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The lungs appear hyperinflated, suggesting underlying copd. There is no focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits.
chest pain and confusion, here to evaluate for acute cardiopulmonary process.
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The heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
hypertension.
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Cardiomediastinal silhouette is normal. There is right greater than left basilar atelectasis. Lungs are well aerated without focal consolidation, pleural effusion, or pneumothorax. Left-sided pacemaker leads are unchanged in position. Aortic knob calcifications are also unchanged. Overall, appearance is similar to the radiograph from <unk>.
<unk>f with chills. r/p pneumonia.
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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 chest pain and "popping" sensation
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Pa and lateral views of the chest. No prior. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with confusion.
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
burkitt's lymphoma in remission. <num> week productive cough and dyspnea.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
diastolic congestive heart failure with shortness of breath for several weeks.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is no free air under the diaphragm.
<unk>f with epigastric and cp, rule out occult process.
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Redemonstrated is a right-sided port-a-cath with the tip terminating in the mid svc. As compared to the prior examination, lung volumes have decreased and there is crowding of the bronchovascular structures. Bilateral hilar opacities are unchanged, correlating with radiation fibrosis as seen on recent chest ct. There is no new lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Mild cardiomegaly is unchanged.
<unk> year old woman with dyspnea // dyspnea
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The heart is normal in size. There is vague calcification along the aortic arch as well as mild to moderate unfolding along the descending thoracic aorta. The lungs appear clear. The chest is hyperinflated. There is no pleural effusion or pneumothorax. Moderate anterior osteophytes are present throughout mid through lower thoracic spinal levels. Mid thoracic spinal levels also show mild narrowing of interspaces. Surgical clips project along the base of the neck.
new seizure.
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Pa and lateral views of the chest provided. Vague left lung base opacity may represent atelectasis. No convincing evidence for pneumonia. No 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 l sided cp
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Increased interstitial markings, including at the subpleural regions, similar to possibly a slightly progressed compared to the prior study. No definite new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with prod cough pls eval pna // history: <unk>f with prod cough pls eval pna
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Moderate right-sided effusion has increased since the prior. Small apical pneumothorax on the left also slightly increased. No pulmonary edema. The right lung is clear. Moderate hiatal hernia. Mild to moderate cardiomegaly.
<unk> year old woman with pleural effusion // eval
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Pa and lateral views of the chest were reviewed. Compared to the most recent prior study of <unk>, minimal increase in radiographic denisty and subtle loss of vessel contours in the left lower lob could represent developing pneumonia. There is no pulmonary edema, vascular congestion, pleural effusion or pneumothorax. The heart size is normal and calcification of the aortic knob is unchanged.
upper respiratory infection.
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Lung volumes are low but no focal parenchymal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with sudden onset of bilateral leg swelling. evaluate for pulmonary edema.
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The patient has multiple known rib fractures, more completely depicted on the recent chest ct. The known right clavicular fracture is not well appreciated on this examination. Again seen is the right chest tube. The overall appearance is similar. Slight differences in configuration could relate to differences in positioning and inspiratory volume. A tiny right apical pneumothorax is probably unchanged. The recent ct also showed a tiny basilar pneumothorax which is not appreciated radiographically. The cardiomediastinal silhouette is unchanged. The heart is not enlarged. Aorta is minimally unfolded. There is upper zone redistribution, but no overt chf. There bibasilar atelectasis, without frank consolidation. No gross effusion is identified.
<unk> year old man with rib fx and chest tube // eval interval change - please schedule for <unk>
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Heart size is mildly enlarged. The aorta remains tortuous. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormalities are detected.
history: <unk>m with altered mental status, status post tips
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Left chest wall dual lead pacing device is again seen. Median sternotomy wires and mediastinal clips are again noted. The lungs are clear without consolidation, effusion, or edema. No acute osseous abnormalities.
<unk> year old woman with chest pain, lightheadness, vertigo // eval for pneumonia - infectious w/u
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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 headache and neurological findings. // ?pneumonia
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Ap upright and lateral views of the chest provided. Elevated right hemidiaphragm noted. There is a right chest wall port-a-cath with its tip in the region of the mid svc. There is mild cardiomegaly which is incompletely assessed given silhouetting of the right heart border. No definite signs of pneumonia, edema, effusion or pneumothorax. Mediastinal contour is grossly unremarkable. Bony structures appear intact. Degenerative changes in the thoracic spine noted without definite sign of compression fracture.
<unk>f with fall, sdh.
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The lungs are clear, there is no pleural effusion, or pneumothorax. The cardiac silhouette is normal in size. The mediastinal contours are notable for tortuosity of the aorta, and calcification of the arch. Lumbar hardware.
<unk>-year-old female with shortness of breath; evaluate for acute process.
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Patient slightly rotated to the left. Pulmonary edema is again seen, not significantly changed from prior exam. No large effusion or pneumothorax.
<unk>m with rising lacate, ams, no fever or white count // r/o retrocardiac or ll infiltrate (pa already obtained)
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There is elevation of the left hemidiaphragm with overlying atelectasis, underlying subpulmonic effusion is not excluded. No definite focal consolidation is seen. Lung volumes are relatively low. There is no right pleural effusion. No evidence of pneumothorax is seen. The patient is status post median sternotomy and cabg.
chest pain
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease or old granulomatous disease.
positive ppd.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax is seen.
<unk> year old woman, immunocompromised, history of fever to <num> x <num> days, cough. // r/o pna
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Pa and lateral chest radiograph is compared to radiograph dated <unk>. Relative to prior examination, there is been little interval change. No focal consolidation convincing for pneumonia is identified. Patient is status post median sternotomy. Cardiomediastinal and hilar contours are stable in appearance. There is no overt pulmonary edema. There is no pneumothorax or pleural effusion. Visualized osseous structures are without an acute abnormality.
<unk>-year-old female with altered mental status.
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Tip of the right port-a-cath terminates in the mid svc. The lungs are free of consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities.
<unk> year old woman with glioblastoma, port placed <unk> at <unk> <unk> // assess catheter tip placement
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lung volumes are low. There is no pleural effusion or pneumothorax. The lungs appear clear.
fever and stroke.
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Pa and lateral views of the chest provided. As compared with the prior ct exam, there is little interval change. There is elevation of the left hemidiaphragm with near complete opacification of the left hemi thorax compatible. Right lung remains clear. Bony structures appear intact. Clips noted in the right upper quadrant.
<unk>m with non small cell lung ca, now herpes zoster and fever // eval for acute process, progression of lung ca
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Compared to the previous radiograph, extent of the right pleural effusion is unchanged. Also unchanged is the extent of bilateral basal areas of atelectasis and the size of the cardiac silhouette. No new parenchymal opacities.
left pleural effusion, evaluation.
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Median sternotomy wires aligned and intact. Prosthetic aortic and tricuspid valves visualized. Stable widening of the mediastinum and cardiomegaly. Stable right lower lobe opacity. Increasing small right pleural effusion. Right apical pneumothorax is slightly smaller and left apical pneumothorax is stable. No definite osseous or soft tissue abnormalities.
<unk>-year-old woman status post aortic valve replacement and tricuspid valve repair. evaluate pneumothoraces.
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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. No pleural effusion.
<unk> year old man with pancreatitis, etoh, productive cough. // please evaluate for 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. A very mild dextroscoliosis of the t-spine noted. No free air below the right hemidiaphragm is seen.
<unk>f with temp <unk>.<num>, worsening in chronic neuro sx, eval for potential source of infection.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The chest appears hyperinflated. The lungs are clear. The bones appear demineralized. Mild-to-moderate degenerative changes are similar along the thoracic spine.
chest pain.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>f with syncope // r/o cardiomegaly, occult process
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The patient is had median sternotomy with avr and mvr. The cardiac silhouette is severely enlarged and unchanged from <unk> study. A single chamber pacemaker is seen with the lead terminating in the right ventricle. Vascular engorgement is limited to the hila. No focal consolidations, pleural effusions, or pulmonary edema are seen.
<unk> year old woman with cough and rhonchi // r/o pna
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Heart size is normal. The mediastinal and hilar contours are unremarkable with mild rightward shift of mediastinal structures appearing unchanged. The pulmonary vasculature is normal. Lungs are clear. No pneumothorax or pleural effusion is seen. There are no acute osseous abnormalities.
history: <unk>m with <num> wks crystal meth usage, agitated, now w/ sudden onset severe cp x <unk> mins
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Post-surgical changes from a prior left lower lobectomy are unchanged from <unk> with persistent volume loss, tenting of the diaphragm, and old rib deformities. There is no focal opacity, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Compared to the prior exam, degenerative changes of the thoracic spine have significantly worsened with large anterior flowing osteophytes.
persistent cough. evaluate for pneumonia or pulmonary congestion.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable.
<unk>-year-old male with chest discomfort. question pneumothorax.
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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.
chest pain.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation or large effusion. There is elevation of the left hemidiaphragm as on prior with less clear delineation of posterior costophrenic angle, potentially related to a small effusion versus atelectasis/scarring. Cardiomediastinal silhouette is within normal limits. Osseous structures again notable for post-thoracotomy changes on the left. Multiple surgical clips are seen in the left upper abdomen.
<unk>-year-old female with generalized weakness on interferon.
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Normal heart, lungs, pleura and mediastinal surfaces. Indentation on the left side of the trachea may be due to an enlarged left thyroid.
history: <unk>f with code stroke, left sided facial droop, htn emergency, pls eval tia // history: <unk>f with code stroke, left sided facial droop, htn emergency, pls eval tia
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The patient is status post median sternotomy and mitral valve replacement. The cardiac silhouette is moderate to severely enlarged but unchanged. The mediastinal contours are stable with continued dilatation of the azygos vein. There is mild pulmonary edema, slightly improved compared to the previous exam. No pleural effusion or pneumothorax is clearly identified. There are no acute osseous abnormalities.
congestive heart failure.
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As compared to the previous radiograph, the right picc line is in unchanged position. The areas of scattered infection in both lungs, appreciated both on the frontal and on the lateral radiograph, have decreased in extent and severity. Extensive bronchiectatic changes, however, are still clearly visible. At the bases of the right upper lobe, a scar in the lung parenchyma is visualized. Unchanged normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
severe bronchiectasis, prolonged iv antibiotic administration, assessment for progression.
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Pa and lateral views of the chest provided. The lungs appear clear without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears stable. No convincing signs of congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with cough x <num> days
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Pa and lateral views of the chest demonstrate clear lungs. Cardiac apex is unremarkable. No pleural effusion or pneumothorax. Surgical clips in the left axilla are present.
<unk>-year-old man with chest pain.
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Lung volumes are low. The cardiomediastinal silhouette and pulmonary vasculature are unchanged since the prior examination. No focal consolidation is seen. There is no pleural effusion or pneumothorax.
history: <unk>m <unk> p/w shortness of breath and cough after exposure to plant exposure // eval for pulmonary edema
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The lung volumes are low. Allowing for that, the cardiac, mediastinal and hilar contours are probably within normal limits. There is no pleural effusion or pneumothorax. Patchy opacities in the lower lungs are probably due to minor atelectasis. There is no free air.
abdominal distention and epigastric pain.
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The pulmonary vascularity is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Multilevel degenerative changes are present within the thoracic spine.
syncope.
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The cardiac silhouette size is normal. Large right mediastinal calcified lymph node is re- demonstrated, compatible with prior granulomatous disease. The hilar contours are normal. Subsegmental atelectasis is noted within the lingula and right middle lobe. Lungs are otherwise clear. No focal consolidation, pleural effusion or pneumothorax is seen. There is no acute osseous abnormalities.
cough, fever and chills.
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Lung volumes are low with vascular crowding. A focal opacity projecting over the lower thoracic spine on the lateral projection could reflect pneumonia. Increased perihilar interstitial opacities bilaterally suggest mild pulmonary edema. The heart is moderately enlarged. There is no pleural effusion or pneumothorax.
history: <unk>m with sob and cough // r/o acute process
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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, as are the hila contours. Degenerative changes are seen along the spine. No definite rib fracture is seen, however rib series is more sensitive.
left-sided rib pain status post assault.
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Patient is status post right lower lobe wedge resection with postsurgical changes again noted. There are no focal consolidations. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with cough // ?pneumonia, progression of known lung ca
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There is i bold ncreased opacity projecting over the anterior right <num>th rib which is felt to be related to callus formation from prior fracture. There is also a retrocardiac opacity. There is no effusion or overt pulmonary edema. Right apical granuloma again noted. Moderate cardiomegaly and aortic graft repair unchanged. No acute osseous abnormalities detected.
<unk>m with syncope // increased heart size, pneumonia?
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Moderate right and small left pleural effusion with adjacent linear opacities. No pulmonary edema. Mild cardiomegaly. No pneumothorax.
<unk> year old woman with tips placed last week for recurrent pleural effusion // please assess for pleural effusion
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The lungs are well expanded. Better seen in the lateral view there is a right lower lobe opacity at least in part due to pleural effusion. The left lung is clear. There is a large mass in the upper mediastinum,, larger on the right when compared to the left with associated narrowing of the trachea at the thoracic inlet which is also displaced anteriorly. Cardiac size is normal. There is no pneumothorax.
<unk>-year-old female with failure to thrive and cough. evaluate for pneumonia.
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When compared to previous chest radiograph, the right lower lobe opacity has diminished but is still present. No new consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.
<unk>-year-old man with recurrent right lower lobe pneumonia. follow up recent pneumonia, for proof of cure.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. There is no free intraperitoneal air.
<unk>m with epigastric abdominal pain // epigastric abdominal pain
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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is hardware in the right glenoid, likely from prior surgical repair.
chills and nausea. evaluate for pneumonia.
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As compared to prior radiograph from <unk>, there has been slight worsening of right-sided pleural effusion, with fluid tracking within the minor fissure. No focal consolidations are identified and there is no pneumothorax. There is increased anteroposterior diameter of the thorax with hyperinflated lungs suggestive of copd. There is moderate to severe cardiomegaly. Left-sided dual-lead pacemaker leads terminate in the expected positions of the right atrium and right ventricle. There is evidence of kyphosis.
<unk>-year-old female patient with significant cardiac history referred to ed by pcp for shortness of breath. study requested for evaluation of change in pleural effusion.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk> year old woman with asthma exacerbation and cough // pneumonia
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with cough, fevers
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. There appears to be some prominence of the central pulmonary vessels, right greater than left, with abrupt narrowing of the distal pulmonary arterial vessels on the right. Imaged osseous structures are intact. Degenerative changes are seen in the spine. No free air below the right hemidiaphragm is seen. Area of relative lucency overlying the right supraclavicular region may be exterior to the patient or soft tissue edema.
<unk>f with sob, hypoxia syncope // pulm edema?
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is mildly enlarged but stable. The mediastinal and hilar contours are within normal limits and unchanged.
status post recent kidney transplant, now with diarrhea, here to evaluate for pneumonia.
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Pa and lateral views of the chest were compared to multiple prior plain films dating back to <unk> with most recent from <unk> in addition to chest ct from <unk>. When compared to most recent exam from <unk>, there has been interval progression of the airspace disease identified at the left lung base. In addition, there is a new air-fluid level identified in the retrocardiac region. This could potentially represent cavitary pneumonia; however, may also represent fluid within severely dilated bronchi, noting that this degree of bronvchiectasis was not tin the loated on remote ct scan. Consolidation with multiple air-fluid levels are identified within the right lung base as well, likely fluid within dilated bronchi as well. Superiorly, the lungs are clear. The cardiomediastinal silhouette is stable.
<unk>-year-old male with fever and cough.
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The lung volumes are low, but there is no focal pulmonary abnormality. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. Tortuous top-normal ascending thoracic aorta is responsible for the bulging contour of the right supra cardiac mediastinum. Cardiomediastinal silhouette is otherwise unremarkable. Multiple right healed rib fractures are again seen.
transplanted liver <unk> now etoh w/d, elevated lactate, c/f status of liver // ?transplant patency
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There has been slight interval worsening of a now moderate left pleural effusion with adjacent atelectasis. The right lung and upper left lung are clear without focal consolidation, pneumothorax, or frank pulmonary edema. A right-sided hemodialysis catheter is seen with its tip terminating in the lower svc. The cardiomediastinal silhouette appears unchanged. No bony abnormality is detected.
esrd, preoperative examination prior to transplant.
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>m with malaise, generalized weakness // ? pna
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Calcification of the aortic arch is stable.
cough for several weeks. evaluate for pneumonia.
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The patient is status post median sternotomy and cabg, with sternotomy wires that appear intact and appropriately aligned. There is asymmetrically increased density at the right lung base, which is not visualized on the lateral view. Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with hacking cough productive of sputum inpatient <num> days s/p <unk> toe amputation // ? pneumonia
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There are low lung volumes, which results in bronchovascular crowding. Linear opacity at the right base is most consistent with atelectasis. Atelectasis is also seen at the left base. There are small bilateral pleural effusions. There has been interval removal of the right-sided chest tube. No pneumothorax. Suture material projects over the right mid lung, consistent with history of vats wedge resection.
<unk> year old woman s/p r vats wedge resection x <num>, s/p chest tube pull // please perform at <time> pm; s/p chest tube pull
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In comparison with study of <unk>, all of the monitoring and support devices have been removed. There is no convincing evidence of a residual pneumothorax. Blunting of both costophrenic angles, more prominent on the left, is consistent with pleural fluid. Some volume loss is noted in the left lower lung. No evidence of vascular congestion or acute focal pneumonia.
cabg, for pre-discharge evaluation.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. Calcified right mid lung nodule is likely a granuloma. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected. Surgical clips project over the mid upper abdomen.
<unk>-year-old female with syncope.
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Again, the lungs are hyperinflated, with attenuated vascular markings particularly towards the apices, compatible with moderate to severe emphysema. There is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. Mild bibasilar atelectasis is present. The cardiomediastinal silhouette is normal. A large hiatal hernia with an air-fluid level is unchanged.
dyspnea, fatigue, and chills.
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Moderate cardiomegaly, a tortuous calcified aorta, and a calcified mitral valve annulus are stable. Lungs are clear without pleural effusion or pneumothorax.
<unk> year old woman with dyspnea. please evaluate for lung pathology.
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Frontal and lateral views of the chest were obtained. The lung apices are obscured by the chin. There is no focal consolidation, pleural effusion or pneumothorax. Left basilar atelectasis and a small left pleural effusion are new from <unk>. No right pleural effusion. Mild cardiomegaly has increased compared to the prior study. Hilar contours are within normal limits. A surgical clip projects over the left lung apex.
status post renal transplant on immunosuppression presenting with dyspnea.
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The lungs are well inflated. There is mild retrocardiac atelectasis. There is no evidence of focal consolidation or pulmonary edema. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal.
history: <unk>m with seizure // eval infection.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No pneumoperitoneum identified.
recent abdominal surgery, pain, vomiting. evaluate for perforation or obstruction.
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There is a subtle opacity in the left lower lung on the frontal view, not clearly seen on the lateral. The remaining lung fields are clear. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with fever. evaluate for presence of pneumonia.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
chest pain.
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The rings are clear. The cardiomediastinal contours are unremarkable. Mild patient rotation. No pleural effusions. No interstitial pulmonary edema. The cardiac silhouette is not enlarged. Multilevel degenerative changes.
<unk> year old man with atypical pneumonia // lesions?
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
<unk> year old woman with fevers/cough x <num> hrs, asthma, suspect flu, r/o pna. pt <num> weeks pregnant // r/o pna
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
evaluate for infection
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Pa and lateral views of the chest provided. Compared to <unk>, there is marked resolution of bibasilar opacities, with persistent opacity in the lingula. No new focal consolidations are seen. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old man with mds, productive cough, weakness, chills // r/o pneumonia/infectious process
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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. No displaced rib fracture is seen.
left-sided chest pain. evaluate for pneumothorax or rib fracture.
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Cardiomediastinal contours are normal. There are low lung volumes. Small right and large left pleural effusions are associated with adjacent atelectasis, grossly unchanged from prior study allowing the difference in positioning of the patient. There is no pneumothorax. There are mild degenerative changes in the thoracic spine.
<unk> year old man with elevated wbc. // r/o pna
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Right-sided port-a-cath tip terminates in the mid svc. The cardiac, mediastinal and hilar contours are unchanged with fullness of the right paratracheal stripe and hila bilaterally compatible with underlying lymphadenopathy as seen on the prior pet-ct. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
fever.
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Lung volumes are reduced. This limits the assessment of the lung bases where patchy opacities could reflect atelectasis but infection is not excluded. The lateral view suggests no focal consolidation however. Heart size is top normal. Mediastinal and hilar contours are within normal limits. There is crowding of the bronchovascular structures, but no overt pulmonary edema is seen. No pneumothorax or pleural effusion is present. There are no acute osseous abnormalities.
depression, anxiety, palpitations.
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Ap and lateral views of the chest. When compared to previous exam, there has been near complete resolution of the right mid lung hazy opacity. The lungs are now essentially clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old male with end-stage kidney disease and diabetes. status post fall.
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Cardiac silhouette is mildly enlarged. Mediastinal contours and hila are normal. No pleural effusion or pneumothorax. Minimal basal atelectasis present. No acute fracture identified within the limits of radiography. Chronic left clavicle fracture noted.
<unk>f with s/p fall and complex mandibular fx // cta neck - eval for vascular injurycxr - eval fracture, ptx
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Lungs: the lungs are well inflated. Right basilar infiltrate seen previously has cleared. Pleura: no pleural effusion is seen. Heart: the heart is not enlarged. Mediastinum and hila: there is no mediastinal mass. Osseous structures: the osseous structures are normal for age. Other findings: none
<unk> year old man with shortness of breath x several months, weight loss; h/o <unk> pack years of smoking // ?chf, copd
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In comparison with study of <unk>, there has been complete resolution of the previously described left mid zone pneumonia. No acute abnormality at this time.
pneumonia, to assess for resolution.
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. The pulmonary vascularity is normal.
yearly surveillance chest radiograph in patient with history of osteosarcoma.
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Right-sided port-a-cath tip terminates the mid svc. Patient is status post esophagectomy and gastric pull-through, with the mediastinal contour appearing unchanged. Cardiac and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Clips are seen in the right upper quadrant of the abdomen.
history: <unk>f with history of esophageal cancer presents with with chest discomfort and difficulty swallowing
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Frontal and lateral views of the chest. Right picc is no longer visualized. Right greater than left basal linear opacities most likely due to atelectasis and/or scar. There is no effusion or consolidation. Cardiomediastinal silhouette is within normal limits. No free air seen below the diaphragm.
<unk>-year-old male with abdominal pain and fever status post ercp.
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The cardiac silhouette size remains mildly enlarged, unchanged. The aortic knob is calcified. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is detected. Minimal peripheral linear opacity within the left mid lung field may reflect an area of subsegmental atelectasis. No acute osseous abnormalities are seen. Old right <unk> posterior rib fracture is again noted.
diabetes, coronary artery disease, hypertension with hyperkalemia and elevated white count.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear. There are no new focal consolidations, pleural effusions or pneumothorax. There is apparent dextroscoliosis which may be positional.
<unk>-year-old man with history of cll, immunocompromised and with cough. please rule out pneumonia.
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The previously described opacity in the lingula has resolved. However, new opacities in the right middle and right lower lobes are concerning for pneumonia. Small to moderate right pleural effusion is new. Lungs are hyperinflated, and focal scarring in the mid right lung is unchanged. No pneumothorax. The mediastinal and hilar silhouettes are normal. Multiple old rib fractures are unchanged.
<unk> year old man with cll, cough, fever, sob and bilateral basilar crackles. evaluate for pneumonia.
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Prior right picc and enteric tube are no longer visualized. Mild to moderate pulmonary edema is similar when compared to previous exam. There is no confluent consolidation nor effusion. Degree of cardiomegaly is similar given differences in projection. No acute osseous abnormalities.
<unk>f with dm, chf, cad presents with vomiting, fluid overload // eval for pulmonary congestion, pleural effusion
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. Coronary artery calcifications are seen along the course of the lad in the lateral view. Aortic valve calcifications might be present as well. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest discomfort. evaluate for evidence of pneumonia.