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There are new small to moderate bilateral pleural effusions. Superiorly the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with post-op fever // eval for pna
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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are unremarkable. Again seen is a mildly displaced distal right clavicular fracture with interval increase in soft tissue density projecting superiorly most consistent with a hematoma.
<unk>m with shortness of breath. assess for acute process.
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In comparison to the most recent examination, there is a persistent moderate left pleural effusion, not significantly changed in size and elevation of the left hemidiaphragm, also unchanged. Large mediastinal or left paramediastinal opacity also appears similar in extent to the most recent examination and corresponds to the large thoracic aortic aneurysm seen on comparison ct. The right lung is clear.
history: <unk>m with chest pain, hx type b dissection // mediastinal changes, infiltrate, effusion, edema
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Moderate cardiomegaly with unfolding of the thoracic aortic arch is unchanged. Mediastinal contours are unremarkable. Central pulmonary vascular congestion with perihilar interstitial opacities primarily at the lung bases is appears similar to the prior exam compatible with mild pulmonary edema. No pleural effusion or pneumothorax.
wheeze, dyspnea and lower extremity swelling.
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Stable cardiac and mediastinal silhouettes. Mild right base atelectasis. No definite focal consolidation. No pleural effusion or pneumothorax is seen. Stable appearance of the hila.
<unk> year old woman with recent onset of fevers, diarrhea, hemolysis and cough not responding to oral antibiotics // please evaluate for pneumonia or other intra-thoracic process
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An ap and lateral view of the chest shows no focal airspace consolidation, pleural effusion, pulmonary edema, or pneumothorax. The right hemidiaphragm is mildly elevated, and unchanged from the prior exam. The patient is status post a median sternotomy and aortic valve replacement. The wires are intact. The cardiomediastinal silhouette is unchanged. A large osseous spur is noted at the right gleno-humeral joint and unchanged from prior exams.
intermittent chest pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal. The mediastinal and hilar contours are unremarkable. Mild thoracolumbar scoliosis is noted.
left-sided weakness.
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The lungs are clear. Left lower lobe pneumonia that was on chest x-ray of <unk> has completely resolved. Mediastinal and cardiac contours are within normal limits. There is no pneumothorax or pleural effusion.
patient with hiv and haart. fever, rule out pneumonia, pcp, <unk> <unk>.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. There is no widening of the mediastinum. No pulmonary edema is seen. No displaced fracture is identified.
atypical chest pain.
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When compared to priors, there has been no significant interval change. Moderate to large right pleural effusion is again seen. Linear underlying parenchymal opacities may be due to atelectasis versus scarring although underlying consolidation or lesion is not excluded. Left lung remains clear. Cardiac silhouette is unchanged. Hypertrophic changes are noted in the spine.
<unk>m with shortness of breath // eval for infiltrate
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The heart is at the upper limits of normal size. The mediastinal contours are unremarkable. Each hilum moderate shows perhaps minimal congestion and upper zone vessels appear plump although well-defined in contours. A very mild interstitial prominence is discernible in the lower lungs. There is suspicion for very small pleural effusions, probably bilateral. Mild new elevation of the left hemidiaphragm is accompanied by streaky opacities suggesting minor atelectasis. Sclerotic endplate changes along the thoracic spine suggest renal osteodystrophy, present before.
shortness of breath.
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The lungs are clear and lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Heart is normal size. Aorta is tortuous, unchanged. Hilar contours are unremarkable. Sternotomy wires are present. No radiopaque prosthetic valves noted.
pre mri, evaluate for metallic valves.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
heavy retching with reported hematemesis. evaluate for pneumomediastinum.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Massive degenerative vertebral disease. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No pleural effusions. No pulmonary edema. No atelectasis. No lung nodules or masses. A calcified granuloma in the right lung, at the level of the hilus, with a diameter of approximately <num>-<num> mm, is unchanged as compared to the previous image.
dyspnea, uniformly diminished breath sounds, evaluation for abnormality.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No evidence of rib fracture.
<unk>-year-old male status post fall with shortness of breath and rib pain.
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There are decreased lung volumes noted. A small, right pleural effusion is seen. There is no focal consolidation, pneumothorax, or frank pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.
history of cirrhosis, evaluate for pneumonia or effusion.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
history: <unk>m with palpitation // eval for chest discomfort
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Airspace opacification in the right lower lobe. No significant associated effusion. The heart size is normal. No edema. No pneumothorax. Mild spondylotic changes of the thoracic spine.
<unk> y/o f <num>wks pregnant with fever, cough // r/o pneumonia
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Right-sided pleurx catheter in similar position. No pneumothorax. Linear opacity projecting to the right apex is the major fissure pulled superiorly as demonstrated on ct. Parenchymal opacities and innumerable nodules have not significantly changed. Moderate left small right pleural effusion are again noted.
<unk> year old woman with pleural effusion // eval
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Pa and lateral views of the chest. Again seen is a streaky retrocardiac linear density corresponding to area of bronchiectasis on prior ct scans, unchanged, this is also unchanged from chest radiograph on <unk>. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal.
fever and cough.
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Blunting of the right costophrenic angle could represent atelectasis, and no corresponding blunting is appreciated on the lateral view. Linear markings in the left lung base are again noted, likely representing scarring or atelectasis. There is no evidence of focal consolidation, pulmonary edema or pneumothorax. The heart and mediastinal contours are normal.
<unk>-year-old female with dyspnea, chest tightness. evaluate for pneumonia, effusion or secondary signs of pulmonary embolism.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Minimal streaky right basilar opacity likely reflects atelectasis, though developing infection cannot be completely excluded. No pleural effusion or pneumothorax is seen. The left lung is clear. No acute osseous abnormalities are noted.
viral symptoms, rhonchi at the right base.
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Left-sided dual-chamber pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle. Lung volumes are low. Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are stable. Lungs are clear. There is no pulmonary edema, focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormality is identified.
chest pain.
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Cardiac silhouette size is unchanged, appearing top normal. The aorta remains tortuous with atherosclerotic calcifications noted at the aortic arch. Thyroid goiter with mild mass effect upon the right trachea is re- demonstrated, better assessed on the previous ct of the cervical spine from <unk>. Mild pulmonary vascular congestion persists. Patchy atelectasis seen within both lung bases without focal consolidation. Bilateral pleural effusions is present are minimal. No pneumothorax is present. Interbody fusion device is seen within the upper lumbar spine. Mild degenerative changes are noted in the thoracic spine.
history: <unk>f with chest pain
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Left-sided dual-chamber pacemaker is noted with leads terminating in the right atrium and right ventricle. Moderate enlargement of the cardiac silhouette with a left ventricular predominance is again seen. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are otherwise unremarkable. Previous pattern of pulmonary edema has resolved. Minimal linear opacities in the lung bases likely reflect atelectasis. There has also been near complete resolution of the previously noted small bilateral pleural effusions. No pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine with mild loss of height of a mid thoracic vertebral body anteriorly, which is unchanged.
congestive heart failure and shortness of breath.
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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. Biapical pleural thickening is mild. Ap diameter of the chest is increased. Kyphosis and degenerative changes are seen in the spine.
<unk> year old woman with uri sx, weakness. // r/o pna
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Pa and lateral views of the chest. Again seen are hyperinflation of the lungs with emphysematous changes most prominent in the apices. Again seen are chain sutures in the left upper lobe. Linear scarring in the left upper lobe is unchanged. Left suprahilar opacity is unchanged. No new focal consolidation. There is no pleural effusion or pneumothorax. Heart size is normal. Unchanged aortic calcifications. Partial resection of the left <num>th rib is again seen. Slight interval loss of height of t<num> vertbral body compression deformity compared to ct chest on <unk>. Cervical spine facet arthropathy on the right.
shortness of breath.
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Frontal and lateral chest radiographs were obtained. The left picc line has been removed. Compared to study from <unk>, there has been no significant interval change. Again visualized are loculated small hydropneumothoraces in a partially loculated left pleural effusion. There is mild improvement in bibasilar atelectasis as well as the left lateral subcutaneous emphysema. Left lateral pleural thickening is unchanged. There is no apical pneumothorax. Cardiomediastinal silhouette and hilar contours are stable.
patient is status post left vats decortication, check interval change.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with chest pain // r/o acute process
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Ap and lateral views of the chest. Low inspiratory effort seen on the current exam. The lungs, however, are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Degenerative changes are noted in the spine. Compression deformity of t<num> is similar to previous ct abdomen and pelvis from <unk>.
<unk>-year-old female with abdominal pain. elevated creatinine.
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The heart is of normal size with normal cardiomediastinal contours. Atherosclerotic calcification of the aorta is similar to prior. Elevation of the left hemidiaphragm is similar to prior. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
weakness. evaluate for infiltrate.
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Opacities are noted in the right upper, middle, lower lobe and greatest in the medial segment of the right middle lobe and suggestive of pneumonia. Otherwise, the left lung is clear. The cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with fever.
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Left small pleural effusion has slightly increased since previous exam. The pleural effusion on the right side is minimal. Moderate cardiac contour enlargement is stable. It is impossible to assess the quantity of pericardial fluid left. The lungs are otherwise clear. There is no pneumothorax.
patient with pleural effusion, evaluation.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
left-sided chest pain.
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Heart size remains mildly enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. <num> mm nodular density projecting over the left lung base remains unchanged, and no focal consolidation is demonstrated. Streaky atelectasis is seen in the left lung base. Lungs are hyperinflated. No pleural effusion or pneumothorax is identified. The bones are diffusely demineralized. Surgical clip is noted in the right upper quadrant of the abdomen.
history: <unk>f with dyspnea // eval for pneumonia
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Two views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old with chest pain.
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There is an asymmetric opacity in the left lower lobe, concerning for left lower lobe pneumonia. The heart is mildly enlarged. The mediastinum and hila are unremarkable. Multiple calcified granulomas are seen bilaterally, unchanged from prior.
<unk> year old man with intermittent cough. evaluate for pneumonia.
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Pa and lateral views of the chest. No prior. Lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with fever and dyspnea and shoulder pain.
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The lungs remain hyperinflated. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is not enlarged. Evidence of dish is seen along the thoracic spine. No definite new vertebral body height loss is identified in the imaged thoracic spine.
history: <unk>m with s/p fall backwards, tender t<num>-t<num>; // eval for fx, ich
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There is moderate cardiomegaly. Median sternotomy wires and cabg clips are noted. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
weakness and fatigue, evaluate for pneumonia.
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Lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar contours are unremarkable.
intermittent chest pain for weeks. evaluate for acute pain.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
cough and shortness of breath.
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The heart appears moderately enlarged. Atherosclerotic calcifications are noted at the aortic arch. There is also a retrocardiac rounded structure with an air-fluid level consistent with a moderate hiatal hernia. Otherwise, the lungs are without a focal consolidation. There is no pleural effusion or pneumothorax. Osseous structures are grossly unremarkable.
history of cough, bibasilar rales and shortness of breath with history of mi in the past.
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The heart is at the upper limits of normal size. The aortic arch is partly calcified. Basilar opacities, greater on the right than left, are non-specific but could be seen with atelectasis. Although study does not represent a dedicated rib series, no evidence for a rib fracture is seen. The bones are probably demineralized to some degree.
left-sided rib pain.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. There is pulmonary edema with increased interstitial markings bilaterally. Blunting of the costophrenic angels is compatible with small bilateral pleural effusions. Atelectasis is seen at the right lung base, where there is asymmetric elevation of the right hemidiaphragm. No pneumothorax is seen. No radiopaque foreign body. Wedge deformity of a lower thoracic vertebral body is similar to prior.
<unk>-year-old female with shortness of breath and history of chf. rule out acute process.
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There is minimal interstitial prominence including upper zone redistribution of pulmonary vascularity suggestin of pulmonary venous hypertension, but not to a striking extent. Linear left basilar opacity appears unchanged and suggests minor atelectasis. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
rapid atrial fibrillation.
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Pa and lateral views of the chest provided. Lungs are clear. Mild cardiomegaly appears chronic. Hilar contours are normal. There is no pleural effusion. Icd lead terminates in the right ventricle. There is no pneumothorax.
<unk> year old man with icd placement and pneumothorax
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Pa and lateral views of the chest provided. Clips noted in the right upper quadrant. 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 <num> days of cp
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The heart is at the upper limits of normal size. There is mild unfolding of the thoracic aorta with calcifications seen along the aortic arch. Otherwise, allowing for differences in technique, the mediastinal and hilar contours appear unchanged. There are patchy opacities in the right upper lobe as well as in the left lower lobe, worrisome for multifocal pneumonia. Areas of lung including the left upper lung appear spared without abnormality of the pulmonary vascularity. Minor degenerative changes are present.
dizziness. question pneumonia or congestive heart failure.
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No change in positioning of the left-sided icd with a lead projecting to the right ventricle. Compared with the prior study, interstitial lung markings are slightly more prominent, suggesting mild pulmonary vascular congestion. The cardiac silhouette is top normal. No pleural effusions or focal consolidation. No pneumothorax detected. Multiple old healed right rib fracture is again noted.
<unk>-year-old man with left-sided chest pain. evaluate for chf.
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The patient is rotated to the left. Right-sided port-a-cath is seen, terminating in the low svc. Streaky basilar opacity, best seen on the lateral view, most likely represents atelectasis and vascular structures rather than focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema.
history: <unk>f with altered mental status, cough // acute process?
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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 history of atypical lchest pain, with chronic cough.
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Pa and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac silhouette is moderately enlarged, unchanged from prior exams. The mediastinal contours are stable. Clips in the right upper neck are unchanged and most consistent with prior thyroid surgery.
chest pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with dyspnea
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Right lower lung opacities and pleural effusion has improved. There is only minimal residual bilateral pleural effusion. Prior sternotomy was done for cabg. There is no pneumothorax.
patient with right thoracotomy, decortication, interval change.
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Frontal lateral views of the chest demonstrate mild cardiac enlargement. There is upper lobe vascular redistribution suggesting mild to moderate pulmonary edema. The mediastinal and hilar contours are not changed. There is no pleural effusion or pneumothorax.
dyspnea and weight gain, assess for edema.
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Lungs: the lungs are well inflated. There is no consolidation. Pleura: no pleural effusion is seen. Heart: the heart is not enlarged. Mediastinum and hila: there is no mediastinal mass. Osseous structures: the osseous structures are normal for age. Other findings: none
history: <unk>f with chest pain // evaluate for 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 cough
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No new airspace or interstitial opacity. Stable calcified granulomas in the left lung. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old woman with <num> month of cough // eval for infiltrate
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The lungs are well expanded, without focal parenchymal opacities. There is a large left-sided pleural effusion with associated compressive atelectasis. There might be a small right-sided effusion. There is no pneumothorax. Cardiomediastinal and hilar contours are unremarkable. A feeding tube ends in the abdomen, with the tip out of view, better assessed in the ct.
history of pancreatitis with chest discomfort. evaluate for infiltrate, effusion, pneumothorax.
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Heart size is borderline enlarged. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Patchy opacity within the left lower lobe may reflect atelectasis, but infection cannot be excluded in the correct clinical setting. Right lung is clear. No pleural effusion or pneumothorax is seen. Fusion hardware within the cervical spine is incompletely imaged.
history: <unk>m with chest pain
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Heart size and cardiomediastinal contours are normal. No chf, focal consolidation, pleural effusion, or pneumothorax. Minimal of x curvature of the thoracic spine.
history: <unk>f with chest pain // eval for structural process
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No evidence of pneumonia or other infectious lung disease. No pleural effusions. No pulmonary edema.
cough and dyspnea, rule out pneumonia.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Osseous structures are without acute abnormality.
<unk>-year-old male with shortness of breath.
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Cardiomediastinal contours are unchanged. Cardiac size is top-normal. Patient has known aortic aneurysm and enlargement of the pulmonary arteries. The mediastinum is widened. Biapical pleural-parenchymal scarring is unchanged. Left lower lobe necrotic mass is better seen in prior ct. . Small left pleural effusion is unchanged. There is no evident pneumothorax. The osseous structures are unremarkable
<unk> year old man with recent hcap // new cough
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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>. Previously described advanced copd findings persist. Remarkable is a significant progression of parenchymal infiltrates in the left upper lobe area where dense chronic scar formations and bronchiectatic changes were observed earlier. There are no other new pulmonary or cardiac abnormalities observed on this followup chest examination.
<unk>-year-old male patient with severe copd, fever and cough, evaluate for pneumonia.
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Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. There is mild thickening along the azygos fissure. Lungs are hyperinflated without focal consolidation, pleural effusion or pneumothorax. Streaky opacity in the left lung base likely reflects atelectasis. No acute osseous abnormality is detected. Partially imaged is cervical spinal fusion hardware.
<unk> year old woman with fatigue and cough // r/o pulm path
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Lung volumes are low. Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. There is minimal subsegmental atelectasis in the lung bases. Calcified granuloma within the lingula is unchanged. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with alcoholic cirrhosis with new onset ascites
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Pa and lateral views of the chest. The lungs are hyperinflated but clear of confluent consolidation. Biapical pleural based scarring is again is noted, left more so than right. There is no effusion. Cardiac silhouette is slightly enlarged. No acute osseous abnormality detected.
<unk>-year-old female with cough and hemoptysis.
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The lungs are clear without overt edema, consolidation or effusion. Cardiomediastinal silhouette is stable noting that the cardiac silhouette is mildly enlarged likely due to prominent epicardial fat as seen on prior ct. No acute osseous abnormalities, posterior spinal fixation hardware is identified. Prominent loops of bowel noted in the abdomen which are incompletely evaluated. There is no free intraperitoneal air.
<unk>f with abdominal distension, peritonitis // presence of free air vs obstructive gas pattern
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Relatively low lung volumes are noted with crowding of the bronchovascular markings and left basilar opacity which is likely due to atelectasis and a prominent fat pad. The lungs are otherwise clear, there is no effusion. Cardiomediastinal silhouette is stable as well as tortuosity of the descending thoracic aorta. No acute osseous abnormalities.
<unk>f with cough x <num> days // r/o pna
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A small-to-moderate right pleural effusion has slightly increased in the interim. A small left pleural effusion is perhaps slightly smaller compared to the prior exam. Opacity in the lower lungs could be atelectasis of most concurrent pneumonia cannot be excluded. No frank pulmonary edema or focal consolidation in the remaining aerated lung. Heart size is mildly enlarged, unchanged. Mediastinum is not widened. Median sternotomy wires, replaced cardiac valve, dual lead cardiac device are unchanged. Aortic knob calcifications are unchanged. No pneumothorax. No acute osseous abnormality.
<unk>-year-old woman status post open avr, mvr on <unk>, presenting with progressive worsening of doe, orthopnea, pnd. evaluate for evidence of volume overload, pleural effusion, focal infiltrates suggestive of pneumonia.
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Pa and lateral views of the chest. The lungs are clear. There is no evidence of pneumonia. There is no pleural effusion or pneumothorax. The cardiac, mediastinal, and hilar contours are normal.
<unk>-year-old man presents with dizziness and right-sided numbness, question pneumonia.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits.
<unk>m with ili // r/o pna
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>m with chest pain
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Lung volumes are low. Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with <num> hr of chest pain radiating to right shoulder, worse with inspiration
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Frontal and lateral radiographs of the chest were acquired. A right port-a-cath ends near the superior cavoatrial junction. Near-complete collapse of the right middle lobe is not significantly changed. A known infiltrative mass involving the right middle lobe is inseparable from the atelectasis in this region by radiography. Ground-glass opacities throughout both lungs, predominantly in the upper lobes, is better evaluated on subsequent chest cta. Right perihilar opacity is stable versus slightly increased compared to prior. The heart is normal in size. The mediastinal contours are normal. A moderate right subpulmonic effusion is noted. There is no pneumothorax.
chest pain with a history of lung cancer.
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Linear opacity on lateral view projecting over the heart may be due to atelectasis potentially in the right middle lobe. The lungs are otherwise clear. There is no consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
<unk>f with htn><num> sbp // pulmonary edema
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Port-a-cath terminates in lower superior vena cava. The cardiac, mediastinal and hilar contours appear stable. The right hemidiaphragm is again elevated. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.
status post bone marrow transplant for hodgkin's lymphoma, presenting with fever.
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Fecal mediastinal hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. There is some atelectasis at the right base.
anc <num>. question pneumonia.
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There is left lower lobe opacity, with subtle suggestion of air bronchograms on the frontal view, worrisome for pneumonia. Subtle patchy right base opacity may be due to atelectasis or additional site of consolidation. No large pleural effusion or pneumothorax is seen. There is a right middle lobe linear atelectasis/scarring. There has been interval removal of a left-sided central venous catheter. Cervical spine hardware is noted but not well evaluated on this chest radiograph study. The cardiac and mediastinal silhouettes are stable.
shortness of breath and productive cough.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Widespread interstitial abnormalities appear unchanged to somewhat improved compared to the prior radiographs particularly in peripheral regions of the upper lungs. The appearance is similar similar to a scout view of the more recent of two prior ct studies, however. There is no pleural effusion or pneumothorax. The lungs are hyperinflated. The bones appear demineralized. Mild degenerative changes are similar along the mid thoracic spine. Cholecystectomy clips project over the right upper quadrant.
chest pain. history of bronchiectasis. question pneumonia.
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The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. There are no displaced rib fractures.
trauma to chest.
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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 wheezing and hiv // pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Mild bronchial wall thickening and left perihilar region is a persistent finding. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with cough, <unk> edema, follow up infiltrate // cough, <unk> edema r/o chf
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Cardiomediastinal silhouette is stable. A dual-chamber pacemaker is present with leads appropriately positioned in the right atrium and ventricle. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk> year old woman with ? lll atelectasis on ct scan // ? atelectasis
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Pa and lateral images of the chest were obtained. The lungs are clear bilaterally with no focal consolidation or congestive heart failure. There is no pneumothorax or pleural effusions. The cardiac and mediastinal silhouette is normal. There are no bony abnormalities. There is no free air below the right hemidiaphragm.
confusion.
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The lungs are clear of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with shortness of breath worsening for weeks. // r/o pneumothorax, effusion
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Lung volume is low. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Tortuosity of aortic contour is similar to prior.
<unk> year old woman with <num> weeks cough // r/o pneumonia
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As compared to the previous radiograph, the patient has developed a parenchymal opacity in the right middle lobe that is very unlikely to correspond to pneumonia. The opacity is relatively ill-defined and shows subtle air bronchograms. The opacity is also seen on the lateral radiograph. No other abnormalities. No pleural effusions. No other parenchymal changes. No hilar or mediastinal adenopathy. Normal size of the cardiac silhouette.
cough for <unk> weeks, night sweats, contact with tb, evaluation for pulmonary abnormality.
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Pa and lateral views of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
chest pain.
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The heart is at the upper limits of normal size with a left ventricular configuration. There is mild unfolding of the descending thoracic aorta with calcification along the arch. The mediastinal and hilar contours appear stable. There are no pleural effusions or pneumothorax. Patchy opacities are streaky in association with mild-to-moderate relative elevation of the right hemidiaphragm, suggesting minor associated atelectasis or perhaps scarring. Otherwise, the lungs appear clear. Mild degenerative changes are noted along the mid thoracic spine.
status post fall. question pneumonia.
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The patient is status post median sternotomy and cabg. The aorta remains calcified and tortuous. The cardiac silhouette is top-normal. Mediastinal contours are stable. Hilar contours are relatively stable. Prominence of the right hilum is again seen, seen dating back to at least <unk>. Findings may be due to pulmonary arterial enlargement, but again, this can be confirmed with ct. Left mid lung linear atelectasis/ scarring is again seen as well as mild elevation of the posterior left hemidiaphragm, as also seen on the prior study. No pulmonary edema is seen.
history: <unk>f with afib // eval for infiltrate
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Patchy right basilar opacity is seen an infection is not excluded in the appropriate clinical setting. Alternatively it could relate to atelectasis. They may also be a subtle focal area of reticular nodular opacity in the lateral right upper lung which could also relate to infectious or inflammatory process. The left lung is clear. There is no pleural effusion or pneumothorax. The aorta is calcified and tortuous. The cardiac silhouette is top-normal. No overt pulmonary edema is seen.
weakness, fever, shortness of breath.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath for three weeks.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. There is slight eventration of the right hemidiaphragm. The cardiomediastinal silhouette is unchanged. A dual-lead left-sided pacemaker and median sternotomy wires appear unchanged.
shortness of breath.
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Hyperinflated lungs suggest obstructive disease. However, upon correlation with chest ct from <unk>, there is no evidence of copd. There is no focal consolidation, effusion, or pneumothorax. Obscuration of the right heart border is likely a function of anatomical changes due to mild pectus deformity of the lower sternum. Mediastinal and hilar contours are normal. Heart size is normal.
<unk> year old woman with hx receurrent pneumonia, bronchiectasis with lgt x <unk> d and cough // ?pneumonia
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The cardiac silhouette is mildly enlarged. The aorta is calcified. There are relatively low lung volumes which accentuate the vascular markings. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Surgical clips are noted in the region of the thyroid bed.
at seen confused.
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The mid to lower left lung is opacified suggesting a large pleural effusion and extensive atelectasis, including likely left lower lobe collapse secondary to compressive atelectasis. There is a small right pleural effusion. There is no pneumothorax. There is a mild interstitial abnormality. The cardiac silhouette has enlarged considerably from <unk>.
<unk>-year-old man presenting after seizure and witnessed fall. evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax.
asthma and wheezing.