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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 and unremarkable.
viral meningitis, question pneumonia
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Hypertrophic spurring is again seen at several mid thoracic levels, but no evidence of compression fracture or displacement of the paravertebral stripe.
atypical left posterior paraspinal pain.
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Patient is somewhat rotated.enlarged cardiomediastinal silhouette is stable. Large hiatal hernia is re- demonstrated. There may be minimal pulmonary vascular congestion. No definite focal consolidation is seen. No large pleural effusion is seen. There is no pneumothorax.
history: <unk>f with dyspnea // r/o acute process
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The heart continues to be enlarged, and there is central pulmonary vascular congestion and mild interstitial edema. There is no pleural effusion or focal consolidation. There is no pneumothorax.
<unk>-year-old male with increased shortness or breath. evaluate for fluid overload or pneumonia.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Patchy opacity within the right perihilar region could reflect an area of infection or inflammation. Linear opacities in the left lower lobe likely reflects subsegmental atelectasis. There is a pectus deformity noted. There is no pleural effusion or pneumothorax. Scarring within the lung apices is present. No pulmonary edema is seen. No acute osseous abnormality.
persistent nausea.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
syncope.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Nipple shadows are again visible bilaterally. Incidental note is made of an azygos fissure, which is a common normal variant.
cough.
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Stable calcified right lower lobe nodule and chronic pleural thickening and scarring of right costophrenic angle. No new focal opacity, pleural effusion, pneumothorax, or pulmonary edema. Heart size, mediastinal contour and hila are normal. No bony abnormality.
male with worsening shortness of breath and suboptimal peak flow. history of asthma. assess for pneumonia or asthma flare.
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Bilateral lower lobe predominant mild interstitial opacities continue to improve. There is minimal increase in bronchial wall thickening. No new focal opacity is detected. The heart is not enlarged. Mediastinal contours are normal. There is no pleural effusion or pneumothorax. There is no pulmonary edema. Mild rightward curvature of the thoracolumbar spine is unchanged.
<unk> year old woman with dermatomyositis-ild on prednisone, with inc sob, ?worsened ild or infection // ?change in pulmonary infiltrates
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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.
<unk>m with hx of asthma presents with sob and productive cough, likely asthma exacerbation r/o concurrent pneumonia
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There is a left-sided picc line which terminates in the upper right atrium. There are surgical clips that project along the left breast and axilla, and the left breast appears slightly smaller than the right suggesting volume loss from prior surgery. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Slight degenerative changes are noted along the thoracic spine.
emesis.
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Pa and lateral views the chest were reviewed. There is a moderate left pleural effusion with likely associated atelectasis. Underlying consolidation cannot be excluded. Small right effusion is noted on the lateral view. The right lung is clear. There is no pneumothorax. The cardiomediastinal and hilar contours are stable. Median sternotomy wires are again noted. Previously fractured inferior most sternotomy wire is noted, now with a second fracture of the same wire. Dextroscoliosis of the thoracic spine is again noted.
chest pain, dyspnea. history of aortitis.
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There are deformities of the left lateral eighth and ninth rib, seen previously consistent with healing rib fractures. A compression deformity of a upper thoracic vertebral body was seen previously. Cardiomediastinal silhouette is unchanged. The lungs are hyperinflated. There is no pneumothorax or pleural effusion. There is a right basilar opacity, not seen in <unk>.
<unk>-year-old man with chest pain, evaluate for acute process.
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Frontal and lateral radiograph of the chest demonstrates prominent interstitial markings with an enlarged heart concerning for pulmonary edema. Blunting of bilateral costophrenic angles suggests trace pleural effusions. No focal opacity is identified. Patient is rotated to her right likely sequela of scoliosis. Mediastinal contour or demonstrates tortuous descending aorta. Patient is status post median sternotomy with sternotomy wires identified as well as mitral valve repair. Several surgical clips are identified within the anterior mediastinum. No acute osseous abnormality is identified.
<unk>-year-old female with lower extremities swelling and coronary artery disease. evaluate for volume overload.
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Lungs are poorly inflated which accounts for vascular crowding. Linear atelectases are noted in the left lower base, which are improved compared with prior exam. Otherwise, there are no focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with persistent cough. evaluate for evidence of pulmonary infiltrate.
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Pa and lateral views of the chest chest demonstrate normal heart size. Pulmonary vascularity is normal. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
reported hypotension and fever at home. evaluate for pneumonia
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Cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. Dextroscoliosis of the thoracic spine is again. Patient is status post right mastectomy.
history: <unk>f with altered mental status
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are stable. Pulmonary vascular cephalization is seen.
<unk>-year-old female with wheezing.
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Mild cardiomegaly is stable. New peribronchial consolidation in the left lower lobe is consistent with pneumonia. There is also mild diffuse bronchial wall thickening. There is no pneumothorax or pleural effusion. There are low lung volumes. There are mild degenerative changes in the thoracic spine
history: <unk>f with asthma with cough x<num> weeks, with green sputum. // cough x<num> weeks,
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Small, bilateral pleural effusions are noted. There is no definitive, focal consolidation. There is no pneumothorax or overt pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are normal.
ckd stage <num>, hypertension, now with increasing dyspnea at night. rule out pulmonary edema.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are hyperexpanded and there is flattening of the diaphragms, suggestive of copd. There is no focal consolidation, pleural effusion or pneumothorax.
left tibial fracture. preop chest x-ray.
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The lungs are well expanded. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
<unk>-year-old man with fever, evaluate for pneumonia.
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Lung volumes are slightly low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are stable. Abdominal surgical clips are noted.
<unk>-year-old male with recent abdominal surgery, now with fever.
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The left lung is clear. In the right lower lung, there is a new area of peribronchial opacification, not reaching the level of consolidation. There are no pleural effusions. The heart size is unchanged. There is no vascular congestion. There is no pneumothorax. Pleural surfaces are normal. The inferior-most sternal wire is newly fracture.
status post cabg and aortic valve repair with new onset shortness of breath.
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Lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with dyspnea.
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<num> views were obtained of the chest. Aside from unchanged linear scarring in the right mid lung, the lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
fever, assess for pneumonia.
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The lungs are clear without focal consolidation, effusion, or edema. There is mild cardiomegaly. Tortuosity of the descending thoracic aorta is noted. No acute osseous abnormalities.
<unk>f with pre-syncope, shortness of breath // cardiolmegaly?
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Pa and lateral chest radiograph demonstrates hyperinflated lungs and flattening of the diaphragms. The heart is enlarged. There is no evidence to suggest pulmonary edema. There is no pleural effusion. No focal opacity convincing for pneumonia is identified. Note is made of a severe compression deformity at the l<num> level with vertebroplasty changes.
<unk>-year-old female with weakness.
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The patient is status post median sternotomy with three intact median sternotomy wires demonstrated. Mild enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are stable. Pulmonary vascularity is normal. Linear opacities within the lingula are compatible with areas of scarring. No focal consolidation, pleural effusion or pneumothorax is present. There is no pulmonary vascular congestion. Clips are seen within the upper abdomen just to the right of midline.
chest pain.
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The heart is mildly enlarged. Indistinctness of the pulmonary vasculature and peribronchial cuffing is compatible with mild pulmonary edema. Linear opacities at the right lung base could reflect atelectasis although in the correct clinical setting pneumonia is possible.
<unk>f with cough and fever // r/o pna
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There is no consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with cough and diffuse crackles // evaluate
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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. Several clips are noted at the gastroesophageal junction.
history: <unk>m with anxiety
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There is patchy opacification at the right base, which is localized to the right lower lobe on the lateral. Mild to moderate pulmonary edema, with small bilateral pleural effusions. Hyperinflation. Heart size is stable. The mediastinal and hilar contours are stable. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with mds. now with inc. sob and desaturation // decreased o<num> saturation with walking. inc sob. on chemo for mds> ? infiltrate
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Pa and lateral views of the chest provided. Mild right basal atelectasis. Otherwise lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures appear intact.
<unk>f with cough and fever // ?pna
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable chest examination of <unk>. Status post sternotomy. Unchanged appearance of sternal wires as well as multiple surgical clips mostly in anterior mediastinal left-sided position as before. Significant cardiac enlargement persists. The pulmonary vasculature, however, is not significantly congested with the exception of a few minor peripheral plate atelectasis, no significant parenchymal abnormalities persist. The left-sided basal pleural density blunting the pleural sinus and obliterating the lateral portion of the diaphragm is still present. The lateral view demonstrates only a small amount of pleural effusion accumulating in the posterior pleural sinus. There is no evidence of pneumothorax in the apical area.
<unk>-year-old female patient status post redo sternotomy with tissue aortic valve prosthesis replacement and bypass surgery including aortic patch for arch. now discharge evaluation.
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Lung volumes are low. This causes some vascular crowding; however, no focal consolidation to suggest pneumonia is identified. No pleural effusion or pneumothorax is seen. There is mild vascular congestion. The heart size is top normal. There is tortuosity of the aorta. Surgical clips are noted in the right upper quadrant.
substernal chest pain for two days.
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Ap and lateral chest radiographs demonstrate moderate cardiomegaly. However, there is no interstitial edema or large pleural effusion. There is no pneumothorax. Hypertrophic changes seen in the spine.
aphasia/dysarthria. evaluation for acute cardiopulmonary process.
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The lungs are well-expanded without focal consolidation. Moderate cardiomegaly is stable. The mediastinum is normal. Linear opacification overlying the right lung is consistent with scarring. No pleural effusion.
<unk> year old woman with fatigue, h/o lung cancer with wedge resection // eval for parenchymal changes
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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. There are degenerative changes in the lower thoracic spine.
history: <unk>f with n/v/d, fever // eval for pna
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There is mild basilar atelectasis without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged. Hilar contours are stable. There is no pulmonary edema. .
history: <unk>f with chest pain, hypoxia // eval infiltrate, chf
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with chest pain and shortness of breath.
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Pa and lateral views of the chest. The lungs are clear of focal consolidation. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with back and chest pain.
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The hilar and cardiomediastinal silhouettes are unremarkable. The lungs are clear. No pleural effusion or pneumothorax present. No osseous abnormalities identified.
chest pain substernal with dry cough, please evaluate for pneumonia.
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In comparison to the chest radiograph obtained <num> days prior, no significant changes are appreciated. Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. There may be slight leftward deviation of the superior trickle trachea, indicating the possibility of focal thyroid enlargement or a thyroid nodule.
<unk> year old man with alcoholic hepatitis, on prednisone, not responding to treatment // please evaluate for pneumonia
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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.
<unk>m with sob // eval for pneumonia
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. The osseous structures are unremarkable.
cough.
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The cardiac silhouette size is mildly enlarged but unchanged. The mediastinal and hilar contours are stable. The pulmonary vascularity is normal. There is no focal consolidation, pleural effusion or pneumothorax. Numerous clips are demonstrated within the left upper quadrant of the abdomen. There are mild degenerative changes within the thoracic spine.
dizziness and weakness.
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Heart size is normal. A coronary artery stent is noted. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine.
history: <unk>m with altered mental status, left foot ulcers
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In comparison with study of <unk>, the patient has taken a better inspiration. Cardiac silhouette remains at the upper limits of normal in size without definite vascular congestion. No pleural effusion or definite pneumonia.
cirrhosis and encephalopathy with evidence of aspiration.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The thoracic aorta is mildly unfolded. The lungs are clear without pneumothorax, vascular congestion, or pleural effusion. There is a moderate multilevel thoracic spondylosis.
<unk>-year-old female with cough and productive sputum. question pneumonia.
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Old right pacemaker leads and a left pectoral generator are unchanged in appearance. Severe cardiomegaly is stable. Mild edema persists without evidence of pleural effusions. A small retrocardiac opacity is unchanged and has the appearance of atelectasis. There is no new consolidation. There is no pneumothorax. Sternal wires are intact.
history of chf and possible pneumonia. assess for retrocardiac opacity.
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There is a new opacity along the right upper lobe with adjacent fissural thickening. The pulmonary nodules characterize on the prior ct from <unk> are not well seen on this exam. The heart size is normal. The hilar and mediastinal contours are normal. There is no pleural effusion or pneumothorax.
history of multiple myeloma and shortness of breath. please evaluate for pneumonia.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
chest pressure.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. An orthopedic screw is seen to project over the left shoulder.
<unk>m with ruq pain, hx hep c, p/w transaminitis and thrombocytopenia // eval for acute cardiopulm processeval for liver abnormalities, signs of liver abscess
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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.
history: <unk>f with chest pain
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There is diffuse increased interstitial markings, most consistent with mild pulmonary edema. At the right base, there is an ill-defined opacity, which may be related the edema, though a superimposed infection is difficult to exclude. There are small bilateral pleural effusions. There is no pneumothorax. The mediastinal contours are normal. The heart is mildly enlarged, and unchanged from the prior exam.
cough and hypoglycemia. evaluate for infection.
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Since the study of <unk>, there is a new focal opacity in superior segment of the right lower lobe. Additionally in the right lung apex, there is a paramediastinal opacity which has become more dense since <unk>, concerning for additional consolidation or potential lung mass. The lungs are hyperinflated. Bilateral effusions are small. No evidence of pneumothorax. Cardiomediastinal silhouette is unchanged.
<unk> year old man with cough, hx of copd. evaluate for pneumonia.
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Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. There is bronchial wall thickening in the left lower lobe, suggestive of bronchitis. Old bilateral rib fractures with associated scarring in the left and right mid-zones are again seen. Mediastinal and hilar contours are normal. Heart size is borderline enlarged, with associated prominence of the pulmonary vascularity but no overt pulmonary edema
<unk> year old woman with cough x <num> days, wheezing, ? decreased breath sounds lll // eval pneumonia
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The heart size is at the upper limits of normal. No acute fractures are identified.
evaluation of patient with fever.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
left-sided chest pain, heaviness, cough.
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There is a new dual lead pacemaker with tips projecting over the expected location cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable the colon is slightly distended with air as seen under the left hemidiaphragm measuring up to <num> cm in greatest dimension
<unk> year old man with new dual chamber ppm // assess lead position
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As compared to the previous radiograph, the right lung is better expanded after chest tube placement. A remnant millimetric pneumothorax is still visible. No evidence of tension. Unchanged position of the right pleural pigtail catheter. Unchanged appearance of the left lung.
pneumothorax, status post chest tube placement.
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Frontal and lateral radiographs of the chest demonstrate large right-sided pleural effusion occupying greater than two-thirds of the right hemithorax with persistent moderate-sized right apical pneumothorax. The left lung is clear. The cardiomediastinal and hilar contours are unchanged.
<unk>-year-old female status post right lower lobectomy. evaluate for interval change.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
chest pain.
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The lungs are symmetrically expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The thoracic aorta is unfolded and tortuous. As a result, the mediastinum appears prominent, but otherwise within normal limits. The trachea is deviated to the right by the aortic arch.
vomiting, here to evaluate for pneumonia.
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There are new streaky opacities in the right lower lobe, which given their linear distribution, are presumably areas of atelectasis. Just above this area, there appears to be increased opacities as well which are concerning for pneumonia. There is no pleural effusion or pneumothorax. There is no evidence of pulmonary edema. Cardiac size is normal.
fever.
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The lung volumes appear normal. Median sternotomy wires are well aligned. The cardiomediastinal silhouette and hilar contours appear normal. Linear opacities at the bases are not appreciably changed since <unk> and likely represents scarring. There are no focal opacities to suggest pneumonia. There is no pleural effusion or pneumothorax.
type <num> diabetes, status post cabg, with cough and pleuritic chest pain. evaluate for pneumonia.
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The lungs are underinflated, with resultant bronchovascular crowding and accentuation of the cardiomediastinal silhouette. There is no focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. No pulmonary vascular congestion or edema is present. The cardiomediastinal and hilar contours are within normal limits and unchanged. There is no free air beneath the right hemidiaphragm.
left-sided abdominal pain and bright red blood per rectum. also with shortness of breath, here to evaluate for evidence of free air or pneumonia.
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Cardiac silhouette size is normal. The aortic knob is calcified. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
hypertensive urgency.
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Mild left base atelectasis/ scarring is seen. Right upper and mid to lower lung streaky linear opacities have improved in the interval. Left mid lung opacities have also improved. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
<unk> year old man with rising crp and history of cop, please assess for infiltrates // ? infiltrates on cxr, history of cop and now rising crp
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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. Clip is noted the right upper quadrant of the abdomen.
history: <unk>f with htn, hld, dmii presents with acute onset bilateral lower rib pain, abdominal pain
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Heart size is normal. The aorta is mildly tortuous with mild atherosclerotic calcifications. Increased interstitial opacities bilaterally suggests mild interstitial pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. Right humeral prosthesis is partially imaged. There is diffuse demineralization of the osseous structures.
history: <unk>f with hematemasis, tachycardia // eval for infiltrate or aspiration
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No focal consolidation is seen. Minimal linear atelectasis/scarring is seen in the mid lung on the lateral view. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No radiopaque foreign body is identified.
history: <unk>m with sob, cough, foreign body sensation // pna? foreign body in throat?
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The lung and remain hyperinflated and there is biapical scarring and right suprahilar scarring. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Degenerative changes are again seen along the spine.
history: <unk>f with vomiting, abd pain // eval 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.
history: <unk>m with fever post transplant // eval for pna
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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
<unk>f awoke with left-sided headache and facial pain, chest tightness. evaluate for stroke, acs
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Patient is status post median sternotomy and cabg.no definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Partially imaged cervical spine surgical hardware is noted.
history: <unk>m with pleuritic chest pain s/p aflutter ablation // evaluate for infection
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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.
<unk>m with chest pain // eval cardiomegaly
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Stimulator is again visualized overlying the left hemithorax. The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with new seizure.
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Pa and lateral views of the chest. The lungs are slightly hyperinflated but clear of consolidation effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No displaced rib fracture identified.
<unk>-year-old male with pain.
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The heart is moderately enlarged. The aorta is mildly tortuous. There are mild congestive changes in each lung but no focal opacification. There is no pleural effusion or pneumothorax.
shortness of breath and fever.
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Pa and lateral views of the chest. There are new bilateral patchy opacities, mainly in the mid to lower lung fields concerning for multifocal pneumonia. Right upper lobe scarring and bronchiectasis is unchanged. The cardiomediastinal and hilar contours are normal.
prior treated tb, new cough.
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The patient is status post median sternotomy with surgical clip seen in the anterior mediastinum. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with gastrointestinal hemorrhage. evaluate for pneumonia.
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Lower lung volumes seen on the frontal view on the current exam. The right basilar opacity is noted. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with uri symptoms and paroxysmal cough with rhonchorous bs bilat // r/o pna
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with productive cough.
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Right-sided pacer device is again noted with leads terminating in the right atrium and right ventricle. Patient is status post transcatheter aortic valve replacement. Mild enlargement of the cardiac silhouette is re- demonstrated. The aorta remains tortuous, and mediastinal contours are unchanged. Enlargement of the pulmonary arteries bilaterally suggests underlying pulmonary arterial hypertension, unchanged. There is continued right hilar enlargement compatible with underlying mass lesion, with worsening streaky right basilar opacity likely reflecting a combination of mucous plugging and collapse of the right lung base, but superimposed infection is not excluded. Within the lung apices, there is a similar appearance of scarring with bronchiectasis. No pleural effusion or pneumothorax is present. Patient is status post right mastectomy with clips projecting over the right lower chest wall. Loss of height of a mid thoracic vertebral body is unchanged. Chronic left lateral rib fractures are again noted.
history: <unk>f with cough, dyspnea
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Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable and unchanged. The pulmonary vasculature is normal. Apart from minimal atelectasis in the right lung base, the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
chest pain, history of bloody vomitus.
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There is increased prominence of the left hilum and increased opacity which is raises concern for increasing left hilar mass /lymphadenopathy. Large rounded pleural-based opacity in the right upper to mid lung today measures <num> by approximately <num> cm compared to today's measurement of the prior ct is <num> x <num> cm, givenyt differences in modality. Multiple ribs bilaterally show evidence of destruction as better evaluated on ct. In addition, there are lytic lesions in scattered in the hemothorax including lucencies involving the ribs, clavicles, sternum, scapulae. No definite focal consolidation is seen. There is no pleural effusion or intimal thorax. The cardiac silhouette is top-normal. There is increased paratracheal soft tissue opacity which may be due to current worsening lymphadenopathy.
tachycardia.
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Sternotomy wires are intact and appropriately aligned. There is moderate pulmonary edema. Cannot exclude an underlying pneumonia. Small bilateral pleural effusions. Stable enlargement of the cardiomediastinal silhouette. No pneumothorax.
history: <unk>m with shortness of breath and neutropenic fever // pneumonia?
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Frontal and lateral views of the chest are compared to previous exam from <unk>. There are bibasilar opacities which silhouette the hemidiaphragms. There is engorgement of the central pulmonary vasculature. Cardiac silhouette appears enlarged but stable compared to prior. Cardiomediastinal silhouette is otherwise unremarkable. Osseous and soft tissue structures are unremarkable.
ekg changes, positive troponins.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally, though lung volumes are low. A left chest port is identified, its tip terminating in the distal superior vena cava. Cardiomediastinal and hilar contours are within normal limits. Heart is top normal in size. There is no pleural effusion or pneumothorax. An enteric tube traverses the thorax in an uncomplicated course its tip terminating in the right upper quadrant, most compatible with a post pyloric position. No air under the right hemidiaphragm is seen.
<unk>m with njt displacement, tachycardia
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear and well expanded. There is no pleural effusion, pneumothorax, or focal opacity. The osseous structures are unremarkable, except for slightly worsened degenerative osteophytic changes of the thoracic spine, best seen on the lateral view.
<unk> year old woman with <num> days of respiratory congestion, left sided chest pain. pneumonia?
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The cardiac, mediastinal and hilar contours appear stable. The heart appears at the upper limits of normal size. Streaky right mid lung opacities suggest thickening or minor atelectasis along the minor fissure. There is possibly a trace pleural effusion on the left side only. The lungs appear otherwise clear. Kyphotic curvature appears exaggerated, but vertebral body heights appear preserved along the thoracic spine. The bones appear demineralized.
status post fall.
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The lung volumes are low. The lungs are clear without consolidation or edema. No pleural effusion or pneumothorax is identified. Allowing for patient rotation, the cardiomediastinal silhouette appears unchanged, with stable moderate cardiomegaly. Compression deformities in the thoracic and lumbar spine are also unchanged.
cough. evaluate for acute process.
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The lungs are hyperlucent and the retrosternal space is widened. The heart is not enlarged. The mediastinal and hilar contours are normal. There is scarring and calcification of the pleural surfaces at the lung apices. There is likely tiny right pleural effusion. There is no pulmonary edema or evidence of pneumonia.
history: <unk>m with fevers // eval for pneumonia
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Pa and lateral views of the chest provided. Subtle opacity projecting over the right lung base is concerning for a right lower lobe pneumonia. Lungs are otherwise clear. No effusion or pneumothorax. Cardiomediastinal silhouette appears unchanged. Clips the right upper quadrant noted. Bony structures are intact.
<unk>f with cough and fever.
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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.
history: <unk>f with chest pain
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New nodular opacity in the left upper lobe projecting over the fourth fifth rib interspace measuring <num> mm. There is also prominence of the right paratracheal stripe. The cardiomediastinal silhouette is otherwise unchanged with unfolding of the descending thoracic aorta. Right hemidiaphragm is similar in appearance. No pleural effusions or pneumothorax.
<unk> year old man with hx stage iiib melanoma, now <unk> mos after surgery // rule out metastatic
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Heart size is normal. The aorta is tortuous. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. There is left basilar atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. A vp shunt extends caudally from the left neck and along the anterior chest wall with tip outside the inferior border of the film. No subdiaphragmatic free air.
history: <unk>f with nausea and vomiting. evaluate for pneumonia.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. Mid thoracic dextroscoliosis is noted. No acute osseous abnormality detected.
<unk>-year-old female with chest pain and fever for <num> day.