Frontal_Image_Path
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Chronic rib deformities at the left upper hemi thorax are re- demonstrated. Lungs remain hyperinflated. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta remains somewhat tortuous. The cardiac silhouette is top-normal.
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history: <unk>f with cough // r/o infection
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The lung volumes are normal. No evidence of pleural effusions. No pulmonary edema. Normal hilar and mediastinal structures. No evidence of pneumonia. No other abnormalities.
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chronic heart failure.
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Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with chest pain // ? 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 unremarkable. No pulmonary edema is seen. Multilevel degenerative changes are seen along the spine.
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history: <unk>f with melena // r/o acute process
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Heart size is borderline enlarged but unchanged. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Lung volumes are low without focal consolidation. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with diabetes mellitus, asthma, and coronary artery disease status post inferior mi presents with cough/fever/ shortness of breath
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Pa and lateral views of the chest provided. Lung volumes are low somewhat limiting assessment. There is obliquity of the lateral view also limits evaluation. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax. Trace pleural fluid tracks along the right fissural planes. Cardiomediastinal silhouette is normal. Bony structures are intact.
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<unk>m with fever // ? pneumonia
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The cardiomediastinal silhouettes are stable, reflective of a tortuous thoracic aorta. The bilateral hila are within normal limits. There are low lung volumes and crowding of bronchovascular structures. There is bibasilar atelectasis. There is no evidence of focal consolidation. There is no evidence of pulmonary edema. There is no pneumothorax. No evidence of pleural effusion.
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<unk>f with a past medical history of pneumonia complicated by abscess, presenting with acute onset dyspnea and pleuritic right-sided chest pain, evaluate for pneumonia.
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Lung volumes are low with crowding of the bronchovascular structures. There is mild-moderate edema, and no focal consolidation, pleural effusion or pneumothorax is seen. The heart is mildly enlarged.
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<unk>-year-old female with fever. evaluate for acute process.
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Ap upright and lateral views of the chest provided. Widened ap diameter the chest with flattened diaphragms and prominent retrosternal clear space suggests emphysema. Bibasilar atelectasis noted. No large effusion or pneumothorax. No convincing signs of pneumonia or edema. Cardiomediastinal silhouette is unchanged allowing for differences in technique. Bony structures appear intact.
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<unk>m w/ increasing agitation and aggressive behavior p/w fever. history of vascular dementia. from rehab.
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Is moderately enlarged, accentuated by the low lung volumes. Similarly, widening of the superior mediastinum and crowding of the bronchovascular structures are due to low lung volumes. No overt pulmonary edema is present. Patchy opacities in the lung bases may reflect areas of atelectasis though infection is not excluded. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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history: <unk>m with leg swelling and shortness of breath
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with arthralgia.
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Compared to the study performed <unk> hours prior the left pigtail catheter has been removed. There is stable appearance of the chest. It is difficult to assess for a pneumothorax on the lateral view due to overlying subcutaneous emphysema; however, if a small pneumothorax is present is is not increased. . Small bilateral pleural effusions persist.
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<unk> year old woman with s/p mvc, with rib, t<num>, l<num> fx. small left sided ptx with chest tube. chest tube has been removed. // interval change of left sided ptx since removal of chest tube...please do standing end-expiratory film...please do film at <num>pm today
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Frontal and lateral views of the chest were performed. There is no pleural effusion, pneumothorax, or focal airspace consolidation. Band-like opacity paralleling the scapula and likely apart of it is only appreciated on the frontal view, likely pleural scaring. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable.
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fever and weakness. evaluate for pneumonia.
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There is no significant change in appearance of the thorax compared with prior radiograph from <unk>. There is persistent marked elevation of the right hemidiaphragm with overlying atelectasis. Left mid lung opacity in a relative linear configuration is seen, unchanged from prior radiograph. This opacity was also seen on prior chest ct's dating back to <unk>. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.
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<unk>-year-old female with productive cough cough, hypoxia.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax identified. No pneumoperitoneum evident. No osseous abnormality present.
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epigastric discomfort.
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Comparison studies of <unk>, there is little change and no evidence of acute pneumonia, vascular congestion or pleural effusion.
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cough for three weeks.
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No previous images. There is a large right pleural effusion with the opacification extending upward to the level of the hilum. No vascular congestion or evidence of acute focal pneumonia. In the absence of shift of the mediastinum, this implies substantial volume loss in the right lower lung.
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shortness of breath and effusion.
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Pa and lateral chest radiographs were obtained. An inferior right upper lobe peripheral opacity and bibasilar opacities are new since <unk>. No effusion or pneumothorax is present. Cardiac and mediastinal contours are normal. Bilateral nipple rings could not be removed for this exam.
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<unk>-year-old man with hiv and fever presents with right lower quadrant abdominal pain and dry cough.
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
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<unk>-year-old male with cough and chest pain, hypoxia.
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No previous images. A thick band of atelectasis is seen in the left mid zone. Otherwise, cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
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preoperative for kyphoplasty.
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Heart size is top normal. Mediastinal and hilar contours are within normal limits. Attenuation of pulmonary vascular markings towards the apices with mild lung hyperinflation is compatible with underlying emphysema. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. No subdiaphragmatic free air is seen.
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history: <unk>f with abdominal pain and left shoulder pain
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Peribronchial wall thickening, particularly in the mid to lower lungs, right greater than left, without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with sob // ?pneumonia
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Chest two views: the right hemi diaphragm is elevated. The heart size is likely normal. Pulmonary vasculature is normal. There is a large mass involving the right perihilar region this is stable in size. There is linear right basilar atelectasis. There are no lung nodules. There are no pleural effusions.
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<unk> year old woman with sclc for short interval baseline comparison. // <unk> year old woman with sclc for short interval baseline comparison.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. A moderate interstitial abnormality is a finding that could be seen with severe airway inflammation, atypical pneumonia or possibly pulmonary edema, although without specific signs of the latter.
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shortness of breath.
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Pa and lateral views of the chest. The lungs are clear. There is no pleural effusion. No pneumothorax or focal consolidation. There are aortic knob calcifications. There are low lung volumes. The cardiomediastinal and hilar contours are normal.
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mechanical fall.
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Right picc line tip in the low svc. Bilateral pleural effusions have significantly improved and are small today. Bibasilar atelectasis has significantly improved. Left lower lobe consolidation has improved. Heart size and pulmonary vascularity have decreased. Minimal compression single mid thoracic vertebral body, likely t<num>, stable since <unk>.
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<unk> year old man with aml, hfpef, afib, with fluid overload in setting of chemo infusions/blood transfusions. // eval for pulmonary edema.
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
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concern for tb.
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Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. Mild cardiomegaly is re- demonstrated with a left ventricular predominance. Mediastinal contour is unchanged with atherosclerotic calcifications noted within a mildly tortuous aorta. Low lung volumes are demonstrated with crowding of bronchovascular structures and mild pulmonary vascular engorgement. Patchy opacities are demonstrated in the lung bases, more so on the left, and perhaps slightly progressed in the interval. Small bilateral pleural effusions are demonstrated. There are no acute osseous abnormalities. Remote fracture deformity of the right proximal humerus is again noted. Osseous structures are diffusely demineralized.
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history: <unk>m with shortness of breath
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A port-a-cath terminates at the mid superior vena cava. The heart is at the upper limits of normal size. The aortic arch is calcified. The mediastinal and hilar contours appear within normal limits. The lungs are hyperinflated. There is slight blunting of each costophrenic sulcus suggesting very small pleural effusions, more prominent on the left than right. Patchy associated posterior basilar opacities are suggestive of minor atelectasis. A very mild interstitial abnormality is somewhat more prominent in the left lung than right, but is fairly diffuse.
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question congestive heart failure. patient on chemotherapy.
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The lateral view is limited by motion artifact. Left basilar opacity is unchanged since at least <unk> suggesting atelectasis/scarring. Otherwise the lungs are clear. No pneumothorax or pleural effusion is present. Cardiac silhouette, hilar and mediastinal contours appear stable. The aorta remains markedly tortuous. Scoliosis is present.
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patient with acute onset right chest pain with sob this morning. evaluate for effusion or pneumonia.
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Since the most recent cxr on <unk>, the diffuse interstitial opacities have worsened, likely representing worsening interstitial pulmonary edema. Bibasilar opacities are likely due to small pleural effusions and adjacent atelectasis. No pneumothorax. Stable cardiomegaly. No acute osseous abnormalities.
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<unk> year old woman with increased o<num> requirement and persistent leukocytosis in setting of diuresis for chf exacerbation // ? pulm edema, ?infiltrate
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The lungs are clear. Cardiomegaly is moderate. The aorta is tortuous. There is no pneumothorax or pleural effusion.
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patient with lung masses, duodenitis, admitted with elevated lfts, evaluation for lung mass, nodules.
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There is a three-lead pacer defibrillator tips terminating in the expected position. Heart size is not well assessed on this study. There are thoracic artery calcifications, which are stable in appearance. There is new right middle lobe collapse and a stable right pleural effusion. There is left lower lobe atelectasis, which is stable. There is no pulmonary edema or pneumothorax.
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<unk>-year-old with history of chf with increasing dyspnea.
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Pa and lateral radiographs of the chest demonstrate a small heterogeneous opacity in the left lower lobe and there is slight blunting of the posterior left costophrenic angle. The lungs are otherwise clear. The hilar cardiomediastinal contours are normal. There is no pneumothorax. Pulmonary vascularity is normal.
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<unk>-year-old male with shortness of breath. evaluate for pneumonia.
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The heart is normal in size and the lungs are clear without vascular congestion or pleural effusion. There is elevation of the right hemidiaphragm.
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screening chest for immigration.
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The heart and mediastinal contours are within normal limits. There is nodular prominence of the right hilus which may represent engorgement of central pulmonary vessels. The lungs demonstrate diffuse edema with nodular opacities representing over the upper thoracic spine on lateral view as well as in the mid-to-lower right lateral lung. There is a trace right and small left pleural effusion. There is no pneumothorax.
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<unk>-year-old female with history of weakness and fatigue.
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Ap upright and lateral views of the chest provided. Cardiomegaly is again noted with small bilateral pleural effusions, left greater than right. There is hilar congestion and mild interstitial pulmonary edema. There is stable calcified opacity projecting over the left upper lung which is unchanged over several prior chest radiographs dating back to <unk>, possibly representing an area calcified scarring. Aortic calcification noted. Bony structures intact.
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<unk>f with anemia // r/o acute process
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The cardiomediastinal and hilar contours are normal. There is stable eventration of the right hemidiaphragm. Bilateral small effusions show little change since the prior study. Mild bronchial wall thickening, more pronounced in the lower lobes is unchanged. No consolidation, pulmonary edema or pneumothorax is seen.
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<unk>-year-old woman with pneumonia and known effusions, to assess interval change.
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Pa and lateral chest views have been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding available chest examination dated <unk>. The heart size remains within normal limits. No typical configurational abnormalities identified. The thoracic aorta is mildly widened and shows some calcium deposits in the wall at the level of the arch. No local aortic contour abnormalities are identified. Pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. The skeletal of structures of the thorax are grossly unremarkable. In comparison with the previous examination <unk> years ago, heart size has increased mildly, but is still well within normal limits. There is no pulmonary vascular congestion and no evidence of acute infiltrates. "masses" cannot be identified on this routine pa and lateral chest examination.
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<unk>-year-old male patient with weight loss and night cough. evaluate for masses?
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Heart size is normal. The aorta is diffusely calcified. Mediastinal hilar contours are unchanged without evidence for pulmonary vascular congestion. Severe emphysema is again noted with marked lung hyperinflation. Linear and patchy opacity in the left lung base may reflect atelectasis and scarring, but appears more pronounced than on the prior chest radiograph from <unk> and infection is not excluded in the correct clinical setting. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
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history: <unk>m with dyspnea and fever
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The heart size is normal. The aorta is mildly tortuous and demonstrates aortic knob calcifications. The pulmonary vascularity is not engorged. The hilar contours are unchanged and within normal limits. Small bilateral pleural effusions are present. No focal consolidation or pneumothorax is present. No acute osseous abnormalities are seen.
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wheezing.
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The lungs are symmetrically expanded without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. Biapical pleural thickening is noted. The pulmonary vasculature is congested. There is no overt pulmonary edema. The cardiac silhouette is moderately enlarged but stable. Prominence of the left main pulmonary artery is unchanged. The thoracic aorta is tortuous and dilated, similar in appearance to the prior study. Wedge compression deformity of a lower thoracic vertebral body is unchanged. An opacity projecting over the right posterior <num>th rib may represent a sclerotic rib lesion or, less likely, intraparenchymal lesion.
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history of congestive heart failure, now with chest pain, here to evaluate for acute cardiopulmonary process.
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The lungs are mildly hyperinflated with flattening of the diaphragms, unchanged in appearance since prior examination. Lungs are otherwise clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. There are intact median sternotomy wires. A left anterior chest wall pacemaker device lead tips are in the right atrium and right ventricle. Limited assessment of the osseous structures are notable for chronic left rib deformities and chronic mid left clavicular fracture.
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<unk>m with chest pain, s/p fall, assess for fractures, effusion, consolidation
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Frontal and lateral chest radiographs demonstrate a right chest port with the tip terminating in the cavoatrial junction/upper right atrium. The cardiomediastinal silhouette is normal and the lungs fairly well-aerated. There is no focal consolidation, pleural effusion, or pneumothorax. Minimally increased opacity at the left lung base likely represents atelectasis.
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fever.
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Heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
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cough for more than <num> week.
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Ap upright and lateral views of the chest provided. Patient is slightly rotated to her left. Cardiomediastinal silhouette appears stable. Small bilateral pleural effusions are present. Coarsened lung markings are again noted likely the sequelae of chronic aspiration, though mild interstitial edema is difficult to exclude. No convincing evidence for pneumonia. No pneumothorax. Bony structures are intact.
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<unk>f with severe as here with dyspnea on exertion.
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There has been interval removal of the right picc line. Lung volumes are low and retrocardiac opacity likely represents atelectasis in setting of a moderate layering bilateral pleural effusions.right infrahilar opacity likely represents atelectasis, however aspiration cannot be excluded. Followup radiographs are recommended.
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<unk> year old man with pmh of bilateral pleural effusions and alzheimer's here for urosepsis w/ concern for aspiration. // eval for infiltrate and interval changes of effusions since on diuretics
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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 ptx? // cp
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Streaky bibasilar opacities are in keeping with atelectasis. Heart size is top normal but stable. Mediastinal surgical clips are unchanged in location. Irregular contour of the aortic knob is likely secondary to the previously imaged aortic arch aneurysm. No pleural effusion or pneumothorax.
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history: <unk>f with tachycardia. evaluate for pneumonia.
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New bronchial wall thickening without additional focal opacity, pneumothorax, pleural effusion or pulmonary edema. Chronic mild peripheral reticular opacities are better visualized on chest ct. Heart size is top normal with normal mediastinum and hila. No bony abnormality.
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<unk>-year-old male with history of non-hodgkin's lymphoma, immunosuppressive, cough. assess for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. High density material noted within the bowel likely from previously administered enteric contrast.
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<unk>f with abnormal cbc, ? new ca // ? acute cardipulm process
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The lungs are hyperexpanded with flattened hemidiaphragms. There is severe upper thoracic dextroscoliosis and mid to lower thoracic levoscoliosis. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is top normal. Incidental note is made of chronic appearing right upper rib deformities.
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<unk>m with chest pain. evaluate for acute process.
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There is subtle opacification within the retrosternal clear space on the lateral, which may represent a subtle pneumonia. Linear opacities at the left lung base likely reflect atelectasis. No additional focal consolidations. No pulmonary edema. Normal appearance of the cardiomediastinal silhouette. No pneumothorax. No pleural effusion.
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history: <unk>f with hypoxia // ?pneumonia
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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 cough
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Based on limited exam due to rotation, portable technique and patient body habitus, there is no definite focal consolidation. There are small bilateral pleural effusions, larger on the right. There is mild pulmonary edema. Cardiomediastinal silhouette is grossly unchanged.
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<unk>f with dyspnea // acute process
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The lungs are clear besides minimal right basilar atelectasis. There is eventration of the right hemidiaphragm. The cardiomediastinal silhouette is within normal limits. Suspected small hiatal hernia is noted. No acute osseous abnormalities.
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<unk>f with multiple falls // eval infiltrate
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A moderate right hydropneumothorax is mildly increased within increased air component at the right lung base. An opacity at the right heart border is of uncertain etiology. The heart size is within normal limits. Subcutaneous emphysema in the right chest wall is unchanged. Interstitial and mild pulmonary edema in the right lung base is unchanged.
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<unk> year old woman with s/p rul wedge // check right ptx, please do at <num>pm
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The heart is again mildly enlarged. The mediastinal and hilar contours are stable including a calcified subcarinal lymph node. There is no pleural effusion or pneumothorax. The lungs appear clear.
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fever and shortness of breath.
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Lungs remain hyperinflated. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No displaced fracture is seen.
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status post fall. pain to right wrist and low back.
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Frontal and lateral views of chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
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fever. evaluate for pneumonia.
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Frontal and lateral chest radiographs were obtained. A right chest port-a-cath has its tip terminating in the right atrium. There is no evidence of catheter fractures or complications. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart is mildly enlarged. Mediastinal and hilar contours are within normal limits.
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patient with clotted port-a-cath, please check placement.
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There is known bochdalek hernia, which is better seen on lateral view. No focal infiltrates. A trace right effusion now seen. No pneumothorax. Cardiomegaly again noted. Degenerative changes of the thoracic spine.
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history: <unk>f with chest pain, numbness // eval for structural process
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There is no evidence for mediastinal widening. The aorta is tortuous and calcified and within expected limits for patient's age. The lung fields demonstrate no focal consolidation, pleural effusion, or pneumothorax. Heart size is within normal limits.
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<unk>-year-old male status post high-speed motor vehicle collision.
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The lungs are relatively hyperinflated, but without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is top-normal to mildly enlarged.
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history: <unk>f with ? syncope // ? consolidation
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Low lung volumes cause bronchovascular crowding and bibasilar atelectasis. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is unchanged. An accessed right pectoral chest wall port catheter tip terminates in the low svc. Suture anchors are noted projecting over bilateral humeral heads.
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<unk>m with fever, neutropenia, evaluate for acute process
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There is continued elevation of the right hemidiaphragm. The lungs are clear, and there is no pleural effusion, pneumothorax or pulmonary edema. There is a partially visualized vp shunt projecting over the left hemithorax.
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<unk> year old male with headache, cough, fever. evaluate for pneumonia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal. No pulmonary edema is seen. No displaced fracture is identified.
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history: <unk>f with r shoulder pain, chest pain s/p mvc // eval for pneumothorax
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There is mild enlargement of the cardiac silhouette, increased in size since <unk>. The hila are prominent. The mediastinal contours are otherwise unremarkable. There are minimal bilateral pleural effusions. There is no pneumothorax. There is mild pulmonary edema. Surgical clips are again noted in the right anterior chest wall.
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<unk>m with sp unwitnessed fall.
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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 cp, sob // eval for pna
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Frontal and two lateral chest radiographs were obtained. Lung volumes are low. The lungs are clear without nodule, consolidation, effusion, or pneumothorax. Mild cardiomegaly is unchanged. No displaced rib fracture is identified.
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<unk>-year-old man with substance abuse, back, chest, and head pain status post assault.
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A right-sided port-a-cath terminates at the cavoatrial junction. The lungs are well expanded and clear without evidence of lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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history: <unk>f with history of cervical cancer s/p cancer radx presenting with presyncope today after radx // cardiopulmonary process
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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history: <unk>m with l cn iii palsy, l sided weakness, hx of afib on coumadin // evaluate vasculature
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Frontal and lateral views of the chest. The lungs are slightly hyperinflated, but clear of focal consolidation. There is no effusion or pneumothorax. The cardiomediastinal silhouette is stable. No acute osseous abnormality is identified.
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<unk>-year-old male with dyspnea and left upper quadrant abdominal pain.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. Flowing anterior ossification of the thoracic spine is compatible with diffuse idiopathic skeletal hyperostosis (dish).
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history: <unk>f with dyspnea and cough // r/o acute process
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The heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. Of incidental note are clips from previous cholecystectomy.
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kidney transplant patient, to assess for cardiopulmonary disease.
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MIMIC-CXR-JPG/2.0.0/files/p13765640/s54719774/08a6aad0-9d0efbb5-7499ad92-0cffcb45-7314d216.jpg
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Right-sided port-a-cath tip terminates in the mid svc. A large right pleural effusion, with a loculated visual component has increased in size from the previous study. There is continued right basilar opacity likely reflective of atelectasis. Assessment of the cardiac silhouette is slightly limited due to the presence of the large pleural effusion, but appears mildly enlarged. Mediastinal contour is unchanged, with known mediastinal lymphadenopathy better assessed on recent pet ct. Pulmonary vasculature is normal. Left lung is clear. No left-sided pleural effusion is present. There is no pneumothorax.
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history: <unk>f with recent lymphoma, right sided dyspnea, pleuritic pain
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MIMIC-CXR-JPG/2.0.0/files/p18637201/s55061139/599141af-94f48872-f296442e-e303da03-44a5e53d.jpg
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The lungs are clear aside from minimal left lower lobe atelectasis which may be chronic. Cardiac size is normal. No pleural effusion or pneumothorax.
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cough.
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MIMIC-CXR-JPG/2.0.0/files/p18131047/s54725734/7588c069-bbe9b038-7da82001-4cd92d51-4b2d00c5.jpg
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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>f with acute shortness of breath, recent international travel // please evaluate for acute intrathoracic abnormality
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MIMIC-CXR-JPG/2.0.0/files/p11503781/s58704826/dbc9b2d7-791e882c-71c6bb10-1130a34e-c739d683.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11503781/s58704826/13afb501-2d94e61f-49121a2b-87d5da9c-c9df44f3.jpg
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The lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes noted in the spine without acute osseous abnormality.
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<unk>f with ams // eval for infiltrate
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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 heart size is top normal. The mediastinal and hilar contours are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with chest pressure and shortness breath.
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MIMIC-CXR-JPG/2.0.0/files/p13944872/s54402692/198a2841-da086887-42f870cc-898243a7-924f483b.jpg
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Heart size and cardiomediastinal contours are within normal limits for age. Probable background hyperinflation. Interstitial markings appear chronic. No chf, focal consolidation, pleural effusion, or pneumothora detected. No free air seen beneath the diaphragm.
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history: <unk>f with llq pain/tenderness, ongoing cough/congestion // eval for acute process, attn to diverticulitis, eval for pna
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Pa and lateral views of the chest demonstrate low lung volumes. Moderate bilateral pleural effusions are present with adjacent areas of atelectasis. Cardiac silhouette is difficult to assess due to adjacent opacities. Mild pulmonary edema is noted. There is no pneumothorax. Apparent perihilar vascular congestion is also seen. Partially imaged upper abdomen is unremarkable.
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patient with bilateral lower extremity edema. assess for pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p15124686/s58308315/1c72ed87-ddf3352d-ec34760b-f880ee77-6fd44a35.jpg
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A wedge-shaped left lower lobe opacity in the retrocardiac region is slightly decreased in size compared to chest radiograph of <unk>, and is accompanied by adjacent linear opacity extending to the lung periphery. Minimal blunting of left costophrenic sulcus is unchanged and probably reflects pleural thickening. Right lung and right pleural surfaces are clear, and cardiomediastinal contours are normal. Scoliosis is incidentally noted.
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<unk> year old woman with history of pneumonia. // follow up
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MIMIC-CXR-JPG/2.0.0/files/p14651148/s52226997/25f5a3c2-c35940a8-9d6c394b-bf8d5185-3669f144.jpg
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The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Mild degenerative changes are seen throughout the thoracic spine.
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fall. altered mental status.
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Linear opacities at the left lung base likely reflect atelectasis. No focal consolidations to suggest pneumonia. Stable appearance of the cardiomediastinal silhouette. No pneumothorax. No pleural effusion. Cervical fixation hardware is partially visualized.
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history: <unk>m with fall, abdominal ttp and hct drop // eval for hemothorax, intraabdominal injury
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MIMIC-CXR-JPG/2.0.0/files/p18637603/s54713844/9fb9afdf-6a2ebea8-49517a52-a64c911d-67323900.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18637603/s54713844/0014e108-a13a7bc8-b6260e3e-21604757-1ca458d2.jpg
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Increased vascularity and hilar opacities are compatible with edema. Cardiac silhouette is normal in size. There is no evidence of rib fracture on these non dedicated views; irregularities of the third through sixth right lateral rib looks similar to the prior study.
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broken ribs?
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MIMIC-CXR-JPG/2.0.0/files/p10969957/s55942333/d7e8cfe0-787906fa-42d3ccb6-0393db8e-d72f0324.jpg
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As compared to the previous radiograph, the pre-existing parenchymal opacities have completely cleared. There are unchanged signs indicative of overinflation. No pulmonary edema but borderline size of the cardiac silhouette. Calcified apical bilateral scars. Unchanged right clavicular changes. The uppermost sternal wire is ruptured.
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clearing of pneumonia.
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In comparison to the chest radiograph obtained <unk>, there are new, small, bilateral pleural effusions, new, mild pulmonary vascular congestion, and new, mild cardiomegaly. Lungs are otherwise clear without focal consolidations. No pneumothorax. A right-sided picc terminates in the upper svc.
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<unk> year old woman with diabetes a<num>c <num>, htn, crf(gfr <unk>) // patient with <num># weight gain and total body edema. looking for chf. clear lungs
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MIMIC-CXR-JPG/2.0.0/files/p18298366/s59029549/c2b43c28-4494f8fb-eb9e073b-153c2d12-b1d63f70.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18298366/s59029549/3cc62f66-cb1342a8-29356941-22cde0da-edb5e275.jpg
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Frontal and lateral chest radiographs again demonstrate a right pleural drain. The mediastinum appears normal and moderate cardiomegaly is unchanged. The lungs are clear without focal opacity or pulmonary edema. The right pleural effusion is unchanged and the left pleural effusion is slightly decreased. There is no pneumothorax.
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status post esophagectomy. evaluate for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p17343455/s52910875/735217e0-9f84580a-a1f4d1b8-caa2f1da-1857071f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17343455/s52910875/742da47a-73065752-a644d99c-91165708-811ba331.jpg
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The cardiac, mediastinal and hilar contours appear stable. Streaky opacity at the left lung base suggests minor scarring or atelectasis. Otherwise, the lungs appear clear. There is no pleural effusion or pneumothorax.
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multiple sclerosis with increased spasm.
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There are slightly prominent bilateral interstitial markings, decreased compared to <unk>. No focal consolidation is seen, pleural effusion or pulmonary edema. The heart is top-normal in size. The thoracic aorta is tortuous, and degenerative changes of the thoracic spine are noted.
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<unk>-year-old female with head strike status post fall. evaluate for fracture.
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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 female with history of itp, presents with chest pain and shortness of breath.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. The bony thorax is grossly intact.
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status post traumatic injury. evaluate for acute intrathoracic process.
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MIMIC-CXR-JPG/2.0.0/files/p15500551/s57345793/8b2b7823-0f9a1707-e6ce45bd-02f27bc3-09adc92c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15500551/s57345793/454970cd-0623d986-d13ac416-be3ae8cb-d7764b22.jpg
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Frontal and lateral chest radiographs again demonstrate mildly increased opacity in the right lower lung, as seen on recent chest radiograph. Opacities previously seen in the left lower lung and upper lobe are not as prominent on today's exam. No pleural effusion or pneumothorax is identified. The cardiomediastinal silhouette remains normal. The visualized upper abdomen is unremarkable.
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chest pain in a patient with a history of pe and pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18499939/s54034348/faecf1cd-acf1d0da-76a2f73b-bcfe5269-131b1f1a.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18499939/s54034348/509fe312-f5260ab7-1ef1fb71-23e16aae-182a05d7.jpg
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Left-sided aicd device is noted with lead terminating in the region of the right ventricle, unchanged. Heart size is normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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history: <unk>f with shortness of breath//evaluate for acute process
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MIMIC-CXR-JPG/2.0.0/files/p12632916/s55924308/faa4ae0b-95fad2d2-47120401-fc797fc3-32c77dd8.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12632916/s55924308/a4512d67-773d8640-82ae7ea8-57fa19cb-98a9c1c3.jpg
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Frontal and lateral views of the chest demonstrate normal lung volumes without focal consolidation, pleural effusion or pneumothorax. Left hilar opacities are obscured by overlying pacemaker, which may represent infection in the appropriate clinical setting. Hilar and mediastinal silhouettes are otherwise unremarkable. Heart size is normal. The patient is status post median sternotomy and cabg. Pacemaker leads project over the right atrium and ventricle.
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productive cough for three weeks.
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MIMIC-CXR-JPG/2.0.0/files/p15159987/s53694306/3a115f81-6a2461f4-8a8475ca-0c556994-2319e319.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15159987/s53694306/78141138-3fef2eb2-b53eb1da-ca0e7282-54870b69.jpg
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Compared to prior, there has been interval improvement of the right basilar opacity which is now less extensive, but still present. There is no new region of consolidation nor effusion. Cardiomediastinal silhouette is within normal limits. Mild biapical scarring is noted. No acute osseous abnormality is identified.
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<unk>-year-old female with fevers and chills and abdominal pain.
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MIMIC-CXR-JPG/2.0.0/files/p11416560/s55183625/54ac4858-96356012-5ded00c2-1acbd83b-3dd215d3.jpg
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Frontal and lateral chest radiographs demonstrate unchanged mild bibasilar atelectasis, and bilateral moderate pleural effusion right greater than left. A left chest pacemaker and its atrial and ventricular leads are in standard position. Patient is status post median sternotomy and avr.
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evaluate effusion status post avr.
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MIMIC-CXR-JPG/2.0.0/files/p18113737/s57941910/52ddfbe9-8532e3e7-c4086999-b66da2c9-430e87be.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18113737/s57941910/40da80e9-9b2b0d6a-c31c641c-efe08d2f-015c0914.jpg
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The lungs are clear. There is no effusion, pneumothorax, or consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Orthopedic hardware seen in the proximal right humerus as well as hypertrophic changes in the thoracic spine.
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<unk>m with cp // ?pna
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