Frontal_Image_Path
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
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fever, hyperglycemia, back pain.
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As compared to the previous radiograph, after chest tube removal, the known left pneumothorax is of unchanged <unk>. The pneumothorax has not increased in the interval. Also unchanged are the pre-existing air collections in the cervical and left lateral soft tissues as well as the areas of pleural thickening and the pre-described opacities on the right. Unchanged appearance of the cardiac silhouette.
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status post chest tube removal, evaluation for pneumothorax.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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history: <unk>m with chest pain // pneumothorax?
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Dense airspace opacities involving both lungs with relative sparing of the left apex are overall unchanged in appearance. Cardiomediastinal silhouette including mild cardiomegaly is stable. There is no pleural effusion or pneumothorax. The left picc is unchanged in position.
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<unk> year old woman with multifocal pneumonia (no growth on sputum and bal cx) with icu stay and intubation now extubated and recovering with continued hypoxemia. // status of pulmonary effusion and pneumonia, evidence of mucus plugging?
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The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. No focal consolidations, pulmonary edema, or pneumothorax are seen. Previously seen interstitial edema has improved.
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<unk> year old woman with question of mild interstitial edema noted on cxr of <unk>. no dyspnea. lungs clear on exam // evaluate for interstitial edema
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Compared with prior radiographs on <unk>, there has been no significant change. There is persistent elevation of the left hemidiaphragm. There are postsurgical changes in the left hemithorax. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is slightly decreased from prior.
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<unk>f with a clinical stage <num>a (t<num>a,n<num>,m<num>) <num> cm mildly fdg avid (suv max <num>) lul biopsy proven adenocarcinoma s/p robot-assist lul lobectomy // please evaluate for interval change
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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. Mild degenerative changes are noted along the mid thoracic spine. There is been no significant change.
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chest pain and cough.
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Frontal and lateral views of the chest demonstrate normal lung volumes. Bibasilar opacities are noted, right greater than left. Hilar and mediastinal silhouettes are unchanged. Heart size top normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. Moderate degenerative joint changes of the thoracic spine are present.
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patient with right lower lobe pneumonia four weeks ago.
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Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
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ckd with hypertension and worsening kidney function. evaluate for volume overload.
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Frontal and lateral views of the chest. There is a focal opacity at the left lung base laterally, not clearly identified on the lateral view. Elsewhere, the lungs are clear. No pleural effusion, pneumothorax or pulmonary vascular congestion. The cardiac silhouette is normal in size. No acute osseous abnormality is identified.
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<unk>-year-old male with obesity and exertional chest pain.
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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 shortness of breath
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Heart size is normal. There is increased ap dimension of the chest. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Again, the bones are diffusely demineralized and there is compression deformities of few thoracic vertebral bodies, not significantly changed.
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<unk> year old woman with worsening shortness of breath. // pulmonary edema? new pna?
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Left basilar opacity is unchanged since <unk>. Mild cardiomegaly is stable. Aortic knob is calcified. Mild pulmonary vascular congestion is stable over multiple prior studies. No pleural effusion or pneumothorax.
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<unk>-year-old woman with wheezing and shortness of breath.
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Again seen is the peripheral right upper lung mass as well as large right lower lung opacity. The right lower lung opacity appears to demonstrate a loculated with an air fluid level, consistent with the prior ct. There has been interval resolution of the subcutaneous emphysema. The hilar and mediastinal contours are otherwise normal. The heart size is normal. There is no pleural effusion or pneumothorax. Again seen are pathologic rib fractures on the right, better assessed on the prior ct from <unk>.
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<unk>-year-old female with prior subcutaneous emphysema and pathologic rib fractures, who presents for evaluation.
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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isolated episode of hemoptysis.
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Frontal and lateral views of the chest are provided. Again noted are prominent interstitial markings in the lung bases. There is no focal consolidation, pleural effusions or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Partially imaged upper abdomen is unremarkable.
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patient with history of asthma and shortness of breath.
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Pa and lateral views of the chest are obtained. The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is mild kyphosis of the thoracic spine and possible fat deposition of the upper back, which may represent exogenous steroid use or <unk>'s disease.
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<unk>-year-old female with left anterior chest pain.
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The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is top normal, unchanged from <unk>. The mediastinal silhouette contour contours are normal.
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history of positive ppd (not treated his initial chest x-ray negative and chronic appearing: negative) common no subjective fevers and night sweats. is there any evidence of pulmonary tb or other pulmonary abnormality?
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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 presents with paroxysmal atrial fibrillation. diaphoresis, chest tightness, exertional dyspnea
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes and hilar contours are normal. There is no air under the diaphragm. No displaced rib fracture is seen.
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patient with accident, bike versus car.
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Pa and lateral views of the chest. Small left pleural effusion with adjacent atelectasis is unchanged. A tiny right pleural effusion has improved. There is no evidence of pneumonia. The tiny left apical hydropneumothorax is more fluid-filled and a very tiny foci of air is seen. The mediastinal and hilar contours are normal.
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status post left vats and decortication, question interval change.
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The lungs are without focal consolidation, effusion, or pneumothorax. Again identified is a <num> x <num> cm density overlying the right hemithorax which appears stable dating back to <unk> but of nonspecific etiology. The ascending aorta remains prominent and although this can be due to tortuosity, dilatation cannot be excluded. No acute fractures are identified.
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evaluation of patient with acute shortness of breath.
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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. No signs of pneumomediastinum imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with severe epigastric pain radiating to the back in the setting of vomiting.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. A right sided picc terminates in the upper svc. There is a probable healed anterior right fourth rib fracture.
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<unk>m with knee replacement on iv abx through right picc after surgical infection.
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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 palpitations
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Small-to-moderate bilateral pleural effusions are slightly smaller. Calcified lymph nodes are again seen in mediastinum and hilum. No focal consolidation. Previously seen pulmonary edema has decreased. No pneumothorax. Cardiomediastinal and hilar contours are stable.
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evaluate effusions.
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The lungs are clear without focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.
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history: <unk>m with <num> day history of productive cough associated with fevers and crackles on right lung base
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The heart is moderately enlarged. The mediastinal and hilar contours appear within normal limits. A trace pleural effusion on the right is difficult to exclude, noting similar posterior blunting of the costophrenic sulcus. There is again upper zone redistribution of pulmonary vasculature, mild interstitial abnormality, and an indistinct appearance of pulmonary vasculature, most consistent of mild pulmonary edema, but unchanged. There is no focal opacity.
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shortness of breath and chest pain. question congestive heart failure.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. An interstitial abnormality has substantially improved, although there is still peribronchial cuffing which can be identified with a heterogeneous distribution, predominantly in the lower lungs, greater on the right than left, a fairly similar overall pattern to the prior study.
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generalized weakness.
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Pa and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again seen. A calcified granuloma is again seen projecting over the left hemidiaphragm. The lungs are 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>m with doe and cardiac history.
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Lung volumes are low. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Vascular stents are noted in the region of the left subclavian and right upper arm. No free air seen below the right hemidiaphragm. Pleural thickening noted laterally along the lower lungs compatible with prominent extrapleural fat.
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<unk>-year-old male with congestive heart failure, copd, diabetes and end-stage renal disease on dialysis presents with abdominal pain, nausea and vomiting. evaluate for pneumonia.
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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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<unk> year old woman with hcv cirrhosis // please evaluate for any cardiopulmonary abnormalities
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There relatively low lung volumes. There is blunting of the left costophrenic angle concerning for small pleural effusion with overlying atelectasis. No pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable..
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history: <unk>f with chest pain // ? acute cardiopulm process
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Lung volumes are low, exaggerating the cardiomediastinal contours, however note is made of mild pulmonary vascular congestion. There has been an interval development of mild pulmonary edema. The heart size is normal. Interval improvement in the consolidation at the left lung base, compared to the exam performed <num> hr prior, is suggestive of atelectasis, however an infectious component may be persistent. There is no pleural effusion. There is no evidence of pneumothorax.
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history: <unk>m with stroke. please evaluate for pneumonia.
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Pa and lateral views of the chest provided. A left central venous line ends at the cavoatrial junction. Lungs are mildly hyperinflated and grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
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<unk> year old woman with fever, cough // ? pneumonia.
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There is again mild moderate elevation of the right hemidiaphragm. The heart is normal in size. The aortic arch is calcified. The main pulmonary artery contour is mildly prominent, and mild right pulmonary artery enlargement is also suggested by the lateral view. Trace pleural effusions are suspected. There is no pneumothorax. The lungs appear clear.
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fever and confusion.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits.
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pain, here to evaluate for acute cardiopulmonary process.
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Low lung volumes are present. There is mild to moderate enlargement of heart size. The aorta is slightly tortuous and demonstrates mild calcification. The pulmonary vascularity is not engorged. The lungs are grossly clear. No pleural effusion or pneumothorax is detected. There is diffuse demineralization of the osseous structures with evidence of prior kyphoplasty of a lower thoracic/upper lumbar vertebral body.
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bilateral crackles and rib fracture <num> month previously.
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Cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax. The upper abdomen is grossly unremarkable.
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<unk>f <unk>y s/p rnygb with periumbilical pain, weight loss, vomiting // ?obstruction, infection
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Frontal and lateral chest radiographs demonstrate intact sternal wires and clips along the left mediastinum. The heart is top-normal in size. Opacity projecting over the lower lungs on lateral view may correspond to either retrocardiac opacity or right infrahilar opacity. There are bilateral small pleural effusions and possible mild heart failure. No pleural effusion or pneumothorax is appreciated. The visualized upper abdomen is unremarkable.
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evaluate for infiltrate in a patient with chest pain.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The patient is status post fusion of multiple lower thoracic and lumbar vertebral bodies with intact <unk> rods and fixation screws.
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history: <unk>f with tib/fib fracture plan for operative repair. // eval for cardiopulmonary process
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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>f with chest pain // eval for pneumothorax
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New since yesterday's exam is a small left-sided pleural effusion. There is no visualized pneumothorax. The lungs are otherwise clear and the cardiomediastinal silhouette is stable. Cortical margin of the left lateral ninth rib laterally cannot be followed, potentially fractured although dedicated rib series would be of use.
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<unk>m s/p mechanical fall, l <unk> and <num>th rib pain. // pneumothorax, fractures
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Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities present.
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sudden onset shortness of breath and cough.
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Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lung volumes are low with unchanged small right pleural effusion. There is no focal consolidation or pneumothorax. No acute osseous abnormalities demonstrated. No displaced fractures are visualized.
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history: <unk>f with fall poor historian
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Pa and lateral chest radiographs demonstrate a right hemodialysis catheter terminating in the right atrium. There is moderate cardiomegaly, unchanged. Azygos dilatation and mild interstitial edema is chronic. The right basilar opacity seen on most recent radiograph has improved. There are mild retrocardiac opacities suggesting atelectasis, though an infectious process cannot be excluded. No large pleural effusion or pneumothorax is seen.
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cough and altered mental status. concern for pneumonia.
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The heart size remains mildly enlarged. The aorta is tortuous and demonstrates calcifications particularly at the aortic knob. There is minimal bibasilar atelectasis, but no focal consolidation, pleural effusion or pneumothorax is present. No overt pulmonary edema is seen, though there is mild crowding of the bronchovascular structures. Mild degenerative changes are noted within the thoracic spine. Degenerative changes are also seen within both acromioclavicular and right glenohumeral joints.
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syncope and malaise.
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Focal ill-definition of the left heart border is new. There is no pleural effusion or pneumothorax. The cardiac silhouette is normal in size and mediastinal contours are normal. The pulmonary vasculature is normal.
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<unk>-year-old female with tachycardia, shortness of breath, rule out pneumonia.
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There has been significant interval increase an opacity over the left hemi thorax, possibly due to combination of increased pleural effusion, which may be partially loculated, underlying atelectasis, disease spread, underlying consolidation not excluded. There is slight rightward mediastinal shift. Right hilar mass is re- demonstrated. No large right pleural effusion is seen. No pneumothorax identified.
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history: <unk>m with cough, tachycardia // pneumonia?
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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 with chest pain // evaluate for infection, acute process
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. A lucency projecting immediately lateral to the right chest wall is probably due to abduction of the arm. A mild pectus excavatum configuration is suspected. There is possibly a trace pleural effusion on the left. A linear opacity projecting over the left upper lung appears unchanged since the remote prior studies suggesting minor scarring.
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palpitations. history of pneumothorax.
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The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Lungs are well-expanded without focal consolidation concerning for pneumonia.
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<unk>m with ams.
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The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
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<unk>-year-old male with productive cough.
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Frontal and lateral views of the chest. The lungs are essentially clear noting a right upper lobe calcified granuloma, unchanged. Cardiomediastinal silhouette is normal. Mild compression deformity is again seen in lower thoracic spine, unchanged. No acute osseous abnormality detected. No free intraperitoneal air.
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<unk>-year-old female with nausea and vomiting.
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Severe cardiomegaly has minimally increased from prior study. There is moderate pulmonary edema. There is no pneumothorax pleural effusion
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<unk> year old woman with new o<num> requirement, dysarthria // eval for pna, fluid overload
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are again notable for wedge deformity of likely the l<num> vertebral body.
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<unk>-year-old female with left chest wall pain after sneezing. question pneumothorax.
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Frontal and lateral radiographs of the chest demonstrate interval worsening pulmonary edema which is mild to moderate. Small bilateral pleural effusions are new since the prior study. Increase in opacity at the right base may be vascular engorgement or developing concurrent pneumonia. Cardiomediastinal contour is enlarged since the prior study. No pneumothorax.
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fevers with vomiting and gram-negative rod bacteremia. evaluate for pneumonia versus volume overload.
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. A compression deformity involving t<num> vertebra spine is unchanged from prior. No free air below the right hemidiaphragm is seen.
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<unk>f with pmh of cva with residual rue and rle weakness and lumbar fx, now with <num> days progressive bilateral <unk> weakness, confusion, and weight loss
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Heart size and mediastinal contours are normal. Right infrahilar streaky opacity likely represents atelectasis. No evidence of pulmonary edema. No pleural effusion or pneumothorax.
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history: <unk>f with weakness status post recent stent.
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Lung volumes are low. Heart size is borderline enlarged. Mediastinal and hilar contours are grossly unremarkable. Pulmonary vasculature is not engorged. Patchy bibasilar opacities likely reflect atelectasis in the setting of low lung volumes. No focal consolidation, pleural effusion or pneumothorax is present. A percutaneous catheter is seen within the upper abdomen on the lateral view. No subdiaphragmatic air is seen.
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history: <unk>m <num> weeks status post cbd stent placement with new purulent output and diffuse abdominal pain // question of cbd stent migration
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The heart size is normal. The cardiomediastinal silhouette and hilar contours are stable and unremarkable. The lungs are clear without focal consolidation, effusion or pneumothorax. No acute bony change is identified.
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intermittent chest pain.
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There is prominence of the pulmonary vasculature compatible mild pulmonary edema. Bilateral pleural effusions are moderate in size. The heart appears mildly enlarged compared to the prior exam. There is no focal consolidation or pneumothorax though bilateral lower lobe compressive atelectasis is likely present. The imaged upper abdomen is unremarkable. The bones are intact.
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<unk>m with sob, cp.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Subtle prominence of bronchovascular markings at the medial right lung base appear unchanged from prior. No pulmonary edema is seen. The heart size is normal, and the mediastinal contours are normal. No acute osseous abnormality is seen.
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<unk>-year-old female with worsening cough and shortness of breath. evaluate for infiltrate.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Dense opacity projecting over the left lower hemi thorax may relate to breast tissue and appears to be external to the patient.
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history: <unk>f with increasing confusion // eval for infiltrate
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Pa and lateral views of the chest demonstrate an ill-defined opacity within the posterior left lower lobe, compatible with pneumonia in the appropriate clinical setting. The lungs are otherwise well expanded with no evidence of pulmonary edema, pleural effusion or pneumothorax. The aorta is tortuous, and unchanged. Additionally, a small hiatal hernia is re- demonstrated. The heart size is stable. Multiple healed left-sided rib fractures are again identified.
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cough and fever with crackles at the left lung base.
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Low lung volumes are present with bilateral lower lobe linear opacities compatible with subsegmental atelectasis. The cardiac, mediastinal and hilar contours are unchanged, with mild cardiomegaly again seen. No evidence of pulmonary vascular congestion. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities seen.
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dyspnea.
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The lungs are hyperinflated with distinct attenuated vessels compatible with emphysema. There is no focal opacity suggestive of pneumonia. Atherosclerotic calcification of the aorta is prominent. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are unremarkable.
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<unk> year old woman with sob, please evaluate for atelectasis.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are normal.
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cough, fatigue, and wheezing.
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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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<unk> year old woman with cough, sputum, subj fevers, recent uveitis // evaluate for pneumonia
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Pa and lateral views of the chest reviewed and compared to the prior study. There is minimal bilateral basilar atelectasis; otherwise, the lungs are clear. Compared to the prior study, there has been interval increase in the prominence of the central pulmonary arteries. There is no pleural effusion or pneumothorax. There are no concerning osseous or soft tissue lesions. There is minimal bilateral basilar atelectasis.
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hypoxia.
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As compared to the previous radiograph, there is no relevant change. The lungs are clear and show no evidence of pneumonia. There is constant elevation of the left hemidiaphragm with minimal retrocardiac atelectasis. No evidence of pneumothorax. No pleural effusions. Borderline size of the cardiac silhouettes. Mild tortuosity of the thoracic aorta. Left pectoral pacemaker in unchanged position. No pneumothorax.
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cough, rule out pneumonia.
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Median sternotomy wires appear intact. Interval removal of the right ij line. Interval resolution of bilateral, small pleural effusions. Normal cardiomediastinal and hilar contours. Clear lungs. No pneumothorax.
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<unk>-year-old man with cough. evaluate for pneumonia.
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Low lung volumes are stable. The left-sided chest tube has been removed without appreciable pneumothorax. Right basilar atelectasis and small right pleural effusion are worse and left basilar atelectasis is improved from prior examination. Intact sternotomy wires and replaced mitral valve are unchanged in appearance.
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<unk> year old woman s/p l vats wedge // r/o ptx post ct removal
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Pa and lateral views of the chest provided. Prominent fat pad partially obscures the left heart border. The lungs are clear without focal consolidation or edema. No pleural effusion or pneumothorax. The heart size is within normal limits allowing for prominent fat pad. Mediastinal contour is normal. Osseous structures are intact. No free air under the right hemidiaphragm.
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<unk>-year-old male with chest pain, sob // please eval for pna
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Previously described moderate cardiomegaly persists. No change in cardiac configuration, thus no typical valvular abnormality is seen. Thoracic aorta unremarkable as before. The pulmonary vasculature is not congested. As seen on previous examination, there is an increased interstitial pattern in both lungs, predominantly in the upper lung zones. This persists in comparison with the previous study. There is now a general appearance of nodular parenchymal densities in the periphery evenly distributed in all lung regions. Comparison suggests that this nodular pattern was not as prominent on the previous examination. Comparison of the hilar structures does not demonstrate any significant interval change. As the patient has undergone multiple chest examinations over the years, a quick review of multiple films is undertaken. On a chest examination of <unk>, the interstitial pulmonary changes predominantly in the upper lobe areas were already present. No significant hilar adenopathy could be seen. On chest x-ray of <unk>, no significant interval change can be seen, possibly slight improvement. A chest examination of <unk> demonstrated normal findings; however, persisting mild degree of interstitial abnormalities as before. A chest examination of <unk> described unchanged interstitial abnormalities, but no new peripheral parenchymal abnormalities, pleural effusions or pneumothorax. Moderate degree of globular cardiac enlargement was noted. On the last preceding examination of <unk>, the interstitial changes appeared unaltered. However, there probably was a beginning of small nodular density in the periphery, which now has developed into more prominent densities. Thus, the present findings are suggestive of more advanced stage ii pulmonary sarcoidosis. Consider treatment and further followup.
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<unk>-year-old female patient with sarcoidosis with shortness of breath. evaluate for sarcoid changes, hilar lymphadenopathy or infiltrates.
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The lungs are clear without areas of focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits.
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<unk>-year-old female with chest pain. evaluate for cardiopulmonary process or pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p10697267/s54098669/ef5e18fc-00851a00-0ef6d0bd-c40f4742-31e451be.jpg
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation, effusion, or pneumothorax. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unchanged from prior.
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<unk>-year-old female with chest pain status post mvc with airbag deployment.
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The lungs are well-expanded and clear. The cardiomediastinal hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Note is made of a small hiatal hernia.
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<unk>f with hx of asthma and sarcoidosis p/w persistent 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.
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<unk>m with l sided cp // pneumothorax?
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Pa and lateral views of the chest were obtained. Calcific density following the peripheral margin of the heart likely reflects calcifications within the pericardium. Cardiomediastinal contours otherwise normal. Lungs are symmetrically expanded and clear. There is no pleural effusion or pneumothorax. Sternotomy wires and multiple surgical clips projecting over the heart are noted.
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<unk>-year-old man with new weight gain, ascites, dyspnea, evaluate for consolidation or effusion.
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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. Mild degenerative changes are noted in the thoracic spine. There is no free air under the diaphragms.
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hematemesis after emesis.
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Cardiac silhouette is upper limits of normal in size accompanied by pulmonary vascular congestion, new bronchial wall thickening and scattered interstitial opacities with lower lung predominance. Minimal patchy opacities are also seen in both lung bases. No pleural effusion. Bones are diffusely demineralized, and a compression deformity is observed in the upper lumbar spine, present since <unk> lateral chest radiograph. Healed lateral right rib fractures are also noted.
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<unk> year old woman with recent onset of cough. noted to have rales at lower lung fields bilat. // chf?
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MIMIC-CXR-JPG/2.0.0/files/p12676709/s51034094/31703302-3709eb33-8c647500-02ce5cad-4ee76862.jpg
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Lungs are well expanded and clear. Hila, mediastinal contours, and heart borders are normal. No pleural effusion.
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<unk> year old woman with doe // r/o lung disease
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MIMIC-CXR-JPG/2.0.0/files/p14516688/s58588560/11a83351-b1d1cf49-0c06c163-00751817-fbf1e88b.jpg
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Median sternotomy wires are unchanged from prior. Left-sided chest tube is unchanged in position as compared to prior. Small right pleural effusion is largely unchanged. No pneumothorax is seen. The left pleural effusion is more pronounced moderate in size, but slightly increased from prior there is no parenchymal consolidation. Cardiomediastinal silhouette appears unchanged.
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<unk> year old man with hospital admit <unk> with sob, bilateral pleural effusions l>r, s/p thoracentesis <unk>. sats <unk>% on ra, breath sounds diminished l lower lobe // evaluate for pleural effusion evaluate for pleural effusion
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MIMIC-CXR-JPG/2.0.0/files/p17964648/s56685087/84dff777-eb58692b-2223529d-585bd661-67d7d4da.jpg
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Enlargement of the cardiac silhouette, which may have increased compared to <unk>. Mild to moderate pulmonary edema. No focal consolidations. Probable small right pleural effusion. No pneumothorax.
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history: <unk>f with dyspnea and ble swelling // ?cpd
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Cardiac, mediastinal and hilar contours are normal. Lungs are hyperinflated with emphysematous changes again noted. Atelectasis is seen in the lung bases. No large pleural effusion or pneumothorax is present. Pulmonary vasculature is not engorged. Moderate compression deformity of a mid thoracic vertebral body remains unchanged.
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history: <unk>m with chest pain, fever
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air seen beneath the diaphragms. Anchor screws are noted over the right humeral head.
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abdominal pain.
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The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with intermittent chest pain.
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There has been interval removal of the right pleural drainage catheter. No pneumothorax or gross pleural effusion detected. There is linear atelectasis in the right middle and lower lobes. There is increased retrocardiac opacity which likely reflects atelectasis though superimposed infection would be difficult to exclude. Cardiomediastinal contours, including left ventricular configuration and calcified unfolded aorta, are unchanged. No chf. Probable left upper zone calcified granulomas and calcified hilar or mediastinal lymph nodes, suggesting prior granulomatous infection. Subtle noncalcified nodes a be present, better seen on <unk>. Mesh metallic density seen overlying the upper abdomen in the midline extending beyond the edge of this film is compatible with a stent of some kind. The appearance is similar to <unk>.
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history: <unk>m with leukocytosis, fall // eval for pna
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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.
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<unk>m with h/o cva pw severe headache // rule out acute cardiopulmonary process
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There severe pulmonary edema. Large right pleural effusion may be partially loculated. Bilateral pleural plaques are again noted. The may be a small left pleural effusion. No pneumothorax is seen. Cardiac silhouette is top-normal.
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history: <unk>m with c/o sob with ble edema with weight gain // ? chf or pna
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Faint opacity is visualized overlying the right lower lobe. Otherwise, the remainder of the lungs are clear with no evidence of consolidations or effusions. There is no pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures are identified.
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evaluation of patient with aids with cough and fever.
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Pa and lateral views of the chest. Cardiomegaly is stable. Aorta is tortuous but not dilated. Mild left basialar atelectasis. Hyperinflation of the lungs with flattening of the diaphragms. The lungs, mediastinal, and pleural surfaces are normal. There is no evidence of pneumonia. No pleural effusion or pneumothorax.
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mild cough and crackles at the bases, rule out pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16975792/s53899585/321426a4-3d1e6668-1d232496-35ec2f16-13954a46.jpg
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Frontal and lateral views of the chest were obtained. Prominence of the vascular markings is consistent with pulmonary vascular congestion. Increased interstitial markings may be chronic. No substantial pleural effusion. No pneumothorax. Flattening of the diaphragm suggests copd. Moderate cardiomegaly is similar to prior.
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<unk>-year-old male with fever and productive cough. rule out pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p11432636/s56727317/a9d47122-5bf55d3f-193c4f8c-655a2eff-cbbab255.jpg
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Heart size is normal. The mediastinal and hilar contours are are remarkable for a tortuous thoracic aorta. Lungs are hyperexpanded and grossly clear. Its left picc remains in standard position. No acute skeletal findings. .
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<unk> year old man with asthma, duodenitis being worked up, eosinophilia and now with shortness of breath seen to have potential early infiltrate on portable cxr. evaluate for pulmonary edema, infiltrates, lymphadenopathy // eval for pulmonary edema, pna, lymphadenopathy
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MIMIC-CXR-JPG/2.0.0/files/p15455196/s58619754/66437000-45868dd6-b15a2d0f-03463740-e40df40d.jpg
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with shortness of breath on exertion. evaluate for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p18306781/s58157718/455416af-59b4d822-3cdea1b9-9299c143-22b8b501.jpg
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Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Mild cardiomegaly is stable. The thoracic aorta is moderately calcified.
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<unk> year old woman with prior pe // pre vq scan
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MIMIC-CXR-JPG/2.0.0/files/p12278533/s56436636/a226d850-48a092b5-e31ef0be-d4b070e9-0b34ed2b.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12278533/s56436636/977b089f-f571bbf8-74f112ca-3202ed6d-e4a19d92.jpg
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m with chest pain today // eval pna
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MIMIC-CXR-JPG/2.0.0/files/p15973805/s59387811/ad3d4248-c32c41de-50db4352-24bbcc9f-ee45db28.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15973805/s59387811/a472c5f9-80c6ab2b-9e290c4e-b4181d29-78d3e1bd.jpg
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The cardiomediastinal silhouettes are stable, demonstrating a tortuous thoracic aorta. The cardiac silhouette is within normal limits. The bilateral hila are unremarkable. Left brachiocephalic stent is again noted. There are low lung volumes. There is no focal consolidation. There is no evidence pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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<unk>f with shortness of breath, evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p13184997/s58169179/0fc2d717-115dd39b-7ec11f8c-32c302a4-41939393.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13184997/s58169179/b93d809c-f69a4766-d4aa8fcd-d60f7148-529a1d02.jpg
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The cardiac, mediastinal and hilar contours appear stable. The chest is hyperinflated. There is a small-to-moderate right anterior eventration of the right hemidiaphragm. Streaky opacities at the lung bases suggest minor atelectasis. There is no definite pleural effusion or pneumothorax. Mild degenerative changes affect the mid thoracic spine.
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cough and shortness of breath.
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