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No previous images. The heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. Specifically, no evidence of hilar or mediastinal lymphadenopathy.
swelling of lower extremities, to assess for mediastinal lymphadenopathy.
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Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar. Lungs remain hyperinflated with flattening of the diaphragms and emphysematous changes noted in the lung apices. No pulmonary edema is present. Mild interstitial abnormalities are noted within the lower lobes, likely suggestive of chronic changes. More focal linear opacity within the lingula indicates atelectasis. No focal consolidation, pleural effusion or pneumothorax is visualized. Severe compression deformity of a mid thoracic vertebral body is unchanged from <unk>, but a severe compression fracture of a vertebral body at the thoracolumbar junction appears new.
history: <unk>f with dizziness
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In comparison with the study of <unk>, the right chest tube remains in place. There is a small apical pneumothorax that is now visible with the change in position of the overlying clavicle. Continued low lung volumes. There is increasing opacification at the right base that raises the possibility of developing consolidation. Engorgement of pulmonary vessels persists, consistent with volume overload, and there are atelectatic changes at the left base.
right upper and lower wedge resection, to assess for post-operative changes.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
fever, tachycardia and cough.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no acute osseous abnormality.
<unk>-year-old woman with chest pain.
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There is a rml and lingula opacity consistent with pneumonia. There is mild vacular congestion. The cardiomediastinal shilhouette and hila are normal. No pneumothorax.
<unk> -year-old with great toe ulcer, please assess for pneumonia.
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The lungs are symmetrically well expanded and well aerated without focal opacity, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits.
multifocal brain lesions and nausea/vomiting, here to evaluate for acute cardiopulmonary process.
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Slightly increased lower lobe airspace opacification is compatible with evolving pneumonia. There are no new consolidations. Diffuse parenchymal changes compatible with emphysema are unchanged. A small left pleural effusion is slightly increased. There is no pneumothorax. The heart and mediastinum cannot be accurately assessed on this projection.
<unk> year old woman with lll pneumonia and small pleural effusion // change in pleural effusion, pulonary edema, or any change in yesterdays opacity
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Hilar contours are normal. No pleural abnormality. No acute osseous abnormality.
history: <unk>f with chest pain. evaluate for pneumonia.
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There is minimal left base atelectasis. No focal consolidation is seen. There is persistent blunting of the right costophrenic angle. No large left pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
chest pain.
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Pa and lateral views of the chest provided. Small pneumothorax of the right lung apex cannot be excluded. Linear scarring of the right midlung and stable thickening of the right lateral pleura is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Port-a-cath remains in place terminating at the cavoatrial junction.
history: <unk>f with sharp right-sided chest pain // eval for pneumothorax
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Opacity projecting over the anterior left first rib is likely due to overlapping structures however, this could be confirmed with apical lordotic view. No focal consolidation is seen elsewhere. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
history: <unk>m with presyncope // eval heart and lungs
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Mild-to-moderate edema is new. The opacity in the right lower lobe with silhouetting of the right hemidiaphragm costophrenic angle is concerning for new airspace opacity such as infection and/or edema. Increased opacity in the left lower lobe may reflect a combination of edema, concurrent infection, and atelectasis. Persistent elevation of the left hemidiaphragm is unchanged. Bilateral pleural effusions hernia. Left lower lung pleural calcifications are unchanged since at least <unk>. Sub- <num> mm opacities projecting over the left upper lobe are unchanged since at least, likely granulomas.
history: <unk>m with cough, hemoptysis // ? pneumonia
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. There is no focal consolidation concerning for pneumonia. Cardiomediastinal and hilar contours are within normal limits. No pleural effusion or pneumothorax is seen.
history: <unk>f with h/o pd, hld now with <num> episode chest pain // eval cardiomegaly, pna
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Mild increased interstitial markings are demonstrated within the lung bases, and likely reflect a mild chronic interstitial abnormality, as suggested on the prior ct abdomen. Additionally, patchy opacity within the left lung base is concerning for an area of developing infection. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with cirrhosis, aaa, presenting with cough.
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Left pleural effusion has increased and is now moderate. The right lung is unremarkable in this patient with an atrioventricular pacemaker and moderate cardiomegaly. There is no pulmonary edema. Right rib fractures are healed and there is calcification of the right coracoclavicular ligament.
patient with left effusion.
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The right port-a-cath terminates in the lower svc near the superior caval atrial junction. There is no pneumothorax or pleural effusion. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia.
<unk> year old woman with metastatic pancreatic cancer. // assess port location.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Pulmonary vasculature is unremarkable. Chronic scarring is present in the right middle and lower lobes. Lungs are otherwise clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. Orthopedic hardware of an upper extremity is incompletely imaged. Status post acdf of the lower cervical spine. Surgical clips project over the right upper quadrant.
<unk>-year-old male with copd and now productive cough. evaluate for pneumonia.
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Study is limited by body habitus. Lung volumes are low, accentuating the cardiac silhouette and pulmonary vasculature. Given low lung volumes, heart size is only mildly enlarged. Previous mild pulmonary edema and mediastinal venous engorgement have resolved, although pulmonary vascular congestion persists. Lungs are otherwise clear. Thoracic aorta is mildly tortuous. Hilar contours are unremarkable. Plate-like atelectasis at the right lung base persists. Pleural surfaces are clear without effusion or pneumothorax.
seizure.
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The heart size is normal. The mediastinal and hilar contours are unchanged and within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. No pulmonary edema is seen. Mild degenerative changes of the thoracic spine are noted.
shortness of breath and chest pain.
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There is no focal consolidation, pleural effusion, or pneumothorax. A streaky retrocardiac opacity may represent developing infectious process. The mildly enlarged cardiac silhouette, pulmonary vascular engorgement and tortuous aorta are unchanged. Osseous structures are intact.
history of rigors, question infection.
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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is upper limits of normal, unchanged from <unk>. Mediastinal silhouette and hilar contours are normal. Mild biapical extrapleural thickening is unchanged from <unk>. <unk> over the neck are from prior thyroid surgery.
<unk>-year-old woman with chronic cough and history of thyroid cancer.
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The lungs are clear besides mild left basilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, degenerative changes are noted at the ac joints bilaterally.
<unk>f with altered mental status, chest pain // eval for acute process, attn to pna
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Frontal and lateral radiographs of the chest demonstrate interval resolution of small bilateral pleural effusions. Thickened, distorted minor fissure is unchanged. Otherwise, the lungs are clear with no evidence of acute infection. The cardiac and mediastinal contours are normal. Unchanged mild biapical thickening. No other pleural abnormality.
history of vasculitis with m. <unk>, on prednisone, with bilateral pleural effusions on <unk>. evaluate effusions.
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Cardiomediastinal silhouette is within normal limits. No focal consolidation or pulmonary edema. Small bilateral effusions are noted. Coarsening of the bronchovascular markings and hyperinflation is stable. No pneumothorax. Degenerative changes of the bilateral shoulders are again noted.
<unk>f with fever to <num> and neck pain today as well as stiff neck. evaluate for consolidation.
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The heart appears mild to moderately enlarged. Central pulmonary arteries are again prominent in size. Small pleural effusions are present bilaterally. Heterogeneous hazy opacification of each lung is very similar to the prior examination and suggests long chronicity to the parenchymal abnormality without clear acute change.
dyspnea.
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Patient is slightly rotated to the right. The heart is moderately enlarged. The mediastinal contours unchanged since prior exams. A large hiatal hernia is redemonstrated. Lung volumes remain low. There is moderate compressive atelectasis. No definite consolidation is noted. No pulmonary edema or pneumothorax.
history: <unk>f with multiple surgeries, frequent obstructions; c/o abd pain //
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Pa and lateral views of the chest provided. Mild bibasilar atelectasis is noted without convincing evidence for pneumonia or edema. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette appears stable. Severe degenerative changes in the lumbar spine noted with dextroscoliosis. Degenerative changes also noted at both shoulders.
<unk>f with cough, possible fever // eval for infiltrate
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Right-sided large-bore central venous catheter is again seen terminating in the right atrium. Dual lead right-sided pacemaker is stable in position. There is persistent blunting of the bilateral costophrenic angles suggesting trace pleural effusions with overlying atelectasis. Perihilar opacities are consistent with pulmonary edema which appear grossly stable to possibly minimally decreased as compared to the prior study. The cardiac silhouette remains enlarged. The aorta is calcified.
history: <unk>f with dyspnea and productive cough // ? process
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Apart from minimal atelectasis within the left lung base, lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. There are minimal degenerative changes in the thoracic spine. Multiple clips are seen in the right upper quadrant of the abdomen.
dyspnea.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta. No hilar or mediastinal abnormalities. No pleural effusions. No pneumonia, no pulmonary edema.
shortness of breath, preoperative chest x-ray.
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Frontal and lateral views of the chest. Prominent interstitial markings seen throughout the lungs compatible with chronic underlying interstitial process. There is no consolidation or effusion or evidence of superimposed vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. Anterior and posterior cervical fixation hardware is seen as well as compression deformity of the lower thoracic vertebral body which is not as well assessed on the current exam secondary to technique.
<unk>-year-old male with recent falls and left-sided rib pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen.
history: <unk>f with chest pain
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Pa and lateral views of the chest provided. Suture projecting over the right and left lung base reflect prior intervention. Lungs are clear. 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 right sided weakness
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Assessment is slightly limited by patient rotation. Heart size is within normal limits. The mediastinal contour is unremarkable. Lungs are hyperinflated with apparent emphysematous changes noted. Patchy ill-defined opacities are seen within the lung bases highly concerning for infection or aspiration. There may be a trace left pleural effusion. No pulmonary edema or pneumothorax is present. The osseous structures are diffusely demineralized with mild loss of height of several thoracic vertebral bodies.
history: <unk>f with cough
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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 s/p liver transplant with <num> week fevers, headaches, and leukopenia // evaluate for pneumonia, infection
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The lungs are well expanded and clear. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size and stable. No effusion or pneumothorax is noted. The osseous structures are unremarkable.
palpitations.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Streaky opacity in the retrocardiac region likely reflects left lower lobe atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There is no acute osseous abnormality identified.
history: <unk>f with chest pain
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The right breast mimics an opacification of the right hemithorax. On the lateral views, there are no suspicious pulmonary consolidations. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with possible stroke, please assess for pneumonia.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
palpitations.
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Cardiac silhouette size remains moderately to severely enlarged. Mediastinal and hilar contours are unchanged. There is mild pulmonary vascular engorgement. Patchy opacities within the lower lobes bilaterally may reflect areas of atelectasis but aspiration or infection cannot be excluded. No pleural effusion or pneumothorax is identified. Multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f with dyspnea // eval for pulmonary edema
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The left chest wall port-a-cath is unchanged position ending in the right atrium. Tracheostomy tube is in unchanged position. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with cough sore throat // <unk> pna, cough patient with history of tracheal reconstructions
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The cardiac, mediastinal and hilar contours appear unchanged. Attenuation of upper lung markings and a large suspected bulla in the right upper lung suggest emphysema. There is again widespread scarring in the lower lungs bilaterally with a very similar pattern. The lungs are hyperinflated. There is no pleural effusion or pneumothorax. There has been no definite change.
hiv and concern for tuberculosis.
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Since the prior radiograph, there has been resolution of the right pleural effusion. There is no pleural effusion on the left. Apical pleural thickening, greater on the right than the left, is unchanged. The lungs are clear without consolidation or pulmonary edema. There is no pneumothorax. The cardiomediastinal silhouette is normal. A stable mild compression deformity is noted in the mid thoracic spine.
history of cough.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. There is no pleural effusion and no evidence of pulmonary edema. No focal parenchymal opacity suggesting pneumonia. No lung nodules or masses.
cough, asthma, evaluation.
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Lungs are hyperinflated with severe emphysematous changes. There is scarring more pronounced at the right apex. There is bibasilar atelectasis. A <num> cm rounded opacity in the right lower lung appears new since prior study. No large consolidation is identified. The cardiac silhouette is within normal limits. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with syncope, evaluate for pneumonia.
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted, fragmented along the superior margin. The heart is mildly enlarged. Scattered calcified pleural plaque noted likely accounting for speckled opacities overlying both lungs. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax is seen. The mediastinal contour is normal. Bony structures are intact. Cervical fusion hardware noted.
<unk>f with likely stroke, cough // 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 unremarkable.
<unk>-year-old man with chest pain.
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Pa and lateral views of the chest provided. Lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. No signs of edema or congestion. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with new <unk>, hyponatremia
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There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with chest pain // acute process
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Heart size is moderately enlarged. Apparent widening of the mediastinum is likely due to patient rotation and low lung volumes. There is evidence of congestive failure with moderate right and small left pleural effusions, mild pulmonary edema, and lower lobe opacities consistent with atelectasis. No pneumothorax.
history: <unk>m with cough // r/o acute process
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Overall lung volumes are low.there is an opacity at the right lung base. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Right humeral hardware is present.
history: <unk>m with fever, leukocytosis // eval for pna or acute process
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Ap upright and lateral views of the chest provided. There is persistent left pleural effusion with adjacent left lower lobe consolidation which has been seen on multiple prior imaging studies dating back to <unk>. Difficult to exclude a superimposed pneumonia though overall appearance is unchanged. Right lung appears clear. Patient is left for rotated. Overall mediastinal contour appears grossly stable. Bony structures are intact.
<unk>m with severe as, chf, cad, pleural effusions who presents w sob
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
cough, wheeze and dyspnea.
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Pa and lateral views of the chest were obtained. The lung volumes are reduced. The cardiomediastinal silhouette is unremarkable. There is no evidence of pneumonia, effusion or pneumothorax. There are degenerative changes of the thoracic spine.
<unk>-year-old female with neuromyelitis optica and flare. evaluation for infection prior to starting high-dose steroids.
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unchanged. No pneumothorax, pleural effusion, or consolidation. The left hemidiaphragm is chronically elevated.
history: <unk>f with shortness of breath, chest pain. query acute process.
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The lungs are relatively hyperinflated. No focal consolidation is seen. There is blunting of the right costophrenic angle consistent with a small right pleural effusion. The cardiac and mediastinal silhouettes are unremarkable. The patient is status post median sternotomy with the inferior-most wire possibly fractured. Multiple surgical clips are noted in the upper abdomen.
history: <unk>m with hep c and abdominal pain // eval infiltrate
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size is top normal. The aorta remains tortuous and minimally calcified. Previously noted mild pulmonary edema has resolved with the pulmonary vascularity now appearing not engorged. Trace left pleural effusion is noted. Previously seen right pleural effusion appears resolved. There is no pneumothorax or focal consolidation. Multilevel degenerative changes in the thoracic spine are again noted. Deformity of the right shoulder and upper ribs is unchanged. A cardiac monitoring device is re- demonstrated in the left anterior chest wall.
chest pain.
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Median sternotomy wires are intact and stable in appearance as well as prior cabg clips. Moderate right-sided pleural effusion, slightly increased since the prior with adjacent atelectasis. The left lung is clear. The cardiac silhouette is mildly enlarged. No pneumothorax.
<unk> year old man with hcv cirrhosis, multifocal hcc (s/p tace x<num> and s/p rfa x<num>, most recently <unk>), recently admitted for post-rfa syndrome with fevers, new right pleural effusion, and possible infiltrated. treated for community-acquired pneumonia. // interval change
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The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with chest pain // r/o acute process
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The lungs are well expanded. Mildly increased opacity at the right lung base without a correlate on the lateral view is likely atelectasis but may represent earlier developing pneumonia in the appropriate clinical setting. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. There is no free air under the diaphragm. No acute osseous abnormality is identified.
<unk>-year-old woman with chest pain and dyspnea.
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As compared to prior chest radiograph from <unk>, there is partial obscuration of the right hemidiaphragm and there is a small right-sided pleural effusion. There is also a new area of increased opacity at the right lung base which could be related to volume loss. However, in the appropriate clinical setting, these findings could also reflect early pneumonia. The left lung is clear. The cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax.
<unk>-year-old man status post rml. study requested for evaluation of interval change.
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Mild cardiomegaly is chronic. Cephalization of blood flow is chronic. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with cirrhosis, history of ascites with sob and wheezing // assess for fluid overload, pleural effusion
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Patient is rotated somewhat to the right. Tracheostomy tube is again seen. There is a small to moderate right pleural effusion with overlying atelectasis. Right base opacity may be due to combination of pleural effusion and atelectasis however, overlying consolidation is not excluded. The left lung is grossly clear. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with s/p fall // infiltrate
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
cough, nausea, vomiting, right upper quadrant pain, elevated bowel sounds.
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation, pneumothorax, or pleural effusion. The cardiac, mediastinal, and hilar contours are normal. The aortic arch calcifications are stable. No pulmonary vascular congestion.
subacute anemia, guaiac negative, evaluate for hemothorax. also suspicion for multiple myeloma.
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Increased pulmonary markings are noted. The cardiac size is normal. Right lower lobe opacities seen best on frontal radiograph appears new since the prior study, although there is no clear correlate on the lateral film. There is no pneumothorax. There is no pleural effusion or pulmonary edema.
history: <unk>f with r sided chest pain // r/o pneumothorax
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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.
<unk>-year-old male with fever, cough. evaluate for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with right sided chest pain
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with cough
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Cervical surgical hardware is again noted.
history: <unk>f with sudden-onset chest pain // pulm congestion? ptx?
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Low lung volumes accentuating bronchovascular crowding. Thicker linear opacities in both lung bases are probably worsening atelectasis, but could obscure early pneumonia. A small pleural effusion cannot be excluded on the left due to costophrenic angle blunting. There is no pneumothorax or pulmonary vascular congestion. The heart is normal in size. Aortic arch calcification is present.
<unk>-year-old male with postoperative fever. question infection.
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Pa and lateral chest radiographs were provided. Lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. Left chest wall pacemaker is noted with leads in the right atrium and right ventricle. The visualized cardiac silhouette is normal. The bones are intact. A left humeral replacement is noted.
history of fall, left shoulder and hip pain. evaluate for traumatic process.
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There has been interval removal of the pericardial catheter. The cardiac silhouette is moderately enlarged. There is some mild mediastinal shift to the right. The nodular pleural thickening is again visualized. There is pulmonary vascular redistribution and increase in interstitial markings bilaterally
<unk> year old woman with multiple myeloma, recent pericardial drainage, new slightly worsening dyspnea // ? left pleural effusion v pericardial effusion v consolidation
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Subtle left basilar streaky opacity seen on the ap view does not have a clear correlate on the lateral view and may represent atelectasis. However, a subtle consolidation is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with left sided cp // ?pna
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with chest pain, h/o pe low well's probability // eval for cardiopulmonary process
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is within normal limits. Rounded low-density structure projecting over the right heart border may represent a fat pad or a pericardial cyst.
<unk>-year-old male with chest pain.
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Heart size is normal. The aortic knob is calcified. The mediastinal and hilar contours are unremarkable. Numerous mediastinal clips are present. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine.
hypotension.
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There has been interval removal of the right ij line. There is no focal infiltrate or effusion.
low-grade fever, question 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>f with chest pain // acute cardiopulmonary process
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Lung volumes are extremely low, accentuating the cardiac silhouette and pulmonary vasculature. Heart size is top normal with prominent tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Bony structures are grossly intact.
right posterior thoracic pain.
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Pa and lateral views of the chest provided. Multifocal consolidations in the right lung and left lower lobe are essentially unchanged. Small bilateral pleural effusions have mildly increased. No pneumothorax. Cardiomediastinal contours are stable.
<unk> year old man with rll pna // perform at <time>am on <unk>. r/o interval change.
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There are relatively low lung volumes and minor left basilar atelectasis/ scarring. Likely external artifact projects over the lateral right upper hemi thorax. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with fever // r/o pna
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
history: <unk>f with c/o cough with sob // ? pna
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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 chest pain
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The lungs are well-expanded and clear. Splaying of the carina, double cardiac silhouette in the left, and a transverse dimension of the right atrium of <num> cm are compatible with right atrial enlargement which appears stable compared with the previous exam allowing for difference in technique. There is no pleural effusion or pneumothorax.
<unk>-year-old male with history of atrial fibrillation, chest pain for <num> hr and vomiting. evaluate for acute process.
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The lungs are hyperinflated. A small amount of linear atelectasis is present in the right lung base. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
history: <unk>m with cough // pna. effusion, mass
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Moderate right pleural effusion with overlying atelectasis is re- demonstrated. Right juxta hilar fibrotic changes) could right upper lung atelectasis are again seen as long as right apical opacity. Right hilar mass and right lower lobe atelectasis/obstruction, better assessed on prior ct. The left lung is hyperinflated, and aside from mild left base atelectasis/ scarring, is grossly clear. Cardiac and mediastinal silhouettes are stable. No frank pulmonary edema is seen. The patient is status post median sternotomy and cardiac valve replacement. Single lead left-sided pacemaker is stable in position.
history: <unk>f with chest pain, lung cancer // evaluate for pulmonary edema, infection
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Consolidation is seen in the right lower lobe posteriorly, compatible with pneumonia. There is a probable small right pleural effusion. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax.
history: <unk>m with weakness, falls // pna?
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Post-surgical changes involving the right apex is unchanged with surgical anterior thoracotomy, and areas of pleural thickening. There is no new focal opacity concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable. Heart size is normal. Note is made of previous atrial septal closure device. Incidentally noted is high-density demonstrated over the right upper quadrant.
<unk>-year-old female one month status post tracheoplasty with right chest wall pain. evaluate for pneumothorax or fracture. pa and lateral chest radiograph
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
possible perforated duodenal ulcer. preoperative chest radiograph.
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There is overall stable appearance of the chest from <unk> with loculated right pleural effusion extending over the apex and opacification of the right lower lobe which was demonstrated to be a postobstructive consolidation on the pet-ct yesterday. There is stable enlargement of the cardiac silhouette. No pneumothorax.
<unk>f with metastatic lung ca and known right pleural effusion with dyspnea // assess for pna, worsening effusion
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There is no definite acute cardiopulmonary process. Increased opacity projecting over the first costochondral junctions bilaterally are unchanged over multiple prior exams. Enlarged pulmonary arteries suggesting pulmonary hypertension is also unchanged. Mild cardiac enlargement, unchanged. No new focal consolidation nor edema. There is tortuosity of the thoracic aorta with atherosclerotic calcifications. Thoracic and lumbar compression deformities are unchanged.
<unk>f with syncopal episode // acute cardiopulmonary process
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. Patchy scarring at the left lung apex is stable. A nipple shadow is visualized on the right. The lungs appear otherwise clear. There is no evidence for pleural effusion or pneumothorax. Slight degenerative changes along the thoracic spine are similar.
syncope.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with cough and questionable pneumonia on prior chest x-ray. evaluate for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate hyperexpanded lungs. The small regions of peribronchial opacification at the right and left lung base are much less conspicuous on this exam. The heart size is normal. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion, pneumothorax, or pulmonary edema. Again seen is a wedge-shaped deformity of the mid thoracic vertebral body, unchanged from prior.
<unk>-year-old man with a history of mycoplasma pneumoniae status post treatment. evaluate for interval change.
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Likely due to technique, the prior radiograph did not show the pneumothorax. However, there is a right-sided pneumothorax that has a its apex <num> cm from the pleura. Otherwise the cardiomediastinal silhouette is unchanged. There are no new parenchymal consolidations seen.
<unk> year old man with persistent o<num> requirement // pls eval for r ptx pls eval for r ptx
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There is mild diffuse engorgement of pulmonary vessels which are ill-defined, consistent with interstitial pulmonary edema. There is small left pleural effusion. Cardiomegaly is noted. Increased ap diameter of the chest and flattening of diaphragm could reflect possible copd.
<unk> yo m with pmhx of ddrt on <unk> and recent cva in <unk> with a cva in the right inferior pons presented to <unk> from rehab on <unk> with hematuria, uti with sepsis, cxr abnormalities. // further characterization of apical infiltrates seen on osh cxr.
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Lungs are clear. Cardiac silhouette is normal. There is no pleural effusion, pneumothorax, pneumonia or pulmonary edema. These are non-dedicated views of the ribs which demonstrate no evidence of acute fracture. If clinical concern remains, a dedicated series can be obtained. Mild height loss of a mid-thoracic vetebral body is unchanged.
chest wall pain and trauma.
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Pa and lateral views of the chest demonstrate hyperexpansion of the lungs with relative flattening of the hemidiaphragms, consistent with copd. The hila are prominent. The cardiomediastinal silhouette is not enlarged. Patchy opacity at left lung base is consistent with atelectasis. No frank consolidation concerning for pneumonia is identified. There is no pleural effusion, pneumothorax, or overt pulmonary edema.
<unk>-year-old male with copd and shortness of breath with fevers. evaluation for pneumonia.