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Frontal and lateral views of the chest are compared to previous exam from <unk>. Again seen are small bibasilar effusions which have decreased in size compared to prior. Persistent retrocardiac opacity may represent a superimposed consolidation. Superiorly, the lungs are clear and there is no pulmonary vascular congestion. Cardiac silhouette is enlarged but stable. Coronary stents are identified. Triple-lead pacing device is again noted. Right-sided central catheter is identified with distal tip in the right atrium. Osseous and soft tissue structures are unchanged.
<unk>-year-old female with necrotic toe, preoperative chest x-ray.
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The heart is at the upper limits of normal size. The descending aorta is moderately tortuous. A prominent pericardial fat pad projects along the cardiac apex. There is no pleural effusion or pneumothorax. The lungs appear clear aside from streaky right mid lung opacities suggesting minor atelectasis or minor fissural thickening. There is mildly exaggerated kyphotic curvature centered along the lower thoracic spine and a mild anterior wedge compression deformity that appears chronic. The mid-to-upper thoracic spine is mildly lordotic.
fever.
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Cardiomediastinal silhouette is normal. Blunting of the left costophrenic angle, unchanged from <unk> is due to pleural parenchymal scarring. There is no focal consolidation or overt pulmonary edema, but there is an increase in peribronchovascular opacification in the lung bases, perhaps atelectasis, recent aspiration, or the earliest manifestation of cardiac decompensation. .
<unk>m with new onset lower extremity edema; diminished breath sounds on lung exam, evaluate for pulmonary edema..
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Heart size is normal. Mediastinal and hilar contours are unchanged. There are atherosclerotic calcifications noted within the aortic arch. The pulmonary vasculature is normal. Patchy opacity within the lateral aspect of the left lung base likely reflects a combination of previously demonstrated scarring or fibrosis. No new focal consolidation, pleural effusion or pneumothorax is seen. Previously described pulmonary nodules on ct are not well assessed on the current exam. There are mild degenerative changes in the thoracic spine.
history: <unk>f with chest pain
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Pa and lateral views of the chest provided. A small left pleural effusion persists. Otherwise lungs are clear. Cardiomediastinal silhouette is stable. No pneumothorax is seen. Bony structures are intact.
<unk>m with lethargy // eval 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>m with dm<num> with fever/chills and possible diabetic ketoacidosis.
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Right ij central venous line ends in the low svc. Sternotomy wires and mediastinal clips are stable. Mild cardiomegaly is stable. The small right pleural effusion is unchanged or slightly smaller. Bibasilar atelectasis. No pneumothorax. No focal consolidations identified.
evaluate effusions.
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The lungs are clear. The heart size is normal. No pleural effusion or pneumothorax. Bones appear intact
<unk>-year-old woman with exertional dyspnea.
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Chest, pa and lateral. Heart size is normal. The hila and mediastinum are unremarkable. The lungs are clear. There is no pneumothorax or pleural effusion.
<unk>-year-old woman with dyspnea on exertion for <unk> days. evaluate for pleural effusion or pulmonary edema.
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There are relatively low lung volumes. Subtle prominence of the interstitial markings diffusely bilaterally is grossly stable since <unk>, suggesting chronic pulmonary process. . No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged.
history: <unk>f with cp // acute process
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Frontal and lateral chest radiographs were obtained. There is moderate cardiomegaly with left ventricular configuration. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The mediastinal contours are within normal limits. No bony abnormality is detected.
new onset afib, e eval intrathoracic process or congestion.
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Ap and lateral views of the chest. Dual lead right chest wall pacing device seen with lead tips at the right ventricular apex and right atrium. The lungs are clear of confluent consolidation or effusion. There is however increased interstitial markings throughout the lungs. The cardiac silhouette is mildly enlarged. Atherosclerotic calcifications seen at the aortic arch and descending thoracic aorta.
<unk>-year-old male with dyspnea and weakness.
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Lung volumes are low, which leads to bronchovascular crowding. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no free air under the diaphragm.
<unk>f s/p vaginal delivery <num> wks ago, preeclampsia, coming in w/sudden onset abd pain, positive peritoneal signs, rule out intra-abdominal free air.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no evidence of pleural effusion, pneumothorax or focal consolidation.
<unk>-year-old male with cough. evaluation for pneumonia.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with chest pain. question cardiomegaly.
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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. The thoracic spine curves gently to the left. The vertebral body heights and interspaces appear preserved.
presyncope.
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Frontal and lateral views of the chest. The lungs remain clear without consolidation, effusion or vascular congestion. Cardiomediastinal silhouette is stable. Descending thoracic aorta is ectatic. Hypertrophic change is again noted in the spine. Single lead pacing device seen in stable position.
<unk>-year-old male with dyspnea. question chf.
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The lungs remain hyperinflated, flattening of the diaphragms. Biapical pleural thickening/calcification is again seen. Left-sided port-a-cath is again seen, stable in position. Cardiac and mediastinal silhouettes are unremarkable. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. No overt pulmonary edema is seen.
history: <unk>f with sob // ?pulm edema
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There is mild pulmonary vascular congestion and mild to moderate associated interstitial pulmonary edema. Additional airspace opacities in the right lung base in the retrocardiac area may represent atelectasis or focal consolidation, depending upon the clinical setting. There is no pleural effusion or pneumothorax. Biapical pleural scarring is noted. Multiple surgical clips project over the neck suggesting prior thyroidectomy. The cardiomediastinal silhouette is within normal limits.
<unk>m with chest pain shortness of breath, evaluate for pna
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Frontal and lateral chest radiograph demonstrate normal cardiomediastinal and hilar contours. On a background of mild pulmonary edema, there are stable bibasilar opacifications including a domed posterior pleural based opacification likely reflecting rounded atelectasis. There is stable prominence of the right lateral pleura, likely combination of small loculated pleural fluid and pleural thickening. Small amount of fluid tracks along the minor fissure. No pneumothorax evident. Left-sided port-a-cath terminates at the cavoatrial junction.
hypoglycemia, neutropenia, evaluate for pneumonia.
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As compared to the previous radiograph, the pre-existing right lower lobe opacity has substantially decreased in extent and severity. The right lung base is better ventilated than on the previous exam. Overall, the lung volumes have improved, with small mild residual opacities at the right lung base. No new opacities. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
hodgkin lymphoma and dyspnea, evaluation.
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The patient arm/soft tissue overlies the upper half of the chest on the lateral view, partially obscuring the view. Given this, the cardiac and mediastinal silhouettes are stable. Prominence and indistinctness of the hila suggest mild to moderate vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax.
dizziness.
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No significant interval change. The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hila are unremarkable. By a apical pleural thickening and/or scarring appears similar to <unk>. No acute osseous abnormality.
<unk>-year-old man with dyspnea, cough. evaluate pneumonia.
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Frontal and lateral radiographs of the chest were acquired. Hyperinflation of both lungs is not significantly changed. The lungs are clear. Tortuosity of the thoracic aorta is not significantly changed. The heart size is mildly enlarged. There are no pleural effusions. No pneumothorax is seen.
chest pain.
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The right ij central venous catheter ends in the right atrium. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Incidental note is made of median sternotomy wires and left mediastinal surgical clips.
<unk> year old man s/p avr // predischarge eval
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Again seen is a left-sided dialysis catheter with the tip terminating in the right atrium. Mild cardiomegaly is overall stable compared to the prior exam. Again noted is a brachiocephalic venous stent, overall unchanged in position compared to the prior exam. Linear opacities in the retrocardiac region are likely secondary to atelectasis. There appears to be a small left pleural effusion. There is diffuse mild pulmonary edema. This is no evidence of pneumothorax. Visualized osseous structures are unremarkable.
history of dizziness, dyspnea; please evaluate.
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In the interval since the prior study, there has been a dual lead pacemaker in place with leads terminating in appropriate position. There is no the pneumothorax. Heart size is normal. Mild atelectasis at the right lung base is noted.
<unk> year old woman s/p ppm // ptx, leads
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The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is noted, hypertrophic changes noted in the spine.
<unk>f with c/o cp // ? pna
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old man with chest pain.
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The lungs are hyperinflated with flattening of the hemidiaphragms. Moderate cardiomegaly is unchanged. The main pulmonary artery contour is enlarged, also unchanged. There are bibasilar airspace opacities with air bronchograms which may be seen in the setting of atelectasis or consolidation. There is bronchial cuffing in the perihilar regions, perihilar opacities and fluid in the fissures suggesting mild-to-moderate pulmonary edema. There may be small bilateral pleural effusions. There is no pneumothorax. The aorta is calcified and tortuous.
o<num> sats in <unk>s with unclear etiology. evaluate for any acute process.
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The lungs are well inflated and clear. The heart is mildly enlarged, with elongation of the aorta, unchanged. A partially visualized ventriculoperitoneal shunt catheter coursing along the soft tissues of the right anterior neck and chest wall and courses below the diaphragm, not of view. There is no pneumothorax, pleural effusion, pulmonary edema, or focal airspace consolidation.
history: <unk>f with chest pain // ro infection
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal consolidation.
<unk>-year-old male with chest pain, evaluate for pneumonia or pneumothorax.
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The cardiac silhouette is severely enlarged but stable. Extensive coronary calcifications are best appreciated on the lateral radiograph. The mediastinal contours are prominent due to an unfolded and tortuous thoracic aorta. Calcification at the aortic knob is noted. The trachea is slightly deviated to the right by the aortic knob. The pulmonary vasculature is congested with minimal interstitial pulmonary edema. No significant pleural effusion or pneumothorax is detected. There is no focal consolidation concerning for pneumonia. Note is again made of exaggerated thoracic kyphosis with multiple wedge compression deformities at the mid thoracic vertebral bodies.
history of end-stage renal disease, due for dialysis today, now with orthopnea, here to evaluate for pulmonary edema.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Somewhat linear left basilar opacity is again seen suggestive of atelectasis. Elsewhere the lungs are clear of consolidation or effusion. Again seen is prominent mediastinal contour superiorly on the right, potentially due to tortuous vessels however as previously suggested nonurgent ct suggested to further characterize. Degenerative changes seen at shoulders bilaterally.
<unk>-year-old female with fever. question pneumonia.
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Diffusely increased interstitial lung markings reflect underlying chronic interstitial disease. There is no pleural effusion. Lung volume is low. Cardiac silhouette is top normal in size.
history: <unk>m with stroke // acute process
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. There is mild s-shaped scoliosis of the thoracic spine.
history: <unk>f with cp // pna?
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged upper abdomen is unremarkable.
history of cough, shortness of breath and fever, evaluate for pneumonia.
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Pa and lateral radiographs of the chest demonstrate bilateral perihilar opacities, consistent with mild pulmonary edema. This is coupled with pulmonary vascular engorgement in the upper lobes as well as blunting of the left costophrenic angle, consistent with small pleural effusion. However, the heart and mediastinum are not enlarged. Aside from bibasilar atelectasis, the lungs are clear. There is no pneumothorax.
fever and cough.
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The right-sided chest tube is slightly lower in the chest than it was previously. There is a small right apical pneumothorax. There is a small right pleural effusion. . There is volume loss at the right base, but no focal infiltrate. The left lung is clear.
<unk> year old man s/p right vats blebectomy w/ mechanical/chemical pleurodesis // interval change s/p waterseal, please do @ <unk>
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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.
history: <unk>m with pleuritic chest pain // eval for ptx
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The cardiac, mediastinal and hilar contours appear stable including a left ventricular configuration to the heart. A tracheostomy was been removed. A ventriculoperitoneal shunt catheter courses along the anterior chest. The lungs appear clear. There are no pleural effusions or pneumothorax.
altered mental status.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax.
<unk>f with sob // cough
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with left arm pain
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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified. Multilevel moderate hypertrophic changes are seen throughout the imaged thoracolumbar spine.
history: <unk>m with weakness
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Evaluation is markedly limited given suboptimal technique and obscuration of the mid to lower lungs. The upper lungs appear well aerated. Further evaluation is not possible.
<unk>m with sob // pna?
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with fevers for <num> days.
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Frontal and lateral views of the chest. Streaky opacity is identified at the lung bases most likely due to atelectasis. There is no effusion or confluent consolidation. On the lateral view, there is increased opacity projecting over the cardiac silhouette extending superiorly with well-defined anterior margin. This is thought to represent external soft tissues given lack of correlative opacity on the frontal view. On the right, there is suggestion of either diffuse pleural thickening or prominent extrapleural fat. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old male history of chf.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. Surgical clips in the upper abdomen.
<unk>-year-old female with altered mental status.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. There are no displaced rib fractures.
<unk>-year-old male status post motor vehicle crash with left shoulder pain. evaluate for fracture.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature normal. The left hemidiaphragm appears elevated posteriorly no focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality seen.
chest pain.
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The lungs are clear. The cardio-mediastinal silhouette is unremarkable. No significant pleural effusion or pneumothorax.
history: <unk>f with cough // pna?
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Lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with chest pain // r/o acute process
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The aorta is mildly tortuous. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>f with chest pain, evaluate for acute process.
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Ap upright and lateral views of the chest provided. Diffuse ground-glass opacities are noted within both lungs which may reflect pulmonary edema versus atypical infection. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is grossly unremarkable. Bony structures are intact.
<unk>f with cough.
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present.
diabetes mellitus type <num>, presenting with acute kidney injury and supratherapeutic inr, now with fever and dizziness. evaluate for consolidation.
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Patient is status post median sternotomy and cardiac valve replacement. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with syncope // eval for infection
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Subtle posterior lung base densities are demonstrated corresponding to areas of ground-glass opacity on the recent ct examination likely representing a small component of aspiration and certainly do not look worsened compared to prior study. These densities have no frontal correlate. There are tiny layering posterior bilateral pleural effusions. There is no pneumothorax. Redemonstration of a hiatal hernia.
pancreatic adenocarcinoma with biliary obstruction/cholangitis.
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Cardiac silhouette size is normal. The aorta is mildly tortuous. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>f with cough, fever x <num> weeks// ?pna
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No acute, displaced right-sided rib fracture is evident on this chest radiograph examination which was not tailored to evaluate the ribs and is not include the entirety of the lower right ribcage. There is no pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits and without change. Postoperative changes are present within the spine.
<unk> year old man with right anterior rib pain underneath right breast, s/p mechanical fall, please r/o rib fracture // please r/o rib fracture
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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. There is a mild pectus excavatum deformity of the sternum. No free air below the right hemidiaphragm is seen.
<unk>f with rlq abd pain, to get lap appy // pre-op
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Prominence of the cardiomediastinal silhouette is stable in this patient with history of aortic dissection and aneurysm. Patient is status post median sternotomy. Patient is status post median sternotomy. Mild basilar atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. Surgical clips are again seen projecting over the rib and upper outer hemi thorax.
history: <unk>f with hx aortic dissection s/p repair, p/w cp and shortness of breath // eval for acute process
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A right-sided port-a-cath is seen terminating in the low svc without evidence of pneumothorax, placed in the interval. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with lower extremity swelling. // eval for cardiopulmonary process
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal consolidation.
<unk> year old man with chest pain, evaluate for pneumothorax or pneumonia
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Right chest wall port ends in the mid svc. Stable top normal heart size with normal hilar and mediastinal contours. There is a new wedge-shaped opacity in the periphery of the right mid lung. No pleural effusion or pneumothorax.
history: <unk>f with fever and cough // r/o pna
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Lung volumes are low. There are heterogeneous bilateral lower lobe opacities which possibly represent pneumonia. Cardiomediastinal and hilar contours are unchanged. No pneumothorax or pleural effusion.
history: <unk>f with high wbc, intoxicated // eval for pna
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Moderate left pleural effusion with adjacent compressive atelectasis, increased in size from the prior ct. The effusion obscures the known mass in ground-glass opacities in the left lower lung demonstrated on prior ct. Increased asymmetric opacity in the left perihilar region is concerning for lymphangitic tumor spread in the setting of the known mass and less likely reflects pneumonia or a component of edema. The heart is probably mildly enlarged. The mediastinum is not widened. Opacity in the left upper lobe and right upper lobe on prior ct are not readily apparent on radiograph today. No pneumothorax. Aortic knob calcifications are noted. Degenerative changes of thoracic spine are unchanged.
<unk> year old woman with pleural effusion // eval
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with syncope, sob // eval for acute process
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are grossly unremarkable noting laparoscopic band in the left upper quadrant.
<unk>-year-old female with cough and shortness of breath after laparoscopic band surgery three days ago.
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The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no definite change.
chest pain.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is not enlarged. Some calcification projects over the aortic knob. Mediastinal contours are unremarkable. Hilar contours are stable. .
history: <unk>m with ruq pain // r/o cholecystitis, infiltrate
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Apart from subsegmental atelectasis in the right lung base, the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No subdiaphragmatic free air is present.
history: <unk>m with etoh abuse, found down, diffuse abdominal pain, emesis (aspiration?) // free air under diaphragm? pneumonia?
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There is no consolidation or pneumothorax. Mild blunting of the left costophrenic angle is consistent with a small left pleural effusion as demonstrated on outside neck ct. No evidence of pneumomediastinum is identified. Heart is normal size. Soft tissue swelling is noted in the left supraclavicular region, and note is made of widening of the left superior mediastinal contour, both more fully evaluated on the neck ct exam.
history: <unk>f with ?pneumonmediastinum // int change?
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Small bilateral pleural effusions with mild bibasilar atelectasis, left greater than right, is noted. Note is made of bilateral apical scarring and thickening, right greater than left. The heart size is normal. Previously noted subcutaneous emphysema appears resolved. No pneumothorax or pulmonary edema. Mitral valve calcifications are seen.
<unk> year old woman with heart failure, diminished breath sounds // eval for pleural effusion
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The cardiomediastinal silhouette is normal. There is a right apical opacity with no evidence of adjacent erosive changes. The lungs are otherwise clear. There is no effusion or pneumothorax. There is no evidence of pulmonary vascular congestion. Clips are seen in the right axilla and right chest wall.
breast cancer on chemotherapy, herceptin, new onset generalized edema. rule out congestive heart failure.
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Severe cardiomegaly is stable. There are small bilateral pleural effusions. No focal consolidation is seen. No pulmonary vascular congestion is seen. There is mild atelectasis in the lung bases.
pedal edema, evaluate for cardiopulmonary 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.
<unk>m with right chest wall ttp s/p assault // r/o lung contusion
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There is mild-to-moderate cardiomegaly and an unfolded aorta. Engorgement of the vasculature is consistent with fluid overload. Left lower lobe opacities are consistent with a prominent fat pad as well as atelectasis. No focal consolidations are present that are concerning for pneumonia. No pleural effusion. On the lateral view, projecting over the spine and under the left diaphragam, is a <num> cm oblong density which has no clear correlate on the frontal views.
dyspnea, rule out infiltrate.
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The cardiomediastinal silhouette, including the markedly tortuous aorta, is unchanged. There is no chf. A small right effusion is likely present, but is not clearly changed. Areas of pleural fluid seen on the lateral view do not appear increased in the interval. Prominent right hilum is better seen on the current examination. Known right lower lobe mass is not well delineated, but may correspond to the right infrahilar soft tissue fullness. There is an equivocal focal opacity along the mid right chest wall laterally, which appears new, and a possible vague opacity at the lung left lung base laterally, which also appears new. A left-sided indwelling catheter is again noted, with tip in right atrium.
<unk> year old man with non-small cell lung cancer, possible renal cell carcionoma who presented with shortness of breath, found to have anemia. now s/p <num>units prbcs with continued dyspnea on exertion. ?volume overload // ?infiltrate vs. edema
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Pa and lateral views of the chest provided. Midline sternotomy wire noted. The heart is mildly enlarged. The hila appear engorged. No overt edema. No signs of pneumonia. No pleural effusion or pneumothorax. The mediastinal contour appears grossly within normal limits. Bony structures are intact. No free air below the right hemidiaphragm
<unk>f with chest pain, swollen legs. fall in <unk>.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is top normal in size, and the mediastinal contours are normal.
<unk>-year-old female with shortness of breath and chest pain. evaluate for pneumonia.
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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 eventration of the right hemidiaphragm, similar to <unk> with bibasilar atelectasis and calcified pleural plaques again seen. Lungs are otherwise grossly clear without focal consolidation, pneumothorax, or pleural effusion. There is a chronic-appearing deformity of a left posterior rib. The osseous structures are otherwise unremarkable. No radiopaque foreign body.
<unk>-year-old male with fever and productive cough. evaluate for infectious process.
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Since a recent radiograph of <unk>, widespread pulmonary edema has resolved with only minimal residual interstitial edema remaining. However, a more confluent area of airspace opacification has developed at the right lung base, and note is made of minor atelectasis of the left lung base as well as small bilateral pleural effusions. Cardiomediastinal contours are stable with moderate hiatal hernia noted.
<unk> year old man with nstemi and chf, increasing sob // ? worsening pulmonary edema
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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax. Pulmonary vasculature is within normal limits. The patient is status post cabg with unchanged appearance of the cardiac silhouette. Dextroconvex scoliosis of the thoracic spine and aortic tortuosity are unchanged.
chest pressure since last night.
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<num> views of the chest. The lungs are well expanded. Peribronchial cuffing is present in the perihilar region and a confluent opacity is seen in the right lower lobe in the infrahilar area. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable.
cough, hypoxemia and shortness of breath. assess for pneumonia.
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Blunting of the left costophrenic angle with silhouetting of the left hip in diaphragm is most consistent less small left pleural effusion and atelectasis. There is also small right pleural effusion. Central pulmonary vascular congestion is moderate. The mass is minimal. Heart size is enlarged, unchanged. Aortic knob calcifications are moderate unchanged. Patient status post median sternotomy. Anterior compression deformity of a lower thoracic/ upper lumbar vertebral body unchanged. No pneumomediastinum or pneumothorax. No subdiaphragmatic free air.
<unk> year old man with sig abd pain. // upright image to r/o perforation
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The lungs are fully expanded and clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Left-sided dual-chamber pacemaker is unchanged in position with leads in the right atrium and right ventricle. Right port-a cath terminates in the low svc, unchanged from prior. Left elevation of diaphragm is stable.
<unk> year old man with pacemaker and left temporal anaplastic astrocytoma. check pacemaker placement.
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There is mild elevation of the left hemidiaphragm with volume loss. The cardiac, mediastinal and hilar contours appear stable. The right lung is clear. There are a few very small unchanged nodules projecting over the left upper lung, none over <num> mm in diameter, probably calcified granulomas. Vague opacity in the lingula appears new and there is minimal posterior basilar opacity which could be seen with minor volume loss. There is no pleural effusion or pneumothorax.
high fever and weakness. history of chronic lymphocytic leukemia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Mild biapical pleural parenchymal scarring is unchanged. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain
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Pa and lateral views of the chest were reviewed and compared to the prior studies. Severe scoliosis that distorts the intrathoracic cavity is unchanged. Minimal left lower lung atelectasis is unchanged. The cardiac and mediastinal contours are unchanged. The visualized portions of the lung are free of focal consolidation, pulmonary edema, pleural effusion or pneumothorax. A ventriculoperitoneal shunt coures from the right neck through the thorax and into the abdomen.
cough and low-grade fevers in a patient with rheumatoid arthritis on plaquenil.
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The lungs are hyperinflated but clear of focal consolidation suspicious for infection. Linear left basilar opacity is seen is most suggestive of atelectasis or scarring. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with acute chest pain radiating to the back.
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The lungs are clear, the cardiomediastinal silhouette is normal, and there is no pleural effusion or pneumothorax.
history: <unk>m with chest pain, came in intoxicated // ? pna, consolidation
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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 syncope, dyspnea. // ?ptx, acute cardiopulm abnormality
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The lungs are clear without focal consolidation, effusion, or pneumothorax. Calcific density projecting over the right upper lung may be related to first rib costochondral junction, unchanged from prior. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. Degenerative changes also noted at the ac joints.
<unk>m with unhelmeted bike vs mvc, l sided neck pain, r chest pain (<unk> ribs anterior axillary <unk>), r hip pain, s/p r total hip in <unk> // ? intracranial bleed, c-spine fx, rib fx, hip fx or hardware damage
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Lung volumes are low bilaterally. Lungs are otherwise clear without evidence of focal consolidation or pulmonary edema. Heart size is normal. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
<unk> year old man with ?hepatorenal syndrome being considered for steroid tx, r/o infection // r/o infection
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Pa and lateral views of the chest provided. Left chest wall port-a-cath is again seen with its tip in the lower svc. The lungs are clear bilaterally. 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 acute onset sob. t <num>
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Compared to prior, there has been substantial decrease in right pleural effusion with minimal pleural effusion. Right lower lobe atelectasis is improved. No appreciable pneumothorax is seen. There is persistent moderate left pleural effusion, possibly larger. There is engorgement of the pulmonary vasculature, though no pulmonary edema is seen. The heart size is enlarged. Fiducial markers are seen in the abdomen. Severe degenerative changes of the spine is seen.
<unk> year old woman with b/l pleural effusion s/p right <unk> with <num>ml removed. evaluate for pneumothorax.
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There is a small to moderate-sized left pleural effusion which has decreased from the most recent prior study. There is no pneumothorax, right pleural effusion or focal airspace consolidation. There has been improvement in mild pulmonary edema and vascular engorgement. The cardiac silhouette is normal in slightly decreased from prior. Evidence of chronic lung disease and emphysema are again noted.
cirrhosis, left pleural effusion now status post a recent thoracentesis. evaluate for the presence of a left effusion.
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The heart is mildly enlarged. There is a moderate hiatal hernia with an air-fluid level. The mediastinal and hilar contours appear unchanged aside from the fact that the hiatal hernia was quite small before in retrospect, so it may be partly reducible. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
increasing weakness.
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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiac silhouette is top normal. A left chest wall pacemaker is seen with leads in the right atrium and right ventricle. Patient is status post valve replacement. Median sternotomy wires are intact. Patient is status post shoulder arthroplasty. There are no acute skeletal abnormalities.
<unk>-year-old female with lightheadedness, question acute process.
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Since <unk>, mild-to-moderate bibasilar atelectasis, right greater than left, is new. The cardiomediastinal contours, hilar contours, and pleural surfaces are normal. No pneumothorax. The cardiac silhouette is mildly enlarged.
<unk> year old man with cirrhosis post rfa // hemo/pneumothorax