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Pa and lateral views of the chest. There is no focal consolidation, vascular congestion or pneumothorax. Hazy opacity over the left lower lung laterally. In addition, there is a somewhat <num> cm more focal rounded opacity over the left lower lung on the frontal view only, that was not seen on prior chest radiographs or recent chest ct. The cardiomediastinal and hilar contours are normal. Old right rib fractures noted.
shortness of breath, history of cancer, dvt, evaluate for pneumonia or fluid overload.
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Compared with prior radiographs on <unk>, there is increased aeration of bilateral lung bases.there is no focal consolidation. There is no effusion or vascular congestion. No pneumothorax. Mild cardiomegaly, unchanged. Tortuous aorta and prominent innominate artery, similar to prior. Severe scoliosis, unchanged.
<unk> year old man with recent pneumonia // eval for resolution of lll opacity
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
history: <unk>m with syncope, r-horner's syndrome // evaluate for acute process, infection / stroke / dissection
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with fever and productive cough.
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Ap upright and lateral chest radiograph demonstrate low lung volumes with subsequent bibasilar atelectasis and crowding of the vasculature. No focal consolidation convincing for pneumonia is present. There is no large pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. Calcifications involve the aortic arch.
history: <unk>f with s/p syncope, concern for ecg changes, head strike // ? traumatic injuries or cardiouplm abnormalities
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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 <num> days of cough with productive sputum // eval for pna
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The left heart border is partially obscured on the frontal projection, and there is a subtle retrosternal opacity seen on the lateral projection, concerning for a possible lingular consolidation. There remainder of the visualized lung fields are clear without evidence of additional consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal. No bony abnormality is detected.
history of copd, now with wheezing and cough.
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The patient is status post cabg with median sternotomy wires. The heart size is top normal. Heavy calcification of the aortic knob is noted with tortuosity of the descending aorta. There is no pneumothorax or pleural effusion. Lung volumes are low, and increased interstitial markings indicate mild interstitial edema. There is no focal consolidation concerning for pneumonia.
<unk>m with syncope, fall // r/o fracture
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Pa and lateral views of the chest. No prior. The lungs are clear. Costophrenic angles are sharp. Cardiac silhouette is at upper limits of normal. Degenerative changes noted in the t-spine. No free air is seen below the diaphragm.
<unk>-year-old female with multiple medical problems, taking four aleve everyday with one month of gnawing/burning left-sided abdominal pain, worse with eating.
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Heart size is normal, decreased compared to the previous study. 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, shortness of breath, nausea, vomiting
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A left chest wall power injectable port-a-cath is present, the tip extending to the distal svc. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is within normal limits. There is calcification of the aortic arch.degenerative changes of the thoracic spine are noted.
<unk> year old woman with aml // fever and neutropenia, evaluate for pna
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Cardiac silhouette is upper limits normal in size. There small bilateral pleural effusions. Compared to the study from the prior day the aeration in the lower lobes is improved. However, there is still an area of increased opacity in the right lower lung that may represent a small area of atelectasis versus infiltrate
<unk> year old woman with new onset fevers, desaturations // pna vs atelectasis
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The lung volumes are relatively low. The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with generalized fatigue // eval pnuemonia
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Frontal and lateral views of the chest. A large retrocardiac opacity is again seen, consistent with a known large hiatal hernia containing segments of bowel. Blunting of the left costophrenic angle is similar to prior. There is bilateral lung base atelectasis and biapical scarring. Heart borders are obscured but appear unchanged. Calcified left hilar node and thoracic dextroscoliosis are stable.
altered mental status.
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Frontal and lateral views of the chest. Low lung volumes are seen on the current exam with secondary crowding of bronchovascular markings and accentuation of the mediastinum which given differences in positioning and technique is not changed. There is no confluent consolidation, effusion or pneumothorax. No acute osseous abnormality is identified.
<unk>-year-old male with concern for possible dissection, chest pain.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. A slightly irregular contour of the left heart border is due to a the known adjacent fat pad. The cardiomediastinal silhouette is otherwise normal.
palpitations.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size is unchanged and remains within normal limits. Unremarkable appearance of thoracic aorta. No pulmonary vascular congestion. No evidence of acute or chronic pulmonary infiltrates are present and no suspicious nodular lesions for metastatic process can be identified. Skeletal structures are grossly unremarkable with the exception of a local deformity with cortex thickening in the right hemithorax involving the right-sided fifth rib slightly posterior to the axillary midline and most likely representing an old healed rib fracture. The on previous examination suspected right-sided infrahilar pulmonary parenchymal abnormality cannot be verified. On the present examination, the vascular structures in this area remain normal and the persistent pulmonary parenchymal abnormality cannot be identified. Observe that the patient has undergone not less than <unk> chest and torso ct examinations since <unk>.
<unk>-year-old male patient with metastatic renal cell carcinoma, on clinical trial, now with exertional dyspnea. evaluate for lung pathology.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There no pleural effusions or pneumothorax. Bony structures appear within normal limits.
right upper quadrant and rib pain.
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A right upper lobe opacity is consistent with pneumonia. There is a faint suggestion of a "finger in glove" appearence. Indistinctness of the right heart border suggests an additional right middle lobe consolidation. No effusion, nodule, or pneumothorax is present. Cardiac and mediastinal contours are normal. A <num> x <num>cm calcified structure projects over the liver.
<unk>-year-old woman with fever and cough for three days.
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Clear lungs bilaterally without pleural effusion or pneumothorax. Cardiac size, mediastinal contours, and hila are normal. No bony abnormality.
male with history of multiple myeloma status post auto stem cell transplant with persistent productive cough. assess for pneumonia.
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The heart is normal in size. There is mild elevation of the left hemidiaphragm with streaky opacity suggesting atelectasis and volume loss. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear otherwise clear. Bony structures are unremarkable. Projecting over the left upper quadrant, probably along the gastric cardia is a linear radiodense foreign body measuring about <num> cm in length but only up to <num> mm in width. It might be in part along the gastroesophageal junction and not fully within the stomach or within the cardia of the stomach.
reported swallowing of <num> mm dental tool.
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Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. There is mild bibasilar atelectasis. No pulmonary edema, pleural effusion, or pneumothorax. No focal consolidations are noted.
history: <unk>f with htn, ckd with sob c/f pna // <unk>f with ckd, htn, c/f pna
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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 cough // eval pneumonia
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The aorta is tortuous with mild aortic arch calcifications. Heart size is top normal. Right lung base opacity is noted. Mild interstitial pulmonary edema and perihilar vascular congestion is present.
patient with epigastric pain.
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There are low lung volumes and persistent elevation of the right hemidiaphragm. Bibasilar opacities may be due to atelectasis but underlying consolidation from infection or aspiration is not excluded. Slight blunting of the right costophrenic angle is again seen, possibly due to atelectasis or trace pleural effusion. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>m with sob // r/o acute process
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Again seen is opacification of the posterior segments of the left lower lobe and the basilar segments of the left lower lobe compatible with known post-obstructive pneumonia. The right lung is clear. There may be a small left pleural effusion. There is no pneumothorax. A right port-a-cath catheter terminates in the svc. The cardiomediastinal silhouette is unchanged. The bones are intact.
<unk>-year-old male with recent left lower lobe post-obstructive pneumonia with increasing dyspnea question pneumonia. evaluate for interval change.
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f s/p seizure // eval for acute process
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest tightness and history of pneumothorax // chest tightness
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Heart size is normal. The aorta is mildly tortuous. Hilar and mediastinal contours are otherwise unchanged. Pulmonary vasculature is not engorged. Linear opacities in the lung bases likely reflect areas of subsegmental atelectasis or scarring. Scarring is also noted in the upper lobes bilaterally. No focal consolidation, pleural effusion or pneumothorax is present. Previously described opacity projecting over the level of the undersurface of the aortic arch appears to correlate to a calcified mediastinal lymph node. Degenerative changes are seen in the thoracic spine.
history: <unk>m with fall, evaluate opacity on prior chest x-ray
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The lungs are well expanded and clear. The aorta is mildly unfolded. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No foreign bodies are identified.
<unk>-year-old female status post fall with significant trauma and missing teeth. assess for foreign bodies in the thorax.
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The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. The bony structures are unremarkable.
chest pain.
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Right chest wall port-a-cath ends at the cavoatrial junction. Left-sided pacemaker device is again seed with leads ending in the right atrium, right ventricle, and left ventricle. Heart size remains moderately enlarged. Mediastinal contour is unchanged. There is extensive bronchiectasis and scarring in the upper lobes more so on the right with associated chronic right upper lobe volume loss. In addition, there is a chronic area of increased opacity in the lingula but appear similar to prior radiographs. . In comparison to the most recent prior chest radiograph there is increased opacification of the right lung base. There is no pleural effusion or pneumothorax. There is no acute osseous abnormality.
<unk>m with cystic fibrosis and fever/cough, evaluate for pneumonia
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Cardiac and mediastinal silhouettes are stable. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. No acute displaced fracture seen. Clinical concern for spinal fracture persists, cross-sectional imaging is more sensitive.
history: <unk>f with known cirrhosis presents with fever, ruq and back pain s/p fall. // patient has known cirrhosis. any evidence of new hepatic or gallbladder pathology? any evidence of spinal fracture?
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with dyspnea and fevers.
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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette. Mild indistinctness of pulmonary vessels could reflect some mild elevation in pulmonary venous pressure. No evidence of acute pneumonia or pleural effusion.
predialysis, to assess for acute process.
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Patient is status post median sternotomy and cabg.the lungs are clear without focal consolidation. There is slight blunting of the posterior left costophrenic angle which may be due to a trace pleural effusion. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with n/v, general weakness // eval for pna, cardiomegalyt
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Lung volumes are low, exaggerating moderate cardiomegaly and the vascular pedicle. Mildly increased diffuse interstitial markings are consistent with mild pulmonary edema. There are probable small bilateral pleural effusions with adjacent atelectasis. No pneumothorax.
history: <unk>f hd patient with shortness of breath // edmea?
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Blunting of the right lateral costophrenic angle may be due to atelectasis or a small effusion. There is pulmonary vascular congestion without overt edema. Cardiac silhouette is mildly enlarged as on prior. Anterior cervical fixation hardware is partially seen.
<unk>m with history of chf presenting with shortness of breath // eval for chf/pneumonia
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Lung volume is low. Airspace opacities are identified in bilateral lungs with lower lobe and central predominance. There is no pleural effusion or pneumothorax. Cardiac silhouette is exaggerated by low lung volumes.
history: <unk>f with cough, sob, hypoxia. // assess for pneumonia, pleural effusion
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In comparison to chest radiographs obtained <unk> year prior, no significant changes are appreciated. Lungs are fully expanded and clear. Heart size is normal. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. There is no evidence of intrathoracic malignancy.
<unk> year old woman with hx of melanoma // please evaluate disease status
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Pa and lateral radiographs of the chest were obtained. Lung volumes are decreased since two days prior, accentuating the pulmonary vasculature at the right hilus. Otherwise, the lungs are clear. No effusion, pneumothorax, or consolidation is present. Heart and mediastinal contours are normal.
<unk>-year-old woman with pain, shortness of breath, acute process.
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The patient is status post median sternotomy and cabg. Left-sided aicd/pacemaker leads are noted within the right atrium, right ventricle, and region of the coronary sinus. Moderate to severe cardiomegaly is re- demonstrated, unchanged, with tortuosity of the thoracic aorta also noted. There is mild pulmonary vascular congestion which appears chronic. A hazy opacity within the right lung base is not clearly identified on the lateral view, and may be partly due to overlying soft tissue, but an area of atelectasis or infection is not excluded. No pleural effusion or pneumothorax is seen. There are multiple old right-sided rib fractures.
shortness of breath.
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Stable heart size and mediastinal and hilar contours. Unchanged position of a right chest wall dual lead pacemaker. There is a new lingular opacity. The right lung is clear. No pleural effusion or pneumothorax.
history: <unk>m with generalized weakness // eval for pneumonia
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
fall from standing onto right side with thoracic pain.
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In comparison to the prior radiograph, there is now increased partial collapse of the right middle lobe and worsening atelectasis/collapse of the right lower lobe. Hazy opacity in the right middle lung zone and prominence of the fissures suggest increased pleural fluid; however, it is difficult to quantify due to the atelectasis. Cardiomediastinal silhouette is difficult to evaluate also due to atelectasis. The left lung is clear. There is no pneumothorax or acute skeletal abnormalities.
<unk>-year-old man with shortness of breath, history of cirrhosis, ascites, and pleural effusion. assess for hydrothorax, pleural effusion.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with progressive exertional chest pain, dyspnea // eval ? pnemonia, effusion
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The lung volumes are lower. Mild pulmonary edema with moderate cardiomegaly is noted. There may be a small right pleural effusion which demonstrates loculation laterally and a small left pleural effusion. There is no pneumothorax. Accounting for differences in technique, the mediastinum is unchanged. Linear areas of scarring are seen in the left mid lung. The most inferior sternotomy wire is fractured.
fever and end-stage renal disease. evaluate pneumonia.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. A <unk> x <num> mm right lower lobe pulmonary nodule is redemonstrated.
left pleuritic chest pain.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Compared to prior, there is no significant interval change. Again seen is elevation of the right hemidiaphragm. There is a small right-sided pleural effusion. Increased interstitial opacities are seen, predominantly in the upper lungs bilaterally suggesting scarring. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unremarkable. Surgical clips in the upper abdomen suggest prior cholecystectomy.
<unk>-year-old female with dyspnea.
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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. The hilar contours are stable.
history: <unk>m c/o of constipation
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Pa and lateral views of the chest provided. Lung volumes are low. 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> year old man with dizziness/n/v/diaphoresis x <num> weeks
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Pa and lateral views of the chest. There are low lung volumes. Within the right lung base adjacent to the heart border, there is a vague opacity that is new from prior study. This may represent atelectasis or pneumonia, however this may also represent crowding of the pulmonary vasculature due to low lung volumes. Likely small right pleural effusion. No pneumothorax. Heart size is normal. The mediastinal contours are normal. There is mild interstitial thickening and bronchial cuffing. There is a small nodular opacity projecting over the right lower hemithorax.
altered mental status.
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Lung volumes are low. Small to moderate pleural effusions are present bilaterally, new from <unk>. Bibasilar opacities most likely represent compressive atelectasis. Upper lungs are clear. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits.
<unk>m with chest pain/dyspnea // eval for acute process
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. A nasogastric tube is coiled in the stomach. There is no free air beneath the right hemidiaphragm.
history: <unk>m with concern for obstruction // free air
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
shortness of breath.
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Pa and lateral views of the chest. Correlation made to t-spine plain films from <unk>. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. There are two compression deformities in the upper to mid thoracic spine, unchanged from prior. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with pain between the scapula upon movements.
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Allowing for differences in technique, the cardiac, mediastinal and hilar contours are probably unchanged. Irregular pulmonary architecture in the upper lungs is suggestive of underlying obstructive pulmonary disease. Even allowing for differences in technique, opacification of the right lower lobe, though vague, appears more prominent and is concerning for superimposed pneumonia. There is no pleural effusion or pneumothorax. The chest is hyperinflated.
progressive shortness of breath.
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No pneumonia, no pulmonary nodules or masses.
meningitis, questionable tb, evaluation for pulmonary nodules.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with fevers, dyspnea // ? pneumonia
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation. The cardiomediastinal silhouette is unchanged given differences in positioning on the current exam. No acute osseous abnormality is identified. Median sternotomy wires are noted.
<unk>-year-old male with copd, cough and sputum production.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. Moderate multilevel degenerative changes are noted in the thoracic spine. <num> biliary stents are seen in the right upper quadrant of the abdomen along with several adjacent fiducial markers. No acute osseous abnormality is present.
history: <unk>m with fever, cholangiocarcinoma
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When compared to the scout of ct thorax dated <unk>, right apical pneumatocele and scarring are unchanged in appearance. No acute focal consolidation, interstitial edema pleural effusions or pneumothorax. The cardiomediastinal silhouette is unchanged.
<unk> year old woman with h/o resected aspergilloma, now with several weeks of doe, fatigue, found to have wbc of <num>. // please assess for pulmonary caused of dyspnea.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
shortness of breath, chest pressure for <num> week.
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The lungs are clear. The hilar and cardiomediastinal contours are normal on the frontal view. However on the lateral view there is excessive retro tracheal soft tissue thickening raising question of esophageal abnormality, including esophagitis, alternatively adenopathy. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with chest pain.
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As compared to the previous radiograph, the pleural drainage has been removed. The right pleural effusion has substantially reoccurred. It now occupies relatively <unk>% of the right hemithorax. Subsequent areas of atelectasis at the right lung bases. On the left, the pre-existing pleural effusion has minimally decreased. The left lung base is slightly better ventilated than before. No lung parenchymal changes. Known severe degenerative disease at the level of the left shoulder. No pneumothorax.
evaluation of pleural effusion.
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There is a small right pleural effusion and a trace left pleural effusion. Hazy opacification at the left base is most consistent with atelectasis. There is no pneumothorax, consolidation or pulmonary edema. No pulmonary nodules are identified. The cardiomediastinal silhouette is normal.
fever and possible endocarditis. evaluate for pneumonia.
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Frontal, lateral, and left lateral decubitus chest radiographs again demonstrate a left lower lobe opacity, which may represent atelectasis versus pneumonia. Small bilateral effusions are present. There is moderate to severe cardiomegaly and mild vascular congestion.
atelectasis versus a small pleural effusion seen on recent portable chest radiograph, in the setting of a positive strep pneumo.
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Pacer is in left anterior axillary position with intact leads along the expected course to the right atrium and right ventricle. There is no pneumothorax or other related complication. There is mild pulmonary edema and bibasilar atelectasis. There are persistent small-to-moderate bilateral pleural effusions. Cardiomediastinal silhouette is unchanged.
<unk>-year-old male status post dual-chamber pacer placement requiring assessment for lead position.
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Interval placement of a dual lead permanent pacemaker is seen with pacemaker leads terminating in the right atrium and right ventricle without evidence of mediastinal widening or pneumothorax. A right picc line is in the catheter tip projecting over the right atrium. There is stable right lower lobe volume loss secondary to atelectasis and small bilateral pleural effusions. There is mild interstitial edema. The cardiac silhouette moderately enlarged and stable from previous studies.
<unk> year old woman s/p dual chamber ppm implant // check for lead position and pnx
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The heart size is normal. The hilar mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.
<unk>f w/r cvat please evaluate for a r-sided stone. please evaluate.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The pulmonary interstitium is mildly prominent, including peribronchial cuffing. This finding is non-specific but could be seen with mild forms of atypical infection or pulmonary congestion, but could coincide with asthma. Right basilar opacity is unchanged and suggests minor scarring.
hypoxia. copd and asthma.
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The lungs are clear aside from a slowly resolving focal ovoid opacification in the right upper lobe which corresponds to a previous lung abscess, better delineated on ct chest dated <unk>. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
history: <unk>m with history of asthma, wheezing
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Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. The previously seen retrocardiac opacity has resolved. The cardiomediastinal and hilar contours are unchanged. There is no pleural effusion or pneumothorax.
<unk> year old man with pneumonia in the fall, evaluate for resolution.
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New opacities in both lower lobes may be reflective of consolidations and/or atelectasis. Small bilateral pleural effusions. No pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits.
<unk> year old man with new o<num> requirement // r/o acute cardiopulmonary process
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
cough for two weeks. evaluate for pneumonia.
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The lungs are hyperinflated, but clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with sob // eval pneumonia
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs. An opacity in the lower right lung corresponds to an opacity seen on ct chest from the same day, felt to represent bronchial mucoid impaction. No other focal consolidation is identified. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with a history of left lower quadrant pain, nausea and vomiting, and leukocytosis.
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Lung volumes are low. The lungs are clear. Mediastinal contour, hila, and cardiac silhouette are normal. There is no pneumothorax or pleural effusion. No osseous abnormality within the limits of plain radiography.
<unk>f with s/p mvc t spine pain // eval for pneumothoraxeval for t spine injury
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Lung volumes are low but not significantly changed compared with prior exam. There are diffusely increased interstitial markings, with some associated plate-like atelectasis in both bases. Blunting of the right costophrenic angle might be related to small pleural effusion with associated scarring, unchanged from prior. Streaky left base retrocardiac opacity may represent atelectasis. Cardiomediastinal contour is unchanged. The aorta is tortuous with severe atheorsclerotic calcifications. Diffuse osteopenia is re-demonstrated. Degenerative changes of both shoulder joints are again seen.
<unk>-year-old female with shortness of breath and hypoxia. evaluate for evidence of pneumonia or congestive heart failure.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
<unk>f with possible seizure, evaluate for acute process.
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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Minor hypertrophic changes are seen in the spine.
<unk>-year-old male with chest heaviness and shortness of breath.
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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
<unk>f ped struck by car <num> days ago, with headache, neck pain, chest tenderness // eval for rib fractures
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Heart size is mildly enlarged. The aorta is mildly tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Previously noted <num> mm left lower lobe nodule on ct is not well assessed on the current radiograph. Right hemidiaphragm is slightly elevated, and likely due to the presence of a large hepatic mass as seen on recent ct. No acute osseous abnormalities detected. There mild degenerative changes noted in the thoracic spine.
history: <unk>f with liver cancer status post chemotherapy presenting with weakness // pneumonia or pulmonary congestion?
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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. In particular, the right rib cage appears intact. No free air below the right hemidiaphragm is seen.
<unk>f with substernal and right rib pain // eval cardiomediastinal shadow and right ribs
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The lungs are clear without focal consolidation, effusion, or edema. Calcifications along the diaphragms bilaterally suggestive of calcified pleural plaques. Cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. No acute osseous abnormalities.
<unk>m with concern for possible stroke // please assess for effusion, heart failure
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Lungs appear clear. Cardiac silhouette is normal in size. No pleural effusion, pneumothorax, or pulmonary edema is present.
chest pain, question pneumothorax.
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The lungs are clear without focal consolidation. There is a focal opacity in the retrosternal clear space on the lateral view which is unchanged dating back to <unk>. There is no effusion or vascular congestion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with productive cough // pneumonia
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The heart is mildly enlarged and there is pulmonary vascular redistribution. With ill-defined vascularity. There is increased retrocardiac opacity. The prior study demonstrated increased lung markings compatible with chronic lung disease. The current finding suggest acute on top of chronic disease. In particular, the retrocardiac region has increased opacity with ill definition of the left hemidiaphragm
<unk> y/o <unk> male with dm ii, htn, hld, copd, schizoaffective disorder, bipolar type, and alcohol use admitted with disorganized behavior and agitation now resolved with course complicated by falls and gait instability, acute component likely related to severe cervical disease, with coughing during mealtimes, c/f aspiration. // please assess for any evidence of aspiration.
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Pa and lateral views of the chest. Left-sided pacemaker wires and leads are unchanged in position. A right picc ends in the low svc. The right lung is clear. Slightly loculated left pleural effusion is smaller. No focal consolidation or pneumothorax. Cardiomediastinal and hilar contours are stable.
follow up effusion.
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Again seen is a rounded opacity overlying the left hilum, demonstrating an internal reticular pattern, less discrete on the lateral view. There is slight leftward shift of the mediastinum and left volume loss, relating to prior left upper lobectomy. Surgical clips are again seen. The right lung is clear. There is no pneumothorax or pleural effusion. The findings are unchanged since the <unk> examination.
squamous cell lung cancer, post left thoracotomy with left upper lobe sleeve lobectomy in <unk>, followed by radiotherapy <unk>.
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Mild cardiomegaly has been stable compared to exams dating back to <unk>. The hilar and mediastinal contours are normal. Linear atelectasis in the mid left lung is re- demonstrated. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of cough and shortness of breath. please evaluate.
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Large left pleural effusion is increased compared to <unk>. There is no right pleural effusion. Cardiac silhouette is obscured by the large pleural effusion on the left. Right lung and left upper lung are clear. Left lower lobe is collapsed.
history: <unk>f with nash cirrhosis // please evaluate for acute cp process
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Chest pa and lateral radiograph demonstrates resolution of left lower lobe consolidation . Lungs are clear. Cardiomediastinal and hilar contours are unremarkable. No pleural effusion or pneumothorax evident.
confirm resolution of pneumonia.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Linear opacity in the left mid lung likely represents a small focus of atelectasis. Heart and mediastinal contours are stable. Left upper quadrant clips are noted.
<unk>-year-old female with shortness of breath.
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The heart size is within normal limits. The mediastinal contours demonstrate a mildly tortuous aorta. The lung volumes are low, exaggerating parenchymal markings. Additionally, an ill-defined rounded right base opacity is present, and on lateral view likely localizes to the right lower lobe. There is no large pleural effusion or pneumothorax.
<unk>-year-old female with fever and cough.
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Pa and lateral views of the chest. The lungs are clear. Incidental note is made of an azygos lobe and fissure. Cardiomediastinal silhouette is normal. Calcified node versus atherosclerotic calcifications seen in the region of the aortic arch. Osseous and soft tissue structures are unremarkable.
<unk>-year-old with dyspnea.
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Pa and lateral views of the chest. There is ill-defined opacity in the right mid lung adjacent to the hilum which likely projects in the retrosternal region on the lateral view. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old female with fever and chemotherapy question pneumonia.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with chest and back pain // evaluate for acs, aortic dissection
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Two views were obtained of the chest. Lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with tortuous aortic contour. There is a healing, minimally displaced right lateral ninth rib fracture which appears chronic from <unk>.
chest pain.
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Cardiomediastinal contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
<unk>f with sob // pneumonia, other acute