Frontal_Image_Path
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Pa and lateral views of the chest provided. Mild cardiomegaly is again noted. There is mild interstitial pulmonary edema. No evidence of pneumonia. No pneumothorax or effusion. Mediastinal contour is unchanged. Hila appear slightly congested. Bony structures are intact.
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<unk>-year-old female with left sided headache, left sided pain and weakness, subsequent fall. pt had cr. of <num>.<unk> yesterday
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The lung volumes are normal. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. Currently, there is no parenchymal abnormality suggestive of pneumonia. No pleural effusions. Hypoplastic first rib on the right.
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hypercalcemia, questionable pneumonia.
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are well expanded and without focal consolidation concerning for pneumonia. Median sternotomy wires are noted.
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<unk>m with cough and congestion.
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In comparison with the study of <unk>, there is minimal increase in the areas of pleural air and fluid loculations consistent with the known empyema. Opacification along the right lateral chest wall is again seen. Right chest tube at the base of the lung is again seen. The left lung is essentially clear. Substantial enlargement of the cardiac silhouette persists, though there is no evidence of pulmonary vascular congestion.
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<unk> year old man with cirrhosis, bilateral pe, empyema // evaluate chest tubes, empyema, pneumothorax
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There is a small right apical pneumothorax. Extensive consolidation in the left upper lobe and left lower lobes are unchanged and consistent with patient's known cancer. There has been an interval increase in the opacity in the right middle lobe which could be secondary to worsening malignancy or atelectasis. There has been an interval increase in the left lower lobe focal opacity likely secondary to atelectasis.
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<unk>-year-old man status post right lung biopsy, who presents for evaluation.
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. Circular density in the retrosternal space corresponds to a mediastinal vein on prior ct chest.
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chest pain.
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The cardiac, mediastinal and hilar contours appear stable. The chest is hyperinflated. There is no pleural effusion or pneumothorax. Vague persistent posterior opacification in the right lower lobe suggests residual atelectasis or scarring. A consolidative opacity in the right upper lobe appears very similar to the prior study.
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esophageal cancer presenting with dysphasia possible aspiration and vomiting.
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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 chest pain
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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<unk>-year-old with fever, cough, evaluate for pneumonia.
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Pa and lateral views of the chest provided. Subtle opacity seen projecting over the right lung base which could represent a small area of atelectasis or in the right clinical setting early pneumonia. Otherwise the lungs are clear. No 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 asthma exacerbation and syncope // r/o acute infectious process
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. Aortic tortuosity is again noted.
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<unk>-year-old male with chest pain.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia or vascular congestion.
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latent tb.
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The lungs are clear of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Better seen on the lateral view there is a rounded density which is most likely secondary to hypertrophic changes of the costovertebral junction projecting over the lower thoracic spine, given continuity with the associated rib.
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<unk>m with ams // pneumonia?
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There is a moderate right and a small left pleural effusion with adjacent atelectasis. The cardiomediastinal silhouette and hilar contours are unchanged, with mild cardiomegaly. There is mild pulmonary edema. No pneumothorax is seen.
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<unk>m with h/o chf with worsening epigastric pain and ab tenderness, evaluate for acute process.
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Right ij catheter terminates in the upper svc. Left pectoral pacemaker with leads terminating in the right atrium and right ventricle. Unchanged, bilateral pleural effusions with underlying atelectasis, left greater than right. Normal mediastinal and hilar contours. Normal heart size. No pneumothorax.
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<unk>-year-old woman with a myocardial infarction complicated by sick sinus syndrome status post pacemaker placement. evaluate lead placement.
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Frontal and lateral chest radiograph demonstrates hypoinflated lungs with crowding of vasculature. Right lung is clear. Heterogeneous opacity within the left lower lobe with elevation of the left hemidiaphragm is noted. No definite pleural effusion. No pneumothorax. Top normal heart size is accentuated due to low lung volumes and patient positioning. Mediastinal contour and hila are otherwise unremarkable.
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shortness of breath. assess for acute process.
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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>f with lightheadness // evidence of stroke
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The heart is top normal in size, and there is mild pulmonary edema. There are no focal consolidations or pleural effusions.
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<unk>-year-old male with wheezing and shortness of breath .
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Frontal and lateral views of the chest. Left chest wall dual-lead pacing device is again seen with leads in unchanged position. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. The cardiac silhouette is mildly enlarged, somewhat less so than on previous exam. Tortuous descending thoracic aorta. There is no definite acute osseous abnormality identified. Old right-sided rib fractures are seen laterally.
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<unk>-year-old female with fall, question pneumonia.
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Frontal and lateral views of the chest were obtained. Lung volumes are low, exaggerating heart size. The cardiomediastinal contours are otherwise normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
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<unk>-year-old female with chest pain. evaluate for pneumonia.
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Pa and lateral chest radiographs were provided. There is no focal consolidation or pneumothorax. There are small bilateral pleural effusions. Prominence of the interstitial markings most likely represents mild pulmonary edema and is unchanged since the prior exam. A left chest wall pacemaker is present with leads in the right atrium and right ventricle.
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weakness and falls. question acute cardiopulmonary process.
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There is hyperinflation suggesting background copd. Heart size is at the upper limits of normal or minimally enlarged, unchanged. There is equivocal minimal upper zone redistribution, without overt chf. There is no focal consolidation, pleural effusion, or pneumothorax. The patient is status post c<num>-t<num> spinal fusion with unchanged appearance of the hardware.
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<unk>f with history of ms presenting with blurry vision, evaluate for pneumonia
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Ap upright and lateral views of the chest provided. Aortic valve replacement noted on the lateral projection. Tiny clips project over the left upper chest. The previously noted lines and tubes have been removed. There is left lower lobe opacity which could represent consolidation/pneumonia and likely a small left pleural effusion. Right lung is clear. No overt signs of edema. Aortic calcification noted. Degenerative changes at both shoulders noted.
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<unk>m with c/o sob recent transcatheter aortic valve replacement
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Frontal and lateral views of the chest. The lungs are hyperinflated but clear of consolidation or effusion. Calcified granulomas again seen at the right lung apex. The cardiomediastinal silhouette is within normal limits. Mid thoracic compression deformity is seen with vertebroplasty changes.
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<unk>-year-old female with copd presenting with diarrhea and confusion.
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Frontal and lateral chest radiograph demonstrate clear lungs with no focal consolidation. There is a soft tissue density along the right mediastinal paratracheal contour secondary to known adenopathy identified on chest ct dated <unk>. Heart size is normal. There is no pleural effusion or pneumothorax.
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<unk>-year-old male with cough. history of metastatic renal cell carcinoma.
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Frontal and lateral views of the chest. The cardiac silhouette is enlarged since <unk>, which may reflect either cardiomegaly or a pericardial effusion. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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left 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>f with cough // pneumonia?
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Frontal and lateral views of the chest. There has been interval resolution of the right basilar parenchymal opacities. The lungs are now clear without consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormality is detected.
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<unk>-year-old male with past medical history of coronary artery disease and aaa with dissection diabetes and hypertension presents with weakness.
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The cardiac, mediastinal and hilar contours are unremarkable except for aortic knob calcifications. Heart size is normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are demonstrated.
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cough and shortness of breath.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes. No displaced rib fractures.
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<unk> year old woman with c/o l posterior rib pain, worse with coughing and lying down // f/o rib fracture, r/o pna
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Elevation of the left hemidiaphragm is unchanged compared to the prior exam. Cardiomediastinal silhouette is within normal limits. The lungs are symmetrically expanded and clear bilaterally. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with cough, shortness of breath, evaluate for pneumonia.
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Heart size is normal. The aorta is unfolded. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There mild degenerative changes noted in the thoracic spine.
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history: <unk>m with shortness of breath and history of congestive heart failure, noncompliant with meds // ?pulmonary edema
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The lungs are clear without focal consolidation. There are trace bilateral pleural effusions, similar to prior. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged.
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history: <unk>f with cough, fever, dyspnea // infiltrate, effusion, edema
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Ap upright and lateral views of the chest provided. Low lung volumes cause bronchovascular crowding. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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history: <unk>m with sudden onset left sided chest pain // evaluate for acute cardiopulmonary abnormality
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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 chest pain // acute pulm process
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Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are hypoexpanded but clear without focal consolidation concerning for pneumonia. Mild left basilar atelectasis is seen. The upper abdomen is unremarkable without evidence of pneumoperitoneum.
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history: <unk>m with epigastric pain and ttp. hx necrotizing pancreatitis s/p roux-en-y // r/o free air, obstruction
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There is a moderate left pleural effusion with overlying atelectasis. Left base consolidation is difficult to exclude. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette persistently enlarged. Dual lead left-sided pacer device is stable in position..
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history: <unk>f with sp fall on warfarin // eval for trauma cxr nchc eval for ich c spien eval for fx
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The compared to chest radiograph dated <unk>, there has been resolution of right and left lower lobe prior seen opacifications. There is no new focal consolidations. There is no pleural effusion. Pulmonary vasculature is unremarkable. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax.
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<unk>-year-old male with recent community acquired pneumonia. assess for multi focal pneumonia.
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Pa and lateral views of the chest. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours are normal.
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<unk>-year-old female with fever, evaluate for infiltrate.
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Pa and lateral views of the chest. A moderate right pleural effusion is not significantly changed compared to <unk>. No left pleural effusion. Cardiomediastinal and hilar contours are normal. Right picc ends in the lower svc. No pneumothorax. No focal consolidation.
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pleural effusion and negative cytology. evaluate for reaccumulation.
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The lungs are clear of consolidation, effusion, or edema. Cardiac silhouette is top normal. Descending thoracic aorta is tortuous with atherosclerotic calcification seen at the arch. No acute osseous abnormalities identified.
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<unk>f with hx of htn, hld, hx of stroke, cad s/p bms and poba in <unk> on aspirin and plavix, p/w shortness of breath since last night // ?pulmonary edema, cardiomegaly, infiltrate
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Pa and lateral chest radiographs were obtained. The lungs are well inflated and clear. No focal consolidation, effusion, or pneumothorax is present. Linear density in the right middle lobe is unchanged and most likely reflects normal hilar vasculature.
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<unk>-year-old man with right lobe opacity.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and clear lungs which are hyperinflated, without focal consolidation. A <num> mm focal area of nodularity is seen in the left lung apex and may be inflammatory, although a parenchymal nodule cannot be excluded. The bilateral hemidiaphragms are flattened. There is no pneumothorax or pleural effusion.
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weakness and dizziness. evaluate for pneumonia.
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Although less conspicuous when compared to prior exam, there is opacity projecting over the right lower lobe best demonstrated on the lateral view. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with fever and cough x <num> days, temp <unk>.<unk> yesterday and rll wheezing and crackles // assess for infiltrate.
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There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
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history: <unk>m with chest pain // chest pain
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Pa and lateral views of the chest were reviewed. A large right mid lung opacification extends anteriorly from the hila to the anterolateral chest wall. The left lung is clear. The heart size is normal and there is no evidence of vascular congestion, pleural effusion or pneumothorax. There are no concerning osseous or soft tissue lesions.
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cough for two weeks with blood-tinged sputum.
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Ap and lateral views of the chest. On the frontal view, there is increased opacity at the right lung base medially, similar to prior. This could represent residual atelectasis or scarring given perisistence although infection is not entirely excluded. The left lung is grossly clear. The cardiomediastinal silhouette is unchanged. Mid thoracic dextroscoliosis may be positional.
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<unk>-year-old quadriplegic male with autonomic dysreflexia and malignant hypertension. question infection.
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with tortuous ascending and descending thoracic aortic contours.
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cough and wheeze, assess for acute process.
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Patient is status post median sternotomy. Again, it least the upper to sternotomy wires are fractured in several locations. Retained percutaneous ventricular pacer lead fragments are unchanged. Left-sided catheter appears to terminate in the left axilla ; if this is a picc, it is high in position, terminating in the region of the left axillary vein. Subtle left mid to lower lung opacity is grossly stable. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
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history: <unk>m with tachypnea // eval heart and lungs, l picc placement
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There is a tripolar pacemaker with the pacemaker generator in the left chest wall. Stable moderate cardiomegaly since the prior exam. The lungs are clear without pleural effusion or evidence of pulmonary edema.
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history: <unk>f with l-shoulder and chest pain // evaluate for acute process
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Ap semi upright and lateral views of the chest provided. Lungs are grossly clear. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. No acute bony injury.
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<unk>f with fall, preop cxr
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Pa and lateral views of the chest were obtained. Small linear opacities in the left lower lung are likely due to atelectasis; otherwise, there is no focal consolidation or pulmonary edema. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal.
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chest pain.
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The pacer seen in the left anterior chest wall with intact leads in appropriate position. Mitral valve replacement is noted. The lungs are well expanded. Opacities seen in the right mid lung, concerning for pneumonia. Opacity is seen in the left lung base has improved since prior. There is no pneumothorax. Trace left pleural effusion is present. There is no right pleural effusion. The cardiac silhouette is enlarged but is stable in size.
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<unk>m with hemoptysis, low grade fevers x <num> days. from <unk>, afib on coumadin, <unk>. valve replacement, chf, seizures; no known tb hx // evaluate / r/o pna vs other infectious lung process
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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 dated <unk>. The heart size is normal and unchanged. As before, mild mediastinal shift towards the left side is present but appears stable. Mild volume reduction of the left hemithorax related to previously performed left upper lobectomy. New surgical clips in hilar region can be seen. The postoperative changes of the vasculature with reduction of hilar contours are unchanged. Mild elevation of left diaphragm as before. No evidence of pneumothorax or new parenchymal abnormalities. No pulmonary vascular congestion.
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<unk>-year-old male patient status post left vats for left chest wall fluid collection. evaluate.
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Postoperative changes are stable. The patient is status post median sternotomy, tavr, mitral valve replacement.the lungs are clear without consolidation, effusion or pneumothorax. The heart is normal in size.
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<unk>f with copd and chf. // ? copd exacerbation, chf exacerbation
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Streaky right basilar opacity likely reflects atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. No pulmonary vascular congestion is demonstrated. There are no acute osseous abnormalities identified.
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chest pain.
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The heart is probably normal in size. Although some areas of the right lung appear better aerated, there is overall new volume loss with moderate elevation of the right hemidiaphgram and rightward shift of mediastinal structures suggesting substantial atelectasis in the right lung. Atelectasis may be primarily perihilar noting that there is more coalescent opacity associated with the right hilum over the short interval a new area of right upper lateral subpleural opacification may be due to a loculated effusion but is not specific. The left lung appears clear.
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stage iii non-small cell lung cancer and ulcerative colitis, presenting with acute shortness of breath.
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Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size. The imaged upper abdomen is unremarkable.
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history of recent hospitalization for alcoholic hepatitis, readmitted with fever, rule out pneumonia.
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Low lung volumes cause crowding of the bronchovascular markings. No pulmonary vascular congestion or interstitial edema. The heart is not enlarged. No pleural effusions or pneumothorax.
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<unk> year old man with new onset edema // rule out chf
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Stable right mid lung opacity at the site of the patient's known right lung mass which was recently biopsied via bronchoscopy. Otherwise, the lungs are clear. No new focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette and hila are unchanged from the prior exam. No acute osseous abnormality.
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<unk>-year-old woman with right pulmonary nodule, status-post recent biopsy, and lymphadenopathy presenting with dyspnea and cough.
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Frontal and lateral chest radiographdemonstrates moderately well expanded and clear lungs.no pleural effusion or pneumothorax. Mild prominence of the right heart border is likely due to patient rotation. Heart size, mediastinal contour, and hila are otherwise unremarkable. Limited assessment of the upper abdomen is within normal limits.
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fever. assess for pneumonia. none.
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There are calcified pleural plaques at the lung bases. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. The lungs are hyperinflated with changes of emphysema.
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<unk>-year-old male with cough and fever, evaluate for pneumonia.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
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<unk>-year-old male with new neurological deficits. evaluate for pneumonia or mass.
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Cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax. Bones and the upper abdomen are grossly unremarkable.
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history: <unk>f with persistent cough and fevers // r/o pna
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Blunting of costophrenic angle posteriorly without focal consolidation, pneumothorax, or pulmonary edema. The heart size and mediastinal contours are normal. Again seen are old fractures at the <unk> right posterior ribs and appear unchanged. No additional bony abnormality detected.
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female with asthma and cough for two months as well as bilateral basilar rhonchi. assess for pneumonia.
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In comparison with study of <unk>, there again are low lung volumes. Substantial cardiomegaly again seen with some pulmonary vascular congestion. No acute focal pneumonia, though this could be hidden given the substrate of pulmonary markings.
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obese woman with shortness of breath after surgery.
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Pa and lateral views of the chest provided. There is mild left basal atelectasis. No convincing evidence for pneumonia. No pleural 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 exertional chest pain with dyspnea for several months.
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Heart size is mildly enlarged. The aorta is tortuous, unchanged. Mediastinal and hilar contours are similar. There is no pulmonary edema. Small left pleural effusion is slightly decreased in size. No focal consolidation or pneumothorax is seen. Eventration of the right hemidiaphragm is re- demonstrated. Minimal atelectasis is noted in both lung bases. There are no acute osseous abnormalities.
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history: <unk>f with pancreatic adenoma s/p whipple c/b portal vein thrombosis and secondary cirrhosis with ascites/splenomegaly/varices recently hospitalized for gi bleed requiring multiple transfusions, presenting with fever/rigors // please assess for pneumonia or fluid overload
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Low lung volumes are noted. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Anterior cervical fixation hardware is visualized.
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<unk>f with syncope, hypotension // eval for acute process
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Heart size is borderline enlarged. The aorta is tortuous. The mediastinal and hilar contours otherwise are unchanged. Pulmonary vascularity is not engorged. Small right pleural effusion is relatively unchanged compared to the prior study. Previously seen left pleural effusion appears improved if not resolved. There is minimal bibasilar atelectasis. No pneumothorax is identified. There are no acute osseous abnormalities. Partially imaged is a percutaneous catheter within the upper abdomen.
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intermittent confusion.
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Heart size is normal. Prominence of the right hila is unchanged dating back to <unk>. The lungs are hyperinflated but clear. Deviation of the leftward deviation of the trachea reflects underlying enlarged thyroid, as demonstrated on prior chest ct. Pleural surfaces are normal. There is no pneumothorax. Calcified granuloma at the right lung apex is stable.
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<unk> year old woman with weight loss and tobacco history, or evaluate for mass
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Frontal lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
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dyspnea, evaluate for pneumonia.
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The cardiomediastinal contours are stable with calcification of the aortic knob. Widening of the right paratracheal stripe is stable since <unk> but new since <unk>. There is no pleural effusion or pneumothorax. Patchy opacification at the left lung base may be consistent with atelectasis, aspiration, or pneumonia in the correct clinical setting. The pulmonary vasculature is within normal limits.
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dysphagia and elevated white count.
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Marked dextroscoliosis of the thoracic spine is re- demonstrated. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable and unchanged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The pulmonary vasculature is not engorged. Osseous structures are diffusely demineralized.
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history: <unk>f with hypoxia
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is a subtle <num> mm nodular opacity projecting over the left lung base, at the level the anterior left <num>th rib, which while may represent overlap of vascular structures, underlying pulmonary nodule is not excluded. The cardiac and mediastinal silhouettes are unremarkable. Evidence of dish is seen along the thoracic spine.
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chest pain, dyspnea.
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In comparison to the most recent prior study, there is overall little change. Surgical chain sutures in the left mid lung with associated scarring are unchanged. Cardiomediastinal silhouette is stable. There is no focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>m with malaise, on chemo w/ ? infection // ? pneumonia
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The heart size appears top normal, which may be exaggerated due to low lung volumes. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of chest pain. please evaluate for pneumonia.
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Heart size is at the upper limits of normal or slightly enlarged . Cardiomediastinal silhouette and hilar contours are otherwise within normal limits. Trace blunting of the costophrenic sulci may represent trace effusions. Increased density in the posterior lung base on lateral view only without definite frontal correlate. Equivocal hazy density at the left lung base. Upper lung zones are clear. No pneumothorax.
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dyspnea and wheezing.
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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>m with fever sob // pna
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As compared with the most recent prior examination, there has been no significant interval change. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.
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dyspnea.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart size is top normal. Aortic tortuosity is noted; mediastinal contours are otherwise unremarkable.
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<unk>-year-old female with chills and vomiting.
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The lungs are hyperinflated but clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.
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<unk>f with dyspnea // r/o acute process
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Pulmonary vascular congestion and pulmonary edema are mild. A small right pleural effusion was present on the prior study, with fluid now tracking into the minor fissure on the right. A small left pleural effusion is new. An opacity in the right base is new from the immediate prior study and may represent mildly asymmetric pulmonary edema, although an early infectious process could be considered in the proper clinical setting. There is no pneumothorax.
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<unk>f with chest pain, evaluate for pneumothorax.
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Pa and lateral views of the chest provided. Right arm access picc line is again seen with its tip located in the region of the low svc. Lungs are clear without focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette appears stable.
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<unk>m with chest pain/sob // picc confirmation, acute process
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Pa and lateral chest radiographs again demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
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chest pain on exertion. evaluation for infectious process.
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Pa and lateral views of the chest. Right ij central venous catheter is no longer seen. Prior right lower lobe consolidation has cleared. The lungs are now clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
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<unk>-year-old female with nausea and vomiting on cellcept and prednisone.
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Pa and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with shortness of breath.
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There has been interval reaccumulation of a small right-sided pleural effusion with adjacent atelectasis. There is no left-sided pleural effusion. Redemonstrated is an unchanged interstitial abnormality within the right upper lobe, compatible with the patient's known lymphangitic spread of cancer, as per the prior chest ct examination. No new focal consolidation is identified. There is no pneumothorax or frank pulmonary edema. The heart size is normal. Mediastinal contours are normal.
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dyspnea, history of lung cancer and pleural effusion.
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Tracheostomy tube is no longer visualized. Lung volumes are relatively low with crowding of the bronchovascular markings and left basilar atelectasis. There is no definite superimposed consolidation or edema. Cardiomediastinal silhouette is within normal limits. Prosthetic valve and median sternotomy wires are again noted. Catheter projects over the right neck and chest wall.
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<unk>m with ams // eval for bleed. eval for pna
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low, causing crowding of the bronchovasculature. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. No pleural effusions are seen. There is no pneumothorax.
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left-sided chest pain and dyspnea. assess for pneumothorax.
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There are diffuse bilateral opacities, ? Combined insterstial and alveolar opacities, with suggestion of faint nodular opacities in both lungs. No air bronchograms are identified. No effusion is seen. Heart size is borderline enlarged. The cardiomediastinal silhouette appears slightly more prominent in comparison to prior study. Post-surgical changes are noted in the cervical spine with fusion.
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fever and cough.
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There is bibasilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.. No displaced fracture is identified. Evidence of dish is seen along the thoracic spine.
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history: <unk>m with tachycardia, recent falls // eval for infection, rib injury
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A radiopaque skin marker is seen along the anterior seventh intercostal space, near the costochondral junction. Lung volumes are slightly low. The lungs are clear. The heart size is normal. There are no pleural effusions. No pneumothorax is seen. There is no definite acute rib fracture. Herniorrhaphy tacks are seen in the mid abdomen.
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pain and shortness of breath after striking left chest into a utility truck. assess for rib fracture.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with c/o dyspnea // r/o pna
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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 displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.
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<unk>m with lt anterior chest wall pain post mvc
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The right-sided chest tube is been removed. There is a small right apical pneumothorax that is similar in size compared to prior there compressive changes in both lower lungs the right central line is unchanged compared to the prior study there is no significant interval change.
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<unk> year old woman with s/p cardiac surgery, right ct d/c'd // evaluate for pneumothorax
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Lung volumes are low. The heart size remains normal. Mediastinal and hilar contours are unchanged. Lungs are grossly clear though assessment of the left apex is limited due to the patient's neck projecting over and obscuring this region. No focal consolidation, pleural effusion or pneumothorax is seen. Pulmonary vasculature is not engorged. Right shoulder arthroplasty is incompletely imaged. There are mild degenerative changes in the thoracic spine.
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history: <unk>f with confusion and falls, on coumadin
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Increased left lower lobe consolidation and partial silhouetting of the left hemidiaphragm is compatible with known mass and probable worsening postobstructive pneumonia and/or atelectasis. Scattered nodular opacities throughout the lungs bilaterally are compatible with multiple nodules better seen on prior ct. The right peritracheal stripe and aorto-pulmonary window continue to be prominent, consistent with mediastinal lymphadenopathy. Vascular engorgement and indistinctness reflects mild to moderate pulmonary edema, worse in the interval. The cardiomediastinal silhouette is slightly shifted to the left, unchanged from prior. There is no evidence of pneumothorax.
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<unk>m with metastatic cancer of unknown origin, possibly lung, presenting with worsening back pain, fevers, increased white count. question pneumonia.
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There is no intraperitoneal free air. The lungs are clear without effusion or pneumothorax. The cardiac silhouette is normal in size. The mediastinal contours are normal.
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<unk>-year-old male with abdominal pain and vomiting; evaluate for free air.
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Frontal and lateral views of the chest were obtained. The heart size is normal and cardiomediastinal contours are stable. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Lung hyperinflation is severe with flattening of the diaphragms and right lower lobe lucency consistent with a large bulla, similar to prior.
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<unk>-year-old male with copd and shortness of breath.
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