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The right mid lung linear opacity is less prominent than on prior examination. The lungs are well expanded. Moderate cardiomegaly is stable. The mediastinal contour and hila are unchanged. No pleural effusion.
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<unk> yr. old with recent cxr showing linear opacity at the periphery of the right midlung // assess opacity
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Pa and lateral views of the chest provided. Mild elevation of the right hemidiaphragm is noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Partially visualized cervical spinal hardware noted. No free air below the right hemidiaphragm is seen.
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<unk>f with hypoglycemia and ams // infiltrate?
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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. Fusion of the l<num> and l<num> vertebral bodies is re- demonstrated.
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history: <unk>f with chest pain and left sided back pain
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
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cough x<num> weeks.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
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auto accident.
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Removal of the right chest tube. There is no evidence of pneumothorax. There is no pleural effusion. Minimal atelectasis in the right perihilar region and at the right lung base is present and unchanged since prior study. Left mild platelike atelectasis in the left lower lung base is also stable. Heart size, mediastinal and hilar contours are in unchanged appearance.
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chest tube removal, to look for pneumothorax.
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Frontal and lateral views of the chest were obtained. Lung volumes are slightly lower than on the prior study, resulting ni bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal allowing for lung volumes. No displaced rib fractures identified. There is no free air under the diaphragm.
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chest pain.
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Pa and lateral views of the chest provided. Dialysis catheter again seen in unchanged position with its tip in the low svc. A vascular stent is seen in the right brachiocephalic vein. There is again noted to be mild fluid overload with interstitial pulmonary edema noted. No large effusion or pneumothorax. No convincing evidence for pneumonia. The cardiomediastinal silhouette is stable. No acute bony abnormalities.
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<unk>f with sob // eval pneumonia vs chf
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Previously seen right pleurx catheter is no longer visualized. Overall, the appearance of the right lung has not significantly changed noting increased hazy opacity overlying the right hemi thorax due to component of pleural thickening and parenchymal opacities. Loculated pleural effusion identified at the base as on prior. The left lung remains clear. Cardiomediastinal silhouette is stable. Ventricular shunt catheter projects over the anterior chest wall.
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<unk>f with sob/hemoptysis. additional history from prior radiology reports of metastatic lung carcinoma.
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<num> views were obtained of the chest. The lungs are somewhat low in volume but clear with perhaps trace bilateral pleural effusions or pleural thickening given blunting of the posterior costophrenic sulci. The heart and mediastinal contours are unremarkable aside from mild unfolding of the aorta. Irregularity of the lateral <unk> and <unk> left ribs could reflect fracture or artifact due to overlapping structures. There is no pneumothorax.
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fall and subdural hemorrhage with left chest wall pain
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. A calcification projecting over the right lower lobe appears unchanged. The lung fields are otherwise clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are noted along the thoracic spine.
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foreign body sensation in the right anterior chest.
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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.
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right upper quadrant abdominal pain and chills.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
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addison's disease and weakness.
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Cardiac size is exaggerated by low lung volumes but likely normal. There is no pleural effusion, pneumothorax, edema or evidence of pneumonia.
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cough five days.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are hyperinflated consistent with emphysema as seen on recent ct from <unk>. There is no pleural effusion or pneumothorax. Subtle opacity at the base of the right lung likely reflects a combination of mucous plugging and atelectasis as seen on recent chest ct however infection should be considered.
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<unk>m with cough, leukocytosis
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Degenerative changes are seen at the bilateral acromioclavicular joints. No acute displaced fracture is seen.
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history: <unk>f with fall with pain // acute process
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Ap upright and lateral views the chest provided demonstrate clear well expanded lungs that focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears within normal limits. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f s/p fall ?medial pneumothorax on previous xr please eval for interval growth.
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Right basal atelectasis with volume loss and elevated right hemidiaphragm. The cardiomediastinal silhouette, hilar, and pleural surfaces are normal. There is no pneumothorax nor effusions seen. There are no acute bony abnormalities. Median sternotomy wires are intact and aligned. Mediastinal surgical clips are seen.
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<unk> year old man with sob // r/o acute cp process
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Frontal and lateral views of the chest were obtained. The heart size appears normal. Pulmonary vascular markings are indistinct and prominent in the upper lobes, compatible with mild pulmonary edema. Peripheral wedge shaped right upper lobe opacity is similar to prior. Right hilar and middle lobe patchy consolidative opacities are new. Small bilateral pleural effusions are present. No pneumothorax. No radiopaque foreign body. Osseous structures are unremarkable.
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<unk>-year-old female with chest pain and dyspnea. rule out infiltrate.
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Frontal and lateral views of the chest demonstrate normal lung volumes. Small bilateral pleural effusions are present. Mild-to-moderate pulmonary interstitial edema is noted. Heart size is normal. Bibasilar opacities likely represent atelectasis. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pneumothorax. Mid thoracic vertebral body compression deformity is longstanding.
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patient with chest pain and hypoxia. assess for chf.
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Pa and lateral chest radiographs demonstrate low lung volumes and bibasilar opacities most consistent with atelectasis given the lack of corresponding findings on lateral view. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. No fracture is identified.
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chest pain. evaluation for infection or rib fracture.
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Previously seen rounded opacity projecting over the right fifth posterior rib is not identified on current study, likely an external structure has since been removed. Lung volumes are normal. There is no focal consolidation, effusion or pneumothorax. Mediastinal and hilar contours are normal. Heart size normal.
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history: <unk>m with seizure // ?cpd
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
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history: <unk>m with chest pain // eval cardiomegaly or effusion
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Moderate cardiomegaly is stable. Aside from retrocardiac atelectasis the lungs are clear. There is no pneumothorax or large effusions.
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<unk> year old man with multiple myeloma with peristent cough // pulmonary edema, pneumonia, other abnormalities
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Frontal lateral views of the chest. Tubing seen along the left anterior chest wall, presumably from a ventriculoperitoneal shunt. Relatively low lung volumes are seen. The lungs however are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
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<unk>-year-old female with history of traumatic brain injury, question seizure disorder presents with seizure.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. There is no evidence for pulmonary edema.
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<unk>-year-old female with chest pain and shortness of breath.
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The lungs are clear. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is a small nodular opacity in the left lower lung. There is no displaced rib fracture identified.
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<unk>m with +etoh and unwitnessed fall from standing with loss of consciousness, evaluate for pneumonia.
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The lungs are clear. There is no pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
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<unk>-year-old woman with an episode of confusion. evaluate for pneumonia.
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Interval removal of the left picc line. No focal consolidation or pneumothorax identified. There are new small bilateral pleural effusions. Unchanged biapical pleural parenchymal thickening.mild pulmonary edema is noted. The size the cardiomediastinal silhouette is within normal limits.
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<unk> year old woman with aml admitted with febrile neutropenia. // evaluate for pneumonia, infectious process
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As compared to the previous radiograph, there is no relevant change. Overinflation, assumingly due to copd. Multiple overall subtle parenchymal scars, but no evidence of recent infection or aspiration. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
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shortness of breath, evaluation for aspiration.
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Lungs are clear on this radiograph. Cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old with worsening cough for a month. please evaluate for pneumonic process.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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sinus tachycardia.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
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alcohol abuse with palpitations.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Moderate upper lobe predominant centrilobular emphysema is re- demonstrated with lung hyperinflation. No focal consolidation, pleural effusion or pneumothorax is seen. Previously noted right upper lobe lung lesion seen on ct is not well visualized on the current radiograph. There is no pleural effusion or pneumothorax. No acute osseous abnormality is demonstrated.
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history: <unk>f with copd presents with days shortness of breath and productive sputum
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Pa and lateral chest radiograph demonstrate hyperexpanded lungs bilaterally with flattening of the diaphragms and lucency within the upper lobes consistent with severe emphysema. No focal opacity convincing for pneumonia is identified. Blunting of bilateral costophrenic angles may reflect a component of scarring. No large pleural effusion is seen. Cardiomediastinal and hilar contours are stable in appearance when compared to prior radiograph dated <unk>. Heart is stably enlarged. No overt pulmonary edema and is seen. Osseous structures demonstrate no acute abnormality.
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<unk>-year-old female with dyspnea and cough.
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The patient is status post coronary artery bypass graft surgery. The heart appears mildly enlarged. The vascular pedicle is widened suggesting fluid overload. Mild central hazy pulmonary vascular prominence suggests slight congestion, but less striking than on the recent prior examination with reduced perihilar fullness. The lungs appear hyperinflated. Streaky left mid lung opacities suggest minor atelectasis.
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cough and pleuritic chest pain.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. No focal consolidation convincing for pneumonia is present. Lungs are well inflated. There is no pleural effusion, pulmonary edema, or pneumothorax. Cardiomediastinal contours are stable relative to prior study dated <unk> with unchanged cardiomegaly and calcified lymph nodes in the aortic-pulmonary window. Upper abdomen is unremarkable.
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history: <unk>f with ams // eval for pneumonia
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There is an opacity in the right lower lobe, which is new from <unk>, and suspicious for pneumonia. No other consolidation. Previously noted left lower lobe atelectasis has resolved. Mild interstitial abnormality is re-demonstrated. There is no pleural effusion or pneumothorax. Heart is top-normal in size. Rounded densities projecting over the mediastinum likely represent calcified lymph nodes. There is no subdiaphragmatic free air.
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history: <unk>m with cough, fever // r/o pna
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The heart appears mildly enlarged. The mediastinal and hilar contours are unremarkable. The lung volumes are low. The diaphragms are flattened suggesting a baseline state of hyperinflation, however, and there are suspected small pleural effusions, more prominent on the right than left side. Streaky opacities suggest minor atelectasis at both lung bases. Otherwise, the lungs appear clear.
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generalized body aches, shortness of breath, and chest tightness.
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Pa and lateral views of the chest were provided. There is no significant interval change from the recent ct and chest radiographs. Extensive fibrosis and upper lobe scarring is unchanged. An ovoid density in the right mid lung corresponds to a calcification on prior ct. There is slight upward retraction of the pulmonary hila, unchanged. The heart and mediastinal contour is unchanged. No evidence of superimposed pneumonia.
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<unk>-year-old man with history of remote tb, severe copd with hemoptysis, question pneumonia or mass.
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Cardiac silhouette size is normal. Right-sided aortic arch is incidentally noted. Mediastinal and hilar contours are otherwise unremarkable. Patchy ill-defined opacity is noted within the right middle lobe concerning for pneumonia. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is visualized.
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history: <unk>m with fever, cough
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. No pneumothorax. Increased interstitial markings seen throughout the lungs are unchanged when compared to <unk>. Cardiac silhouette is unchanged. Hilar contours are also stable dating back to <unk>. No acute osseous abnormality identified.
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<unk>-year-old female with fall and right-sided pain. question pneumothorax.
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The lungs remain hyperinflated, suggesting copd.no focal consolidation is seen. No large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
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history: <unk>f with cough for a few days // ?pna
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Right-sided port-a-cath terminates in the low svc without evidence of pneumothorax.the lungs are clear without focal consolidation. No pleural effusion is seen. The cardiac and mediastinal silhouettes are stable.
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history: <unk>m with weakness // eval for pneumonia
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The lungs are well expanded. Vague right lower lobe opacity could be a small pneumonia, or atelectasis. Hila and cardiomediastinal contours and pleural surfaces are normal.
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<unk>f w obesity, iddm, resectable pancreatic head adenoca planned for resection <unk>; now admitted w fever, chills, hyperglycemia // eval for pulmonary process
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The patient is status post median sternotomy and cabg. The lungs are hyperinflated with flattening of the diaphragms. Mild enlargement of cardiac silhouette persists. There are calcifications of the aortic arch. There is no pulmonary vascular congestion. Linear opacities within the lung bases most likely reflect atelectasis. Blunting of the costophrenic angles posteriorly likely reflects the presence of trace bilateral pleural effusions. No pneumothorax is identified. There are no acute osseous abnormalities. Multilevel mild degenerative changes are noted in the thoracic spine. Extensive degenerative changes are also noted within the glenohumeral joints bilaterally, partially imaged.
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shortness of breath status post cabg.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiac silhouette appears mildly enlarged. Mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with sob over past week // evidence of pneumonia or other infiltrates
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.
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history: <unk>f with chest pain
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In comparison with the study of <unk>, there are innumerable rounded metastatic foci throughout both lungs. The left subclavian port-a-cath extends to the mid-to-lower portion of the svc. No evidence of abnormal kinking.
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port malfunction.
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Pa and lateral views of the chest were provided. The lungs are hyperinflated though clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
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<unk>-year-old female with dyspnea on exertion, shortness of breath.
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Right port-a-cath tip in the upper svc. There is no catheter kink. Very shallow inspiration. There is stable mild left, new small right pleural effusions effusions. Left basilar opacity has improved. Mildly worsened right basilar opacity, likely atelectasis. Shallow inspiration accentuates heart size, pulmonary vascularity. There is no pneumothorax.
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<unk> year old man with neuroendocrine pancreatic carcinoma presents w/ erythema, edema, and ttp around l port-a-cath w/ associated l arm swelling and erythema // please evaluate lumen of the port from the site of insertion to the tip
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Pa and lateral views of the chest provided. Right pic line with tip in the right atrium. Mild interstitial disease, best visualized in the left lung base on the frontal and lateral views. 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.
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<unk> year old man with port without blood return // eval for port position/malfunction
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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 mediastinum is not widened. There is no pulmonary edema.
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history: <unk>f with chest pain, severe, pls eval ptx vs edema vs widened mediastin // history: <unk>f with chest pain, severe, pls eval ptx vs edema vs widened mediastin
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Pa and lateral views of the chest demonstrate intact median sternotomy and cerclage wires, with a prosthetic aortic valve, in appropriate position, unchanged since the prior study. The lungs are well expanded and clear, with no pleural effusion, pulmonary edema, pneumothorax, or focal airspace consolidation. The heart is top normal in size.
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<unk>-year-old man with prosthetic aortic valve, here with new thrombocytopenia.
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Frontal and lateral chest radiographs demonstrate unchanged moderate cardiomegaly. The lungs are fairly well-aerated, with opacity at the left lung base unchanged and again suggestive of scarring. There is no focal consolidation or pneumothorax. Minimal blunting of the cardiophrenic angles bilaterally suggests minimal, if any, pleural effusion. The visualized upper abdomen is unremarkable, other than surgical clips projecting over the right upper quadrant, unchanged.
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evaluate for consolidation or pleural effusion in a <unk>-year-old woman with palpitations, new onset afib, and a history of renal transplant.
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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.
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history: <unk>f with worsening hyperglycemia and weakness, concern for primary worsening of dm vs secondarily due to infx // eval ? infection
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There is left lower lobe consolidation. The lungs are otherwise clear. Cardiomediastinal silhouette is stable. Old healed bilateral rib fractures and thoracic compression deformities are again noted.
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<unk>m with hemoptysis // r/o pna
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An icd device is located in left pectoral position. The course of the wires is unremarkable, one wire projects over the right atrium, the other one over the right ventricle. No evidence of pneumothorax. No pulmonary edema. No atelectasis.
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dilated cardiomyopathy, ecd evaluation.
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Ap upright and lateral views of the chest provided. The lungs are clear without focal consolidation, large effusion or pneumothorax. The heart is mildly enlarged. The mediastinal contours unremarkable. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with confusion // pneumonia?
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a new opacity in the lingula suggesting pneumonia. A new opacity in the right lower lung is difficult to otherwise localize but suggests an additional area of pneumonia. Elsewhere, the lungs appear clear. There is no pleural effusion or pneumothorax.
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cough and dyspnea. question pneumonia.
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There is mild rightward rotation of the patient on the current radiograph. Allowing for changes due to this, the cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. There is no pulmonary vascular congestion. Lungs are hyperinflated. There is no focal lung consolidation. There is no pneumothorax or pleural effusion.
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history: <unk>m with asthma exacerbation, <unk> symptoms, cough // ? pneumonia
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Frontal and lateral chest radiographs demonstrate similar size to globose enlargement of the cardiac silhouette consistent with known pericardial effusion, accounting for differences in technique. Linear atelectasis and retrocardiac opacity is not significantly changed from <unk>. There are small bilateral pleural effusions, also unchanged. The mediastinal contours remain normal. The pulmonary vasculature is normal.
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<unk>-year-old female with pericardial effusion.
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Sternal wires are intact. Right ij catheter terminates at the superior cavoatrial junction. Moderate right pleural effusion has improved, now small. This may be secondary to patient positioning the postoperative appearance of the left lung is similar with a small left apical pneumothorax. Left pleural effusion is small.
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<unk> year old man with pod<num> left vats. evaluate pneumothorax.
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Pa and lateral views of the chest. Small amount of loculated fluid in the right lateral lower lung is unchanged. Previously seen small loculated collection within the minor fissure has resolved. No left pleural effusion. No pneumothorax. Mild apical scarring bilaterally is unchanged. Cardiomediastinal and hilar contours are normal. No focal consolidations.
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followup effusions.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No definite clavicular or rib fracture is identified, though this examination is not tailored for evaluation osseous injuries. If there is significant concern for fracture, dedicated views of the ribs and clavicles can be obtained.
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history: <unk>f with pain from l clavicle to waist after injury // ? fracture
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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chest pain.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are grossly clear aside from a nodular opacity in the left midlung. This may represent a vessel, though nodular opacity is not excluded. There is no pleural effusion or pneumothorax. No subdiaphragmatic air is identified.
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<unk>f with epigastric pain, n/v // rule out free air
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease or old tuberculous disease.
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positive ppd.
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Lungs are clear without focal consolidation, effusion, or edema. Cardiac silhouette is within normal limits. Enlargement of the left hilum is felt to be due to pulmonary artery enlargement. Chronic changes of the posterior left fourth and fifth ribs are noted. Small median sternotomy wires are noted.
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<unk>f with cough, eval pna // cough, eval pna
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The lung volumes are normal. No pleural effusions. No pneumothorax. No acute or chronic lung disease, in particular no evidence of pneumonia or pulmonary edema. No lung nodules or masses. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.
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history of cirrhosis, evaluation for liver transplant.
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The lungs are well expanded clear. No pleural abnormality is seen. The cardiac and mediastinal silhouettes are unremarkable. Calcified anterior mediastinal lymph nodes are unchanged.
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<unk>m with ascites and doe. evaluate for fluid balance, pna, atelectasis.
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Moderate left pleural effusion is new. It is impossible to exclude a pneumonia underlying it. There is also new mild pulmonary edema. Moderate cardiac contour enlargement has worsened since previous exam, and there is also dilation of the azygos vein. There is no pneumothorax.
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one week of cough, purulent scutum, leg swelling, no fever, quit smoking. rule out pneumonia or chf.
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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.
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intravenous drug abuse, cellulitis, on antibiotics but still with fever. assess for septic emboli.
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There is worsening of the lingular consolidation. Right lung base opacities are unchanged. The lung volumes are low. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. Patient had previous kyphoplasty.
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patient with eosinophilic pneumonia, recent hospitalization infiltrate.
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The lungs are relatively hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. There is mild bibasilar atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Aortic calcification is again seen. Stable mild compression deformities in the mid thoracic spine are noted. No displaced fracture is seen. However if clinical clinical concern for rib fracture is high, dedicated rib series or chest ct are more sensitive.
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cough fall, ataxia.
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MIMIC-CXR-JPG/2.0.0/files/p14242530/s57426544/969b783d-ee416109-9a3763c7-bea571fd-17e50c3e.jpg
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Cardiomediastinal silhouette is within normal limits. There is no pleural effusion or pneumothorax. An opacity projecting over the spine on the lateral view and the right hilus on the anterior view is unchanged and corresponds to a large osteophyte on prior ct of <unk>.
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history: <unk>m with llq pain radiating to left chest worse with exercise since an ercp procedure <num> weeks ago // acute cardiopulmonary process
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MIMIC-CXR-JPG/2.0.0/files/p10229696/s52270748/bdbc91b3-fbd33bfc-2aa0c9d8-0207112b-2610cda3.jpg
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The cardiomediastinal and hilar contours are within normal limits. There is asymmetry of the lung apices with increased opacification in the right lung apex. The left lung is clear. There is no pleural effusion or pneumothorax. There is no acute osseous abnormality.
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history of sarcoid with cough and back pain. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15405231/s52709851/8796aee0-6bd9913b-86d93fd7-a7142fc2-de04974b.jpg
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Ap and lateral views of the chest are compared to previous exam from <unk>. Given differences in positioning and technique, there has been no significant interval change. Lungs are essentially clear. There is no effusion. Cardiomediastinal silhouette is within normal limits for technique. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with right-sided neurologic symptoms.
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MIMIC-CXR-JPG/2.0.0/files/p19091199/s55815813/e88fb411-c39381a1-fd419ded-8bcc68ba-f47c036e.jpg
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
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<unk>m with chest pain // eval for acute process
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MIMIC-CXR-JPG/2.0.0/files/p13572315/s53664422/fd2759a0-90efac73-c7dbe473-07f16902-0c9fc264.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13572315/s53664422/8da8718d-d2c30a18-7235a9b9-7836d03e-2d4ae22a.jpg
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is detected.
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history: <unk>f with right lower chest pain
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MIMIC-CXR-JPG/2.0.0/files/p18001923/s57954990/bd7d7aea-9fedb929-9c5e9d50-287395a8-7426c960.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18001923/s57954990/8dae8354-5b6f8d3a-5283a3d4-f057e4ae-63f51f11.jpg
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Ap 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.
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<unk>m with chest pain since yesterday.
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MIMIC-CXR-JPG/2.0.0/files/p14499928/s52679955/6d8fcf17-95659507-06bb67b5-8a3e07db-42e49685.jpg
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Pa and lateral chest views were obtained with patient in upright position. Left lung asymmetry is related to prior left lower lobe wedge resection with persistent elevation of the left hemidiaphragm. New fiducial marker has been placed at the right lung base. There is no evidence of pneumothorax. There is no pleural effusion. Heart size is normal. Air-fluid level in the left retrocardiac region is neoesophagus in patient with history of esophagectomy.
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post-fiducial seed placement under ct, chest x-ray <time>; to assess for pneumothorax. rule out right pneumothorax.
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The vagus nerve stimulator is again seen in the left chest wall, and is without evidence of lead fracture. The lungs are clear bilaterally, without focal consolidations, pleural effusions or pneumothorax. The mediastinum, hila and heart are within normal limits. Mild dextroscoliosis, unchanged from prior. No acute osseous abnormalities.
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<unk> year old woman with refractory epilepsy with multiple falls sustained during seizure activity // please assess integrity of vagus nerve stimulator implanted in her left chest area with lead extending up to her vagus nerve in her neck/lower cervical area- assess for any loosened connections or fractured leads.
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MIMIC-CXR-JPG/2.0.0/files/p14765058/s53246660/bb1080d6-e8836cbd-aed520ab-e11d20c1-9470cf76.jpg
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There is unchanged mild opacification at the medial right apex. However, note new focal consolidation, effusion, or pneumothorax. The cardiomediastinal and hilar silhouettes are unchanged.
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<unk> year old man with tb (now smear negative), on <num> drug tb therapy, renal transplant. persistent fever x ><num> month and return of cough. ?any new evidence of infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p14008937/s50216251/a92db741-5c2eeb07-51b6b8c6-d2bd0a6c-29c830f7.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14008937/s50216251/6f3a8259-a7772472-60be4aa3-a9d7507e-aa4d6b7c.jpg
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable with the cardiac silhouette top-normal. Slight prominence of the interstitial markings is noted diffusely which may be due to chronic lung disease or very minimal interstitial edema.
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history: <unk>f with right sided weakness and word finding difficulty //
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MIMIC-CXR-JPG/2.0.0/files/p18391806/s53033843/a9b261e6-b3096251-c00109ff-fc0875ab-91bff150.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18391806/s53033843/5eb25e24-a43b5a28-d0aa8265-96b3d458-65a73963.jpg
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with cough, fever // evaluate for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p15563122/s52410004/bc99232f-b58a049f-79a03eaa-d3f6ff66-dd9981fb.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15563122/s52410004/67b4d9cf-d254775a-4a801f5a-9b32aed6-25b3da5c.jpg
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No previous images. There is hyperexpansion of the lungs consistent with chronic pulmonary disease. There is prominent enlargement of the cardiac silhouette with tortuosity of the aorta. However, no definite vascular congestion, pleural effusion, or acute focal pneumonia.
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delirium, to assess for infection.
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The lungs are clear. No focal consolidation, effusion, edema, or pneumothorax. Minimal atelectasis at the left lung base. Aortic knob calcifications are mild, unchanged. The heart size is normal, unchanged. The mediastinum is not widened. Mild dextroconvex scoliosis of the thoracic spine is overall unchanged. No evidence of aacute rib fracture on this nondedicated exam, but note is made of apparent healed lower rib fractures bilaterally at the left tenth and right ninth ribs. Multilevel degenerative changes of the thoracic spine are overall similar. Degenerative changes of the left ac joint are mild.
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history: <unk>f with fall yesterday now with hallucinations. evaluate for pneumonia or rib fractures.
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MIMIC-CXR-JPG/2.0.0/files/p17024993/s56018081/9bcfcb62-99395658-c58ae0f9-b8e66374-8cd1ed7b.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17024993/s56018081/a01f68a7-a7c23726-c028eba5-e171faf2-757c7210.jpg
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
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fever and weakness.
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MIMIC-CXR-JPG/2.0.0/files/p12056181/s57255959/e7bb2add-54fa643c-514189ab-19eda417-68303958.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12056181/s57255959/aecc76eb-e19f1421-ee31e424-6771d9cc-0c30e1e9.jpg
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Lungs are clear. No focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Vascular stents project over the cardiac silhouette on the lateral projection. Bony structures are intact. No free air is seen below the right hemidiaphragm.
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<unk>-year-old male with chest pain, evaluate for pneumonia..
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MIMIC-CXR-JPG/2.0.0/files/p14020630/s58449465/823a0c0d-b11385be-a6556666-a57fa301-84f43cfb.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14020630/s58449465/41d5e6c4-cb78b893-89cdc7e4-c802f393-e6b1a671.jpg
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Several surgical clips project over right upper abdomen. Otherwise, the imaged upper abdomen is unremarkable.
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right-sided pleuritic chest pain. assess for rib fractures or pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p11084812/s58820371/c8401075-8ac2b216-6f13bc92-d30a4bb0-519eb659.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11084812/s58820371/872b18e4-5b472a6e-57dfdeea-ff7d7ff3-ea066a44.jpg
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Lung volumes are low. There is bilateral hilar prominence with upper vascular re-distribution and diffuse interstitial thickening, but no focal opacities. Heart size is mildly enlarged although ap views are not tailored for accurate assessment of cardiac size. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with polymyositis, congestive heart failure, presenting with productive cough, edema, weakness. evaluate for infiltrate or fluid overload.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Left upper extremity vascular stent is noted.
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<unk>m with <num> days diarrhea, weakness, recent renal xplant // eval ? infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p15647220/s54984350/3c59353a-5f744ea5-de9ed62c-3190d61a-c55f02fb.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15647220/s54984350/2467a5b7-d5450eae-fe10bed7-753b2ade-6aea3363.jpg
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Redemonstrated is atelectasis seen within the left lung with associated left perihilar radiation changes and adjacent postobstructive changes. The left hemidiaphragm is elevated, likely secondary to fibrosis following radiation therapy. There is no focal consolidation seen within the right lung. There is no pleural effusion, pneumothorax, or overt pulmonary edema identified. The heart appears grossly normal in size.
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history of lung cancer status post radiation therapy, evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p13733102/s50139730/3abc4ea1-888eaaed-e2b28834-9d67ed6b-653a524d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13733102/s50139730/22677ad4-7225f4e8-d7292059-f70116e2-34d3395d.jpg
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Mild enlargement of cardiac silhouette is unchanged. The mediastinal and hilar contours are relatively stable. There is mild pulmonary vascular congestion. Small bilateral pleural effusions are noted with bibasilar airspace opacities likely reflecting atelectasis. No pneumothorax is seen. The lungs are hyperinflated with mild emphysematous changes again demonstrated. Old left-sided rib fractures are again noted. There are mild degenerative changes in the imaged thoracic spine.
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shortness of breath.
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There is a moderate to large left pleural effusion with overlying atelectasis. The right lung is clear. The size of the cardiomediastinal silhouette is enlarged but unchanged. Multiple compression deformities of the thoracic spine, age indeterminate. Chronic appearing right posterior rib fractures.
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<unk> yo female with history of afib on eliquis, osteoporosis s/p r hip replacement and repair, c/b pseudotumor and hematoma s/p recent revision and evacuation who presents with back and leg pain, found to have spinal compression fractures. ? moderate effusion on cxr // ? eval effusion, atelectasis
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MIMIC-CXR-JPG/2.0.0/files/p14050014/s51874752/870085f2-a7b9eebb-2074b8ed-f0ea30d4-4cfb7846.jpg
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In comparison with the study of <unk>, the cardiac silhouette is within normal limits and there is no definite vascular congestion, pleural effusion, or acute pneumonia. Streaks of atelectasis are seen at the bases. Left port-a-cath extends to the cavoatrial junction or upper portion of the right atrium.
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leg edema, to assess for pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p10785344/s56627797/9862e506-b3a4a7ae-aa1840ef-c1d9eb1d-b67a3d35.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10785344/s56627797/b4b00162-016b6273-20f7536f-b8c41346-64a244c7.jpg
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The lungs are normally expanded and clear. Borderline cardiomegaly is unchanged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
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left arm numbness. evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p13018952/s59220638/dfe6dda7-b93396ee-c30649bb-6e93b527-85a6c0bf.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13018952/s59220638/7c2c79e2-f793d6c6-06f9373c-bdc8e31f-50ee6669.jpg
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The cardiomediastinal silhouette is unchanged. The thoracic aorta is tortuous. The lungs are hyperinflated without focal consolidation. There is no pleural effusion or pneumothorax. A <num> mm right lower lobe nodular opacity is unchanged from <unk>, and is likely a calcified granuloma.
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<unk>-year-old woman with leukocytosis and fall.
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MIMIC-CXR-JPG/2.0.0/files/p17981003/s53929128/f0886bd3-b9312e21-c417ae9f-48538fcd-d0e47fce.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17981003/s53929128/dad7b768-ca2b4bbb-d661ecdd-8a0ec575-b339b11a.jpg
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No overt pulmonary edema. Bibasilar opacities, particularly increased at the right base rasise suspicion for pneumonia in the proper clinical setting, possibly due to aspiration or confluent atelectasis. Previously noted air-fluid level in the right chest wall pocket for the pacemaker generator has resolved. Otherwise, stable appearance of severe cardiomegaly
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chf exacerbation or.
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