Frontal_Image_Path
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Pa and lateral views of the chest show stable cardiac size and no central pulmonary vascular congestion. Slight prominence of the main pulmonary artery appears unchanged. No pleural effusion is present and no focal consolidation is seen. Overall, prominence of interstitium bilaterally appears stable and is related to some combination of body habitus and possible underlying interstitial fibrosis. There appears to be a healed fracture of the right sixth or seventh rib laterally.
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chf versus copd exacerbation. <unk>-year-old woman with lower extremity edema, copd, chf, now with shortness of breath. no crackles on exam.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable.
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chest pain.
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No definite 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 shortness of breath, chest pain // please eval for cardiomegaly, pna
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The small left pleural effusion has decreased, revealing a bandlike area of linear atelectasis at the left base. The right lung is clear. There is no pneumothorax. The heart and mediastinum are within normal limits.
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<unk> year old man with pleural effusion
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. There are scattered areas of platelike atelectasis in the mid to lower lungs. Retrocardiac opacity is noted in the left lower lobe which is concerning for an early pneumonia. No large effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. Bony structures are intact.
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<unk>m with hypoxia // eval for pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is slightly tortuous. The cardiac silhouette is not enlarged.
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history: <unk>f with fever and cough // eval for pneumonia
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Thoracic scoliosis is again seen. The cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. No overt pulmonary edema is seen.
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cough since headache, visual complaints of altered mental status.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Surgical clips project over the left upper quadrant of the abdomen as well as in the midline of the epigastrium.
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shortness of breath.
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Pa and lateral views of the chest are compared to portable exam from earlier the same day and chest x-ray from <unk>. New from prior exam is retrocardiac opacity confirmed on the lateral view. Elsewhere, the lungs are clear. There is no effusion. Cardiac silhouette is enlarged, not significantly changed from prior exam in <unk>. There are enlarged pulmonary hila bilaterally as seen on prior portable exam. Osseous and soft tissue structures are unremarkable.
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cough with mild leukocytosis. question pneumonia.
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Pa and lateral radiographs of the chest reveal a subtle right infrahilar opacity with air bronchograms. The lungs are otherwise clear lungs and the hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
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chest pain.
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In comparison with study of <unk>, there is continued enlargement of the cardiomediastinal silhouette in this patient with evidence of previous cabg and intact midline sternal wires. Little overall change in the degree of pulmonary vascular congestion. Left basilar opacification is consistent with pleural fluid and compressive atelectasis.
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dyspnea and cough.
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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cough and dyspnea. history of hiv.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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history: <unk>m with cough, congestion // eval for consolidation
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Minimal right basilar patchy opacity may reflect atelectasis. There are mild multilevel degenerative changes in the thoracic spine. No acute osseous abnormality is identified.
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history: <unk>m with fall head strike
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Hyperexpansion of the lungs, but no acute pneumonia, vascular congestion, or pleural effusion. Of incidental note is a calcification projected over the left renal outline. This could represent either a renal calculus or vascular calcification.
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chest pain, to assess for pneumonia.
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Compared with radiographs on <unk>, there is interval improvement in aeration in the right upper lung with some post operative changes again seen. Elevation of the right hemidiaphragm is unchanged. There is no new focal consolidation. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is unchanged..
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<unk>f with cp. recent bronch. // pna?`ptx?
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. The osseous structures are unremarkable.
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chest pain.
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There is again a large mass occupying the left upper lobe, but what is new is a substantial pleural effusion on the left and probable associated atelectasis of at least parts of the left lower lobe. Overall, there is mildly positive mass effect toward the right side. The right lung remains clear.
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fall cough and fever.
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Moderate enlargement of cardiac silhouette is re- demonstrated. The aorta remains tortuous. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal blunting of the costophrenic sulci posteriorly on the lateral view suggests the presence of trace bilateral pleural effusions. No focal consolidation or pneumothorax is present. There are moderate multilevel degenerative changes noted in the thoracic spine with unchanged mild compression deformities within <num> adjacent vertebral bodies in the mid thoracic spine resulting in kyphosis.
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history: <unk>f with syncope
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The lungs are hyperinflated and clear. 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.
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<unk> year old man with lll pneumonia in <unk>. this is follow up to assure clearance // follow up lll infiltrate
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There is stable mild enlargement of the cardiac silhouette. The mediastinal and hilar contours are unchanged. No focal consolidations are identified. There is a small left-sided effusion. There is no pneumothorax. The visualized osseous structures are unremarkable. There is a small, likely soft tissue prominence seen in the lateral view for which a <num>-week follow up is recommended for further evaluation.
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<unk>-year-old female who presents for evaluation of cough.
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In comparison with the study of <unk>, the possible opacification in the right mid zone has cleared. There is no evidence of acute cardiopulmonary disease or old tuberculous disease.
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positive ppd.
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Mild cardiomegaly is re- demonstrated. The aorta is diffusely calcified. Lung volumes are low with crowding of the bronchovascular structures. There is mild pulmonary vascular congestion. Patchy opacities are seen within the right lung base which may reflect atelectasis, but aspiration or infection are also possibilities. No pleural effusion or pneumothorax is present. Marked degenerative changes are noted involving the glenohumeral joints bilaterally.
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history: <unk>f with altered mental status
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Frontal and lateral radiographs of the chest demonstrate residual bronchiectasis in the right middle lobe. Opacities in the left lower lobe have cleared over the interval. There is no evidence of active infection. Cardiomediastinal and hilar contours are unchanged. There is no pneumothorax or pleural effusion.
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<unk>-year-old male with cough, sweats, and ronchi on the right side who was recently treated for pneumonia. evaluate for residual pneumonia or mass lesion.
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Known vertebral compression fracture with angulation of the thoracic spine, better appreciated on the lateral than on the frontal view. Virtually unchanged areas of plate-like atelectasis at the left lung bases. No evidence of pulmonary edema, pneumonia, pleural effusions, or other changes. No evidence of pulmonary fibrosis.
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amiodarone, routine examination.
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Pa and lateral views of the chest provided. Clips in the right upper quadrant noted. 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>f with ruq pain // ?free air
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A port-a-cath again terminates at the cavoatrial junction. Its looped course appears unchanged. Allowing for decreased lung volumes, the cardiac, mediastinal and hilar contours are probably unchanged. There is a persistent small-to-moderate right-sided pleural effusion, probably largely subpulmonic. It appears apparently decreased on the frontal view but given its size on the lateral it may be unchanged. There is also a small pleural effusion on the left. Interstitial opacification has increased somewhat. Although differential considerations include atypical infectious processes, findings probably reflect mild pulmonary edema. Aeration is better at the left lung base, but there is patchy increase in retrocardiac opacity.
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fever and altered mental status.
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Cardiac silhouette is normal in size. Diffuse calcification of the aorta is noted. There is an opacity in the right lung base which may reflect atelectasis. A small right pleural effusion is present. The left lung is clear. No pulmonary edema is present. There is no pneumothorax. Clips are seen in the right upper quadrant of the abdomen.
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<unk>-year-old female with anterior chest pain, question pneumothorax.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. Bony structures are unremarkable. There has been no significant change.
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chest palpitations and history of atrial fibrillation.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia.
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<unk>m with ili with cough.
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Frontal and lateral views of the chest. The lungs are clear of consolidation effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged noting degenerative changes at the acromioclavicular joints.
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<unk>-year-old male with increasing leg swelling and dyspnea.
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Pa and lateral views of the chest provided. There is decreased lung volumes. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with sudden onset sharp left sided chest pain at <unk> this morning // eval for ptx
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.
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history of eating disorder. please evaluate for medical cause.
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The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is slightly prominent, but grossly stable. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Mild calcification of the aortic knob is noted and unchanged from the prior study. The trachea is midline. Chronic appearing deformity of the distal right clavicle is again seen.
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<unk>-year-old female with cough, chills and malaise, here to evaluate for pneumonia.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. New patchy opacities are seen within the left lower lobe with a trace left pleural effusion. Small right pleural effusion is also noted. There is no pneumothorax. No acute osseous abnormalities demonstrated.
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history: <unk>f with fever/chills and cough
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The lungs are well expanded and clear. No focal consolidations. No pulmonary edema. Stable enlargement of the cardiomediastinal silhouette. The rounded retrocardiac opacity likely represents a hiatal hernia. No pleural effusion. No pneumothorax.
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<unk>f with dyspnea on exertion // consolidation, pneumonia
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Pa and lateral views of the chest provided. Lungs are grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
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<unk> year old man with recent h/o pneumonia // assess for interval resolution
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The heart size remains moderately enlarged with a left ventricular configuration. Curvilinear calcification along the left lateral margin of the heart is unchanged, and again may reflect the sequela of prior infarction or possibly an aneurysm as suggested previously. The aorta remains tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
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history: <unk>m with intermittent chest pain
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Pa and lateral views of the chest provided. Lung volumes are low. Mild left basal atelectasis noted. No convincing signs of pneumonia or edema. No large effusion or pneumothorax. Bony structures appear intact. No free air below the right hemidiaphragm.
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<unk>f with chest pain and dizziness
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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 obvious acute fracture seen.
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history: <unk>f with mid thoracic back pain after mvc // eval for fx
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There has been slight interval worsening of a right-sided moderate pleural effusion with adjacent basilar atelectasis. The remainder of the right upper lobe and left lung are essentially clear without focal consolidation or pneumothorax. Cardiomediastinal silhouette remains top normal in size, likely secondary to a small pericardial effusion as seen on recent chest ct, and is unchanged as compared to the prior chest x-ray. Redemonstrated is a right subclavian central venous line, seen terminating within the proximal svc. There is no evidence of acute bony abnormality.
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underlying mucinous appendiceal carcinoma, now with worsening right lower lobe consolidation and effusion.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are low. The lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with l chest pain // r/o pneumothorax
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Right rib fractures best appreciated on ct are not well visualized on this plain film. Considering the change in the patient's position on prior (from supine to now upright), the pleural effusion (better characterized on prior ct) has not increased in size. No pneumothorax is seen.
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<unk> year old woman with mechanical fall with multiple rib fractures with questionable hemothorax. // status of ?hemothorax status of ?hemothorax
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The lungs remain hyperinflated. New bibasal opacities with moderate left and small right pleural effusion. Minimal fluid along the minor fissure. No overt pulmonary edema. Enteric tube remains in good position. Stable scoliosis convex to the right.
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<unk> y/o f pod<unk> s/p ex lap, loa now w/ leukocytosis // r/o pna
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The heart is at the upper limits of normal size. There is mild unfolding of the thoracic aorta. The lung volumes are low with a small pleural effusion on the right and perhaps a tiny effusion on the left. Aside from patchy opacification associated with pleural effusions and low lung volumes, probably due to atelectasis, the lungs appear clear. Exaggerated kyphosis and compression deformities along the mid thoracic spine appear not significantly changed. The bones are demineralized.
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chest pain.
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Port-a-cath terminates in the lower svc, unchanged. The lung volumes are lower. Small bilateral pleural effusions, left more than right, are new compared to the prior examination. Bibasilar opacities likely represent atelectasis. No pneumothorax.
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history: <unk>f with ovarian ca now w/ doe, incr abd distention, likely hypoventilation from ascites // eval ? infection, malignant effusion
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The lungs are well inflated and without evidence for lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance.
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history: <unk>m with syncope // r/o infectious process
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Right-sided central venous line ends at low svc. There are no lung opacities concerning for lung infection. Heart size is normal, mediastinal and hilar contours are unremarkable. There is no pleural abnormality.
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graft versus host of lung, productive cough, to rule out infection.
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Ap and lateral views of the chest. Again seen is mild cardiomegaly. The mediastinal contours are normal. There are low lung volumes which crowd the pulmonary vasculature. Persistent elevation of the right hemidiaphragm is again seen. No focal consolidation, pleural effusion or pneumothorax. No evidence of pulmonary edema.
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bilateral swelling, new left bundle-branch block, question of pneumonia or chf.
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable. Of note, the trachea is deviated to the left at the thoracic inlet.
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<unk>-year-old female with cough.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Bilateral nipple rings are noted.
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history: <unk>f with sob, cp. // pneumothorax?
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No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
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concern for acute leukemia question pneumonia.
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
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atypical chest pain.
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Pa and lateral views of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. No acute fracture or dislocation is detected.
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possible left scapular fracture after fall, left back pain, now requiring assessment for pneumothorax.
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Heart size remains mildly enlarged. The mediastinal contour is unremarkable. Hilar contours are normal. There is minimal vascular indistinctness and haziness within the left perihilar region, which could suggest mild asymmetric pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Multiple calcified granuloma are seen within the right lung and left lower lobe.
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history: <unk>f with chronic kidney disease, right crackles
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Ap and lateral upright chest radiographs demonstrate hyperexpanded lungs and flattening of the diaphragms suggestive of copd. No focal consolidation is identified within the lungs to suggest infectious process. Cardiomediastinal silhouette and hilar contours are within normal limits. Retrocardiac density may represent a moderate to large hiatal hernia, not appreciated on the prior examination. No evidence of pulmonary edema, pleural effusion or pneumothorax.
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history: <unk>m with dementia, bullous pemphigoid, possible ams vs baseline // rule out evidence of pneumonia or acute process
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There is right basilar atelectasis with no focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal. There are multilevel degenerative changes of the thoracolumbar spine as manifested by marginal osteophytic formation and loss of intervertebral disc height.
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<unk>-year-old male with week of right mid back pain with worsening with deep inspiration. evaluate for lung disease.
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The patient is rotated towards the right. Allowing for this, the cardiomediastinal silhouette is within normal limits. The lungs are well inflated without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema.
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history: <unk>m with chest pain // ?pna ?ptx
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study <unk> <unk>. Status post sternotomy and evidence of both aortic and mitral valve replacements appear unchanged. Heart has not increased in size and the pulmonary vasculature is not congested. Pleural scars with mild elevation of left-sided diaphragm, unchanged. No evidence of pulmonary congestion or acute infiltrates. Comparison is extended to the preoperative chest examination of <unk> and there is no evidence of any significant postoperative change with regard to heart size, pulmonary congestion and pleural scars.
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<unk>-year-old male patient with history of pulmonary edema and loculated pleural effusion. followup examination. evaluate for persistent changes.
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The lungs are normally expanded. Reticular appearance at the lung bases likely reflects known bronchiectasis seen on prior ct of the chest <unk> likely with atalectasis. There is no new focal airspace opacity to suggest pneumonia. The heart is not enlarged. Mediastinal and hilar contours are normal. There is calcification of the aorta.
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weakness.
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Little interval change since <unk>. The left pacemaker seen with transvenous leads in the right atrium and right ventricle. Moderate cardiomegaly is stable. Bibasilar atelectasis is mildly improved, particularly in the retrocardiac region. The lungs are essentially clear. Median sternotomy wires are intact and aligned. No complications related to the procedure, including pneumothorax, mediastinal bleed, or pleural bleed.
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<unk> year old man s/p dual chamber icd // lead placement
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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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history: <unk>m with left sided chest pain // evaluate for pneumothorax
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old woman with recent pneumonia now has productive cough with green phlegm // eval pneumonia
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Frontal and lateral chest radiographs were obtained. The patient is status post esophagectomy and pull-through procedure with stable postsurgical changes in the right lower lung. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size normal. Mediastinal contours are normal. No bony abnormality is detected.
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s/p mie procedure, assess for change.
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Frontal and lateral chest radiographs again demonstrate sternal wires and a partially imaged cervical and lumbar fixation hardware. Lung volumes are low, with increased prominence of the cardiac silhouette and bronchovascular crowding. A retrocardiac opacity is unchanged and again may represent atelectasis.
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cough and neurologic changes. evaluate for infection.
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The patient is status post sternotomy. The cardiac, mediastinal and hilar contours appear unchanged. The heart is at the upper limits of normal size. Patchy left lateral basilar opacities suggest minor atelectasis that is unchanged. There is a newly apparent round nodular opacity projecting over the right lung apex measuring about <num> mm in diameter. Although the area is difficult to evaluate due to overlapping bony structures, and it is known that scarring is present in the area from a prior ct of the cervical spine, the possibility of superimposed pulmonary nodule cannot be excluded by this study. There is no pleural effusion or pneumothorax. Small osteophytes are similar along the thoracic spine.
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lightheadedness.
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing top normal. The pulmonary vascularity is normal. Linear opacities within both lung bases are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen.
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palpitations for <num> weeks.
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Lung volumes are low. Bibasilar atelectasis or developing consolidation is better appreciated on lateral radiograph. No pleural effusion or pneumothorax. Heart size and cardiomediastinal and hilar silhouettes are normal. There is probably air under each hemidiaphragm, though a component of apparent air under the left diaphragm may be intraluminal.
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<unk>f with perforated diverticulitis // preop, hypoxia
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Moderate cardiomegaly is unchanged compared to the prior study. There is mild prominence of the bilateral hila and upper lobe pulmonary vasculature without frank pulmonary edema. No consolidation, pneumothorax or pleural effusion seen. The visualized bony structures are unremarkable in appearance except to note multiple anterior flowing osteophytes throughout the thoracic spine.
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<unk> year old man with chf, ckd, persistent cough and leukocytosis // acute infiltrate?
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Upright ap and lateral radiographs of the chest demonstrate underinflated but clear lungs. The hilar and cardiomediastinal contours are normal. There is minimal bibasilar atelectasis. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. There is no evidence of infradiaphragmatic free air.
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<unk>-year-old woman with abdominal pain status post egd. evaluate for pneumoperitoneum.
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As compared to the previous radiograph, the existing extensive right lung pneumonia has also almost completely resolved. On today's radiograph, only faint and subtle remnant opacities are seen in the right upper lobe. No other changes. No reactive pleural effusions. Normal size of the cardiac silhouette.
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recent pneumonia, question of resolution.
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Frontal and lateral radiographs of the chest show interval fiducial placement within a small pulmonary mass in the left lower lobe. A small left apical pneumothorax is present which is new from the preceding studies. A large spiculated mass with a central fiducial projects over the right upper lung. No large pleural effusion or focal consolidation is present. Opacification extending along the right mediastinum is unchanged and related to known gastric pull-through for esophagectomy of prior esophageal carcinoma. Left mediastinal surgical clips are unchanged. The cardiomediastinal silhouette is within normal limits and unchanged.
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<unk>-year-old female with left lower lobe mass, status post ct-guided fiducial placement, here to evaluate for pneumothorax or new pleural fluid.
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Lung volumes are low. This accentuates the size of cardiac silhouette which is mildly enlarged. The aorta is slightly tortuous. Crowding of bronchovascular structures is present without overt pulmonary edema. Streaky and linear opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is present. There are moderate degenerative changes noted in the lower thoracic spine.
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history: <unk>m with near syncope, fall, back strike, prior back surgeries
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There are low lung volumes. There are bilateral pleural effusions, moderate to large on the right and small on the left, with overlying atelectasis. Patchy lateral right base/mid lung opacity could relate to atelectasis however, a focus of consolidation from infection is not excluded. No pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are grossly stable
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history: <unk>m with hx pleural effusions p/w weakness // ?cpd
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. Cardiovascular, mediastinal structures are unchanged. No pulmonary vascular congestion is present. The previously identified small amount of pleural densities on the right lower base persists. In comparison with the next preceding study suggests that the amount of fluid has increased mildly. No other new pulmonary abnormalities are seen, and no new parenchymal lesions are identified. The left hemithorax remains unchanged. No pneumothorax has developed in the apical area.
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<unk>-year-old male patient with right lower lobe nodule status post right vats lobectomy, assess for interval change.
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In comparison with the shoulder study dated <unk>, no nodule is seen in the right upper zone. Indeed, the heart appears normal in size and there is no evidence of vascular congestion, pleural effusion, or consolidation. In view of the bony structures overlying the right upper zone, consideration should be given to an apical lordotic view that could conceivably demonstrate a pulmonary nodule obscured on the current frontal view.
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pulmonary nodule on prior shoulder study.
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The cardiac silhouette is normal in size. The thoracic aorta remains mildly prominent but similar in contour compared to the prior study. There is no pulmonary vascular congestion or frank pulmonary edema. Again noted in the right hemithorax is a centrally located spiculated mass in the right infrahilar region, which appears slightly decreased in overall size from the most recent prior chest radiograph, measuring approximately <num> cm (previously <num> cm). There is no focal consolidation concerning for pneumonia. Left lower lobe atelectasis has improved from the prior study. No significant pleural effusion or pneumothorax is detected. The trachea is midline. The visualized upper abdomen is unremarkable.
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non-small cell lung cancer, currently on chemotherapy, now with fever of unknown origin, here to evaluate for pneumonia.
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There is no focal consolidation, effusion, or pneumothorax. There is mild pulmonary vascular congestion. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Aortic arch calcifications are moderate.
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history: <unk>m with chest pain // eval for infiltrate, edema, effusion
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Again, there is a mild diffuse interstitial abnormality, which can be seen in the setting of chronic lung disease. There is a <num> cm cystic lesion in the right upper lobe, unchanged. No pneumothorax, pleural effusion or focal airspace consolidation worrisome for pneumonia. Heart is normal size. Mediastinal and hilar contours are unremarkable. There are severe degenerative changes of the right glenohumeral joint. Deformity of the right humerus may reflect prior fracture, however, this is incompletely evaluated.
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altered mental status. evaluate for an acute cardiopulmonary process.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The mediastinal and hilar silhouette is normal. Lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture.
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chest tightness, evaluate for cardiopulmonary process.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Increased opacity on the lateral view overlying lower thoracic pedicles at a single level is compatible with degenerative changes at the costovertebral junction.
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<unk>m with tia // tia
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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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toe pain and chest pain.
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The lung volumes are low, accentuating the cardiomediastinal contours. With this limitation, the heart size is likely normal. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Atelectatic changes are noted at the lung bases.
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<unk>m with hemoptysis.
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In comparison with the study of <unk>, the left chest tube has been removed. A small residual apical pneumothorax persists. Some subcutaneous gas is seen along the left lateral upper abdomen wall. Dilatation of the gas-filled stomach is again seen, for which a nasogastric tube could prove helpful. Opacification at the left base most likely represents a small effusion and atelectasis. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.
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left vats.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m <unk>- smoke/ debris exposure, l toe injury from fall // acute lung process? l great toe injury?
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The heart is normal in size. The pulmonary artery contour is mildly prominent. There is no pleural effusion or pneumothorax. There is a widespread mild interstitial abnormality with peribronchial cuffing and a suspected developing right infrahilar opacity, probably in the right lower lobe but also possibly with patchy lingular opacity.
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fever and cough.
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There has been interval progression of a moderate to large right-sided apical lateral pneumothorax with a similar apical component but with increase of the lateral compartment particularly at the right lung base. There is no evidence of tension pneumothorax. There is otherwise no significant interval change since same day chest radiograph from <time>.
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pneumothorax after liver fiducial placement.
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Moderate to severe cardiomegaly is increased in size compared to the previous exam. Mitral valvular calcifications are again demonstrated. The aorta is tortuous and diffusely calcified. Moderate pulmonary edema is new compared to the previous chest radiograph, with interval increase in size of small bilateral pleural effusions, right greater than left. More focal opacities within the lung bases may reflect compressive atelectasis. There is no pneumothorax. Extensive degenerative changes of both glenohumeral joints are re- demonstrated with erosion of the undersurface of the acromion and distal clavicle on the left.
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shortness of breath, increased lower extremity edema.
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Mild cardiomegaly is unchanged from the most recent radiograph. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. There is no displaced rib fracture.
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<unk>f with cp, r shoulder pain, evaluate for fracture.
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Lung volumes are normal. There is mild to moderate interstitial pulmonary edema, improved from <unk>. Small bilateral pleural effusions are best appreciated on the lateral view. The heart is mildly enlarged but unchanged. There is no pneumothorax or focal airspace consolidation worrisome for pneumonia. Sternotomy wires and cabg clips are noted.
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heart failure presenting with dyspnea. evaluate for pulmonary edema.
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Frontal and lateral radiographs of the chest show a left chest wall port with a catheter terminating in the mid to low svc. Otherwise, the lungs are clear. The mediastinal and hilar contours are normal. No pleural abnormality is detected.
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patient with ms, chills and failure to thrive. evaluate for possible infection.
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In comparison with study of <unk>, on the frontal view, there is suggestion of some increased opacification in the lower lungs bilaterally, more prominent on the right. On the lateral view, however, there is no definite abnormality. This suggests that the appearance may reflect pressure of the pectoral tissues against the facet, rather than a true abnormality.
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copd with worsening cough.
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In comparison with prior radiograph, there is a new hazy patchy parenchymal infiltrate in the central lateral portion of the right lower lobe which most likely represents intervening superinfection. The remainder of the chronic changes including severe apical scarring which is more prominent on the left and traction to the left side are stable. Again seen is stable elevation of the hila bilaterally related to fibrotic changes. Cardiac silhouette remains enlarged. There is no evidence of pneumothorax or pleural effusion. The aorta is tortuous. There is demineralization of the spine without evidence of comparison.
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<unk>-year-old woman with wegener's, now with fever and crackles at the right base.
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A right-sided picc line terminates in the right atrium. Retraction by approximately <num>-<num> cm will assure lower svc positioning. The patient is status post median sternotomy. Prosthetic valve is in place. Left lower lobe streaky opacities are likely due to atelectasis as well as a prominent fat pad. No pleural effusion or pneumothorax is present. These findings were discussed with <unk>, iv nurse at <time> p.m. Via telephone.
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picc.
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On the frontal view, lower lung volumes are noted on the current exam. There are persistent bilateral pleural effusions which based on the lateral have not significantly changed. There is a persistent <num> cm rounded nodular opacity projecting over the left upper lung laterally as on prior. Aortic stent graft is identified. Median sternotomy wires are intact. No acute osseous abnormality.
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pa and lateral views of the chest. <unk>m with sob // ?dyspnea
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Pa and lateral chest films were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. Rather prominent general dilatation and elongation of the thoracic aorta. Multiple focal wall calcifications most prominent in the aortic arch remain unchanged. No new contour abnormalities have developed. The pulmonary vasculature is not congested. There is no evidence of significant left atrial enlargement as can be judged on the lateral view. The on previous examination seen postoperative scar formations in the right lower lobe area have further regressed including the local thickenings of the pleura along the lower right lateral chest wall. There is no evidence of any pleural effusion accumulating in either lateral or posterior pleural sinuses. No pneumothorax is seen in the apical area on the frontal view. Comparison is extended to the preoperative pa and lateral chest examination of <unk>. Comparison of cardiac structures and pulmonary vasculature does not indicate that the patient has developed significant chf symptoms.
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<unk>-year-old male patient with shortness of breath for six months, status post right lung wedge resection, evaluate for postoperative changes such as effusion.
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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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history: <unk>f with cough
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Cardiomediastinal contours are normal. Faint opacities in the left lower lobe could be atelectasis or pneumonia in the appropriate clinical setting. . There is no pneumothorax or pleural effusion. Hardware in the cervical spine is partially imaged.
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<unk> year old woman with dizziness, fever // look for pna
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Pa and lateral views of the chest provided. There is a right-sided cardiac pacing device with leads following the expected course to the right atrium and ventricle. Low lung volumes are persistent. Small right effusion is likely unchanged. Opacities in the left mid-lung follow the trajectory of a previously placed thoracostomy tube. A band of atelectasis at the right base is more pronounced. Mild vascular congestion is minimally changed from <unk>. Widening of the mediastinum has mildly improved from <unk>. No pneumothorax. Moderate cardiomegaly is chronic. A right ij catheter terminates in the right atrium.
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<unk> year old woman s/p dual chamber ppm // assess leads placement and r/o ptx.
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Frontal and lateral views of the chest are compared to previous exam, chest x-ray from <unk>, and ct of the abdomen and pelvis performed earlier the same day. Blunting of the left costophrenic angle is likely due to a combination of atelectasis or scar and left cardiophrenic fat pad seen on ct. Increased density projecting over the spine inferiorly is compatible with left basilar bronchiectasis and scarring identified on ct. There is no new consolidation. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires are again seen.
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<unk>-year-old male with leukocytosis.
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