Frontal_Image_Path
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Pa and lateral views of the chest provided. Previously noted picc line is been removed. Buttons projecting over the chest are likely external. 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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history: <unk>m with fever // r/o acute infectious process
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The heart size is top-normal.
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<unk>f w/generalized fatigue please rule out occult pna // <unk>f w/generalized fatigue please rule out occult pna
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There is no focal consolidation, pleural effusion, or pneumothorax. Mild cardiomegaly is unchanged. There is no pulmonary vascular congestion. The cardiac and hilar and mediastinal contours are within normal limits.
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cough and subjective fever. significant cardiac history.
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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 light headed.
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Frontal and lateral views of the chest were obtained. Lung volumes are low, exaggerating heart size. Cardiomediastinal contours are unchanged. Bibasilar linear opacities are compatible with atelectasis. Right pleural effusion is small. No pneumothorax. Right upper quadrant biliary drain is incompletely imaged.
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<unk>-year-old male with right-sided abdominal pain and shortness of breath. evaluate for pneumonia.
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There has been interval improvement in the interstitial edema. The heart is mildly enlarged. There is no focal infiltrate. There are tiny bilateral effusions.
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shortness of breath and peripheral edema.
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Frontal and lateral views of the chest were obtained. A small right pleural effusion has improved from <unk> with improvement in the right basilar opacity. Mild persistent opacity is likely atelectasis. A left pleural effusion is small. The right upper lung and left lung are clear. Biapical pleural thickening is unchanged. Pulmonary vasculature is within normal limits with resolution of pulmonary edema. Moderate enlargement of the cardiac silhouette is stable from <unk> but larger than on <unk>, due to pericardial effusion seen on mri. Mediastinal silhouette and hilar contours are stable. The spleen is enlarged.
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history of nhl and prior pleural effusion with dyspnea.
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The heart is mildly enlarged. Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. The aortic knob is calcified. There is mild pulmonary vascular congestion. No pleural effusion, focal consolidation or pneumothorax is present. There are mild degenerative changes in the thoracic spine. Partially imaged is hardware within the right shoulder.
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palpitations.
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The heart size is normal. The aorta is mildly tortuous. The pulmonary vascularity is not engorged. Opacification within the left lung base near the left costophrenic angle on the frontal view suggests a small left pleural effusion with adjacent atelectasis. The right lung is grossly clear. No pneumothorax is identified. There are no acute osseous abnormalities.
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hcc, cirrhosis, increased fluid retention.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with cp // eval for cardiomegaly
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Ap upright and lateral views of the chest provided. Lung volumes low. Cardiomegaly is again noted, mild with hilar congestion. No frank edema. No large effusion or pneumothorax. Mediastinal contour is stable. Significant deformity noted at both shoulders unchanged.
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<unk>f with sob // r/o pna
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A moderate size left pleural effusion is not substantially changed in the interval with associated left basilar opacity, likely atelectasis. Fluid is also noted overlying the left apex as well as loculated posteriorly along the left base. Cardiac and mediastinal contours appear unchanged. Pulmonary vasculature is not engorged. The right lung is clear. Multiple pulmonary nodules are seen in both lungs, increased in size and number compared to the previous exam, with the largest noted in the left mid lung field measuring up to <num> cm. No large pneumothorax is present. Elevation of the left high hemidiaphragm is re- demonstrated and attributable to multiple extensive hepatic masses. No acute osseous abnormality is identified.
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history: <unk>m with hypotension
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The exam is limited due the patient's body habitus as well as language barrier. The limited exams demonstrate cardiomegaly and increased vasculature bilaterally, particularly on the left, worrisome for asymmetric pulmonary edema. Consolidation is difficult to rule out. There is no large pleural effusion. In the very limited views of the film, there is an acute-appearing at least fifth but also likely <unk>-<unk> right posterior rib fractures without visaulized pneumothorax.
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fall and mid scapular pain, question fracture.
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Lung volumes are low. The patient is status post esophagectomy and gastric pull-through at, with no significant interval change in the appearance of the mediastinum compared to the prior radiograph. Heart size is normal. Hilar contours are unremarkable, with no evidence of pulmonary edema. There is blunting of the right costophrenic sulcus, suggestive of a trace effusion, but no pneumothorax is identified. Left lung is clear. There are no acute osseous abnormalities. No free air is seen under the diaphragms.
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esophageal cancer, nausea and vomiting.
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Lung volumes are low, exaggerating heart size and pulmonary vascular markings. No focal consolidation, pleural effusion, or pneumothorax is detected. There is mild bronchial cuffing.
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<unk>-year-old female with cough and dyspnea.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
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history: <unk>m with difficulty swallowing // eval for air fluid levels in the esophagus
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax or effusion. No acute osseous abnormalities.
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<unk>m with c/p x<num> h today // r/o ptx, pna
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Pa and lateral views of the chest provided. A large mass which is better assessed on prior ct all appears unchanged in the left upper lobe with partial involvement of the left lower lobe. A left pleural effusion is not changed. A <num> cm nodular opacity is seen projecting over the right upper lung, which is better assessed on the prior ct. Surgical clips are noted in the right upper abdomen. A left-sided picc line is seen terminating at the cavoatrial junction.
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<unk> year old man with nsclc and picc not working // <unk> year old man with nsclc and picc not working
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Heart size has increased from prior as have pulmonary vascular markings. There are bibasilar airspace opacities and small bilateral pleural effusions, left greater than right. Calcification of the aortic knob is unchanged.
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<unk>-year-old woman with dyspnea on exertion for <num> week
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with chest pain, history of aortic stenosis.
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The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are identified. Right upper quadrant surgical clips suggest prior cholecystectomy.
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<unk>m with chest pain // r/o acute process
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Compared with the prior radiograph, there are several new, small ill-defined opacities in the right middle and right lower lung, suggesting multifocal infection. There has been interval removal of the right ij central venous catheter. No large pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable.
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<unk>-year-old man with cll now with cough. evaluate for consolidation.
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There is leftward deviation of the right proximal trachea raising concern for thyroid mass.the cardiac silhouette is normal. The mediastinal and hilar contours are normal. The pleura is unremarkable. No focal consolidations, pleural effusions, pulmonary edema, or pneumothorax are seen.
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<unk> year old woman with recent onset cough with some hemoptysis, some night sweats and chest pain with coughing // ? parenchymal abnormal.
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Ap upright and lateral views of the chest provided. The patient's chin partially obscures the left lung apex. Mild elevation of the left hemidiaphragm is noted. Lungs appear clear. 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 weakness // assess for infiltrate
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Pa and lateral views of the chest were provided. Low lung volumes somewhat limit the assessment. There is no focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears grossly unremarkable. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>m with <unk> weeks of cough, dyspnea on exertion. assess for pna, bronchitis, or ptx
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are 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 influenza like illness for <num> week. evaluate pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with chest pain // ?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 free air below the right hemidiaphragm is seen.
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<unk>f preop
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In comparison to the prior radiographs, again noted is moderate cardiomegaly. The mediastinal contour is unchanged since prior examinations. Again seen is a large hiatal hernia. No definite consolidation is noted. There is no pneumothorax or pleural effusion.
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<unk>f with copd p/w dyspnea // ?acute cardiopulmonary process?
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Chronic appearing bilateral rib deformities are noted. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. There may be a hiatal hernia.
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history: <unk>f with s/p fall // acute process?
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As compared to the previous radiograph, a right infrahilar pneumonia has completely resolved. The current image shows no evidence for the presence of parenchymal lung disease, in particular no evidence for pulmonary edema, pneumonia, or lung nodules or masses. Normal size of the cardiac silhouette. Minimal tortuosity of the thoracic aorta. No pneumothorax.
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weight loss and cough, tobacco use, rule out malignancy.
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There are ill-defined bibasilar opacities, left greater than right, suspicious for infection or aspiration given patient's history. Trace pleural effusion is present on the left. No pneumothorax. A <num> cm opacity projecting over the right heart border corresponds to a calcified granuloma as seen on the same day ct. Heart size is moderately enlarged.
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history: <unk>m with large volume emesis, hypoxia // eval for evidence of aspiration
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Frontal and lateral radiographs of the chest were obtained. The heart size and mediastinal contours are normal. The lungs are well expanded and clear with no focal consolidation. No pleural effusion or pneumothorax is present. No evidence of pulmonary edema.
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shortness of breath and cough. rule out pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with chest pain.
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The lungs are clear of consolidation. Slight blunting of the right lateral costophrenic angle may be a small effusion. There is no overt pulmonary edema. Moderate cardiac enlargement is seen. Atherosclerotic calcifications identified at the aortic arch. No acute osseous abnormalities.
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<unk>m with sob, worse with exertion // please eval for pulmonary edema, or any infectious process
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Multilevel vertebroplasty changes are noted. No acute osseous abnormalities identified.
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<unk>m with cough.doe // r/o pna
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Pa and lateral views of the chest. No prior. Right-sided picc line is seen with tip at the cavoatrial junction. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Postoperative changes of lower cervical and upper thoracic anterior spinal fixation are seen.
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<unk>-year-old male with back pain and fever, question epidural abscess versus parasternal abscess. question pneumonia.
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In comparison with the study of <unk>, the cardiomediastinal silhouette remains unchanged and there is no evidence of acute pneumonia or vascular congestion. There is some blunting of the costophrenic angles that could represent small amount of pleural fluid.
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cough and weakness.
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Pa and lateral views of the chest provided. Bronchovascular crowding in the lower lungs results and mildly increased of opacity of the lung markings. There is no convincing evidence for pneumonia edema, effusion or pneumothorax. Cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with persistent cough // pna
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There is now minimal interstitial edema. Left lower lobe ground-glass opacities seen on subsequent ct are better appreciated on that study. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Surgical hardware is partially seen in the cervical spine.
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worsening hypoxia after fluid.
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Frontal and lateral views of the chest demonstrate low lung volume loss. Confluent right lung base opacity is more conspicuous since prior exam. There is no pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The aortic arch calcifications are again noted. Mild tortuosity of the descending aorta is present. Moderate cardiomegaly is stable. Perihilar vascular congestion is present. Partially imaged upper abdomen is unremarkable.
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patient with shortness of breath and back pain. assess for acute process.
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The lungs remain clear. The heart and mediastinal structures are unremarkable. The bony thorax is grossly intact.
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congested cough, r/o pna
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Ap upright and lateral views of the chest provided.the cardiomediastinal silhouette appears prominent. Hilar congestion and mild to moderate pulmonary edema noted. Lung volumes are low. No large effusion or pneumothorax. Bony structures appear relatively intact.
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<unk>f with left breast swelling after left chest trauma //
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<num> views were obtained of the chest. The lungs are well expanded without pleural effusion or pneumothorax. No focal consolidation is seen with near-complete resolution of the previously described bibasilar opacities with minimal residual in the posterior lower lobes. The heart is normal in size and normal mediastinal contours.
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vomiting and chest pain assess for pneumonia.
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The heart size is normal. The mediastinal and hilar contours are unchanged with minimal rightward deviation of the trachea at the level of the thoracic inlet ct due to a known thyroid goiter. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
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history of seizures, hypertension, diabetes with episode of altered mental status.
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In comparison with study of <unk>, there is little change. Again there are low lung volumes with extensive opacification at the left base, consistent with atelectasis and probable small effusion or elevation of the left hemidiaphragm. Right lung is clear and there is no vascular congestion. Picc line is unchanged.
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left-sided chest pain.
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The lungs are well expanded and clear without focal opacity, pleural effusion or pneumothorax. Enlargement of pulmonary arteries is compatible with known history of pulmonary arterial hypertension. The heart and mediastinal contours are unremarkable, with density over the trachea and aortic arch on the lateral view, compatible with known calcified mediastinal lymph nodes.
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<unk>-year-old male with cough and sputum. assess for lesion.
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Ap, lordotic and lateral views of the lungs. Apparent nodular opacity at the right lung apex is likely due to summation shadows from ribs. There has been no change since earlier exam without consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine.
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<unk>-year-old female with cough and fever with possible right apical nodule, lordotic views.
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Small volume pneumoperitoneum seen on the lateral radiograph. Increased heart size, mildly improved. Borderline pulmonary vascularity, similar. Bibasilar opacities are stable on the left, mildly improved on the right. Mild bilateral pleural effusions.
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<unk> year old man with gastric outlet obstruction, gastric cancer, prostate cancer, now s/p xrt // eval for pna
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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.
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history: <unk>m with seizure prodrome // r/o pneumonia
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Hazy opacity projecting over the left mid to lower lung best seen on the frontal view, may in part relate asymmetric overlying soft tissue however, underlying consolidation due to aspiration may be present. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with report projectile vomitting during colonoscopy // ? aspiration
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As compared to prior chest radiograph from <unk>, left picc line tip is curving along the tracheobronchial angle and now terminates in the azygos vein. Right pigtail catheter is in unchanged position and dobhoff tube terminates in the stomach. There has been interval decrease of a small right apical pneumothorax. Moderate bilateral pleural effusions have increased, with a fissural component on the right and likely a loculated component on the left. There is bibasilar atelectasis, worse on the right.
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<unk>-year-old male patient, status post kidney transplant. study requested for evaluation of interval change in pleural effusions and pneumothorax.
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Pa and lateral views of the chest are compared to previous exam from <unk>. There is stable right apical pleural-based scarring and linear opacities at the left lung base suggestive of atelectasis versus scarring. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with near syncope.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are well expanded and clear. There is no evidence of pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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<unk>-year-old female with shortness of breath and cough who presents for evaluation.
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Lung volumes are increased from prior. Residual atelectasis in the right lower lung is improved. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are unchanged with mild cardiomegaly. A left pacemaker is continuous with a lead terminating in the right ventricle. Surgical clips in the right upper quadrant are unchanged.
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<unk> year old man with complex pmh presents with several days of fever, cough. sats ok in the office but per vna they are low at home. lung exam with coarse crackles in rll. // r/o pna
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In comparison with the study of <unk>, there are continued bilateral pleural effusions, worse on the right, in a patient with dual-channel pacer device with appropriately positioned leads. Enlargement of the cardiac silhouette persists. Mild indistinctness of pulmonary vessels could reflect some increase in pulmonary venous pressure.
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mental status change, to assess for pneumonia.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. No overt pulmonary edema is seen.
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history: <unk>m with chest pain // eval for acute process
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette allowing for ap projection and low lung volumes. Patient is slightly lordotic in position and right convex thoracic scoliosis and multiple rib deformities on the right are redemonstrated. There is no pneumothorax or large pleural effusion. Linear opacities in the left greater than right base are consistent with atelectasis although aspiration could have a similar appearance. There is no confluent consolidation to suggest pneumonia.
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<unk>-year-old male with alcohol intoxication with low oxygen saturation. question infiltrate.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>-year-old female with chest pain.
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The lungs are mildly hyperinflated and clear. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is normal. No obvious osseous abnormalities.
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<unk> year old woman with cough, left-sided rhonchi // ? pneumonia
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There are small bilateral pleural effusions which appear improved since prior examination. Interstitial pulmonary edema is also improved. Left-sided dual lead pacemaker and aortic valve are in unchanged position. The heart is mildly enlarged. There is no focal consolidation concerning for pneumonia.
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<unk>m with weight gain, dyspnea
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In comparison with the study of <unk>, chronic changes are again seen at the left base with atelectasis and fibrosis. The possible area of patchy opacification at the right base appears to have substantially cleared. Otherwise, little change.
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recent pneumonia, to assess for clearing.
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There are low lung volumes consistent with poor inspiratory effort. There is resolution of the bilateral opacities when compared to previous chest radiographs. There is no focal consolidation, pneumothorax or pleural effusion noted. Heart size continues to be severely enlarged with no pulmonary edema noted. Differential includes cardiomyopathy and pericardial effusion. The mediastinal silhouette contours are normal. There is callus formation of the left clavicular fracture with no displacement when compared with previous chest radiograph.
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<unk>-year-old male with cough, shortness of breath and recent admission for pneumonia. evaluate for interval change.
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. There are a number of round nodular densities projecting over each upper lung, but more numerous and discretely visualized in the left upper lobe, similar to prior study. However, in addition, there is a more hazy widespread opacity projecting over the left mid upper lung which could be compatible with a coinciding pneumonia. Pulmonary nodules in the left upper lobe are also not completely characterized on this study. There is no pleural effusion or pneumothorax. Post-operative changes are similar along the right chest wall.
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metastatic disease with known pulmonary metastases, presenting with fever and leukocytosis.
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Frontal ap and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. Bibasilar atelectasis is seen. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is within normal limits allowing for low lung volumes and technique. Mediastinal silhouette is normal. There is no free air under the diaphragm. No acute osseous abnormality is identified.
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<unk>-year-old man with syncope.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
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<unk>-year-old female with cough.
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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>. The patient has a history of previous bypass surgery. Sternal wires had to be removed related to necrotic processes in the sternum requiring removal of manubrium. Multiple surgical clips can still be identified in the anterior mediastinum and along the anterior left-sided chest wall. There is very mild cardiac enlargement postoperatively and apparently unchanged in comparison with the next previous available examination of <unk>. The pulmonary vasculature is not congested and there is no evidence of any acute pulmonary infiltrate. Very mild blunting of the lateral pleural sinuses is present, seen on the frontal views, but apparently unchanged since <unk>. The lateral pleural sinuses are free. One can, however, identify a few linear and patchy infiltrates in the left lower lung base, lateral and posteriorly, which are slightly more prominent than they were <unk> years ago. It is impossible to decide whether they represent scar formations or to some degree represent infectious processes. It is recommended to treat the patient for the ongoing infection and schedule him for a followup examination in about two to three weeks.
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<unk>-year-old male patient with three weeks of cough, rhonchi on examination, right more than left, assess for infiltrates.
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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 <unk> swelling, malaise, nausea // eval ? infiltrate
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Again seen is a moderate to large left-sided pleural effusion with adjacent atelectasis in the lingula and left lower lobe, which is grossly unchanged compared to the prior study. In the appropriate clinical setting underlying pneumonia could also be considered. Small right pleural effusion and right basilar atelectasis are improved. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax.
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<unk>m with resp distress and hypoxia // is there pneumonia?
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The heart is not enlarged. The aorta is minimally unfolded. The cardiomediastinal silhouette is otherwise within normal limits. No chf, focal infiltrate, gross effusion, or pneumothorax is detected. Minimal degenerative change in the thoracic spine could be present. On the available images, there is suggestion of mild right convex curvature in the thoracic spine, but this could be positional. Otherwise, limited assessment of osseous structures is grossly unremarkable. No vertebral body compression or obvious rib fracture is identified. Incidental note is made of nonvisualization of the left clavicular companion shadow.
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history: <unk>f with <num> days of left upper back pain worse with movement and inspiration // r/o acute proccess such as fracture or pna
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Linear right midlung opacity is likely due to atelectasis. Increased opacity in the right paramediastinal region is likely due to consolidation within the azygos lobe. Increased pleural based opacity in the right upper lung laterally is compatible with pleural-based based metastases seen on prior pet-ct. New blunting of the right lateral costophrenic angle on the frontal view may also be due to pleural based disease. Irregular interstitial markings of the periphery of the left lung are better seen on prior ct. Left chest wall port-a-cath seen with tip in the region of the low svc. Cardiac silhouette is stable. Enlarged right hilum is compatible with known malignant adenopathy. No visualized acute osseous abnormality. Destruction of the anterior right upper ribs was better seen on prior ct.
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<unk>f with weakness, confusion, cough // bleed?infiltrate
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Upright pa and lateral radiographs of the chest. Moderate cardiomegaly is unchanged. The lungs are normally expanded and clear, without focal airspace opacity. Widening of the right paratracheal stripe is compatible with known paratracheal lymphadenopathy on prior cta. There is no pleural effusion or pneumothorax.
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dyspnea. evaluate for infiltrate.
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Pa and lateral views of the chest. No prior. Lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with asthma and cough. rule out pneumonia.
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There is mild right basal atelectasis. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
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asthma with shortness of breath.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
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history: <unk>m with left lower lateral rib pain // fracture?
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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 chest examination <unk> <unk>. There is status post sternotomy and bypass surgery as before. Observed that a rounded needle fragment is again observed just on top of the sternotomy sutures seen on frontal and lateral view. The patient's heart size remains completely unchanged. No pulmonary congestive pattern is identified. There is now evidence of a small amount of pleural effusion blunting the right lateral pleural sinus and extending into a small amount of pleural effusion accumulating in the dependent posterior pleural sinus. The amount is small. No pneumothorax has developed.
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<unk>-year-old male patient with recent decreased breath sounds on right base. history of recent chemoembolization of liver, evaluate for possible pleural effusion.
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There is abnormal lucency in front of the heart best seen on the lateral view just behind the sternum. This correlates with the pneumothorax seen on the prior ct scan. Allowing for differences in technique this appears smaller than on the prior ct scan. Heart size is upper limits of normal. There is no focal consolidation. There is atelectasis at the lung bases. There is wedging of several mid to lower thoracic vertebral bodies and calcification of the anterior longitudinal ligament consistent with dish. There is mild osteopenia.
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<unk> year old man with l pneumothorax post fall, resolving ptx? // resolving ptx?
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. Known pectus excavatum obscures the right heart border. The heart size is normal. The mediastinal contours are stable. There is no free air beneath the diaphragm.
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history: <unk>m with chest pressure and sob pls eval for ptx vs pna // history: <unk>m with chest pressure and sob pls eval for ptx vs 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. There are no acute osseous abnormalities.
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history: <unk>m with trauma
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The lungs are well inflated and appear clear. There is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette and hilar contours are normal.
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history: <unk>f with prior pe, chest pain // cardiac w/u
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax identified. Minimal multilevel degenerative change evident with complete sclerosis and joint space narrowing in the mid thoracic spine.
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history of psoriatic arthritis. please establish baseline prior to methotrexate treatment.
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MIMIC-CXR-JPG/2.0.0/files/p14552398/s53782641/5ce85596-2302d753-2e875e56-5e092c52-65f4a766.jpg
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Frontal and lateral views of the chest. No prior. Between the multiple frontal and lateral views, there is no evidence of focal consolidation. Rounded nodule seen in the left mid lung. The lungs are otherwise unremarkable. There is no effusion. Cardiomediastinal silhouette is within normal limits. Soft tissue structures are unremarkable.
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<unk>-year-old male with chest pain.
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Pa and lateral views of the chest. No prior. There is elevation of the left hemidiaphragm. The lungs are clear of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable. Multiple surgical clips project over the region of the left axilla. Soft tissues are otherwise notable for calcifications in the neck, potentially due to atherosclerosis.
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<unk>-year-old female with hyperglycemia and elevated white blood cell count. question pneumonia.
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The patient is status post coronary artery bypass graft surgery. The heart is mildly enlarged. The aortic arch is calcified. The mediastinal and hilar contours appear unchanged. Opacities in the right upper lobe have improved substantially and are mostly resolved. Patchy right infrahilar and left basilar opacities appear more chronic and are similar to earlier radiographs from <unk>. A calcified granuloma in the left lower lobe is likewise unchanged. There is no definite pleural effusion or pneumothorax. Minimal anterior wedging of a lower thoracic vertebral body and mild degenerative changes are similar.
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recent pneumonia with symptoms that of fail to improve.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
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<unk>-year-old female with chest tightness.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.
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chest pain and syncope.
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MIMIC-CXR-JPG/2.0.0/files/p14814421/s56451402/e22d725d-58051cf7-9970f950-0d1499c2-fee9ec18.jpg
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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evaluate for pneumonia in a patient with cough and hiv.
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. Heart size is normal. Mediastinum is not widened. No acute osseous abnormality.
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history: <unk>m with chest pain // infiltrate or pneumothorax
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MIMIC-CXR-JPG/2.0.0/files/p12408912/s52141737/cffd1fc7-bf3a73a6-cf1fc143-cea93ebf-d4709eec.jpg
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Since <unk>, left upper lobe pneumonia is improved, small left pleural effusion is resolved, small right pleural effusion is unchanged, and residual atelectasis persists. Left perihilar consolidation in the region of known small cell lung cancer is unchanged. Mildly improved aeration of the lungs, particularly the left, is seen compared to last exam. Unchanged positioning of the left bronchial stent. The right picc line has been removed. The heart size is normal. No pneumothorax.
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lul post obstructive pna, on abx // any improvement in aeration?
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities visualized.
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anxiety, sore throat for <num> weeks, fever with weakness and decreased appetite.
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Cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear. Blunting of left costophrenic angle is chronic, and likely relates to chronic pleural thickening. Lungs are hyperinflated with mild emphysematous changes again noted at the lung apices. No pneumothorax or pleural effusion is detected, and there is no new focal consolidation. Mild degenerative changes are seen throughout the thoracic spine.
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gastric cancer, fatigue, increased oxygen requirement.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pulmonary vascular congestion, or pneumothorax. Small right pleural effusion and mild bibasilar atelectasis are unchanged. Aside from tortuous aorta, the cardiomediastinal silhouette is unremarkable.
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fever.
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A right subclavian port-a-cath ends at the cavoatrial junction. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. An old right ninth rib fracture is again noted.
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history: <unk>f with weakness, frequent falls // acute process?
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MIMIC-CXR-JPG/2.0.0/files/p15458354/s59603133/4311782d-a53ab9c9-9c6cd532-62b3ff71-3c336fe3.jpg
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Pa and lateral chest radiograph demonstrates unremarkable cardiomediastinal silhouette, stable when compared to prior radiograph dated <unk>. Bilateral asymmetric pleural thickening, right greater than left, which appears similar in appearance to prior study obtained <unk> years prior and preserved in ratio. No focal opacity is seen which is convincing for pneumonia. There is no pleural effusion. Osseous structures demonstrate no acute abnormality.
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<unk>f with syncope
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Support devices: none. Diffusely increased interstitial markings and cephalization of pulmonary vasculature is consistent with mild pulmonary edema. There is no focal airspace opacity. There is no pneumothorax or pleural effusion. There is mild cardiomegaly.
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history: <unk>m with elevated wbc count. evaluate for pneumonia.
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The lungs are well inflated and grossly clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are grossly unremarkable. There is no pleural effusion or pneumothorax. Note is made fusion hardware in the lower cervical spine.
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<unk> year old man with chronic cough after influenza; history of positive ppd s/p inh, evaluate for pneumonia.
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No evidence of free air. Cardiomediastinal silhouette is normal. There is no focal lung consolidation. Unchanged metallic density overlying the left hilum. No pleural effusion or pneumothorax.
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<unk>-year-old man with report of coffee ground emesis, evaluate for free air
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Pacemaker leads end in the right atrium and right ventricle. Left shoulder degenerative changes.
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<unk>-year-old with abdominal pain.
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MIMIC-CXR-JPG/2.0.0/files/p13211631/s58864424/ba5228f2-31b852a3-e3264671-094cfa62-24443acb.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13211631/s58864424/c3b3c47d-b53bfa16-93cedca7-33478d54-269bbab7.jpg
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The heart size is normal. The aorta is mildly tortuous. The pulmonary vascularity is not engorged. Lung volumes are slightly low which accentuates the bronchovascular markings. Minimal patchy opacities in the lung bases could reflect atelectasis. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are identified.
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syncope.
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MIMIC-CXR-JPG/2.0.0/files/p15498638/s58131353/d074fd04-db4dc875-033521ec-a5cc28e8-61c9966e.jpg
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Right-sided dialysis catheter terminates in the right atrium. Left pectoral pacer lead terminates in the right ventricle. There is been no significant interval change in the lungs compared to the prior chest radiograph on <unk>. There is no focal consolidation. Biapical pleuroparenchymal scarring is unchanged. Left retrocardiac opacity is likely due to atelectasis. Trace right pleural effusion, also noted on the prior ct abdomen and pelvis performed on <unk>. No pneumothorax. Mild cardiomegaly. Mediastinal contours are unremarkable. Mild irregularity of the left lateral ninth rib and right proximal humerus is consistent with chronic fracture deformities.
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history: <unk>f with o<num> requirement, esrd // eval for fluid overload
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