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The lungs are clear without focal consolidation or effusion. Cardiac silhouette appears mildly enlarged but this is likely accentuated by prominent mediastinal fat as seen on prior ct. Hypertrophic changes are noted in the spine.
<unk>m with cough // eval infiltrate
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Frontal and lateral radiographs of the chest <unk> inspiratory lung volumes. Bibasilar atelectasis or scarring is unchanged. Peribronchial opacification at the right lung base may represent atelectasis or fibrosis. The lungs are otherwise clear without pleural effusion, focal consolidation or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are stable.
<unk>-year-old male status post ercp, now with fever and cough, here to evaluate for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
intermittent chest pain.
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with orchiectomy, testicular cancer, evaluate for abnormalities.
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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with constitutional sxs, back pain, concern for infection. assess for pneumonia.
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Increased opacity projects over the left hilum in the suprahilar region, seen posteriorly on the lateral view. Given differences in projection and technique these have not significantly changed. Additional right basilar opacity is slightly more conspicuous on the current exam on the frontal view but not clearly delineated on the lateral. Elsewhere, lungs are clear. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with cough // r/o iinfiltrate
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. Surgical clips are noted in the upper abdomen. A hiatal hernia with air-fluid level, is incidentally noted.
<unk>-year-old male with shortness breath and ekg changes. please evaluate for cardiopulmonary disease.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Given lower lung volumes there has been no change. The lung volumes likely account for crowding of the pulmonary vascular markings. Linear opacities at the left lung base likely due to atelectasis. Cardiomediastinal silhouette is within normal limits. Calcific density projecting over the right scapula, potentially intra-articular bodies. Osseous structures are otherwise unremarkable.
<unk>-year-old female with fall, question acute cardiopulmonary process.
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The cardiac, mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. No fracture is identified.
status post motor vehicle collision. question rib fracture, hemothorax.
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The heart size is top normal. Hilar and mediastinal contours are stable. No focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with dyspnea on exertion
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with jerking movements. question infection.
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Cardiac silhouette size is borderline enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities seen.
history: <unk>f with chest pain
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Pa and lateral views of the chest provided. Aicd is unchanged with lead extending into the region of the right ventricle. There is persistent right hilar opacity with increasing right upper lobe consolidation concerning for pneumonia. Increasing opacity is present in the left lower lobe concerning for multifocal pneumonia. No large effusion or pneumothorax. Heart size remains unchanged. Bony structures are intact.
<unk>m with c/o fever/chills with cough // ? pna
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Frontal and lateral chest radiographs demonstrate a persistent right-sided basilar opacity, likely representing a combination of moderate-sized pleural effusion and atelectasis at the right lung base. The patient is status post recent right thoracotomy. The loculated hydropneumothorax in the upper right lung field has decreased in size from the prior study. The left lung is clear. Patient is status post prior left thoracotomy.
<unk>-year-old man with history of liposarcoma status post excision via right thoracotomy. evaluate for interval change.
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Ap upright and lateral views of the chest provided. The lungs appear grossly clear bilaterally. The area of concern on prior radiograph is less conspicuous with a subtle peripheral opacity in the right mid to upper lung again noted. As stated previously, a ct could be performed to further assess though decrease conspicuity suggests a resolving process. Also noted, is a presumed spur arising from the right first anterior rib accounting for increased density abutting the right mediastinum. No convincing evidence for pneumonia. Heart size is normal. Mediastinal contour stable. Bony structures appear intact.
<unk>m with weakness and reported fever at home // eval for pna
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The lungs are clear of consolidation or effusion. There is a small right upper lung nodule projecting over the anterior right first rib interspace which was likely present on prior and is unchanged. Cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>f with one month of cough/congestion // r/o pneumonia
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The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Sequela of prior rib injuries appear unchanged. The bones are probably demineralized to some degree. Severe degenerative changes are noted along the right shoulder. The left humeral head also shows upward subluxation. High-riding humeral heads may indicate underlying rotator cuff pathology. Moderate spinal curvature is also unchanged.
altered mental status.
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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There may be a trace right pleural effusion. No pneumothorax is seen.
<unk> year old man with migraines, word finding difficulties, thin and marfanoid in appearance. rule out infection.
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The lungs are normally expanded. Ill-defined opacity at the left base on the frontal projection is not confirmed on the lateral and may reflect a pericardial fat pad. The heart is not enlarged. The mediastinal hilar contours are normal. Mild blunting of the posterior costophrenic sulcus may reflect a small pleural effusion of unclear laterality. There is no pneumothorax. A curvilinear opacity just under the medial right hemidiaphragm is likely contained within bowel.
history: <unk>m with afib, hypotension // eval for pna
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Frontal and lateral chest radiograph demonstrates a right porta cath tip in the lower svc, unchanged in appearance since previous examination. Intact median sternotomy wires as well as a prosthetic aortic valve are noted. The lungs are moderately well expanded and clear. No focal opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
history of pancreatic cancer on chemotherapy presenting with fever and chills. assess for pneumonia.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. Hilar and pleural surfaces are normal.
history: <unk>f with chest pain // eval for pneumothorax
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There is mild left retrocardiac atelectasis; otherwise, the lungs are clear with no evidence of a consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
left chest pain.
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The patient is status post median sternotomy with multiple mediastinal surgical clips from prior cabg surgery. The cardiac silhouette is moderately enlarged but stable. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The previously moderate left pleural effusion has resolved but there is residual pleural thickening. The pulmonary vasculature is not engorged. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. Hypertrophic changes are demonstrated in the spine.heart is mildly enlarged.
<unk> year old man with pleural effusion, post procedure r/o pneumothorax. // post thoracentesis procedure and pleural effusion
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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. Lung volumes are low. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with uri symptoms now with fever, productive cough, and shortness of breath.
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Since the prior exam, there is new moderate pulmonary edema. There is a moderate-sized left pleural effusion, and a probable small right pleural effusion. There is no definite consolidation. There is no pneumothorax. The patient is status post a median sternotomy. The wires are intact. The heart size is at the upper limits of normal, minimally increased in size from the prior exam on <unk>. The mediastinal contours are normal. Vascular stents are noted overlying the bilateral carotid arteries.
dyspnea for three days.
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In comparison with study of <unk>, there may be mild improvement of the substantial fluid overload and sequela of pulmonary hypertension. The retrocardiac opacification persists consistent with substantial volume loss in the left lower lobe and there are bilateral pleural effusions. Given the extensive pulmonary changes, it is impossible to exclude supervening pneumonia in the appropriate clinical setting.
pulmonary congestion, to assess for consolidation.
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Frontal and lateral chest radiographs demonstrate a persistent small left apical pneumothorax and unchanged multiple rib fractures. The cardiomediastinal silhouette is unchanged and the lungs are clear. There is no pleural effusion. A left pigtail catheter and epidural catheter are in place.
multiple rib fractures and a left pneumothorax. evaluate for interval change.
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Chest, pa and lateral. There are small bilateral pleural effusions and bibasilar atelectasis, a component of which is chronic based on prior imaging. The lungs are otherwise clear. Minimal cardiomegaly is chronic. The mediastinal contours are unremarkable. There is no pneumothorax. Pulmonary vascularity is normal. There are atherosclerotic calcifications of the aortic arch. The left chest wall port-a-cath terminates in the upper right atrium.
<unk>-year-old woman with bradycardia. evaluate for pneumonia.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is stable.
<unk>m with sob and ruq pain, evaluate for pulmonary edema.
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. A <num>-mm opacity is seen in the right upper lung, projecting over the anterior second rib, and a <num>-mm opacity is seen projecting in the mid right lung. Further imaging evaluation with ct is recommended. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with chest pain and cough // r/o pneumonia.
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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.
<unk> year old man with <num> days vertigo and nausea, infectious w/u. evaluate for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with globus sensation // acute process
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Heart size is top-normal. .
history: <unk>f with copd, productive cough // eval for consolidation
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The lungs are clear of consolidation. Increased interstitial markings seen on the left laterally are likely due to scarring, unchanged. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, hypertrophic changes noted in the spine.
<unk>m with ams // r/o infection
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The patient is status post cabg with median sternotomy wires that appear intact and appropriately aligned. There is a left pectoral pacemaker with leads in appropriate position. Stable enlargement of the cardiomediastinal silhouette. No focal consolidations. Vascular congestion, but no overt pulmonary edema. No pneumothorax. No pleural effusion.
history: <unk>f with intermittent doe // please evaluate for acute abnormality
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Lungs are well inflated and clear. The cardiac silhouette is mildly enlarged. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Median sternotomy wires and surgical clips project over the mediastinum. Surgical clips are also seen in the upper abdomen. Calcifications of the aortic arch is noted.
fever, evaluate for acute process
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Ap and lateral views of the chest. No prior. The lungs are hyperinflated but clear of focal opacities. Calcified left apical scarring is identified with superior retraction of the left hilum. Diffusely increased interstitial markings are seen throughout, potentially due to chronic lung disease; however, component of fluid overload is also possible. There is no pleural effusion. Cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is noted as well as mild hypertrophic changes in the spine. Wedge deformities of lower thoracic and likely upper lumbar spine are identified; however, the chronicity is uncertain.
<unk>-year-old female with altered mental status.
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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.
history: <unk>m with chest pain // ? pna
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Frontal and lateral chest radiographs demonstrates no focal opacity convincing for pneumonia. Heart size is upper limits of normal with prominent central vasculature. There is no overt pulmonary edema. There is no appreciable pleural effusion. No pneumothorax. There is no air under the right hemidiaphragm.
<unk>f with chills, weakness // eval for pna, chf
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Frontal and lateral chest radiographdemonstrates mildly hypoinflated lungs with crowding of vasculature and left lower lobe linear platelike opacity only seen on frontal view. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. A chronic lateral fifth rib fracture is noted.
difficulty breathing. assess for pneumonia.
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Pa and lateral views of the chest were viewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear. Final vasculature is within normal limits.
postoperative fever after right inguinal hernia repair.
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There has been interval removal of a right-sided chest tube. A small right apical pneumothorax with medial component is new since <unk>. Mediastinal structures and cardiac borders are midline, unchanged. Right upper lobe opacity is likely postoperative. A right upper lobe nodule corresponds to finding on previous ct examination. No significant pleural effusion.
<unk> year old man s/p r vats rul wedge // r/o ptx post ct removal
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Heart size normal. Mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is identified. There are no acute osseous abnormalities.
chest pain.
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Heart size is normal. The aorta remains tortuous. Mediastinal and hilar contours are similar. Lungs are mildly hyperinflated with mild emphysematous changes again noted in the upper lobes. There is no pulmonary edema, focal consolidation, pleural effusion or pneumothorax. Patchy atelectasis is seen in both lung bases. There mild degenerative changes noted in the thoracic spine.
history: <unk>m with lightheadedness // evaluate for cardiomegaly
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Lung volumes are slightly lower compared to the previous exam. Heart size is top normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal patchy left lower lobe opacity likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen.
history: <unk>m with shortness of breath, elevated lactate
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> yom presenting with <num> months of palpitations now more frequent. evaluate for acute intra thoracic process.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. There is again indistinctness of the pulmonary vascular markings; however, there is no evidence of new consolidation. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with multiple myeloma and hyperglycemia.
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Lung volumes are normal. Two discrete nodules in the right upper lobe measure up to <num> mm and are better characterized on same-day ct as infectious nodules due to mycobacterial infection. Reticular opacities in this area likely reflect bronchiolar wall thickening and mild bronchiectasis, better characterized on same-day ct. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
<unk> year old man with possible mac, rul nodules // can these opacities be seen on cxr for monitoring?
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Frontal and lateral chest radiographs demonstrate an unchanged cardiomediastinal silhouette. There is no good evidence for acute pneumonia. No pneumothorax or large pleural effusion is seen.
leukocytosis and cough. evaluate for a new infiltrate.
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Pa and lateral views of the chest provided. There are no suspicious masses. Again seen is a round opacity in the left lower lung, most likely a nipple shadow. Otherwise, lungs are clear. Heart size is normal. Surgical clips overlying the right apex and right paratracheal region are again seen.
<unk> year old woman with abnormal chest film, cigarette exposure, evaluate for mass
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The lungs are clear. There is no effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with history of as s/p fall // r/o chf/pneumonia
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Frontal and lateral radiographs of the chest demonstrate a newly placed left chest wall pacemaker generator with a right atrial and ventricular leads appropriately positioned. No pneumothorax is seen. Compared to the prior radiograph, there is unchanged left pleural effusion and right basilar atelectasis. The cardiac and mediastinal contours are normal. No acute pneumonia is appreciated.
status post left-sided pacemaker implantation. evaluate lead positions and rule out pneumothorax.
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The heart is normal in size. There is a prominent epicardial fat pad. The chest is hyperinflated. Irregular lung architecture suggests obstructive pulmonary disease. There is no definite pleural effusion. Minimal anterior wedging of a mid thoracic vertebral body is likely chronic. The bones appear demineralized.
altered mental status.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.multiple old left-sided rib fractures are present.
history: <unk>m with chest pain and fevers // eval for pneumonia
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The lungs are normally expanded. There are bilateral diffuse interstitial abnormalities which have minimally progressed since <unk>. There is a <num> cm nodule at the left base that has been previousuly worked up and is stable. In addition to this, there is a new superimposed left lower lobe infiltrate and likely small pleural effusion. Median sternotomy wires appear intact. There is no pneumothorax.
history: <unk>f with sob and doe // eval pna, edema
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Heart size is top-normal with on folding of the thoracic aortic arch. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Mild right base atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax. Tiny clips in the superior mediastinum noted.
fever, cough and tachypnea.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. There is no pulmonary vascular congestion. The cardiomediastinal silhouette is stable. Hypertrophic changes are seen in the spine without acute osseous abnormality.
<unk>-year-old female with myasthenia <unk> and increased cough.
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Pa and lateral images of the chest. There are low lung volumes, with associated bronchovascular crowding. There is mild pulmonary vascular congestion, improved from prior exam. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history of pneumonia, now with fever.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with fever and productive cough.
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Since the prior exam, there is slightly increased retrocardiac opacity, suggestive of atelectasis, less likely pneumonia. Otherwise, lungs are clear. Port-a-cath resides over the left chest wall with catheter tip extending to the low svc. Cardiomediastinal silhouette is stable. No pneumothorax or effusion. Gaseous distention of colon is noted in the upper abdomen.
<unk>-year-old woman with cough and fever; evaluate for pna.
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The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected. There is no free air beneath the right hemidiaphragm.
<unk>-year-old woman with history of ulcerative colitis, now with worsening fever and diarrhea, here to evaluate for acute cardiopulmonary process.
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The lung volumes are relatively low. No evidence of focal parenchymal opacity suggesting pneumonia. Normal size of the cardiac silhouette. No pleural effusions. Right pectoral port-a-cath in situ.
metastatic rectal cancer, chemotherapy, evaluation for pneumonia.
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There is some persistent partially loculated left pleural effusion with loculated areas best seen on the lateral view projecting over the region of the fissure and posteriorly. Enlargement of the cardiomediastinal silhouette is unchanged, some of which can be accounted for by a known adenopathy. There is no definite new consolidation. Increased interstitial markings in the lungs may be in part due to chronic underlying interstitial show process and mild superimposed edema.
<unk>m with hypoxia // acute process?
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Cardiomediastinal silhouette is normal. There is no focal lung consolidation. There is no pneumothorax or pleural effusion. There is no displaced rib fracture.
<unk>-year-old woman pain after a fall, please eval for fracture, please assess for other etiologies for chest pain
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Chest pa and lateral radiograph demonstrates unchanged prominent reticular interstitial pattern with areas of lucency consistent with history of known fibrosis. Given lung tissue abnormalities, assessment for subtle focal opacities is difficult; however, there appears to be increased opacification obscuring the left heart border which could reflect a developing infectious process versus acute exacerbation. The aorta is tortuous. Otherwise, the mediastinal, hilar, and cardiac contours are unremarkable. No pleural effusion or pneumothorax evident. Right-sided port-a-cath is identified with tip in the distal superior vena cava. Degenerative changes are noted at the right acromioclavicular junction.
idiopathic pulmonary fibrosis and metastatic adenocarcinoma of unknown origin, admitted with severe hydronephrosis and acute renal failure with new cough, please evaluate for infiltrate.
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There is patchy new opacification of the right upper lobe most consistent with bronchopneumonia. A band-like opacity in the lingula suggests minor atelectasis or scarring which is similar to less conspicuous. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax. Mild-to-moderate degenerative changes are similar along the thoracic spine. A picc line has been removed.
pneumonia.
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There is no consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. No subdiaphragmatic free air.
<unk>-year-old male with jaundice
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No consolidation. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. The heart size is normal. Air is seen in the esophagus. The hiatal hernia is small.
<unk> year old man with truncal hyperesthesias // eval pulmonary 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.
history: <unk>m with cp // evidence of pneumo
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There are coarse interstitial markings bilaterally with bibasilar fibrosis likely representing chronic interstitial lung disease. This opacification is slightly asymmetrically increased at the left base, which may represent asymmetric fibrosis, however an underlying pneumonia cannot be excluded. There is biapical pleural parenchymal scarring. Heart size is 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>f with vomiting, lightheadedness, diaphoresis, now resolved
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Left-sided pacemaker device is noted with single lead terminating in the right ventricle. Moderate cardiomegaly is re- demonstrated. The aorta is mildly tortuous and demonstrates atherosclerotic calcifications particularly at the knob. Hazy ill-defined opacities are noted within the left upper lobe. The right lung is grossly clear, and there is no pleural effusion or pneumothorax. Degenerative changes of both acromioclavicular joints are noted.
left lung opacities seen on cervical spine ct.
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Frontal and lateral chest radiographs were provided. Streaky bilateral opacities are likely related to vascular crowding from low lung volumes. Lungs are otherwise clear, without focal areas of consolidation. Heart is normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion and no pneumothorax. Bony structures are grossly intact.
toxic exposure, evaluate for pneumonitis.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
shortness of breath on exertion. evaluate for pneumothorax.
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The lungs are somewhat low in volume but clear with linear bibasilar atelectasis, but no focal consolidation. There is no pleural effusion or pneumothorax with perhaps mildly increased interstitial markings. The heart is normal in size with normal cardiomediastinal contours. Dense aortic valvular calcifications are noted. The patient's femoral catheter terminates in the right atrium as before.
immunocompromised and possible line sepsis, assess for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate pulmonary vascular enlargement, right greater than left, corresponding to enlargement of the right pulmonary artery. The heart is mildly enlarged. There is scarring at the bilateral apices. There is no pneumothorax, consolidation, or pleural effusion. There are multiple well-healed old right sided rib fractures.
<unk>-year-old man with past pulmonary embolism. pre-v/q scan, radiograph.
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Patchy opacities at the right lung base may reflect atelectasis, however, pneumonia should be considered in the correct clinical setting. Trace bilateral effusions.
left flank pain and persistent cough. evaluate for infiltrate.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is widening of the right upper mediastinal contour which may reflect venous distention and less likely lymph node enlargement. Heart is mildly enlarged and has increased in size since the prior study. The right upper lobe opacities are also seen. Perihilar vascular congestion is noted as well as bilateral interstitial opacities. Multifocal patchy air space opacities are also demonstrated in the right upper lobe and both lower lobes. There is no pneumothorax. Small bilateral pleural effusions are present. There has been prior median sternotomy and cabg.
cough, assess for pneumonia.
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The left-sided port-a-cath bends and is compressed between the clavicle and the anterior ribs, which is common. The port-a-cath terminates in the mid svc. Right apical scarring likely due to post radiation changes. Small right basilar opacities likely represent postradiation changes. Cardiomediastinal more so hilar structures are normal. No pleural effusion. No pneumothorax.
<unk> year old woman with port malfunction // evaluate port position - port no longer drawing and painful
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for infiltrate in a <unk>-year-old man with a smoking history and chest pain.
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Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities detected.
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. No pulmonary edema is seen.
<unk> year old woman with chest pressure // r/o cardiomegaly, pulm edema, pna
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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.
chest pain and shortness of breath.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Subsegmental atelectasis in the lingula is noted. Minimal blunting of the left costophrenic angle is again seen, likely chronic pleural thickening. No focal consolidation, pleural effusion or pneumothorax is identified. The lungs are hyperinflated. Multiple clips are demonstrated within the left upper quadrant. There are no acute osseous abnormalities.
asthma and dyspnea.
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Frontal and lateral chest radiographs. There are large bilateral pleural effusions with bibasilar atelectasis and collapse of the left lower lobe, similar to <unk>. The cardiac silhouette is obscured. There is no vascular engorgement.
altered mental status and shortness of breath.
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Pa and lateral views of the chest provided. There is pulmonary edema and hilar congestion. No large pleural effusion is seen. No pneumothorax. Cardiomediastinal silhouette appears grossly stable. Bony structures are intact.
<unk>m with chest pain // acute process?
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There is a <num> mm nodule projecting over the left lung apex and lateral left first rib. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Lower thoracic dextroscoliosis is noted. No acute osseous abnormalities. There is no free intraperitoneal air.
<unk>f with h/o dm, gerd/pud presenting with severe epigastric pain // eval for pna, gall bladder pathology
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Posterior spinal hardware appears to be in similar configuration from <unk>. A dextroscoliosis of the thoracic spine persists. There has been improved aeration at the right lung base, though, residual opacity persists in comparison to <unk>. Consolidation at the left lung base is new. No pleural effusion or pneumothorax. Heart is normal size is the. Mediastinum hilar structures are unremarkable.
dyspnea and cough. evaluate for pneumonia.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with fever of unknown origin. question pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. There is no there is a new small pleural effusion on the right side, no definite pleural effusion on the left. The lungs appear clear.
lower extremity edema.
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<num> views were obtained of the chest. The lungs are low in volume with linear right basilar atelectasis or scarring. There is no pleural effusion or pneumothorax. The heart is top normal in size with tortuous aorta.
syncope.
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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
<unk>-year-old female with cough for <num> weeks with right-sided rales and rhonchi, concerning for pneumonia.
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A stent is unchanged in appearance in the region of the left axilla. Lung volumes are adequate. There is no focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal.
<unk>-year-old male with diabetes, nausea, vomiting.
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Heart size is top normal. The mediastinal and hilar contours are normal. Bilateral central interstitial congestion is slightly more prominent. Thickening of the fissures is mildly more prominent. Bilateral pleural effusions are mild. New right lower lung opacity could be atelectasis or coalescent edema or pneumonia. No pneumothorax. Aortic calcification is prominent. Sternotomy wires and surgical clips are noted.
<unk> year old man with pmhx renal transplant, dchf - leukocytosis, anemia, pleural effusions // ?signs of consolidation
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The lungs are well expanded. An ill-defined band of opacity along the right lung base without correlate in the lateral veiw may represent atelectasis versus summation of tissues. Otherwise, no other focal opacities are seen. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with palpitations. evaluate for evidence of acute process.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Hypertrophic changes noted in the spine.
<unk> year old man with stroke and dysphagia // r/o aspiration pna
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Pa and lateral views of the chest demonstrates the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation. The bony structures appear intact.
<unk>-year-old male falls and question of right lower rib fracture.
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Lung volumes are low. There are bilateral interstitial opacities with a perihilar distribution, with associated bilateral hilar engorgement and small pleural effusions. Slightly increased right basial opacity is also seen. There is no pneumothorax. Moderate cardiomegaly is unchanged from prior. A bicameral pacemaker is re-identified with the leads in unchanged position. Sternotomy wires are intact.
shortness of breath. evaluate for fluid overload.
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No focal consolidation is seen. Relative lucency of the bilateral, right greater than left, upper lobes, likely reflects pulmonary emphysema. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is somewhat tortuous. No pulmonary edema is seen.
history: <unk>m with cough // r/o acute process
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There is no focal consolidation, edema, or effusion. Mild cardiac enlargement is noted. No acute osseous abnormalities.
<unk>f with syncope // ?cpd
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart size is top-normal. The aorta is tortuous with calcifications along the aortic knob.
<unk>-year-old male with palpitations and ekg changes.