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In comparison with study of <unk>, there has been essentially complete clearing of the bilateral pulmonary opacifications. Pulmonary vascularity is within normal limits.
crack lung, now clinically improving.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.no significant change in appearance since the prior radiograph.
<unk> year old woman with fever. please assess for cardiopulmonary process.
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Ap upright and lateral views of the chest provided. Numerous clips are seen within the right axilla and chest wall. Hardware fixation partially imaged on the lateral view along the humerus. The right scapula appears high riding which could be positional. Lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. No free air below the right hemidiaphragm.
<unk>m with right chest pain // ? pna
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Chest, pa and lateral. Lung volumes are low due to incomplete inspiration. There is crowding of the pulmonary vasculature at the bases but no obvious consolidation. The upper lobes are clear. There is bilateral lower lobe atelectasis. Mild cardiomegaly is present. Mediastinal widening is difficult to assess given low lung volumes. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with chest pain. evaluate for fluid overload or pneumonia.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is compared with the next preceding portable chest examination obtained five hours earlier during the same day. Mild cardiac enlargement as before. Thoracic aorta of normal dimension but calcium deposits are seen in the wall, mostly at the level of the arch. Pulmonary vasculature is not congested. Similar as suspected on the preceding portable chest examination, there are bilateral scattered patchy, sometimes confluenting infiltrates in the lung bases. The lateral view discloses the predominant postero-inferior location in the posterior dependent portion of the lower lobes. Minor pleural effusion cannot be excluded but major effusions are not present.
<unk>-year-old female patient with questionable pneumonia versus pleural effusion, lateral and pa chest examination advised by interpreter of previous portable chest examination obtained <num> hours earlier.
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New in the interval are diffuse bilateral ground-glass pulmonary opacities which could reflect developing edema. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. No definite acute bony at abnormalities were seen. No acute bony abnormalities.
<unk>m with mm on revlamid/dexamethasone p/w <num> days of cough, diarrhea, weakness.
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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.
chest pain.
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The lungs are clear besides mild left basilar atelectasis. Cardiomediastinal silhouette is within normal limits. Left chest wall vagal nerve stimulator is noted. No acute osseous abnormalities.
<unk>m with seizure // pna?
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with stroke // eval for acute process
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
fatigue and weakness. generalized muscle aches.
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The cardiac, mediastinal and hilar contours appear stable. The aortic is again moderately tortuous. There is no pleural effusion or pneumothorax. Calcified granuloma in the left mid lung appears unchanged. The lungs appear otherwise clear.
cough and fever.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top-normal to mildly enlarged. The left pulmonary artery again appears mildly prominent.
history: <unk>f with sob // r/o intrathoraci process
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Heart size is normal. Cardiomediastinal silhouette is unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
cough with sputum production.
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Lungs are slightly low in volume but clear. No focal consolidation, pleural effusion or pneumothorax is identified. The heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old male with chest pain, assess for pneumonia or acute process.
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The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion. Biapical pleural parenchymal scarring is again seen. There is no pneumothorax or pleural effusion.
<unk>-year-old woman with asthma now wtih dyspnea, rule out infiltrate.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with rle weakness. // infectious workup
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Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. The cardiomediastinal silhouette is normal. There are multiple small hilar densities that likely represent calcified lymph nodes. There is no pleural effusion or pneumothorax.
<unk> year old man with uri symptoms for <num> weeks, with worsening cough for two days, assess for pneumonia,
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Ap and lateral views of the chest. The lungs are clear of consolidation, effusion or pneumothorax. The patient is rotated to the right however cardiomediastinal silhouette is grossly stable. No displaced fracture identified.
<unk>-year-old male with chest pain after trauma yesterday.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. A prominent left epicardial fat pad is noted. The heart size is normal, and the pleural and hilar contours are unremarkable. There is no pulmonary edema or focal consolidation concerning for pneumonia. Mild multilevel degenerative changes are present in the thoracic spine.
dyspnea and palpitations.
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No focal consolidation is identified. There is mild atelectasis at the left lung base. There is mild pulmonary vascular congestion without overt pulmonary edema. The cardiomediastinal silhouette is unchanged. Again seen is tortuosity of the descending thoracic aorta. There is no pleural effusion or pneumothorax. Acute kyphosis with lower thoracic vertebral body compression deformities are again noted. Known diffuse lytic lesions are better assessed on prior ct from <unk>. Visualized upper abdomen is unremarkable.
fever, on chemotherapy, evaluate for pneumonia.
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Patient is status post median sternotomy and cabg. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is not engorged. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities visualized.
history: <unk>f with chest pain
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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 cardiac silhouette is not enlarged.
shortness of breath.
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There is no interstitial disease to suggest amiodarone toxicity. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unchanged. Left pectoral pacemaker leads terminate in the right atrium and right ventricle.
<unk> year old man with h/o vt/vf on amiodarone. please assess for e/o toxicity (annual exam). // ?amiodarone toxicity
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Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The heart remains moderately enlarged. Dense atherosclerotic calcifications are present at the aortic knob. Mediastinal and hilar contours are unchanged. Rounded opacity within the right upper lobe appears slightly increased in size compared to the previous exam, which again remains concerning for adenocarcinoma and now measures up to <num> cm. Minimal patchy opacities are noted within the lung bases. No pleural effusion or pneumothorax is identified. Multiple <unk> are demonstrated within the right upper quadrant of the abdomen.
shortness of breath, wheezing.
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Lung volumes are decreased. The heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vascularity is normal and the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities.
history of cerebral vascular accident with worsening weakness and difficulty swallowing.
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The lungs are well inflated and grossly clear. The hilar contours, and pleural surfaces are within normal limits. Right heart border prominent but unchanged. Aorta slightly unfolded. There is no pleural effusion or pneumothorax.
seizure, evaluate for infection.
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The lungs are clear with no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Multiple left rib fractures are noted, which likely are present on prior studies.
seizure, evaluate for infiltrate.
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The lungs are clear without focal consolidation, effusion, or edema. There is no pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with chest pain, dyspnea // eval heart and lungs
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There is a hazy new consolidation in the right lower lobe, consistent with pneumonia. The left lung is clear. The lungs are overinflated, consistent with emphysema. The cardiomediastinal and hilar contours are normal.
<unk>-year-old male status post recent hernia repair, now complains of cough and abdominal distention.
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Pa and lateral images of the chest demonstrate right picc line in place with tip in the low svc. There is no pneumothorax or other complication seen. There is some decreased lung volume, likely due to poor inspiration. The lungs are grossly unchanged from previous examination. There is some blunting of the costophrenic angles which could possibly be due to atelectasis or small pleural effusion. Cardiomediastinal silhouette is unchanged.
<unk>-year-old male with picc line placement.
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No focal consolidation, edema, effusion, or pneumothorax. The heart is top-normal in size. The mediastinum is not widened. The hila and pleura are normal. No osseous lesions suspicious for malignancy are infection. Surgical clips in the left axilla and subtle relative lucency in the left hemithorax relative to the right hemithorax are related to prior surgery and left mastectomy.
<unk>-year-old woman with a history of breast cancer, presenting with chest pain. evaluate for pneumonia and pneumothorax.
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Cardiac and mediastinal silhouettes are stable. There may be minimal interstitial edema. No focal consolidation is seen. There is no pleural effusion or pneumothorax.
history: <unk>f with hypoxia // eval for hypoxia/pna
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Frontal and lateral chest radiograph demonstrate subtle opacity in the right lower lobe concerning for pneumonia. The left lung is grossly clear with no focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits.
<unk>-year-old male with new fever.
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Patchy ill-defined opacities are noted within the left mid lung field and left lung base as well as to a lesser extent within the right lung base. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. Subdiaphragmatic free air is noted on the right.
history: <unk>m with cough and fever
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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. Left humeral head replacement is noted, new in the interval. Cervical fusion hardware is partially visualized. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain, lightheadedness // evaluate for acs
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Ap upright and lateral views of the chest provided. Dual lead pacemaker appears unchanged in position with leads extending to the region of the right atrium and right ventricle. There is severe emphysema, better assessed on prior ct, with acute pulmonary edema evidenced by pulmonary hilar congestion and <unk> b-lines. No large effusion. No focal consolidation. There may be a tiny right pleural effusion. No pneumothorax is seen.
history: <unk>m with sob // r/o acute process
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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, pneumothorax. No definite rib fractures are identified.
history: <unk>m with c/o left thoracic pain after trauma to left side torso // ? rib fx
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Pa and lateral images of the chest. Right port terminates in the right atrium. Diffuse bronchiectasis is seen, consistent with known cf. Opacity in the right upper lobe is unchanged from prior exam and likely reflects chronic right upper lobe collapse. Opacity in the left lower lobe is similar to prior exam and consistent with bronchiectasis. The cardiomediastinal silhouette is unchanged from prior exam.
history of cf, now with concern for pneumonia.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>m with <num> hr exertional-related angina transfer from <unk>. evaluate for pneumonia or acute cardiopulmonary process.
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Ap view of the chest. There is minimal pulmonary edema. No definite focal consolidation. There is mild cardiomegaly. No pleural effusion or pneumothorax.
chf and worsening dyspnea.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions. No other lung pathological findings. Normal hilar and mediastinal structures.
evaluation for acute process.
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Pa and lateral views of the chest. The lungs are clear of focal consolidation or effusion. Cardiac silhouette is top normal in size. Compression deformity in lower thoracic vertebral body is grossly unchanged compared to prior lumbar spine plain films.
<unk>-year-old female with transient confusion.
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Small foci of linear scarring are seen in the right middle and left lower lobes. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. A stable, mild area of indentation is seen along the right lateral aspect of the trachea, likely secondary to the patient's known enlarged thyroid. The heart size is normal. Mediastinal and hilar contours are normal. Redemonstrated are several thoracic vertebroplasties, unchanged and appearance from the prior examination.
persistent cough.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
productive cough and discomfort with deep breathing.
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Lung volumes are low. The heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Bilateral calcified pleural plaques are re- demonstrated, which limit assessment of the underlying lung parenchyma. There may be slightly increased patchy opacification in the left lung base, which could reflect an area of atelectasis though infection cannot be excluded. No pleural effusion or pneumothorax is identified. No pulmonary vascular congestion is present. Compression deformities at the thoracolumbar junction remain unchanged.
weakness.
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Frontal and lateral views of the chest were obtained. The heart size is top normal, with stable cardiomediastinal contours. The mitral annulus is densely calcified. Lung volumes are low. The right hemidiaphragm is stably elevated. No focal consolidation, large pleural effusion, or pneumothorax. Pulmonary vascular markings are normal.
<unk>-year-old female with shortness of breath. evaluate for pneumonia.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain.
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The heart size is normal. The hilar and mediastinal contours are within normal limits. Coarse interstitial opacities throughout both lungs are unchanged since <unk>. Vague nodular opacities within the left upper and right lower lung are unchanged, and no new nodules are detected. There is no pneumothorax, focal consolidation, or pleural effusion. Mild biapical thickening is unchanged.
<unk>-year-old female with mds and fevers.
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Pa and lateral views of the chest. There is no focal consolidation. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
right chest pain, evaluate for pneumonia.
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease or old granulomatous disease.
positive ppd.
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Study limited by low lung volumes and motion. Allowing for changes due to low lung volumes, the cardiomediastinal silhouettes are stable. The bilateral hila are within normal limits. There is crowding of the normal bronchovascular structures. There is no pulmonary vascular congestion or pulmonary edema. There is right greater than left bibasilar atelectasis. There is no focal lung consolidation. There is no pneumothorax or pleural effusion.
<unk> -year-old woman with chest pain, rule out pneumonia or pulmonary edema.
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Frontal and lateral chest radiographs demonstrate clear lungs without focal consolidation and a normal cardiomediastinal silhouette. There is no pneumothorax or pleural effusion. There is a minimal anterior wedge compression deformity of a mid thoracic vertebral body, of indeterminate chronicity given the lack of prior exams available for comparison.
shortness of breath. evaluate for 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.
<unk> year old man with known copd/asthma, ?interstitial lung disease, also recent <unk> lb weight loss // ?nodules, presence of interstitial changes.
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An endovascular stent graft is seen within the descending thoracic aorta. The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. No pleural effusion, pulmonary edema or pneumothorax is present.
cardiomegaly.
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Increased interstitial markings are seen throughout the lungs, similar to prior. More streaky bibasilar opacities likely due to superimposed atelectasis. There is no effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. Surgical clips in the right upper quadrant.
<unk>f with hypoxia // eval for pulm edema or other process
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As compared to the previous radiograph, there is increasing opacity in the region of the lingula, causing slight blurring of the left cardiac contour. In the appropriate clinical context, this finding is for pneumonia. In addition, the left hilus has increased in size, likely reflecting reactive lymphadenopathy. The findings should be monitored for regression in approximately six weeks. Unchanged minimal scarring at the left lung apex. The right lung is unremarkable. At the time of observation and dictation, <time> a.m., on <unk>, the findings were discussed with the referring physician, <unk>. <unk> <unk> the telephone.
fever and cough, rule out pneumonia.
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Lung volumes are low normal. There is no focal consolidation, effusion, or pneumothorax. There is mild unfolding of the thoracic aorta and mild calcification at the aortic knob. Otherwise, mediastinal and hilar contours are normal. There is mild central vascular congestion without overt pulmonary edema. Moderate cardiomegaly, of indeterminate chronicity. Old left rib fractures are noted.
history: <unk>f with headache, dysarthria, since awakening this morning // ?ich
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As compared to the previous radiograph, there is unchanged marked cardiomegaly with marked tortuosity of the thoracic aorta, better appreciated on the lateral than on the frontal film. Areas of retrocardiac atelectasis are unchanged. Also unchanged is a minimal parenchymal scar in the left lung, as well as mild bilateral apical thickening. The lung parenchyma shows no evidence of acute disease such as pneumonia or pulmonary edema. No lung nodules or masses. The lateral radiograph shows a wedge-shaped deformity of a thoracic vertebral body, likely reflecting vertebral body compression. This is unchanged in severity since a previous t-spine, chest x-ray from <unk>.
persistent cough for several months, rule out pulmonary disease.
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Pa and lateral views of the chest. There is right upper lobe opacity in the suprahilar region and extending both superiorly and laterally with an associated <num> cm rounded region of lucency centrally. There is enlargement of the right hilum raising concern for adenopathy. Elsewhere the lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with stage iv lung cancer and neutropenic fever.
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The cardiac silhouette size is normal. The aortic knob demonstrates mild atherosclerotic calcifications. The pulmonary vasculature is normal, and the hilar contours are unremarkable. Tiny bilateral pleural effusions have further decreased in size. No focal consolidation or pneumothorax is identified. Scarring within the lung apices is re- demonstrated. An inferior vena cava filter is in unchanged position.
pancreatic cancer status post whipple procedure on chemotherapy with <num>-day history of fever. on treatment for salmonella
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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.
<unk>m with hemoptysis, r upper chest pain // ? acute cardiouplm process
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The heart size is seen normal. Mediastinal and hilar contours are unchanged with the aorta appearing mildly tortuous. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. A nodular opacity measuring <num> mm projects over the left fifth posterior rib, not changed from the previous exam. No acute osseous abnormality is detected.
history: <unk>m with influenza like illness, cough, fever, hx hiv+
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The heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Consolidative opacity within the periphery of the left upper and mid lung field is noted concerning for pneumonia. Small left pleural effusion is present. The right lung is clear. There is no pulmonary edema. No pneumothorax is seen. There are no acute osseous abnormalities. Multilevel degenerative changes in the thoracic spine are seen present.
fever.
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There are unchanged signs of marked overinflation. Newly appeared are relatively extensive parenchymal opacities in the right upper lobe and in the left upper lobe. Additional opacities are seen at the bases of the right upper lobe. In the appropriate clinical context, the findings are consistent with multifocal pneumonia. At the time of observation and dictation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification and the findings were subsequently discussed over the telephone. No reactive pleural effusions. No cardiomegaly, no hilar or mediastinal changes.
ct copd, low-grade temperature and increased sputum and cough.
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The heart is at the upper limits of normal size. The main pulmonary artery contour is slightly prominent, but there is no evidence for pulmonary edema. A nipple shadow is again seen on the left. Patchy basilar opacity suggest minor atelectasis or perhaps scarring which appears unchanged. There is no pleural effusion or pneumothorax. The osseous structures are unremarkable.
fever and cough.
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The patient is status post median sternotomy, aortic valve replacement, and cabg. Heart size is normal. Mediastinal contours are unchanged with tortuosity of the thoracic aorta again noted. Calcification of the aortic arch is again seen. There is no pulmonary vascular congestion. Hilar contours are normal. Lungs are clear without focal consolidation. Previously noted bilateral pleural effusions have nearly completely resolved with only a trace left pleural effusion identified. No pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine.
shortness of breath status post aortic valve replacement and single vessel cabg.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
fevers.
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Heart size is normal. The mediastinal and hilar contours are normal. Again seen is persistent elevation of the right hemidiaphragm. The pulmonary vasculature is normal. Lung volumes are low but improved from the prior study. Streaky opacities at the base of the right and left lung likely represent atelectasis. No pleural effusion or pneumothorax is seen.
history: <unk>m with hypoxia and poor quality chest x-ray from last night // is there a pneumonia
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax with linear basilar atelectasis or scarring. The heart is normal in size with calcified aortic contour. The aortic contour at the level of the distal aortic arch/proximal descending aorta demonstrates a minimally increased bulge which could reflect an intervally increased aneurysm. Postsurgical changes are noted in the left shoulder.
chest pain, assess for pneumonia.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Tortuous aortic contour is unchanged.
<unk>m with chest pain and abdominal pain ttp in the llq // please eval for llq pain, diverticulitis vs ischemia
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. There is no pneumothorax, pleural effusion, pulmonary edema, or focal consolidation concerning for pneumonia. The cardiomediastinal silhouette is unremarkable.
<unk>-year-old female with cough and fever. evaluation for pneumonia.
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The lungs are fully expanded and clear. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal consolidation.
<unk>f with congested cough x <num> week, evaluate for pneumonia..
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Lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion or pneumothorax.
viral syndrome. question infection.
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The lungs are clear and the lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Blunting of the posterior diaphragmatic sulcus on the lateral view appears chronic. The heart is normal size. The mediastinal and hilar contours are unremarkable.
weakness. evaluate for pneumonia.
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There is no focal consolidation. Note is made of mild interstitial pulmonary edema. No pleural effusion or pneumothorax. Mild cardiomegaly. No subdiaphragmatic free air.
history: <unk>f with cough, malaise // evaluate for infiltrates or effusion
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Ap supine and lateral views of the chest provided. Lung volumes are low. Allowing for this, no definite evidence of pneumonia or overt chf. No supine evidence for effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>m with increased seizure frequency // eval for infiltrate
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Pa and lateral views of the chest. No prior. There is blunting of the posterior costophrenic angles and the lateral left costophrenic angle as well. The lungs are clear of consolidation or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old female with chest pain. question pneumonia.
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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 cirrhosis, chest pain, sob // ? cardiopulmonary process
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Since <unk>, significant improvement in the left upper lobe opacity, but the opacity in the left upper lobe is seen on lateral view, consistent with slowly resolving pneumonia. A nodular opacity in the inferior portion of the left lower lobe is new since <unk>. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pulmonary edema. No pleural effusions.
<unk> year old woman with pneumonia in <unk> // follow-up pneumonia
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Ap and lateral views of the chest. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.
chest pain.
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The heart size is within normal limits. Osseous structures are unremarkable. No evidence of pleural effusion or pneumothorax. Dense soft tissue opacification in the left chest related to recent breast surgery likely accounts for hazy increased opacity in the left mid and lower lung regions. A small air-fluid level in the left breast anteriorly is probably postoperative.
history: <unk>f pod <num> lumpectomy p/w axillary pain and leukocytosis // consolidation or other acute cardiopulmonary process
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The cardiac, mediastinal and hilar contours appear stable including mild cardiomegaly. The aorta is again mild-to-moderately tortuous. There is no pleural effusion or pneumothorax. A dense opacity in the posterior lower lobes on the lateral view is probably in the right lower lobe, suggesting pneumonia.
weakness and hypoglycemia.
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Cardiomegaly, coronary calcifications, aortic valve calcification and and dilatation of the main pulmonary artery are better seen in concurrent chest ct. The lungs are grossly clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine
<unk> year old woman pre-op cabg // eval for acute process
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Ap upright and lateral views of the chest provided. Evaluation slightly limited due to underpenetrated technique. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with pmh significant for dm, htn, hld and sleep apnea with c/f stroke needing infxn w/u
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The lungs are clear. Cardiac silhouette is top-normal in size. No acute osseous abnormalities. No free intraperitoneal air.
<unk>f with ruq and epig pain, bloating w/ epigastric twisting sensation; ddx includes biliary colic, obstruction, gastric volvulus // eval ? free air, rll effusion / infiltrate
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Cardiomediastinal contours are normal. Small bilateral effusions are associated with adjacent atelectasis left greater than right. There is no pneumothorax.
<unk> year old man with cough and fever // ? pna
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The lungs are relatively hyperinflated but clear without confluent consolidation, effusion, or edema. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with ms report of chest pain, palpitations // ? ptx, effusion, consolidation
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
fever.
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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. The bony structures are unremarkable.
fever. question pneumonia.
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The heart size is top normal. The patient is status post median sternotomy and coronary artery bypass grafting. The patient is status post median sternotomy. The heart size is top normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of left-sided weakness and dysarthria. please evaluate.
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Chest, ap and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with tachycardia. evaluate for acute process.
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Heart size is top-normal. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. A small left hydropneumothorax is present with accentuation of the pneumothorax component at the apex on the expiratory view. Small right pleural effusion is also noted. Patchy opacities are demonstrated in the lung bases, potentially atelectasis, but contusion is not excluded. Pulmonary vasculature is not engorged. Deformity of the left sixth lateral rib likely reflects a rib fracture.
history: <unk>m with new pain status post trauma to chest
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As compared to the prior exam dated <unk>, there has been interval development of multifocal airspace opacities at the right lung base, left lung base, and within the retrocardiac space. There is persistent increased interstitial markings and evidence of upper lobe predominant emphysema. Probable small bilateral pleural effusions are noted. There is no evidence of pneumothorax. The patient is status post cabg with intact sternotomy wires noted. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities are detected.
<unk> year old man with worsening cough and dyspnea in setting of recently treated anterior chest squamous cell cancer // rule out spread of cancer, collapse or pneumonia
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Subtle scarring in the right mid-lung. Heart size is normal. Mediastinal and hilar contours are normal.
<unk> year old woman on plaquenil with cough for <num> weeks // please evaluate for occult infection
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. No displaced fracture is visualized.
left rib fracture seen on ultrasound. chest pain.
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with cough.
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Lung volumes are low. The cardiac silhouette is borderline enlarged. The mediastinal silhouette and pulmonary vasculature are unremarkable. No definite consolidation, pneumothorax or pleural effusion is identified. Bibasilar linear densities are most compatible with atelectasis though a component of aspiration cannot be excluded.
<unk>m with right shoulder pain and presyncope
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The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size. Mediastinal and hilar contours are within normal limits.
<unk>-year-old female with chest pain, here to evaluate for acute intrathoracic pathology.
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There is no focal consolidation or pneumothorax. Small bilateral pleural effusions have resolved. Cardiomediastinal silhouette is normal. There are no acute skeletal abnormalities.
<unk>-year-old woman with question small pleural effusions on recent chest x-ray; assess for interval change.
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Lungs are clear without focal consolidation. There is mild central vascular congestion without overt edema, with enlargement of the pulmonary arteries. There is no pleural effusion or pneumothorax. Eventration of the right anterior diaphragm is noted. The cardiac silhouette is top normal. No pneumothorax is present. Patient is status post bilateral rotator cuff repair.
<unk>-year-old man with worsening dyspnea on exertion, evaluate for heart failure.