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As compared to the previous radiograph, the bilateral parenchymal opacities at the lung bases, left more than right, are virtually unchanged in extent and severity. Although these opacities are likely to have an atelectatic component, they could well represent pneumonia. Bilaterally, there is blunting of the costophrenic sinuses, likely reflecting small pleural effusions. Unchanged moderate cardiomegaly without evidence of pulmonary edema. No pneumothorax. No evidence for hilar or mediastinal abnormalities.
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laparoscopic cholecystectomy, evaluation for left lower lobe pneumonia.
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Pa and lateral views of the chest were obtained. Cardiomediastinal contour is notable for mild cardiomegaly. Lungs are clear. Pulmonary vasculature is within normal limits. There is no pleural effusion or pneumothorax.
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<unk>-year-old man with sudden onset shortness of breath and cough, rule out pneumonia/aspiration.
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Frontal and lateral chest radiographs demonstrate hyperinflated lungs with flattening of bilateral diaphragms consistent with patient's known history of copd. When compared to chest radiograph dated <unk>, there is redemonstration of left lower lobe scarring and atelectasis and persistent peribronchial increased density concerning for infectious process. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are unchanged with note made of of tortuous descending aorta.
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<unk>-year-old male with copd and recent left lower lobe pneumonia on ct. evaluate for resolution or worsening of infiltrate seen on ct.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. There is mild linear density in the lower lungs likely atelectasis. No convincing signs of pneumonia or edema. No large effusion or pneumothorax. No signs of congestion or edema. The heart is within normal limits of size. The mediastinal contour is stable and normal. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>m with a-fib rvr. r/o infectious etiology // pneumonia?
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Frontal and lateral chest radiographs again demonstrate mild cardiomegaly and vascular redistribution, with somewhat asymmetric opacity in the right upper lung unchanged over multiple chest radiographs dating back to <unk>. Faint opacity in the left lung base is without correlate on lateral view, likely representing atelectasis. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
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history: <unk>m s/p kidney transplant p/w elevated wbc and cough // c/f pna
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Frontal and lateral radiographs of the chest demonstrates top normal heart size. There is persistent small left apical pneumothorax, decreased compared to the prior study. The left-sided chest tube remains in place. The cardiomediastinal silhouette and hilar contours are normal. Again seen is a small round right lower lung zone opacity corresponding to the nodule seen on outside pet-ct. There is no change in left pleural effusion with associated compressive atelectasis.
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left chest tube, question pneumothorax.
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As compared to the previous radiograph, there is a newly appeared parenchymal opacity in the perihilar areas of the left lung. At the time of observation and dictation, <time> p.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification and the findings were later discussed on the telephone. Unchanged postoperative changes on the right with stable material in situ and several parenchymal scars. Borderline size of the cardiac silhouette. No pleural effusions.
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cough, wheezing, rule out pneumonia.
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Mild enlargement of the cardiac silhouette is unchanged. The aortic knob is calcified. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There is diffuse demineralization of the osseous structures. Clips are noted in the right upper quadrant of the abdomen.
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history: <unk>f with dyspnea
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Pa and lateral views of the chest provided. Cervical spinal hardware noted in the lower neck. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Mild aortic knob calcification noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with chest pain/back pain
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is slight volume loss at the left lung base with relative elevation of the left hemidiaphragm and streaky opacification suggesting minor atelectasis. Elsewhere, the lungs appear clear. Mild-to-moderate rightward convex curvature is centered along the lower thoracic spine.
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pre-operative evaluation; patient with lower back pain.
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Again is seen a crescentic lucency above or in the region of the right hemidiaphragm which either represents stable pneumoperitoneum versus a locule of gas within the supradiaphragmatic pleural space. There is no diaphragmatic flattening or mediastinal shift. The right pleural effusion has improved since prior exam, now small, with areas of streaky atelectasis predominantly affecting the right middle lobe and right lung base. Improvement in the small left pleural effusion has also occurred, now trace in extent. Streaky atelectasis at the left base is also present. No apical pneumothorax is seen.
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<unk>-year-old female with a history of pneumonia complicated by loculated pleural effusion who has undergone vats.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Relative hyperlucency of the upper lungs compared to lung bases suggests underlying emphysema. Prominence of the bibasilar interstitium, right greater than left, may reflect chronic changes exaggerated by lower lung volumes; however, given background emphysema superimposed mild edema cannot be excluded. No pleural effusion or pneumothorax present. Mild apical thickening is not significantly changed compared to <unk>. Redemonstration of surgical segmental resection of fifth right rib.
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chest pain, evaluate for acute process.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. Mild degenerative changes are noted throughout the thoracolumbar spine. Otherwise, no acute fractures are identified.
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history of remove lymphoma with fever and cough.
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There has been interval removal of right-sided pleural drains.sliver of right apical pneumothorax persists. There is no evidence of tension. No focal consolidation or pleural effusion. The cardiac and mediastinal silhouettes are unremarkable.
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<unk> year old man s/p r blebectomy and pleurodesis // r/o ptx post ct removal, please do around <num>pm
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Lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion or pneumothorax.
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chest pain.
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A right-sided port-a-cath terminates at the cavoatrial junction in appropriate position. The cardiomediastinal and hilar contours are within normal limits. The heart is normal in size. The aorta is mildly tortuous. Focal opacity in right lower lobe partially obscuring the right hemidiaphragm posteriorly is best seen on the lateral view. There is no no focal consolidation, pleural effusion or pneumothorax.
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<unk>m with leukocytosis, colon ca // pna?
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In comparison with the study of <unk>, there is again substantial enlargement of the cardiac silhouette. Atelectatic changes are seen at the right base. However, no definite vascular congestion or acute focal pneumonia.
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aortic stenosis.
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The heart size is top normal with tortuosity of the thoracic aorta exaggerated by stable s-shaped scoliosis of the thoracic spine. Mediastinal silhouette and hilar contours are unremarkable and unchanged. Lungs are clear. There is no pleural effusion or pneumothorax. There is no evidence of pneumoperitoneum. The osseous structures are globally demineralized with moderate s-shaped scoliosis of the thoracic spine.
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melena. evaluate for free air under diaphragm.
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The heart size remains mildly enlarged. The aorta is tortuous and calcified at the aortic knob, unchanged. The pulmonary vascularity is not engorged. Apart from mild atelectasis in the lung bases, no focal consolidation, pleural effusion or pneumothorax is seen. Calcified nodule within the left mid lung field measuring <num> mm is stable, and correlates to a calcified pleural plaque seen on ct torso <unk>. No acute osseous abnormalities seen. No pneumothorax is present.
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cough.
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Compared to prior, there has been worsening pulmonary edema. A left lower lobe opacity appears increased compared to radiograph from <unk> however by ct this opacity appears similar in comparison to <unk>. Bilateral pleural effusions are better seen on ct. Mild cardiomegaly is unchanged.
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<unk>f with chest pain and palpitations, cough, evaluate for pneumonia or chf.
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Heart size is normal. Aorta is mildly unfolded. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities identified.
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history: <unk>m with chest pain, shortness of breath
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. No pulmonary edema. No evidence of pneumonia.
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<unk>-year-old with fever.
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are within normal limits. The pleural surfaces are clear without effusion or pneumothorax.
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history of cough. evaluation for pneumonia.
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Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. There is no subdiaphragmatic free air.
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history: <unk>f with overdose // eval for 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.
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<unk>m with pleuritic chest pain and sob
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The cardiomediastinal and hilar contours are within normal limits, allowing for rotation. A rounded density projects over the left upper lobe and air is thickening of the left apical pleural margin, which could be due to rotation. The lungs are otherwise clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
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history: <unk>m with s/p mvc, intoxication, facial injuries, unable to endorse sxs // eval ? traumatic injury
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Pa and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are clear with no focal consolidation concerning for pneumonia. Note is made of an azygos fissure.
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multiple episodes of presyncope, query cardiomegaly.
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Study is unchanged from prior. The right-sided picc terminates at the mid svc.on limited frontal view, sternotomy wires are intact. There is a small pleural effusion at the right lung base. There is mild cardiomegaly and pulmonary vascular congestion. There is no pneumothorax.
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<unk> year old woman s/p cvl avulsion through svc. // cause of chest/shoulderblade pain
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The heart size is normal. The aorta is tortuous and calcified. The hilar contours are normal, and there is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is present. Compression deformity of at least <unk> mid thoracic vertebral bodies are age indeterminate. Degenerative changes of both glenohumeral and acromioclavicular joints are noted.
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altered mental status.
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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. Surgical clips overlie the bilateral mid lung, consistent with history of prior breast surgery.
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history: <unk>f with cp // ?cpd
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No relevant changes compared to the previous examination. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. No acute lung disease, in particular no evidence of pneumonia, pulmonary edema or pleural effusions. The hilar and mediastinal contours are normal.
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history of lymphoma, rule out pneumonia.
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Frontal and lateral chest radiographdemonstrates well expanded lungs. Mild right lower lobe plate like atelectasis is present. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
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immunosuppression with kidney transplant. admitted last month for cmv infection, now with high fevers and tachycardia. assess for pneumonia or cmv lung infection.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
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<unk> year old woman with cough // r/o pna
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Low lung volumes accentuate bronchovascular markings. Similar to the prior examination in <unk>, increased opacification involving the lateral right chest likely a combination of soft tissue and pleural thickening associated with chronic rib fractures. The lungs are clear. No pulmonary edema. No effusion or pneumothorax.
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history: <unk>m with chf, dyspnea on exertion // pulmonary edema, infiltrate, effusion
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Subtle left basilar opacity may represent atelectasis however early infectious process is not excluded in the appropriate clinical setting. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with cough on chemo // r/o pna
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In comparison with the study of <unk>, there is little overall change. Again low lung volumes are associated with prominence of the cardiac silhouette. Continued mild pulmonary vascular engorgement with atelectatic changes in the retrocardiac region. If there are appropriate clinical findings, the possibility of supervening pneumonia in the retrocardiac region must be considered.
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rigors and fever, to assess for pneumonia.
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The inspiratory lung volumes are appropriate. Atelectasis or scarring at the right lung base is unchanged. There is no focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. There is kyphotic curvature of the spine.
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history: <unk>f with sob and palps pls eval edema vs pna // history: <unk>f with sob and palps pls eval edema vs pna
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter extending into the cavoatrial junction. Pulmonary nodules are again noted the largest of which projects over the right lower lung measuring approximately <num> cm in diameter. These are better assessed on the prior ct of the chest. Additional nodules are also present. No signs of pneumonia, effusion or pneumothorax. The heart size is stable. Prominence of the mediastinum reflects known right paramediastinal mass. Areas of scarring in the left lung apex and the right lung apex are unchanged. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with shortness of breath and right sided abdominal pain. patient has a history of metastatic leiomyosarcoma.
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The lungs are well-expanded and clear. The heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
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history: <unk>f with fever // pna?
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The lungs are hyperinflated but clear without consolidation, large effusion, or edema. Right basilar atelectasis is noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Anterior fixation hardware is noted. Surgical clips noted in the right upper quadrant.
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<unk>f with generalized weakness. // ?pneumonia
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. Pulmonary vascular markings are normal. Tips is present in the right upper quadrant, similar in position to prior.
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<unk>-year-old male with abdominal pain, nausea, and vomiting, with alcoholic cirrhosis.
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Pa and lateral views of the chest provided. Midline sternotomy wires, mediastinal clips and dual lead pacemaker appear unchanged. A right upper extremity picc line is again seen which appears intervally advanced, with its tip now extending into the cavoatrial junction possibly entering the right atrium. Patient is rotated to her left. There is pulmonary edema which is similar to prior exam. Small bilateral pleural effusions are likely present. Mitral annular calcification noted. Cardiomediastinal silhouette stable. No pneumothorax. Bony structures are grossly intact with chronic degeneration of the right shoulder partially noted.
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<unk>f with dyspnea, wheezing // ? acute process
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Right pleural effusion is new. There is minimal opacity at right lung base with some volume loss and this reflects atelectasis or pneumonic consolidation is difficult to differentiate. Left lung and right upper lung are clear. There is evidence of prior median sternotomy and the sternal sutures are intact. Status post aortic valve replacement. Heart size is normal. Mediastinal and hilar contours are unchanged. No pleural abnormality on the left side.
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suspected pneumonia versus pneumonitis with tachypnea and tachycardia and increased cough.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. The aortic arch is again partly calcified. The lungs appear hyperinflated. Streaky right basilar opacity appears unchanged and suggests atelectasis or scarring. There is small oval calcification projecting immediately to the right side along the right cardiac border, unchanged but potentially a granuloma or overlying bony structure of doubtful significance. There is no definite pleural effusion. No pneumothorax is demonstrated. Mild degenerative changes are similar throughout the thoracic spine.
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shortness of breath. question pneumonia.
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No significant interval change. The patient remains slightly rotated to the right, perhaps secondary to prominent scoliosis. No focal consolidation, pleural effusion, or pneumothorax. Stable appearance of the cardiomediastinal silhouette and hila.
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<unk>-year-old man with generalized weakness; evaluate for pneumonia.
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No displaced rib fracture identified.
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history: <unk>m s/p mvc last night, + anterior chest wall tenderness // eval for pnx
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There is moderate right pleural effusion, stable. Right basilar opacification, stable, likely atelectasis. Small anterior pneumothorax is decreased. Decreased left basilar atelectasis. Very shallow inspiration.
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<unk> year old man with anterior hydropneumothorax // please do cxr with patient erect (sitting straight up) at <unk> pm, thank you
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Frontal and lateral chest radiographs demonstrate a heart which is normal in size. Left lower lobe and lingular opacities are substantially improved but still persistent. Apical scarring is unchanged. The left pleural effusion has resolved.
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followup pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.
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shortness of breath.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. There may be very minimal interstitial edema.
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history: <unk>f with weakness // eval infiltrate
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Left-sided aicd device is noted with single lead terminating in the right ventricle. Right-sided port-a-cath tip terminates in the mid/ low svc. Heart size is normal. Multiple coronary artery stents are noted. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is seen. Mild to moderate degenerative changes are noted in the thoracic spine.
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history: <unk>m with dyspnea on exertion
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
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<unk>-year-old male with chest pain.
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting evaluation. Bibasilar atelectasis again noted with bilateral pleural effusions, slightly increased on the right compared with prior exam. Linear densities projecting over the left hemi thorax likely external. No pneumothorax. Cardiomediastinal silhouette appears grossly stable. Bony structures are intact.
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<unk>f s/p cabg.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. Blunting of the posterior left costophrenic sulcus suggests a very small pleural effusion. A trace pleural effusion is difficult to exclude on the right. A catheter projects over the epigastrium.
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chest wall pain. question pneumonia.
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Cardiac, mediastinal and hilar contours are normal. Lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. No pulmonary vascular congestion is present. Remote right-sided rib fractures are identified.
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history: <unk>m with massive right lower extremity dvt and no pulmonary symptoms
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Ap upright and lateral views of the chest provided. Lung volumes are low. There is hilar congestion without frank pulmonary edema. The heart is moderately enlarged. No large pleural effusion is seen. No pneumothorax. No convincing evidence for pneumonia. Mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with fever and dyspnea.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Minimal left basilar opacity suggests minor atelectasis. Otherwise, the lungs appear clear. Small osteophytes are noted along the lower thoracic spine.
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right-sided chest pain after motor vehicle collision.
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The lungs are well expanded. There is persistent elevation of the right hemidiaphragm, unchanged from at least <unk>, which likely relates to diabetic neuropathy. There is no focal airspace consolidation worrisome for pneumonia. No pleural effusion or pneumothorax. Heart is normal size. The mediastinal and hilar contours are unremarkable. A left subclavian vascular stent is unchanged in appearance.
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diabetic gastroparesis with nausea and vomiting. evaluate for an acute process.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
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cough and lower abdominal pain.
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A right-sided port-a-cath is in unchanged position. The cardiomediastinal and hilar contours are within normal limits and stable. The lungs are hyperinflated, similar in appearance to prior exams. A subtle opacity at the base of the left lung persists but appears improved from <unk>. Increased opacity at the base of the right lung appears increased from the prior examination and may reflect a focus of infection, however a correlate opacity is not definitely identified on the lateral view. No pneumothorax. Biapical scarring is re- demonstrated.
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<unk>f with chest pain and sob, r/o infectious process, r/o cardiopulmonary process
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Bronchiectasis is noted in lower lobes. Mild opacity in the right lower lobe is likely atelectasis. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal size.
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history: <unk>m with cough, fever, immunosuppressed on humera. recent travel to <unk> // ?pna
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Pa and lateral views through the chest demonstrates hyperinflated clear lungs. Cardiomediastinal and hilar contours are within normal limits allowing for a patient who is minimally rotated to the left. There is no pleural effusion or pneumothorax. No acute osseous abnormality is identified.
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<unk>-year-old male with palpitations.
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A new opacity in the superior segment of the right lower lobe is most consistent with pneumonia. Elsewhere, the lungs remain clear. There no pleural effusions or pneumothorax. The cardiac, mediastinal and hilar contours appear unchanged.
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cough and fever.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia, notably pre-existing opacity in the lingula is no longer visible. The lung volumes are rather high. Trace bilateral apical scarring, suggesting a moderate degree of overinflation. No pleural effusions. Borderline size of the cardiac silhouette without evidence of pulmonary edema. Normal hilar and mediastinal structures. Moderate tortuosity of the thoracic aorta.
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cough, previous lingular pneumonia, assessment for interval change.
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As compared to the previous radiograph, the patient has received a new right dialysis catheter. There is no evidence of complications, notably no pneumothorax. No evidence of active or non-active tb. Small bilateral pleural effusions, better appreciated on the lateral than on the frontal radiograph. Normal size of the cardiac silhouette. No evidence of active infection.
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latent tb, positive ppd. evaluation.
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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
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Pa and lateral upright chest radiograph demonstrates clear lungs bilaterally. Focal consolidation is identified. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are unremarkable. Visualized osseous structures demonstrates no acute abnormality.
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<unk>-year-old female with recent assault and rib pain on right side.
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Sternotomy wires are intact. No interval change in cardiomediastinal silhouette which is mildly enlarged. The lungs are clear with possible small pleural effusions, side indeterminate. No pneumothorax, pneumomediastinum or pneumoperitoneum. Mediastinal and hilar contours are normal. Opacity in the right main stem bronchus can be retrospectively seen dating back to at least <unk> and may represent possible mucous impaction in the right main stem bronchus.
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<unk>-year-old male status post pericardial window. followup pneumomediastinum, status post pericardial drain removal.
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Frontal and lateral chest radiographs demonstrate sternal wires, mediastinal clips, and a left subclavian approach central catheter which terminates at the cavoatrial junction. The heart is top-normal in size. The lungs are well-aerated and clear, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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evaluate for infiltrate in a patient with a history of cll, now with chronic cough.
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Frontal and lateral views of the chest. The lungs are hyperinflated but clear of focal consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
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<unk>-year-old female with shortness of breath.
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Two views of the chest were obtained. Lungs are hyperexpanded with biapical increased lucency compatible with emphysema. No focal consolidation is seen, with increased prominence of the right infrahilar pulmonary vessels, most likely due to patient rotation. No pneumothorax or effusion is seen with normal heart size.
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<unk>-year-old man with hiv on haart for two weeks with leukocytosis, assess for pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. The heart is normal in size. There is no pleural effusion or pneumothorax. The lungs appear clear. A gastric band projects over the left upper quadrant of the abdomen in an unchanged orientation.
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left arm numbness.
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Frontal and lateral radiographs of the chest demonstrate mildly low lung volumes, accentuating the cardiac contour and pulmonary vasculature. Right basilar opacity is noted and likely corresponds to ateletasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal contours are otherwise normal.
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hcv cirrhosis and new abdominal swelling. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17767802/s56067585/f1bed812-9b62a15c-4e3b0756-da776bdb-0841991c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17767802/s56067585/93d3df45-e889d2cd-0ab2b300-7d1df556-3dd4d026.jpg
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Pa and lateral images of the chest. The lung volumes are somewhat low, but but the lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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near syncope and weakness.
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MIMIC-CXR-JPG/2.0.0/files/p17654721/s56587226/a4b298ef-a400327a-68c98ac8-f7c07492-b694d203.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17654721/s56587226/e89db45e-78a87188-4bc0c60d-1c0343ba-62f25092.jpg
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. There is mild prominence of pulmonary vasculature. Cardiomediastinal silhouette is at the upper limits of normal. No acute fractures are identified.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p16367950/s56975232/4b2cc791-044b286a-1c00d85c-c91ed2a7-94f84544.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16367950/s56975232/8dbb84bf-c1bfe962-b54e1ad6-832aa201-e89c12fe.jpg
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Lungs are hyperinflated compatible with emphysema. Right lower lobe atelectasis without focal consolidation. Port-a-cath in appropriate position. No pleural effusion or pneumothorax. Normal heart size.an increase in the pulmonary interstitial markings compared to the patient's baseline study from <unk> of may be related to the patient's multiple bouts of pulmonary edema over the course of the previous years. Currently, the patient does not appear to be in acute heart failure.
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history: <unk>m with fever // eval infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p15296771/s55266102/564009ba-51c10927-41e3d661-a9bac302-473c23af.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15296771/s55266102/39ba8d6b-da407077-2ec324e8-2a9d87c4-258fe832.jpg
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The heart size is normal. The mediastinal and hilar contours are unchanged. Diffuse coarse interstitial opacities are most pronounced within the periphery of the right upper lung field and left lung base concerning for a chronic interstitial lung disease which appears relatively unchanged compared to the prior exam. No pulmonary edema is visualized, and no pleural effusion or pneumothorax is seen. Multilevel degenerative changes are noted in the thoracic spine.
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choking on pill with dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p18556017/s58844003/745095f8-ee3f6577-18fabe8d-d63d2044-809ad5ee.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18556017/s58844003/712046dc-923e3036-e70fa3da-27cb4229-e58a0901.jpg
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded. There is a small rounded opacity in the right mid lung zone that likely reflects a combination of shadows. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Healed left sided rib fractures are again visualized.
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patient with new cough and chest pain, eval pneumonia or other abnormalities.
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MIMIC-CXR-JPG/2.0.0/files/p12210632/s56592428/4466bf3b-29871bfa-0af4cb1d-a2833832-9c14f979.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12210632/s56592428/d41e7f3d-fc99fa03-f2c72996-3421464a-0a2ea4a8.jpg
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No displaced fracture is seen.
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<unk>-year-old female with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p11430311/s59971511/e0df8ecc-d76a2a8c-fc20a765-1755d0c5-4ada3f3e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11430311/s59971511/95d2ecb3-140c3a47-8d742b9b-15dfa7a6-63b3628d.jpg
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Bilateral chest tubes have been removed. The cardiac, mediastinal and hilar contours appear unchanged including mild suspected cardiomegaly. There are patchy opacities in the mid-to-lower lungs with plate-like and streaky morphologies most suggestive of residual scarring and atelectasis. Fissure are slightly thickened but there is no definite pleural effusion. There is no pneumothorax.
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pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p11717901/s57477344/1912eb21-8ef96121-beaef9b6-3f6f8744-9d98fd5d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11717901/s57477344/a1193f9f-a20e3813-67809457-d7ccd77b-f97081e6.jpg
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Lung volumes are lower since the prior study, however the lungs are clear. Heart size is top normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
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history: <unk>f with sob, fever // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p17429872/s52993221/487bc537-f7f8a362-4fd05554-dae5654d-e945d202.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17429872/s52993221/fc0bcd31-3128186b-3feec6e9-5769ca76-73c90678.jpg
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The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p12584492/s50796735/c27f028f-f8676b09-2f02b313-e060bc05-6633605d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12584492/s50796735/ae682fbd-0a1da17f-e04c098c-f765b778-4f007f07.jpg
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal, with left ventricular configuration. Aorta at arch is calcified. No pulmonary edema is seen. No displaced fracture is seen.
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history: <unk>m with cp // r/o acute process
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MIMIC-CXR-JPG/2.0.0/files/p16804397/s59471833/ee23cb15-9822e5a4-5b9d5484-1a8f38cc-90bdb71b.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16804397/s59471833/84e6d9ba-c20f6ade-7f8e0bd9-cdc5c2f0-88e3974d.jpg
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Low lung volumes cause bronchovascular crowding and bibasilar atelectasis. Small lung nodules consistent with metastasis are better seen on prior ct. There is probably mild vascular congestion. If any there are small bilateral pleural effusions. Bibasilar airspace opacities best appreciated on the lateral view represent atelectasis. The cardiomediastinal silhouette is stable with moderate cardiomegaly and tortuous aorta.
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<unk>m with shortness of breath evaluate for infectious process.
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MIMIC-CXR-JPG/2.0.0/files/p15144589/s50249453/6a5e7ca5-87216c50-c4726ee9-76fdc521-357413e2.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15144589/s50249453/838e568e-8018c3cd-8e18ccce-ad039305-ea05e4f9.jpg
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no displaced rib fracture.
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<unk>-year-old pushed into wall with scapular tenderness post trauma evaluate for pneumothorax
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MIMIC-CXR-JPG/2.0.0/files/p14388085/s54414968/306b7e46-b396cf4c-526beade-3f9c4531-10d0450f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14388085/s54414968/4c83e0ff-0fb31561-944db6d9-7cd8a24d-773d9598.jpg
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There is moderate cardiomegaly. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded with mild prominence of pulmonary vasculature, indicating vascular congestion. There is no frank edema or focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. No acute osseous abnormality is detected.
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<unk>f with shortness of breath and chest pain // r/o chf/pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p15914950/s58248743/ab0a0a9a-509c6c2e-5ccd6c3e-67d034a3-bbb79174.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15914950/s58248743/730bd1fa-cd2121bd-851316fc-aa2322f0-ba786a0b.jpg
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with chest tightness // chf?
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MIMIC-CXR-JPG/2.0.0/files/p19252302/s58955674/21e4bbff-bec216e1-8619e5bb-7c7f9e0c-5b5757d5.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19252302/s58955674/427fd30b-db3b7817-0918619d-c83669b7-887b0fba.jpg
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Again seen increased interstitial markings diffusely bilaterally, consistent with underlying chronic interstitial lung disease. There may be a component of mild superimposed vascular congestion. . No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
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history: <unk>m with dyspnea // eval for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p11557105/s52443367/187ca1da-30bf9909-9cd15db9-a49566ec-7f503a26.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11557105/s52443367/cbdb30d6-8d2a7a5a-4cfe18b4-2d1dd966-ba2387f3.jpg
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The cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Mild degenerative changes are seen within the thoracic spine.
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fever.
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MIMIC-CXR-JPG/2.0.0/files/p17740074/s51779225/bd25994c-eb9d5fda-79d2206e-1ce65a44-fa6d37d3.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17740074/s51779225/14d4e289-8e7cf92e-1502754b-5a330f36-b5ae5707.jpg
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Pa and lateral chest radiographs were provided. Compared to the most recent prior study, there has been improvement of multifocal opacities in the lower lung with some residual opacities remaining. There is scarring in the right upper lobe with a new opacity in the apex and associated upward retraction of the right hilus, compatible with prior tb. There is no pneumothorax or pleural effusions. The cardiomediastinal silhouette is normal. The imaged upper abdomen is normal. The bones are intact.
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<unk>-year-old woman with recent pneumonia, now improved. evaluate for resolution of infiltrates.
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MIMIC-CXR-JPG/2.0.0/files/p15872736/s50280924/42530192-6d6d99cd-6f56763b-87b261e4-3ce11248.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15872736/s50280924/48779944-b64441cc-07406522-72618d97-f6621bb9.jpg
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New left-sided pacemaker has leads in the right atrium and ventricle. There is no pneumothorax or pleural effusion. The lungs are clear. The aorta is tortuous and moderate cardiomegaly is unchanged. Hiatal hernia measures <num> cm.
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patient with new dual-chamber pacemaker, evaluate lead position.
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MIMIC-CXR-JPG/2.0.0/files/p19180667/s52681912/6fc574ca-a04c23bc-614a8997-1503a1e6-efaebdf1.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19180667/s52681912/70bb6f03-6de90066-9e73ffb3-74961995-fb185cd2.jpg
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Minimal pneumomediastinum is noted, corresponding to findigns on ct. Heart size is normal.
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history: <unk>m with vomiting and concern for perf // eval for pneumomediastinum
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MIMIC-CXR-JPG/2.0.0/files/p17709047/s58802826/1f7ba140-b003ee99-5b0b5d7d-af4aa6b4-a212ee2d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17709047/s58802826/2714ef6c-7b5f7b38-83da9bd7-3e7765be-9cd30bcc.jpg
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. Surgical sutures are demonstrated within the left upper quadrant of the abdomen.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p17675730/s51107665/d50aed61-650dd8b7-e0b9d7fe-e4172ada-0804438a.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17675730/s51107665/c28deb6d-b2236e9a-5c95e111-e065b079-3fd39401.jpg
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
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headache, acute mental status change.
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MIMIC-CXR-JPG/2.0.0/files/p13552058/s50757285/e8ab57ec-1c76849f-2fdbd576-95934891-a301674b.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13552058/s50757285/daf8ed69-4f055dd7-66bc59cf-b21a29e5-9bcd7db9.jpg
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Pa and lateral views of the chest provided. The lungs are well-inflated and grossly clear. There is no pleural effusion, or pneumothorax. The hilar contours are normal. Mild cardiomegaly is unchanged from <unk>. A dual-chamber pacemaker is seen within the left chest wall with leads terminating in right atrium, right ventricle and coronary sinus. Mild basilar atelectasis is improved from <unk>. Severe degenerative changes in the right glenohumeral joint.
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<unk> year old woman with heart failure and dyspnea. // r/o significant pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p17196092/s53006026/23f58314-0f3cdd42-cf69ad1f-6e9c02f2-911d77ef.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17196092/s53006026/d50280b7-064c0761-a749f868-1d67d675-db9d0b31.jpg
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Frontal and lateral chest radiographs demonstrate clear lungs without pleural abnormality. The cardiac and mediastinal contours are normal. The pulmonary vasculature is normal.
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<unk>-year-old female with back pain, shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p10643918/s58685383/2c6b5f2e-f22d1006-0580666c-3bea7131-31e7113c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10643918/s58685383/dcc127cc-9d19966e-956a2346-3b02908c-e2548910.jpg
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Pa and lateral views of chest were viewed. Given low lung volumes, the cardiac <unk> are within normal limits. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There are no focal consolidations. Pulmonary vasculature is within normal limits.
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cough.
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MIMIC-CXR-JPG/2.0.0/files/p11036338/s51134148/9081d306-c2a80096-6d4cd81b-070a6b13-c49e251b.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11036338/s51134148/20c9d3d7-99edff60-3158aa70-ced98e3b-a6d9e1ff.jpg
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Pa and lateral views of the chest provided. There is no focal consolidation concerning for pneumonia. Heart size is normal. New slight new bulge of the main pulmonary artery is of uncertain significance. There are no pleural effusions. There is no pneumothorax.
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<unk>f with dka, evaluate for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p17522154/s54626838/ec7f70af-5a585219-c199ea7d-18f951c2-2029b0f8.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17522154/s54626838/9138b07e-6d74708b-1b5f8c39-b6e117e8-d5039f19.jpg
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Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. No acute osseous abnormality is seen.
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history: <unk>f with chest x <num>hour // r.o pna
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MIMIC-CXR-JPG/2.0.0/files/p17787059/s56672089/7176c501-a770e0ce-5a27abfe-09269575-d67b8405.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17787059/s56672089/d42c554e-d12f673b-05057adf-bfced8cf-d0d4f037.jpg
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The lungs are normally expanded and clear. The heart is not enlarged. Mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is mild pleural thickening at the lung apices. Within the limitations of routine chest radiography no displaced rib fractures detected. The upper thoracic spine is obscured by the patient's shoulders but the remaining visualized thoracic levels normal vertebral heights, disc spaces and alignment.
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<unk> year old woman with thoracic paraspinal pain s/p mvc // eval for traumatic injury
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