Frontal_Image_Path
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The lungs are well-expanded and clear. No pleural effusion, or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen demonstrates clips in the left upper abdomen.
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<unk>f with cough and uri no spleen. assess for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well-expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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shortness of breath, wheezing. assess for infiltrates or other abnormality.
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Lung volumes are slightly low. There is minimal opacity at the periphery of the left base which likely reflects atelectasis. Left chest wall pacemaker has leads terminating in the right atrium and right ventricle. Heart size is exaggerated by ap technique but there is likely mild cardiomegaly. The mediastinal and hilar contours are normal. There is no large pleural effusion and no pneumothorax.
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chest pain. evaluate for pneumonia or pneumothorax.
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No focal consolidation is seen. There is minimal basilar atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with liver ca, on chemo, leukocytosis // eval for pna
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The cardiomediastinal and hilar contours are normal. There is no pneumothorax or pleural effusion. The lungs are well expanded and clear without focal consolidation concerning for pneumonia.
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<unk>f with palpitations.
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There are low lung volumes. The anterior eventration of the right hemidiaphragm is seen. Bibasilar opacities are seen which could be due to atelectasis and/or pneumonia. No large pleural effusion is seen but trace pleural effusion is difficult to exclude. The aorta is tortuous. The cardiac silhouette is unremarkable. No overt pulmonary edema is seen.
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history: <unk>f with dyspnea // acute cardiopulm disease
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Indistinct pulmonary vascular markings seen bilaterally. Axilla patchy opacity also identified at the right lung base. There are also small bilateral pleural effusions. There is mild cardiomegaly. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
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<unk>m with fever, chest pain // eval heart and lungs
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Pa and lateral views of the chest were reviewed and compared to the prior studies. The right hemodialysis catheter has been removed. Mild vascular congestion and mild pulmonary edema is new since <unk>. There is no focal consolidation, pleural effusions, or pneumothorax. Moderate cardiomegaly and aortic calcifications are unchanged. Enlargement of the pulmonary hila is suggestive of pulmonary arterial hypertension.
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evaluation for pneumonia in a patient with end-stage renal disease and cough for three weeks.
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Frontal and lateral views of the chest were obtained. A dual lead left chest wall pacer is again seen. The heart size is mildly enlarged, as before, with normal cardiomediastinal contours. Lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. Osseous structures demonstrate no acute abnormality.
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<unk>-year-old female with low-grade temperature and fall. rule out an infectious process.
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The patient is status post coronary artery bypass graft surgery. The heart is again mild-to-moderately enlarged. The mediastinal and hilar contours appear unchanged. The lung volumes are low. There are again patchy opacities in both lower lungs, more extensive in the left lower lobe than right but considerably improved. It is difficult to exclude small persistent effusions but these are markedly improved. Bony structures are unremarkable.
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chest pain. question pneumonia.
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Fractures of the right seventh and eighth ribs and the left fourth rib are unchanged from prior studies. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal.
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<unk>m with fever and cough, evaluate for pneumonia.
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Lungs are well-expanded and clear. The hilar pleural surfaces are normal. The cardiomediastinal silhouette is unremarkable.
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history: <unk>m with right sided chest pain // r/o acute process
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
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confusion.
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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours conal limits. The pulmonary vasculature is not engorged. Minimal patchy opacity in the right lung base likely reflects an area of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. H-shaped vertebra is compatible with a history of sickle cell disease.
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history: <unk>m with sickle cell disease with acute chest
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Frontal upright and lateral chest radiographs demonstrate well-expanded lungs bilaterally. Diffusely increased interstitial markings most notable at the lower lungs suggesting chronic interstitial lung disease, have not significantly changed, and there is no focal area of consolidation. Heart is normal in size. Calcifications are noted in the aortic arch. A cardiac stent is identified on the lateral view. Mild blunting of the right costophrenic angle has not significantly changed over multiple prior studies, suggesting a small right pleural effusion.
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complex medical history including renal transplant, past diagnosis of lvot with recent cough and question of reactive airway secondary to viral infection. earlier chest x-ray showed small pleural effusion. please evaluate.
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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.
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<unk>-year-old male with chest pain. evaluate for infectious process.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits.
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angina.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities present.
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history: <unk>f with chest pain
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains normal. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures of the thorax grossly unremarkable.
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<unk>-year-old female patient with productive cough and chills, evaluate for consolidation or evidence of infection.
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There is no focal consolidation, pleural effusion or pneumothorax. Hazy opacities in the lower lungs bilaterally is likely summation of shadows from breast implants. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.
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history: <unk>f with rported recent pneumonia and confusion. hx of cirrhosis // eval for pna
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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.
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history: <unk>f with pain in throat and emesis after swallowing chicken bone, also with ruq pain and tenderness on exam. // assess for evidence of foreign body, free air, acute process.
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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.
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history: <unk>m with chest pain, cough
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
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<unk>-year-old female with eating disorder, medical clearance.
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Lung volumes are low. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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history: <unk>m with nausea // r/o pna
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The heart size is top normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax.
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history: <unk>f with new hypoxia // eval for interval changes
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The lungs are clear. Chain sutures project over the right lower lung. There is no focal consolidation or edema. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormalities.
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<unk>f with chf, sob // eval for pulmonary edema
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
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cough and shortness of breath.
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Lungs are hyperinflated with flattening of the diaphragms.no definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. Cardiac silhouette is mildly enlarged. No overt pulmonary edema is seen.
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history: <unk>f with productive cough, mild hypoxia // eval for pna
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Very shallow inspiration. Mildly worsened right basilar opacity, likely atelectasis, pneumonitis cannot be excluded. Elevated right hemidiaphragm is similar. Shallow inspiration accentuates heart size, pulmonary vascularity, similar. Gastric distention. . No radiographic evidence of fracture.
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<unk> year old man with cad, obese, s/p mechanical fall w/ ?rib fx and anxiety and was unable to tolerate ct chest. // evaluate lung volume and status
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Previously noted pigtail chest tube has been removed. No definite pneumothorax is seen. Subcutaneous emphysema within the left neck and left lateral chest and abdominal wall appears slightly increased compared to the prior exam. Hazy opacification within the left lung base likely reflects a combination of a small pleural effusion with left basilar atelectasis. Patchy right basilar atelectasis is also demonstrated. There is no pulmonary edema. The cardiac, mediastinal and hilar contours are unchanged.
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pneumothorax status post removal of chest tube.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. A right sided port-a-cath terminates in the lower svc. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
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fever and history of lymphoma. evaluate for pneumonia
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Lung volumes are slightly low, but there are no focal consolidations. There is no pleural effusion or pneumothorax. Cardiac size is normal. Hilar contours are unremarkable.
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<unk>-year-old female with cough.
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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.
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history: <unk>m with hypoglycemia and leukocytosis
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There is no consolidation, pleural effusion, or pneumothorax. Lungs are mildly hyperinflated. Heart size is top- normal. Mediastinal and hilar and pleural surfaces are unremarkable.
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history: <unk>f with chest pain // acute pulmonary process
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
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<unk>m with chest pain and fever.
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Pa and lateral views of the chest provided. Tiny bilateral pleural effusions are present with associated minimal compressive lower lobe atelectasis. There is mild pulmonary interstitial edema with cephalization. The heart size is within normal limits. The mediastinal contour is normal. No pneumothorax. Bony structures are intact.
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<unk>f with hx cad/mi, esrd on hd with chest pain today.
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Assessment of the lung bases is slightly limited by respiratory motion. Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is not engorged. Small left pleural effusion is noted with mild bibasilar patchy opacities, likely atelectasis. No pneumothorax is present. There are moderate degenerative changes noted in the thoracic spine.
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history: <unk>m with chest pain
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The heart size is within normal limits. The mediastinal and hilar contours are unremarkable. The lungs show improvement of the previously described retrocardiac consolidation. There is no large pleural effusion or pneumothorax. A prominent gas and stool distended loop of colon is present in the region of the splenic flexure.
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<unk>-year-old male with altered mental status.
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Widened mediastinum, tortuous aorta, valve replacement and cardiomegaly are stable. There is no pulmonary edema. Bilateral effusions are small. The sternal wires are aligned. There is no pneumothorax. There are moderate degenerative changes in the thoracic spine
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<unk> year old man with chf, copd // rule out pna, chf exacerbation
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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.
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history: <unk>f with infx w/u // pna?
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The heart size remains mildly enlarged. The mediastinal and hilar contours are stable with mild aortic non calcifications demonstrated. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine. A clip is seen within the right upper quadrant the abdomen.
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abdominal pain, end-stage renal disease on hemodialysis.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is top normal. The mediastinal contours are normal.
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history: <unk>f with cough, chest pain // r/o pna
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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history: <unk>f with syncope x <num>, htn, palps // cardiomegaly
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There are bibasilar opacities, left greater than. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Old bilateral healed rib fractures are identified.
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<unk>m with weakness // eval for pna
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Low lung volumes accentuate the central pulmonary vasculature. There is no focal consolidation, effusion, or pneumothorax. Previously seen right lower lobe opacity has cleared. Cardiac and mediastinal contours are normal.
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bibasilar crackles.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Elevation of the right hemidiaphragm is unchanged. Linear opacities within the right upper to mid lung field and left lung base are unchanged, likely reflective of areas of scarring. No acute osseous abnormalities are present.
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chest pain for <num> week with constant left-sided pain.
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Pa and lateral views of the chest were obtained. Heart is normal in size and cardiomediastinal contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
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<unk>-year-old woman with right flank pain and fevers, evaluate for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old woman with progressive neurologic decline- b/l weakness, sensory change // eval for mediastinal lymphadenopathy, ? sacroid
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified. Upper thoracic dextroscoliosis is mild.
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<unk>-year-old male with acute onset of dyspnea and chest pain.
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
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<unk>f with cp
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascular is normal. No pleural effusion or pneumothorax. No radiopaque foreign bodies are visualized. Subacute right lateral ninth rib fracture is re- identified.
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broken crack pipe, feels something in throat and chest.
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The lungs are clear without consolidation or edema. The previously identified pulmonary edema has resolved. There is no pleural effusion or pneumothorax. The mediastinal contours are unchanged, and normal. Calcifications are noted along the aortic arch. The cardiac silhouette is normal. Moderate dextroscoliosis of the thoracic spine is unchanged.
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new acute kidney injury. evaluate for precipitants.
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The inspiratory lung volumes are slightly decreased. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. No pulmonary vascular engorgement or edema is present. The cardiac silhouette is likely within normal limits allowing for decreased lung volumes. The mediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen is unremarkable.
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chest pain, here to evaluate for acute cardiopulmonary process.
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The cardiac silhouette continues to be enlarged, similar to <unk>. A cardiac pacer has its leads in appropriate position overlying the right atrium and ventricle. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. A right vp shunt is seen traversing along the right hemithorax and coiling in the right upper quadrant. The visualized upper abdomen is unremarkable.
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<unk>-year-old female with chest pain. evaluate for pneumonia.
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Ap and lateral radiographs demonstrates an enlarged heart. Patient is status post median sternotomy, wires appear intact. Clips are noted projecting over the left heart border and mediastinum. There is no overt pulmonary edema, pleural effusion, or pneumothorax. Extensive osteolytic process of the right first rib, left distal clavicle and left lateral rib is identified. There is opacification of the right apex as well as surrounding subtle patchy ossific densities about the distal left clavicle suggestive of associated soft tissue mass.
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<unk>-year-old male with possible extremity fracture, preop.
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Frontal and lateral views of the chest. Compared to prior there has been no significant interval change. Again seen is a large hiatal hernia. The lungs are clear of new consolidation or effusion. Vague opacity projecting over the right lung apex is again noted. Trachea is deviated to the left at the thoracic inlet suggestive of right thyroid enlargement. No acute osseous abnormalities detected.
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<unk>-year-old female with recent presyncopal episode.
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As compared to the previous radiograph, there is no relevant change. Known minimal thickening of the minor fissure. Borderline cardiomegaly with minimal fluid overload but no overt pulmonary edema. No pleural effusions. No pneumonia. The left pectoral pacemaker and its leads are in constant position.
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right lower lobe crackles, evaluation for possible pneumonia.
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation. Linear opacity in the left lower lung is most suggestive of scar versus atelectasis. There is no effusion. Coronary artery stents identified as well as median sternotomy wires. There is no pneumothorax. There is an anterior wedge deformity of a lower thoracic vertebral body which is age indeterminant given lack of prior. No definite acute osseous abnormality is identified.
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<unk>-year-old male with chest pain. question cardiomegaly.
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Lung volumes remain low. The lungs are clear. No focal consolidation, edema, effusion, or pneumothorax. Blunting of the posterior cp angles is chronic either from pleural thickening/ scarring and/or chronic effusion. The heart is normal in size. The descending thoracic aorta remains tortuous. Left curvature of the thoracic spine is again noted. No acute osseous abnormality. Multilevel degenerative changes in the thoracic spine are mild.
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history: <unk>m with chest pain // r/o acute process
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Again seen are interstitial opacities and bronchiectasis predominantly at the basilar and posterior lungs. The borders of the cardiomediastinal silhouette are obscured. The lung volumes are low. There is a linear area of atelectasis in the right mid lung. There is no focal consolidation, pleural effusion, or pneumothorax.
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new diagnosis of interstitial lung disease. evaluation for effusion.
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There is no focal consolidation, pleural effusion, pneumothorax, or evidence of intrathoracic metastatic disease. Small amount of linear opacity at the left base is likely atelectasis. Cardiomediastinal silhouette is normal. There are no acute skeletal abnormalities.
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<unk>-year-old man with history of melanoma, evaluate disease status.
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Ap and lateral images of the chest. The lungs are well expanded. Bibasilar atelectasis is seen. There is a retrocardiac opacity, which may represent atelectasis but cannot exclude pneumonia or aspiration in the right clinical setting. No large pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette. The aorta is demonstrates chronic aneurysmal enlargement.
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dyspnea.
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Cardiomediastinal silhouette is stable. Tortuous and calcified aorta is again seen. Large hiatal hernia is also again noted, limiting evaluation of the medial lower lobes on the pa view and of the basal lower lobes on the lateral view. Linear atelectasis is again seen in the right lower lobe adjacent to the hernia. No definite new pulmonary consolidation is identified. The lungs remain hyperinflated. There is no evidence for pulmonary edema or pleural effusion. The bones are demineralized.
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seizure yesterday. evaluate for infiltrate.
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Left-sided tunnel dialysis catheter tip terminates in the right atrium. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is top normal. The cardiac, hilar, and mediastinal contours are unremarkable.
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history of diabetic ketoacidosis. evaluation for pneumonia.
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Pa and lateral views of the chest were obtained. There is interval improvement in the previously seen layering left pleural effusion. Also, a fluid collection contiguous with the left lateral pleural surface has decreased in size since the prior study. There is no pneumothorax present. The previously seen right pleural effusion is relatively unchanged since the prior study. No new focal consolidations are seen.
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<unk>-year-old female with bilateral effusion, status post left thoracentesis. evaluation for pneumothorax.
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Cardiac, mediastinal and hilar contours are normal. The heart size is normal. Pulmonary vasculature is normal. Within the right upper lobe, and new patchy opacity is demonstrated which is concerning for pneumonia. Left lung is clear. No definite pleural effusion or pneumothorax is identified. There are mild degenerative changes seen in the thoracic spine.
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history: <unk>f with shortness of breath, cough
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Frontal and lateral views of the chest demonstrate mildly prominent cardiac silhouette. The mediastinal and hilar contours are unremarkable. There is subtle increased opacity in the left lung base, new since prior exam, raising question of early evolving infection versus atelectasis, to be clinically correlated. There is no pneumothorax, vascular congestion, or pleural effusion. Several clips project over the right upper abdomen.
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<unk>-year-old male with fever of unclear source. question infection.
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New since the prior radiographs but also since the recent prior ct are opacities in the superior segment of the left lower lobe and also more vague but new right upper lobe opacity, all suggesting development of pneumonia. There is no pleural effusion or pneumothorax. Mild to moderate degenerative changes are similar along the thoracic spine.
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cough.
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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chest pain.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The descending thoracic aorta is mildly ectatic. The cardiomediastinal silhouette is otherwise within normal limits.
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history: <unk>f with chest pain // eval for cardiopulmonary process
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Pa and lateral radiographs of the chest demonstrate low inspiratory lung volumes. The lungs are clear without focal consolidation, significant pleural effusion, or pneumothorax. Shallow right posterior sulcus may <unk> pleural fluid. Repeat radiograph of the chest with full inspiration should be considered if there is concern for right sided chest trauma. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. No displaced rib fractures are identified; however, conventional chest radiography is limited in evaluation of osseous injury. Dedicated rib radiographs in areas of clinical concern are recommended.
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fall with right-sided lower rib pain, here to evaluate for pneumothorax or displaced rib fracture.
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Ap and lateral views of the chest. Lateral view is limited secondary to significant respiratory motion. On the frontal, there are bibasilar opacities, right greater than left potentially due to atelectasis given relatively low lung volumes. Cardiac silhouette is moderately enlarged. Descending thoracic aorta is tortuous. No acute osseous abnormality is identified.
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<unk>-year-old female with bilateral lower extremity edema.
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Pa and lateral chest radiographs. The lungs are clear. There is no pulmonary nodule, pleural effusion, or pneumothorax. The cardiac, hilar, and mediastinal contours are normal.
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history of melanoma.
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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.
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<unk>m with alterned mental status, rule out infection.
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Heart size is unchanged and remains at the high end of normal. Again, calcifications are seen within the arch of the aorta. Cardiomediastinal contours are unremarkable. Lung volumes are low but not significantly changed from the prior study; however, bilateral pleural effusions are markedly improved on the left and somewhat better on the right. No pneumothorax. The position of the chest tube remains unchanged.
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<unk>-year-old woman with pleural effusions, evaluate for changes.
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Pa and lateral views of the chest. There is scarring at the lung apices. There is elevation of the right hemidiaphragm, which may indicate a right hiatal hernia as previously seen. Cardiomediastinal and hilar contours are stable. No definite focal consolidation. No pleural effusion. No pneumothorax.
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history of dyspnea on exertion and boop, history of hiatal hernia, fvc only <unk>% of predicted.
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Pa and lateral chest views have been obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study dated <unk>. Chest findings are now within normal limits. The previously identified fluid tracking in the major fissures has disappeared and the previously identified right-sided picc line has been removed.
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<unk>-year-old female patient with acute lymphatic leukemia, pre-bone marrow transplant chest examination.
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Mild pulmonary edema has resolved since <unk>. A small right pleural effusion persists. No focal consolidation or pneumothorax. Normal heart size.
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diabetes, renal failure, heart failure, increasing edema and rales. question worsening chf, pleural effusions.
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Scarring of the lung parenchyma and a left chest wall deformity are stable. Hyperinflated lungs with lucency reflect known emphysema. The previously seen left retrocardiac opacity has cle resolved ared. No focal opacity. Prominent interstitial markings may indicate mild edema. There is no pleural effusion or pneumothorax. The heart size is top normal. The aortic knob is calcified in the aorta is ectatic. There is no free air beneath the right hemidiaphragm.
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<unk>m with chest pain // presence of infiltrate, ptx
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Pa and lateral chest radiographs were obtained. The heart is normal size. The ap window contour abnormalities as was seen in the prior study and is compatible with known lymphadenopathy. Cardiomediastinal contours are otherwise unremarkable. Lungs are well expanded. Bilateral basilar opacities likely represent atelectasis. There is a new <num> cm nodular opacity porjecting over the mid right lung. No significant pleural effusions. No pneumothorax. Surgical clips are again noted projecting over the right base.
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<unk>-year-old woman with metastatic breast cancer, shortness of breath, rule out effusion.
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. Ill-defined nodular opacities within the bilateral lungs, such as that projecting over the anterior right <num>th rib and the posterior left seventh rib, have been present since <unk>. Some of these appear dense, and may represent calcified granulomas. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with chest pain // eval for ptx
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The heart is moderate enlarged, and there is no overt pulmonary edema or focal consolidation. The mediastinal contours are normal.
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<unk> year old female with new agitation, confusion evaluate for pneumonia.
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The lungs are clear. There is no effusion or consolidation. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with cough // evidence of pneumonia
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Frontal and lateral chest radiographs demonstrate a heart which is normal in size and well aerated lungs which are clear. A small opacity lying anterior to the heart on lateral view probably corresponds with slight opacity at the apex on frontal view, likely representing a prominent fat pad. There is no pleural effusion or pneumothorax.
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questionable history of positive ppd. evaluate for evidence of tuberculosis.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
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history: <unk>f with sob // eval for ptx
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The right port-a-cath appears intact and unchanged in position. Stable bilateral lung volumes. Streaky densities at the right lung base, consistent with subsegmental atelectasis, are unchanged. Small left pleural effusion, also not significantly changed. Stable cardiomegaly and mediastinal silhouette with a right-sided neoesophagus causing apparent widening of the mediastinum. No focal consolidation to suggest pneumonia, pulmonary edema, or pneumothorax. More prominent small crescentic lucency which appears to be outlining the diaphragm and may represent a small pneumoperitoneum. Contrast from recent barium study is still demonstrated within an air-filled colon.
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<unk>-year-old man, status-post minimally invasive esophagectomy for esophageal cancer. evaluate for interval change.
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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs with no focal consolidation. There is no pleural effusion or pneumothorax. The pleural surfaces are unremarkable. Cardiomediastinal and hilar contours are within normal limits. A tortuous ascending aorta is noted.
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<unk>-year-old female with new fever and cough.
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The lungs are grossly clear. There is no visualized pneumothorax or large effusion. Relative elevation of the left hemidiaphragm is noted with distention of the stomach. Cardiomediastinal silhouette is grossly within normal limits given projection in ap technique. Tortuosity of the descending thoracic aorta is noted with atherosclerotic calcifications. No displaced fractures identified, hypertrophic changes are noted in the spine.
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<unk>m with recent fall // rib fracture.head bleed.
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Lungs are fully expanded. Subtle left lower lung opacity. No pleural abnormality. Heart size is normal. Cardiomediastinal and hilar silhouettes are unremarkable. Incidental note made of radiodense device and wires projecting over the upper abdomen.
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<unk>m with pancreas transplant (<unk> on tacro/mmf), h/o t<num>dm (previously on insulin pump until transplant) complicated by neuropathy, nephropathy, retinopathy, chronic pancreatitis, and gastroparesis (s/p j tube placement) who presents as tx from <unk> after presenting there for <num>week of watery bowel movements leading to severe malaise and also complicated by <unk> on labs. // assess for pna/chf
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Ap upright and lateral views of the chest provided. Dextroscoliotic curvature of the thoracic spine in patient rotation to the left limits assessment. Allowing for this, the lungs appear clear and hyperinflated. The cardiomediastinal silhouette appears similar to that on prior. Bony structures are intact. A catheter projects over the left upper quadrant.
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<unk>f with hypotension // r/o acute process
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Cardiac silhouette size is top normal. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Cholecystectomy clips are noted in the right upper quadrant of the abdomen. No acute osseous abnormalities are seen.
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history: <unk>f with <num> day productive cough, myalgias, shortness of breath, chest tightness
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Pa and lateral chest radiograph is compared to prior radiograph dated <unk>. The chest overall is unchanged in appearance. No focal opacity convincing for pneumonia is present. Obscuration of the right heart border is unchanged relative to prior examination and when correlated with cta performed <unk> appears to be correlate with mediastinal fat. Lungs are slightly hyperinflated with emphysematous changes. There is no large pleural effusion. There is no pneumothorax or evidence of pulmonary edema. Heart size is top normal. Vasculature is slightly engorged relative to prior examination.
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<unk>-year-old female with cough and shortness of breath.
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
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chest pressure, history of head trauma, anxiety and depression.
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Surgical clips overlie the right mid to lower chest.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.
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history: <unk>f with <unk> pain s/p colonoscopy <num> days ago, ? perfed bowel // ? free air in <unk>
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As compared to the prior chest radiograph, lung volumes have increased. Streaky and linear bibasilar airspace opacities are again noted, similar to the prior examination. Mild central pulmonary vascular congestion is essentially unchanged. Blunting of the left costophrenic angle may reflect atelectasis versus trace pleural effusion. There is no large pleural effusion or pneumothorax. Moderate cardiomegaly is stable. A left pectoral pacemaker and its <num> leads are unchanged in position.
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history: <unk>f with syncope, hypoglycemia // evaluate for infection, acute process
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Frontal and lateral views of the chest. There are increased interstitial markings seen in the lungs bilaterally predominantly in a peripheral distribution. On the lateral view, is more dense opacity overlying the spine inferiorly. Superiorly the lungs are clear of confluent consolidation. The cardiac silhouette is mildly enlarged. Median sternotomy wires and mediastinal clips are identified.
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<unk>-year-old male with pneumonia versus chf. shortness of breath.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
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<unk> year old woman with r sided wheezing for a few days, no prior history of asthma, only evident when lying on r // r/o structural lesion
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Compared to the prior radiographs, there is no change in the chronic fibrotic changes in the upper lobes and severe emphysema in the lower lobes. Heart size and mediastinal contours are normal. Along the posterior aspect of the left lower lobe, there is new heterogeneous opacification which may correspond to a developing pneumonia. No evidence of pneumothorax or pleural effusion. Osseous structures are intact.
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history: <unk>m with sarcoid now worsening sob and cough // ? pneumonia
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There is no significant change compared to the prior examination with re-demonstration of mild cardiomegaly with tortuosity of the thoracic aorta. There is prominence and a slight indistinctness of the central pulmonary vasculature compatible with fluid overload without frank interstitial edema. Lungs are otherwise clear without focal consolidation. There is no pleural effusion or pneumothorax.
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end-stage renal disease and hypertension.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is stable with mild cardiomegaly. Surgical clips seen in the lower neck on the left.
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<unk>m with palpitations // acute cardiopulmonary disease
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