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Severe cardiac enlargement is again demonstrated. A left-sided aicd is again noted with leads terminating in the regions of the right atrium and right ventricle, unchanged. Mediastinal and hilar contours are similar and there is no pulmonary vascular congestion. Linear opacity in the right lung base likely reflects atelectasis. Linear opacities within the right mid lung field are chronic, and likely reflect areas of scarring. No focal consolidation, pleural effusion or pneumothorax is present. Chronic deformity of the right first rib is again noted.
history: <unk>m with shortness of breath
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old man with pancreatitis, evaluate for pleural effusions
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Pa and lateral chest radiograph demonstrate no focal consolidation convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality. No air under the right hemidiaphragm is identified.
<unk>-year-old male with chest discomfort.
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Heart size is mildly enlarged. Upper mediastinal contours are normal. Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax. Osseous structures appear intact. No free air below the right hemidiaphragm.
<unk>f with dizziness // infiltrate?
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Lung volumes are somewhat low, resulting in bronchovascular crowding and accentuation of the cardiac silhouette. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with cough // pna?
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As compared to the previous radiograph, no relevant change is seen. The new icd is projecting over the right ventricle. No complications, notably no pneumothorax. Known scarring and apical thickening in the right lung.
icd, evaluation for lead placement.
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The lungs relatively hyperinflated, suggesting chronic obstructive pulmonary disease. Costochondral calcifications are seen bilaterally without definite focal consolidation. <num> mm rounded nodular opacity at the right lung base could represent a vessel on end, but pulmonary nodules not excluded. Mild bibasilar atelectasis. No pleural effusion or pneumothorax. Cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>f with malaise, weakness // ? acute cardiopulm process
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with fall and syncope.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are low but the lungs are clear. No pleural effusion or pneumothorax is seen.
<unk>m with probable pericarditis // acute process?
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Cardiac silhouette size is normal. Patient is status post descending thoracic aortic stent graft repair with contour bulge at the distal descending thoracic aorta compatible with known saccular aneurysm. The hilar contours are normal. Pulmonary vasculature is normal. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
history: <unk>m with hematemesis and dyspnea on exertion
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is patchy opacification in the right infrahilar region. Differential considerations include a focus of bronchopneumonia versus atelectasis, which could also be considered depending on clinical circumstances. Elsewhere, the lungs appear clear. There is no evidence for congestive heart failure. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
atrial fibrillation of new onset.
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Pa and lateral views of the chest. The lungs are clear. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette was normal. No acute osseous abnormalities detected.
<unk>-year-old female with chest pain.
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The patient is status post median sternotomy and cabg. A left-sided pacemaker device is noted with single lead terminating in the right ventricle. The heart size is mildly enlarged. Mediastinal and hilar contours are unchanged, with enlargement of the pulmonary arteries re- demonstrated, compatible with pulmonary arterial hypertension. There is no pulmonary vascular engorgement. No new focal consolidation, pleural effusion or pneumothorax is seen. Multiple left-sided rib deformities are re- demonstrated with minimal adjacent scarring. Remote right mid clavicular fracture is also noted. There are mild degenerative changes in the thoracic spine.
left arm deep venous thrombosis.
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There is no focal consolidation, pleural effusion or pneumothorax. No evidence of pulmonary edema. Heart size is mildly enlarged. No acute osseous abnormalities are identified.
history: <unk>f with r bimalleolar fracture // pre-op
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The heart size is normal. The hilar and mediastinal contours are normal. Lungs are clear without evidence of focal consolidations, pneumothoraces or pleural effusions. The visualized osseous structures are unremarkable.
history of chest pain.
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Left basilar linear atelectasis is unchanged. The lungs are otherwise clear. There is no pneumothorax. The heart and mediastinum are within normal limits. An old healed left rib fracture is again noted. No acute rib fractures are identified. Multilevel spinal degenerative changes are stable.
<unk> year old woman with fall backwards while washing in the tub now with thoracic spine pain // ?fracture right ribs/pneumothorax.
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There has been no significant interval change. There is persistent mild elevation of the right hemidiaphragm. No focal consolidative, pleural effusion, or pneumothorax is seen. A sclerotic focus projecting over the posterior right <num>th rib is stable since <unk>, likely presenting a bone island. No overt pulmonary edema is seen.
known right thyroid mass presents with a waking up border breath for the past few nights.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
cough.
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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. The hilar contours are stable.
cough, hyperglycemia.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old man with dka and nausea, vomiting, assess for infection.
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In comparison with study of <unk>, the bilateral pulmonary opacifications have completely cleared. There is no evidence of pneumonia, vascular congestion, pleural effusion, or hilar or mediastinal adenopathy.
sarcoidosis and severe cough since recent bronchoscopy, to assess for pneumonia.
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities.
fever.
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In comparison with the study of <unk>, the atelectatic changes at the right base have cleared and the right ij catheter has been removed. There is no evidence of pneumonia, vascular congestion, or pleural effusion.
productive cough, to assess for pneumonia.
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The heart size is within normal limits. The mediastinal and hilar contours are unremarkable. The lungs demonstrate diffuse prominence of the interstitial markings, compatible with chronic interstitial fibrotic lung disease. There is no evidence of pulmonary consolidation. There is no pleural effusion or pneumothorax.
<unk>-year-old male with fever.
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Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
history: <unk>f with fever
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Streaky left basilar opacity, which changes configuration on the two views is most suggestive of atelectasis. The lungs are otherwise grossly clear. There is no large confluent consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are grossly unremarkable. There is suggestion of a right upper quadrant drain and catheter which are incompletely visualized.
<unk>-year-old male with chest pain.
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The lungs are clear of focal consolidation. There is blunting of the left posterior costophrenic angle which may be due to small effusion or atelectasis. There is moderate cardiomegaly. Surgical clips project over the right axilla as well as air within the right breast which may be due to recent partial mastectomy. No acute osseous abnormalities identified.
<unk>f with cp // r/o pna, ptx, cardiomeg
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The interstitial markings are prominent, consistent with mild vascular congestion. Evaluation of the lung bases is limited due to underpenetration, though no focal opacity is identified. There is no pleural effusion or pneumothorax. The known nodule in the right upper lobe is likely obscured by overlying ribs on today's exam. The mediastinal contours are normal. The heart size is mildly enlarged, and unchanged.
chest pain. evaluate for pneumonia or effusion.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>m with chest pain // please eval for pna, pneumo
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Frontal and lateral views of the chest. There is no pleural effusion, pneumothorax or focal airspace consolidation. Atelectasis is seen at the left lung base, as shown on the subsequent ct. The heart size is top normal. The mediastinal and hilar structures are unremarkable.
mantle cell lymphoma status post stem cell transplant, presenting with fever and nausea. evaluate for a fungal infection within the lungs.
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Pa and lateral images of the chest demonstrate well-expanded lungs which are clear. There is no pneumothorax or pleural effusion. There is slight cardiomegaly noted. Cardiomediastinal silhouette is otherwise unremarkable. Visualized osseous structures are unremarkable.
<unk>-year-old male with chest pain and concern for pulmonary edema and cardiomegaly.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Irregularity of the posterior sixth rib, likely represents a fracture, correlate for site of patient's pain.
<unk>-year-old followup right-sided chest pain, evaluate for pneumothorax, or rib fractures.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain, intermittent for one month.
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Cardiac, mediastinal and hilar contours are normal. There are low lung volumes with but no focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No free air is seen under the diaphragms.
epigastric and right upper quadrant pain.
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Hyperexpansion is consistent with copd, unchanged from prior studies. Bibasilar atelectasis is noted. There is no pulmonary edema, pneumothorax, or pleural effusion. The cardiomediastinal silhouette is stable.
<unk>m with chest pain, evaluate for effusion or consolidation.
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Moderate right pleural effusion with overlying atelectasis is re- demonstrated. It is difficult to exclude a right base consolidation. No focal consolidation or pleural effusion is seen on the left. There is no pneumothorax. The cardiac silhouette remains enlarged. Mediastinal contours are stable.
history: <unk>m with chf // sob
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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 psychosis // ?cpd, ?bleed or fx
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The cardiac and mediastinal silhouettes are stable. Biapical pleural scarring stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is calcified diffusely.
history: <unk>m with cp. history of cad. dyspnea on exertion // pneumonia? dissection?
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The aorta is tortuous and the heart demonstrates left ventricular configuration. The mediastinal contours are normal.
<unk>-year-old male with cough.
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Pa and lateral images of the chest. The lungs are well expanded. There is bibasilar atelectasis, but the lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is enlarged, is similar to prior exams. Left pacemaker is noted with intact lead in appropriate position.
fever and dyspnea, history lung cancer.
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Heart size is normal. The mediastinal and hilar contours are remarkable for a tortuous thoracic aorta. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with htn, allergies, hyperlipidemia // patient with likely influenza, but increasing sputum production. wish to exclude pneumonia esp right upper lung(more rhonchi in that region)
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Lungs are clear without focal consolidation, effusion or pneumothorax. Mediastinal and hilar contours are stable. Mild cardiomegaly is unchanged. Patient is status post cabg with intact median sternotomy wires. Coronary stents and prosthetic aortic valve are present.
<unk> year old man with sdob, aortic valve replacement, copd // new lesions?
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
acute onset dizziness and blurred vision. evaluate for pneumonia.
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As compared to the previous radiograph, no unfavorable change. Stable postoperative changes in the lungs bilaterally, and post surgical changes of the right hilum. Sternotomy wires and dual lead defibrillator are in standard position. No acute focal consolidation, interstitial edema, or pneumothorax. A trace left-sided effusion is seen.
<unk> year old man with history of lung cancer, heart failure, icd, ongiong goals of care conversations as outpatient with new wheezing, shortness of breath. // r/o infiltrates, volume overload
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Frontal and lateral views of the chest. Lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>-year-old female with angina, ekg changes.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouette are normal size.
<unk> year old woman with cough, sob x <num> weeks // r/o pneumonia
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Right chest wall port is again seen with tip projecting over the mid svc. The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Old left lateral rib fractures are again noted. Surgical clips noted in the upper abdomen.
<unk>f with dyspnea, asthma exacerbation // sob
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Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. Cardiac silhouette is enlarged. Hypertrophic changes are noted in the spine. No acute osseous abnormality detected.
<unk>-year-old female with shortness of breath. question pneumonia.
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Right sided port a cath tip terminates in the svc, unchanged in position. The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
ovarian cancer, increased respiratory rate. question effusion.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
dizziness.
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The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear. There has been no significant change.
chest pain.
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There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old female with four days of pleuritic chest pain and one day of right upper quadrant pain, rule out pneumothorax and pneumonia.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is patchy left lower lung opacity obscuring the left hemidiaphragm, probably within the lingula, which is non-specific but most suggestive of minor atelectasis. There is no evidence for pneumomediastinum or pneumothorax. There is no pleural effusion. Bony structures are unremarkable.
chest pain and dysphagia.
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In comparison with study of <unk>, there is little overall change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion or pleural effusion. Opacifications in the right upper quadrant may reflect treatment for the known hepatic tumors.
fever and chills.
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There has been slight interval withdrawal of a left chest tube, which projects over the left upper lung. Small to moderate effusion with an air-fluid level in the left lateral midlung is similar to the prior study. There is no focal consolidation or pulmonary edema. The right lung is clear. The right picc line terminates in the cavoatrial junction, unchanged.
<unk> year old woman s/p esoph divertic resection with post op leak evaluate interval change and evaluate for effusion.
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Frontal upright and lateral chest radiographs demonstrate low lung volumes. Streaky left lower lobe opacities is lkiely atelectasis. Heart is normal in size, and cardiomediastinal contour is unremarkable. There is no pleural effusion and no pneumothorax. Limited view of the upper abdomen is unremarkable.
epigastric pain and abdominal bloating, status post ercp, rule out acute process.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.right lateral second rib lesion is better appreciated on ct.
history: <unk>m with chest pain. evaluate for pneumonia, pneumothorax.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. New areas of opacification are demonstrated within the right lower lobe compatible with pneumonia. No pulmonary vascular engorgement is seen. Patchy opacity in the left lower lobe may reflect atelectasis though an additional site of infection cannot be excluded. Blunting of the right costophrenic angle suggests a small pleural effusion. There is no pneumothorax. Compression deformity of the l<num> vertebral body is unchanged.
cough, fevers.
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The lungs are again slightly hyperexpanded, with slight coarsening of interstitial markings, unchanged compared to the prior study compatible with copd. Minimal right basilar atelectasis or scarring is stable. There is no pneumothorax, overt pulmonary edema, or focal consolidation concerning for pneumonia. The heart is stable in size, allowing for technical differences.
history: <unk>f with leg weakness // r/o pneumonia
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Pa and lateral views of the chest demonstrate diffuse bilateral interstitial fibrosis and cystic changes. There is no focal airspace consolidation. Heart is mildly enlarged and cardiomediastinal contour is notable for a tortuous thoracic aorta and a very prominent right hilus suggesting an enlarged pulmonary artery or lymphadenopathy. Lung volumes are low. There is a rounded lucency at the right lung apex, likely representing a bulla. There is no pleural effusion or pneumothorax.
<unk>-year-old man with copd, dyspnea, evaluate for consolidation or edema.
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Ill-defined airspace opacity in the right mid and lower lungs corresponds to the right perihilar mass with extension inferiorly which may represent postobstructive pneumonia within the right middle lobe. Prominence of the right middle mediastinal border suggests enlargement of the ascending aorta.
<unk> year old woman with hx small cell lung cancer s/p xrt <unk> presenting today with <num> days of productive cough, shortness of breath, low-grade fever, evaluate for pneumonia
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with dm and possible cellulitis vs fluid overload here with significant cough, shortness of breath. // ? pneumonia, ? pulmonary edema
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There is an ill-defined opacity in the lingula and left upper lobe in a paramediastinal location which obscures the left heart border and is significantly worsened compared to <unk>. Another fusiform opacity in the right mid lung with a surgical clip projecting over the opacity which corresponds to a known lesion along the minor fissure seen in previous cts. There is no pleural effusion or pneumothorax. Cardiac size is normal.
<unk>-year-old male with cough and pleuritic chest pain.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Linear opacities in the lung bases are compatible subsegmental atelectasis. Ill-defined interstitial and nodular opacities within both upper lobes lung fields with associated peribronchial cuffing may reflect an infectious or inflammatory process. No focal consolidation, pleural effusion or pneumothorax is seen. Deformity of the left humeral head may reflect remote trauma.
copd, worsening shortness of breath.
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Lung volumes remain low. The cardiac and mediastinal contours are unchanged, with mild cardiomegaly re- demonstrated. Diffuse interstitial opacities are again noted, compatible with known chronic interstitial lung disease. Crowding of the bronchovascular structures with mild cephalization and indistinctness of the pulmonary vascular markings suggest mild superimposed pulmonary edema. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are demonstrated.
history: <unk>m with shortness of breath, chest pain // eval for pneumonia
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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
anterior chest pain, non-exertional.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old man with dyspnea and cough evaluate for pneumonia.
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Ap upright and lateral views of the chest provided. Hyperinflated lungs with flattened diaphragms suggests underlying copd. No focal consolidation, large effusion or pneumothorax is seen. The heart and mediastinal contours appear normal. Bony structures are intact.
<unk>f with hypoxia // eval for pna
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There is a bilateral interstitial abnormality that is new from the prior study of only two days earlier associated with some pleural opacity on the lateral view, which may be loculated pleural fluid. The heart is top normal size and the hilar contours are normal with no current central vascular congestion. There is no pneumothorax. No there is no mass suggestive of primary malignancy.
pontine hemorrhage. evaluation for mass.
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Frontal and lateral views of the chest are compared to ct abdomen from <unk> and chest x-ray from <unk>. There has been interval resolution of subcutaneous gas overlying the right chest wall. There is persistent elevation of the right hemidiaphragm, which could be due to combination of ascitic fluid below the diaphragm and possible component of subpulmonic effusion as well. The lungs themselves are clear. Cardiomediastinal silhouette is within normal limits. Post-traumatic changes are seen involving multiple anterior right ribs and the lateral right clavicle. No acute osseous abnormality detected. No free air is seen below the diaphragm.
<unk>-year-old male with weeping umbilical hernia, pre-op.
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Ap upright and lateral views of the chest provided. The lungs appear hyperinflated. 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>f with lightheadedness // eval for infiltrate
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The bilateral lower lobe multifocal pneumonia has worsened. No lung abscess is appreciated. The diffuse interstitial opacification has been chronic which is concerning for heart failure versus pneumocystis. Currently tb is less likely, but if patient does not have significant improvement after treatment or high-risk, primary tb is on differential. The hila are normal. There is no pleural effusion or pneumothorax. The cardiac silhouette is enlarged but unchanged. The mediastinum is normal. No fractures.
<unk> year old man with pneumonia // please assess pa and lateral for better quality study to determine whether ct is warranted to r/o abscess
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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Midline sternal wires remain intact.
shortness of breath and recent cold.
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Mild enlargement of the cardiac silhouette is unchanged with dense mitral annular calcifications again noted. Mediastinal and hilar contours are similar with leftward shift of mediastinal structures again noted. Lungs are hyperinflated with emphysematous changes visualized predominantly in the upper lobes. Mild pulmonary edema is present. Patient is status post left upper lobectomy and post wedge resections in the right lung. Spiculated opacity within the periphery of the right upper lobe is similar to the previous chest radiograph measuring up to <num> cm. No pleural effusion or pneumothorax is present. Atelectasis is noted within the right lung base.
history: <unk>f with dyspnea on exertion for <num> weeks.
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The heart is normal in size. The lung volumes are low. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are clear. Posterolateral fractures involving the left fourth, fifth, and sixth ribs appear old and healed.
cough and hypoxia.
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Port-a-cath ends at mid svc. Very minimal right lung base atelectasis is present. There are no lung opacities concerning for pneumonia. There is no pleural effusion. Heart size, mediastinal and hilar contours are normal.
to rule out pneumonia.
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Right-sided dialysis catheter terminates in the cavoatrial junction/ right atrium. No pneumothorax is seen. There is mild pulmonary edema. No large pleural effusion is seen although a very trace pleural effusion is difficult to exclude. The cardiac silhouette is mildly enlarged. The aorta is calcified. Retrocardiac opacity best seen on the lateral view could be due to atelectasis or vascular structures, however, consolidation is not excluded in the appropriate clinical setting.
history: <unk>m with esrd in dialysis, hcv // please evaluate for infectious process
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Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. Minimal streaky opacifications in left lung base likely reflect atelectasis given left hemidiaphragm elevation. No pleural effusion or pneumothorax evident. No pneumoperitoneum identified. Multilevel degenerative changes are detected.
gi bleed status post colonoscopy. evaluate for acute process or free air.
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Left-sided pacemaker is noted with leads terminating in expected positions of the right atrium and right ventricle. There are small bilateral pleural effusions. There is no pneumothorax. The lungs are otherwise clear. The cardiac, mediastinal and hilar contours are stable.
<unk>-year-old status post dual-chamber pacemaker placement.
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The lungs are clear. The heart size is normal. The mediastinal and hilar contours are normal. There are no pleural effusions. No pneumothorax is seen. Note is made of dextroscoliosis of the thoracic spine.
cough, assess for pneumonia.
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There is upper zone redistribution of pulmonary vasculature, as well as indistinct appearance of pulmonary vessels. Fissures are mildly thickened. Patchy basilar opacities are not specific and may be due to atelectasis, but the possibility of developing pneumonia, especially in the posterior left lower lobe in the retrocardiac region, could be considered. The bones appear demineralized. Degenerative changes are similar along the thoracic spine.
cough.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There are no pleural effusions, focal consolidations, pulmonary edema, or pneumothorax. Visualized osseous structures are grossly intact.
<unk>-year-old female patient with dry cough for three weeks, malaise, rhonchi and wheezing. study requested to rule out pneumonia.
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A left chest wall port-a-cath ends in the mid svc unchanged. Since prior, left basilar consolidation has increased. The right lung is clear. Mild cardiomegaly is unchanged. There is no pneumothorax.
<unk>-year-old man with known lung cancer with increased shortness of breath
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with ruq abdominal pain // eval for acute process
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In comparison with the study of <unk>, the left pleural catheter remains in place and there is no pneumothorax. Minimal residual pleural fluid on the left. Stable cardiomegaly with tortuosity of the aorta and port-a-cath extending to the lower portion of the svc.
lymphoma with probable malignant effusion.
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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.
history: <unk>m with chest pressure // r/o chf o
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Ap and lateral views of the chest. Lower inspiratory effort seen on the current exam. Opacification the left lateral costophrenic angle is again seen may be due to atelectasis. There is no focal consolidation or effusion. The cardiomediastinal silhouette is unchanged. Atherosclerotic calcifications seen at the aortic arch. Mild height loss of a lower thoracic vertebral body is unchanged. No acute osseous abnormality.
<unk>-year-old male worsening mental status at rehab.
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No previous images. Cardiac silhouette is within normal limits. No evidence of vascular congestion or pleural effusion. There is apical nodularity and calcification, most likely reflecting old granulomatous disease. However, in the absence of images at least <unk> years previously demonstrating no change, activity of this process cannot be unequivocally excluded. All effort should be made to obtain prior chest radiographs from another facility. No evidence of acute focal pneumonia.
altered mental status, to assess for pneumonia.
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Cardiomediastinal and hilar contours are within normal limits. No focal consolidation concerning for pneumonia is seen. There is no pneumothorax. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old male status post seizure and 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.
history: <unk>m with chest pain
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The patient is status post median sternotomy. Midline tracheostomy is again seen. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with fever, cough // eval for pneumonia
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with tip poorly visualized due to overlying aicd wires. Aicd leads appear unchanged with leads extending to the region the right atrium, right ventricle and coronary sinus. The lungs appear clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette appears stable. Diffuse sclerosis within the thoracic vertebral bodies is compatible with known diffuse osseous metastatic disease.
<unk>f with fall, confusion, metastatic breast cancer
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Moderate overinflation with flattened diaphragms and increased retrosternal space. There is a non-recent area of right upper lobe fibrosis with right apical pleural thickening. Neither the frontal nor the lateral radiographs show acute lung changes such as recent pneumonia. No pleural effusions. Normal size of the cardiac silhouette.
copd, productive cough, evaluation for pneumonia.
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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. The lungs are under-expanded but clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with history of asthma presenting with shortness of breath and a productive cough. evaluate for pneumonia.
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with cough and fever.
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The previously mentioned abnormality no longer systems likely external to the patient or simply a vessel caught on end. The remainder of the exam remains stable with clear lungs, normal cardiac size, no pleural effusion, no pneumothorax and no evidence of pulmonary edema.
evaluate opacity on portable xray
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. There is mild elevation of the left hemidiaphragm with visualization of gas filled top normal caliber large bowel under the diaphragm.
cough.
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Pa and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation, or pneumothorax. Moderate cardiomegaly is unchanged. Hilar and mediastinal silhouettes are stable. Aortic arch calcifications are noted. Descending aorta appears tortuous. There is perihilar vascular congestion. Interstitial pulmonary edema seen on prior exam has improved. Partially imaged upper abdomen is unremarkable.
patient with cough and green sputum. assess for pneumonia.
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Frontal and lateral views of the chest demonstrate no focal consolidations to suggest pneumonia. The aortic contours are unchanged with dilation of the aortic arch compatible with known dissection. There are stable bibasilar opacities. The trachea remains slightly deviated to the right. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable. A severe dextroscoliosis is noted.
<unk>-year-old woman with possible stroke and dysarthria, rule out pneumonia.
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Frontal and lateral radiographs of the chest demonstrate well-expanded and clear lungs. Cardiomediastinal and hilar contours are unremarkable. The aorta is tortuous. There is no pneumothorax, pleural effusion or consolidation.
<unk>-year-old male with cough, abdominal pain, weight loss, leukocytosis. evaluate for pneumonia.