is mild enlargement of cardiac silhouette which is unchanged. The mediastinal and hilar contours are stable. Pulmonary vasculature is normal. Patchy and linear opacities in the lung bases most likely reflect atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
fever.
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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 palpitation // role out pneumonia