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Slightly decreased lung volumes. Cardiomediastinal shadow is normal. No hilar adenopathy. No pulmonary edema. No suspicious pulmonary nodules or masses. No airspace consolidation. No pleural effusions. Mild spondylotic changes of the thoracic spine.
<unk> year old woman with sob // r/o chf, pneumonia
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Pa and lateral chest radiographs. Median sternotomy wires are intact. Mild pulmonary vascular congestion is similar to <unk>, but bibasilar atelectasis is slightly worse. Small left pleural effusion is stable. Mild basilar bronchiectasis corresponds to prior ct. There is no pneumothorax. Mild cardiomegaly is unchanged.
altered mental status.
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Low lung volumes are noted with subsequent mild bibasilar atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough // eval for pna
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The cardiac, mediastinal and hilar contours appear unchanged, including borderline cardiomegaly and striking unfolding of the thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. A mild mid thoracic vertebral compression deformity appears unchanged. Several levels superiorly, there is new apparent superior endplate sclerosis without substantial loss in height, suggesting interval compression fracture, which is age-indeterminate. A more inferior thoracic compression deformity, mild-to-moderate, appears unchanged.
status post fall with altered mental status and gait imbalance.
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Moderate right and small left pleural effusions are again noted. There is adjacent atelectasis, particularly at the right lung base. There is no pulmonary edema. There is calcified granuloma in the right midlung. The lungs are otherwise clear. Cardiac silhouette is enlarged but stable. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormalities.
<unk>f with dyspnea // r/o acute process
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Ap upright and lateral chest radiograph demonstrates a left chest port, its tip which terminates within the superior vena cava superiorly, unchanged in position. Lungs are without a focal consolidation convincing for pneumonia. Cardiomediastinal and hilar contours are stable. Blunting of the left costophrenic angle may reflect combination of atelectasis and/or scarring. There is no pleural effusion or pneumothorax.
history: <unk>f with change in mental status, leukocytosis, and ? of lower lobe lung findings on exam. // evidence of pna?
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The lungs are clear without focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
<unk> f recently dc'd w witnessed seizure at rehab facility, vomiting, +loc // assess for infectious process
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The lungs are clear without focal opacities, pleural effusion, pulmonary edema or pneumothorax. The heart and mediastinal contours are unremarkable. Metallic surgical cervical hardware is seen, but not well evaluated on this study.
lightheadedness, evaluate for pneumonia.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is borderline enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with lightheadness, hypertension
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Lung volumes are normal. No consolidation, effusion or pneumothorax. Cardiomediastinal contours are normal. Osseous structures are unremarkable.
history: <unk>m with chest pain // eval for pneumothorax
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The lungs are clear of focal consolidation, effusion, or pneumothorax. On the frontal view, the cardiomediastinal silhouette is within normal limits, however. On the lateral view, there is increased density projecting over the anterior mediastinum in the region of the arch. Some of this may be technical in nature; however, given density is greater than expected, and more dense than the cardiac silhouette, repeat exam is suggested to exclude underlying lesion in the anterior mediastinum. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain. correlation is made to prior frontal view from <unk>.
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There is no focal consolidation, pleural effusions, or pneumothorax. Pulmonary edema has improved; however, engorgement of central vasculature predominantly on the right persists. The previously noted nodule in the right mid lung is no longer seen. The cardiomediastinal silhouette is enlarged but stable. A tunneled dialysis line terminates in the right atrium. There is a rugger-<unk> appearance to the thoracic spine compatible with chronic renal disease.
<unk>-year-old woman with end-stage renal disease and chf with pulmonary edema that has improved. nodule noted on admission chest x-ray, for followup.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are mildly hyperinflated but clear. No pleural effusion or pneumothorax is seen.
<unk>m with cough + labored breathing w/ recent pna.
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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 unchanged and is normal. The patient is status post surgical intervention for a traumatic aortic injury with following pseudoaneurysm. Multiple surgical clips around the area of the aortic arch. Pulmonary vasculature is not congested and no new acute infiltrates can be identified. The previously described mild elevation of the left-sided hemidiaphragm and blunted lateral pleural sinus is again noted. Comparison on the lateral view suggests that increasing scar formations have occurred, but there is no evidence of new acute free pleural effusion.
<unk>-year-old male patient with cough, wheezing on right base. assess for pneumonia.
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In comparison to prior study there is new multifocal opacity in the right hemithorax. A moderate left pleural effusion with associated compressive atelectasis is unchanged. Cardiomediastinal silhouette is stable. There is no pneumothorax.
<unk>-year-old man with cough, evaluate for pneumonia.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Atherosclerotic calcification is noted at the aortic arch. Hypertrophic changes seen in the spine as well as degenerative changes at the shoulders bilaterally. No acute osseous abnormality is identified.
<unk>-year-old female with syncope.
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Lung volumes are low leading to crowding of the bronchovascular structures. The lungs are grossly clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart size is top-normal. Mediastinal contours are grossly unremarkable. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with cough // ? pna
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
cough, subjective fevers.
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Pa and lateral views of the chest. The lungs are clear of consolidation. There is no effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with testicular cancer, on chemotherapy with fever.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No evidence of old granulomatous disease.
positive ppd.
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There are bilateral lower lobe opacities suggestive of pneumonia. Otherwise, blunting of the left hemidiaphragm is again noted likely present of either a chronic small pleural effusion or stable pleural thickening. There is no right pleural effusion. Cardiac silhouette remains stable. Atherosclerotic calcifications are again noted at the aortic arch. Old left-sided rib fractures are again noted.
cough.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough and shortness of breath.
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The right port is in appropriate positon. The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old woman with rectal cancer and neutropenic fever, please assess for pneumonia.
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Frontal lateral views of the chest. A right central venous line ends in the low superior vena cava. There are median sternotomy wires and a prosthetic aortic valve. There is no focal consolidation, pulmonary edema or pneumothorax. There are small bilateral pleural effusions. There is mild cardiomegaly. Pneumomediastinum is resolving.
aortic valve replacement. evaluation for infiltrates and effusions.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Descending thoracic aorta is tortuous. Hiatal hernia again noted. Coronary artery stents are noted. No acute osseous abnormalities. Lumbar vertebroplasty is noted.
<unk>f with dyspnea and leg swelling // eval for pulm edema
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Right-sided port-a-cath terminates at the cavoatrial junction. There is mild elevation of the right hemidiaphragm. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with c/o increased weakness // ? pna
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Vascular congestion is unchanged. The lungs are otherwise clear. The heart is within normal limits. Osseous structures are unremarkable. No pneumothorax.
history: <unk>m with complex medical history p/w general malaise and intermittent shortness of breath with retching // consolidation
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. No displaced rib fracture.
<unk> year old woman with acute rib pain s/p coughing // r/o right rib dislocate ?partial pnemothorax
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
palpitations. evaluate for pneumothorax
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There is background hyperinflation, with flattening of the diaphragms. Heart size is at the upper limits of normal. Aorta is minimally unfolded. Within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. No chf, focal infiltrate, effusion, or pneumothorax is detected. Mild degenerative changes of the thoracic spine are noted. No free air seen beneath the diaphragms.
<unk>f with ra on immunosuppression with shaking, chills and cough, evaluate for pneumonia.
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Heart size is normal. A small hiatal hernia is noted. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No subdiaphragmatic free air is visualized.
history: <unk>f with epigastric pain
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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.
<unk>m with r flank pain, negative ctu and ua.
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The posterior left costophrenic angle is blunted, possibly due to a trace pleural effusion. No focal consolidation is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with neuro sx // eval for consolidation
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There is mild upper zone redistribution indistinctness of pulmonary vascularity suggesting slight fluid overload as well as a more confluent developing right basilar opacity. There is no pleural effusion or pneumothorax. Thick anterior osteophytes are noted along the mid thoracic spine.
chest pain.
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Compared to the scout view from the prior ct, the cardiac, mediastinal and hilar contours appear unchanged. There is a mild interstitial abnormality that is difficult to compare directly to the prior ct, but probably reflects edema and possibly superimposed airway inflammation or slight congestion. There are probably small bilateral pleural effusions. The lungs are hyperinflated. Exaggerated kyphotic curvature with mild-to-moderate loss in mid vertebral body heights appears similar. Regarding the left ribs, there are suspected nondisplaced fractures involving the left sixth and seventh ribs without displacement. There is no pneumothorax. The bones appear demineralized.
status post fall with rib fracture.
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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 is unchanged and remains within normal limits. Unremarkable appearance of thoracic aorta. No mediastinal abnormalities are seen. 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. Unremarkable appearance of thoracic spine on lateral view with minimal degenerative changes. When comparison is made with the next previous examination, there is no evidence of any new pulmonary infiltrate, nor is there evidence of pulmonary congestion or pleural effusion.
<unk>-year-old female patient with shortness of breath, cough, and fever, evaluate for pneumonia.
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Compared to <unk>, et tube and ng tube are no longer seen. The cardiomediastinal silhouette is enlarged, but similar to the prior film. There is upper zone redistribution and mild vascular plethora, but no overt chf. No focal consolidation, pleural effusion, or pneumothorax detected. Probable hyperinflation consistent with background copd. Multiple ovoid calcifications are seen scattered in the left cervical and bilateral axillary region, similar to the previous film.
history: <unk>m with hematuria, b/l testicular tenderness on exam // eval for epididymitis vs other testicular pathology
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Patient is status post median sternotomy and cabg. The cardiac, mediastinal and hilar contours are within normal limits. Lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are noted in the thoracic spine.
history: <unk>m with cough
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The left hilum is noted to be mildly enlarged. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with epigastric pain, chest pain // evidence of effusion, cardiomegaly
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As compared to the previous radiograph, the patient has performed a lesser inspiration than on the previous image. As a consequence, there is crowding of the basal vascular bronchial structures. However, no focal parenchymal opacity reflecting pneumonia is seen. No pulmonary edema. Borderline size of the cardiac silhouette. Normal hilar and mediastinal contours. No pleural effusions.
shortness of breath, evaluation out pneumonia, pneumothorax.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
left arm numbness and dyspnea on exertion.
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There are low lung volumes which accentuates bibasilar atelectasis. Cardiomediastinal silhouette and hilar contours are unremarkable. A battery pack with pacemaker leads terminating in the right atrium and right ventricle are in unchanged position. A slight increase in the retrocardiac density may be due to low lung volumes versus early infectious process.
<unk>-year-old man with increased respiratory failure. question pneumonia.
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Ap upright and lateral views of the chest provided. Lung volumes are low. Patient's chin obscures the superior mediastinum limiting assessment. There is interval development of mild hilar congestion with with probable mild interstitial pulmonary edema. No large effusion or pneumothorax is seen. No convincing signs of pneumonia. Cardiomediastinal silhouette appears grossly stable. The imaged bony structures appear relatively unchanged with significant degenerative disease at the right shoulder.
<unk>f with altered mental status // eval heart and lungs
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with worsening stroke symptoms // ?pna
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The lungs are well expanded and clear. Right lower lobe opacity seen on previous ct is not well visualized on this radiograph. The pleural surfaces are normal without pleural effusion or pneumothorax. Mildly enlarged heart size and mild hilar prominence are unchanged from prior. Mediastinal contour is normal. Limited assessment of osseous structures are unremarkable.
cough, history of sickle cell. assess for pneumonia.
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The heart size is normal. The aorta remains tortuous. Hilar contours are similar, with enlargement of the main pulmonary artery suggestive of pulmonary arterial hypertension. Linear opacities in the lung bases likely reflect areas of atelectasis. Lungs remain hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. <num> mm nodular opacity within the left mid lung field is new compared to the prior exams. Posterior spinal fusion hardware is partially visualized within the upper thoracic spine.
history: <unk>m with weakness // ?pna
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Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Chain sutures are noted within both lung bases compatible with prior lung resections. Streaky opacities in the lung bases, more so on the right, may reflect areas of atelectasis but infection or aspiration is not excluded. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities demonstrated.
history: <unk>f with history of tracheobronchomalacia, severe asthma, and recent icu admission, presenting with crushing chest pain.
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Lung volumes are low. Blunting of the left costophrenic angle may reflect trace pleural effusion. No edema, large pleural effusion, or pneumothorax. Retrocardiac streaky opacity is probably atelectasis. Heart size top-normal in size. No acute osseous abnormality.
<unk>-year-old man with afib w/ rvr, chest pain. evaluate for effusion.
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Bibasilar opacities and a possible left upper lobe opacity are all concerning for pneumonia. There is no evidence of effusion or pulmonary edema. The cardiomediastinal silhouette and hilar contours are grossly normal. There is no pneumothorax.
evaluation for pneumonia.
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Frontal lateral chest radiographs demonstrate low lung volumes, with resultant prominence of the cardiac silhouette and bronchovascular crowding. Allowing for this, heart size is likely normal. There is mild pulmonary edema and vascular congestion. Superimposed on this is increased opacity in the left lung base, which likely represents atelectasis, but an early pneumonia cannot be excluded. There is no large pleural effusion or pneumothorax.
altered mental status. evaluate for pneumonia.
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Severe enlargement of the cardiac silhouette is re- demonstrated. The mediastinal contour is unchanged. There is mild pulmonary edema with upper zone vascular redistribution without large pleural effusions. No pneumothorax is present. Streaky and patchy bibasilar airspace opacities likely reflect areas of atelectasis. There are multilevel moderate degenerative changes in the thoracic spine.
history: <unk>f with dyspnea
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The right lower lung opacities, atelectasis, and loculated pleural effusion have improved since the prior exam; however, there is a new pleural loculation in the right upper peripheral hemithorax measuring <num> x <num> cm. There is also decrease in left lower lung opacities. There is resolution of pulmonary edema. The mediastinal and cardiac contours are unchanged. There is no pneumothorax. Surgical clip in upper mediastinum is unchanged.
patient with empyema, still draining <unk><num> cc. follow up.
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No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No definite focal consolidation is seen. A couple opacities on the lateral view in a relatively linear configuration may be due to atelectasis or vascular structures.
history: <unk>f with seizures // eval for infiltrate
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The lungs are well inflated. Obscuration of the right heart border by a hazy opacity is concerning for right middle lobe pneumonia. There is no pneumothorax, pleural effusion, or overt pulmonary edema. Mild pulmonary vascular congestion is present.
history: <unk>f with cough // eval for consolidation
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Pa and lateral views of the chest provided. Elevated right hemidiaphragm with right basilar atelectasis/scarring noted. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. No signs of pneumonia or edema. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with hypoxia // ?pna
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Left picc line tip in the upper right atrium, difficult to compared to prior radiograph as it was not well seen previously. Electronic devices bilateral chest, with leads projected over bilateral neck. Linear strand of atelectasis or fibrosis left costophrenic angle. <num> radiopaque densities projected over upper abdomen on lateral radiograph only, may be external to the patient. No infiltrates. No pleural effusions.
picc line placement
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Pa and lateral view of chest. Low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
fever and cough.
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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
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Frontal and lateral views of the chest. The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the hemidiaphragms. There are degenerative changes of the thoracic spine.
chest pain.
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Chronic changes in the left suprahilar region are again seen. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
<unk> year old man with c/o cp // ? pna
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There is pulmonary hyperinflation consistent with copd. No focal consolidation is identified. Heart size mediastinal contours appear within normal limits. There is no pneumothorax or pleural effusion. Osseous structures appear unchanged, with diffuse demineralization and wedge configuration of mid thoracic vertebra. A metallic stent projects over the upper abdomen.
history: <unk>f with cough // r/o pneumonia
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Since the prior study, the cardiac silhouette is enlarged, there is more central vascular congestion, and there is mild interstitial edema. No large pleural effusion. No pneumothorax.
history: <unk>m with progressive <unk> edema // evaluate for chf exacerbation
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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.
<unk>f with cough and sinus congestion
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Ap and lateral chest radiographs were obtained. The lungs are well expanded. Linear bibasilar atelectasis is new. A flexed neck obscures visualization of the apex. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. The tip of the tracheostpy is in acceptable position within the airway.
fevers, pneumonia after recent tracheostomy placement.
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Pa and lateral views of the chest provided. There is new retrocardiac opacity consistent with left lower lobe pneumonia. Mild elevation of the right hemidiaphragm is again noted with stable blunting of the right cp angle suggesting small right pleural effusion versus pleural thickening. No pneumothorax. No edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with febrile neutropenia, cough, lymphoma.
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The lungs are well expanded and clear. No consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal.
<unk>-year-old woman with shortness of breath for one week, minimal cough, history of breast cancer.
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The cardiomediastinal silhouette is normal. There is bilateral hilar enlargement and mediastinal lymphadenopathy which could be compatible with sarcoidosis versus infection versus malignancy. No focal consolidations, pleural effusions, or pneumothorax are seen. A
<unk> year old woman with e. nodosum and joint pain // ? evidence of sarcoidosis
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In comparison with the study of <unk>, there is little overall change. Multiple transvenous pacer and defibrillator leads are again seen. Continued enlargement of the cardiac silhouette with anterior cardiac calcification that could be in the descending coronary artery or wall of a ventricular aneurysm. Continued mild prominence of interstitial markings without definite acute focal pneumonia.
chf with dry cough.
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There is mild chronic cardiomegaly, but no pulmonary vascular congestion. The mediastinal silhouette is normal. There is no focal consolidation or pleural effusion.
<unk> year old woman with hx afib, s/p breast ca, chemo, no xrt, now with cough x <num> wks, sl rales, wheezes bibasilar, r> l // r/o pna
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. Right-sided picc line has been removed since prior exam.
patient with chest pain, dyspnea on exertion, rule out fracture or edema.
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. The tip of the right port-a-cath is in the upper svc. No pneumothorax, pulmonary edema, pneumonia, or pleural effusions. Right tracheal deviation is due to enlargement of the left thyroid gland.
<unk> year old woman with lymphoma, no blood return from her port // port misplacement
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Heart size is normal. Mediastinal and hilar contours are unchanged, with slight unfolding of the thoracic aorta. The pulmonary vasculature is normal. Mild atelectatic changes are noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Vp shunt catheter is noted coursing across the left chest and into the right upper quadrant of the abdomen.
recent nephrolithiasis with altered mental status and syncope.
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In comparison with study of <unk>, the pacer device remains in position and there is no evidence of vascular congestion or pleural effusion. Stable enlargement of the cardiac silhouette. Specifically, no evidence of acute focal pneumonia.
cough and fever.
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The heart is normal in size. The cardiac, mediastinal and hilar contours are within normal limits. The lungs are clear. There is no pneumothorax or pleural effusion. Lumbar spinal fusion hardware is partially visualized. There is no change from prior radiographs <unk>.
dyspnea on exertion.
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Chest pa and lateral radiograph demonstrates relatively unchanged exam with a stable if not minimally increased left pleural effusion. There is stable severe dextroscoliosis of the thoracic spine with a tortuous heavily calcified aorta. Heart size is normal. Lungs are clear.
left-sided pleural effusion. please reassess.
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Lung volumes are low, accounting for vascular crowding. A band-like opacity across the right lower lung field is compatible with atelectasis. No defintie new focal opacities are identified. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are unremarkable.
<unk>-year-old male with pneumonia. evaluate.
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The cardiomediastinal silhouette, pulmonary vasculature, and aorta are within normal limits. There is no pleural effusion or area of consolidation. There is no pneumothorax.
history: <unk>m with sob new for him // sob chest tightness sob chest tightness
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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 and stable.
history: <unk>m with chest pain // r/o pna
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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, mediastinal contours are within normal limits.
fatigue.
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Ap and lateral chest radiograph demonstrates clear lungs bilaterally except for minimal linear bibasilar atelectasis. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, pleural effusion, or pulmonary edema. A left picc terminates at or just below the cavoatrial junction.
history: <unk>m with sob // eval for pna
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The heart size is normal. There is persistent prominence of the right pulmonary hilum otherwise the hilar and mediastinal contours are unremarkable. No focal consolidation is seen. There is mild bibasilar atelectasis. Persistent wedge compression deformity of a mid thoracic vertebral body and evidence of remote left clavicular fracture are seen. Note is also made of chronic deformities of the right <unk>, <unk>, and <num>th ribs. There is no pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath. please evaluate for pneumonia.
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Elevation of the right hemidiaphragm, and right basilar opacity. The cardiomediastinal shilhouette and hila are normal. No pleural effusion and no pneumothorax.
<unk>-year-old with dyspnea.
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Bibasilar linear opacities are most suggestive of atelectasis. The lungs are otherwise clear without focal consolidation, large effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Distended loops of bowel seen below the abdomen without free intraperitoneal air.
<unk>m with schizophrenia with ams // eval pna
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There are low lung volumes. 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 doe // ? process
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Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Patchy opacity within the left lower lobe is concerning for pneumonia. Right lung is clear. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with cough // acute process?
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Cardiomediastinal silhouette and hilar contours are normal. There is a new <num>-cm elliptical nodule in the right lung apex. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. No distracted rib fracture or significant vertebral compression fracture is identified.
bilateral rib cage pain with sitting, radiating to back.
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There is severe cardiomegaly, similar compared to remote prior exam. There are small bilateral effusions, larger on the left. There is superimposed mild pulmonary edema. Linear left mid lung opacity may be impart due to fluid in the fissure or atelectasis, focal infection is possible. No acute osseous abnormalities identified. Median sternotomy wires are noted. Atherosclerotic calcifications seen at the aortic arch.
<unk>f with doe, failing aortic valve replacement // acute cardio pulm process
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Right-sided pacemaker device is noted with <num> leads noted, <num> terminating in the region the right atrium, and another appearing to be abandoned. Second pacemaker device is noted projecting over the right upper quadrant of the abdomen with leads projecting over the left and right ventricles, unchanged. Patient is status post median sternotomy and aortic valve replacement. Heart size remains severely enlarged. The mediastinal contour is unchanged. Mild pulmonary edema is slightly worse in the interval with mild increased moderate size right pleural effusion, a component which is loculated laterally. Small left pleural effusion is also noted, not substantially changed in the interval. Bibasilar atelectasis is seen. No pneumothorax is identified.
history: <unk>f with congestive heart failure
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Pa and lateral views of the chest provided. Left chest wall pacer device again seen with lead extending to the region the right ventricle. The heart remains mildly enlarged. The aorta is calcified and slightly unfolded. The lungs are clear without focal consolidation, large effusion or pneumothorax. The hila appear slightly congested. No overt edema. Bony structures are intact.
<unk>m with dyspnea // r/o chf
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. There is mild pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Old left-sided rib fractures are re- demonstrated. Clips from prior cholecystectomy are seen in the right upper quadrant.
chest pressure.
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Ap and lateral views of the chest were obtained. Lungs are well expanded bilaterally. Mild enlargement of the cardiac silhouette may be related to the technique. There is mild basilar atelectasis without definite focal consolidation. No pleural effusion, or pneumothorax is seen. Surgical clips are noted over the left axilla. There is no pneumothorax.
<unk>-year-old female with lightheadedness, nausea, chills, evaluate for pneumonia.
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Left mid lung linear atelectasis/ scarring is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is mildly enlarged. The aorta is slightly tortuous. There is central pulmonary vascular engorgement with possible minimal interstitial edema.
history: <unk>f with pre op for ankle fracture // pneumonia
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with hx benzodiazepine, opiate and cocaine use p/w depressed mood, passive si, and worry about benzodiazepine withdrawal. overnight, has continued fever after tylenol use. // r/o infection, has fever
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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>m with seizure // eval for pneumonia
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Frontal and lateral radiographs of the chest demonstrate mildly low lung volumes, accentuating the pulmonary vasculature and cardiac contour. Otherwise, the lungs are clear with no focal infiltrate or pleural effusion. No pneumothorax is appreciated. The cardiac contour is mildly enlarged although stable since the prior study.
shortness of breath and chest pain. evaluate for acute process.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. Atelectasis is seen at the right base. The cardiomediastinal and hilar contours are unchanged. There is persistent mild cardiomegaly and tortuosity of the aorta. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cp // ptx
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
tachycardia. evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate low lung volumes and patient to be lordotic in position. The cardiac silhouette is prominent, but likely accentuated by ap technique. The mediastinal and hilar contours are otherwise within normal limits. The lungs are clear. Previously seen left basilar opacity has improved with better visualization of the left hemidiaphragm. There is no pneumothorax, vascular congestion, or pleural effusion. Right humeral deformity is noted, compatible with remote injury.
<unk>-year-old female with liver disease and altered mental status. question pneumonia.
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Lung volumes are low, causing accentuation of the pulmonary vasculature and exaggeration of the heart size. There are bilateral reticulonodular opacities in both lower lobes, possibly secondary to an atypical infectious process. No lobar consolidation is seen. The heart size is within normal limits. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Surgical clips are seen in the right upper abdominal quadrant.
shortness of breath, cough, and fever. evaluate for pneumonia.
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Heart size is normal. The aorta is tortuous. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected. There is mild loss of height of a couple of vertebral bodies at the thoracolumbar junction which appear chronic.
history: <unk>m with hiv and bilateral mid and lower lung field crackles.