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Frontal and lateral views of the chest demonstrate persistent opacity in the right upper lung, suggestive of persistent or new infection. This is in similar location as prior infection. The remainder of the lungs appears well aerated. There is no pleural effusion. Cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with fever and cough. question pneumonia.
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An irregular lytic lesion of the posteriolateral right sixth rib is better evaluated on recent chest ct of <unk>.there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old man with primary bone lymphoma with new shortness of breath // please evaluate for evidence of pneumonia or pulmonary edema
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Subtle <num>,<num> cm density at right upper lobe overlying anterior third rib could be a new lung lesion. The rest of lung is unremarkable. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are normal.
patient with smoking history, persistent cough, consolidation, other evidence of disease.
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There is minimal biapical scarring, right worse than left with superior retraction of the hila. The lungs are otherwise hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no pulmonary edema.
<unk>m with back pain and left leg weakness. need operation. cardiopulmonary changes.
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There is no evident pneumothorax. Bibasilar opacities consistent with atelectasis have improved on the left and increased on the right. Left chest tube has been removed. There are persistent low lung volumes. Cardiomediastinal silhouette is unchanged
<unk> year old woman s/p l thoracotomy with vagotomy and chest tube. ct d/c'd today at <num>am, plesae eval for ptx post pull // please evaluate for ptx. please get cxr at <num>pm today
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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 pain, recent pna, left shoulder pain. // pneumonia?
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. There is a old healed right eighth posterior rib fracture. Fractures of the fourth and fifth right posterior rib and a segmental fracture of the right third rib posteriorly and laterally appear to have minimal callus around them and may be subacute. No displaced left rib fractures identified
history: <unk>m with etoh, beat up by girlfriend kicked in l ribs // rib fx
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Subtle opacity at the left upper to mid lung, projecting over the anterior left better in rib is slightly less conspicuous as compared to the prior study; findings may represent overlap of structures, however an underlying pulmonary nodule is not excluded. No focal consolidation is seen elsewhere. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with chest pain // acute process?
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Reticular opacity at the right costophrenic angle, may in part be chronic, but underlying consolidation at this site is not excluded. The pulmonary nodules seen on ct are better appreciated on ct as ct is more sensitive. Rounded opacity projecting in the midline at the level of the diaphragm is consistent with patient's ectatic aorta. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top-normal and the aortic calcified and tortuous. No definite rib fracture is seen. However, if rib fracture remains of high clinical concern, consider dedicated rib series.
lung cancer status post fall with right rib pain.
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Frontal and lateral views of the chest. Moderate cardiomegaly and mediastinal contours are stable. Severe enlargement of the left atrium is unchanged. No focal consolidation, pleural effusion, or pneumothorax.
cough with low-grade fevers.
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When compared to chest ct, there has been no significant interval change. Moderate size left sided pleural effusion is again seen. Fluid is seen at the base with loculated components extending more superiorly. There is a left suprahilar mass concerning for underlying malignancy. Left upper lung opacities at the apex are as seen on prior ct and could potentially represent lymphangitic spread of tumor. Right lung is clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with pleural effsuon // eval for pleural effusion extent
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study dated <unk>. The patient's inspiration motion has improved in comparison with the previous study, and the supradiaphragmatic related pneumothorax cavity is filling in fluid and scar formations. Linear parenchymal density just above the elevated diaphragmatic contour suggests remaining plate atelectasis, but there is no evidence of new pulmonary parenchymal infiltrates. This includes also the linear densities on the left lung base, also suggesting peripheral plate atelectasis or scar formations. No evidence of new parenchymal infiltrates and pneumothorax in the apical area can be excluded.
<unk>-year-old female patient with right-sided vats decortication, check interval change.
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Mild pulmonary edema is new. Left loculated small pleural effusion/chylothorax is unchanged in this patient with severe cardiomegaly. There is no pneumothorax.
patient with heart failure; chylothorax and non-small cell lung cancer, worsening dyspnea. assess for worsening of pleural effusion.
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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.
shortness of breath, cough.
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There is blunting of the left costophrenic angle in the area of the prior pleural effusion. This may represent pleural thickening or a small chronic effusion. It is unchanged in appearance from the prior exam approximately one week prior. There is no right-sided pleural effusion. There is no consolidation, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. Atherosclerotic calcifications are noted in the aortic arch. An irregular contour of the lateral border of the fifth left rib is noted. No definite fracture is identified. This irregularity is new since the prior exam on <unk>.
chest pain.
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The patient is status post median sternotomy and cabg. Cardiac silhouette size remains mildly enlarged. Small to moderate sized hiatal hernia is redemonstrated. The aorta is calcified and tortuous. Elevation the right hemidiaphragm is chronic. Bilateral calcified pleural plaques are again demonstrated. Linear opacities at both lung bases likely reflect atelectasis. Pulmonary vascularity is not engorged. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain and shortness of breath.
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Cardiomediastinal and hilar contours are normal. Lungs are clear with low volumes bilaterally. Pleural surfaces are normal.
<unk>-year-old woman with chest pain.
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Frontal lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately well-aerated lungs which are clear without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
pleuritic chest pain. evaluate for pneumothorax.
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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. Note, a crescentic lucency under the left hemidiaphragm is most likely air within a decompressed stomach.
history: <unk>m with chest pain, dyspnea // ? acute process
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Heart size is top normal. Compared to prior study, there are new diffuse reticular opacities, more prominent in the right lung which may be consistent with an atypical pneumonia vs assymetric edema. There is no pleural effusion or pneumothorax. Mediastinal and hilar contours are normal.
shortness of breath.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, anterior cervical fixation hardware is partially visualized.
<unk>m with pre-op // pre-op
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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>f with chest pain for five days.
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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>f with chest pain, lh, weakness, diarrhea
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Pa and lateral chest radiograph increased moderate enlargement of the cardiac silhouette due to moderate cardiomegaly and/or pericardial effusion. There has been interval removal of a right-sided central venous catheter. Patient is status post cabg with intact sternal wires. There is a moderate left pleural effusion with adjacent atelectasis. Previously right pleural effusion is decreased in size. No focal opacity is identified concerning for pneumonia. No overt pulmonary edema is seen. Visualized osseous structures are without acute abnormality.
<unk>-year-old male with chest pain.
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Heart size is mildly enlarged with a left ventricular predominance, but decrease in size compared to the prior exam. The mediastinal and hilar contours are unremarkable. Streaky opacities in the lung bases may reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. Previous pattern of mild pulmonary vascular congestion appears slightly improved. Patient is status post right shoulder arthroplasty. No acute osseous abnormalities are detected. Remote left-sided rib fractures are re- demonstrated.
history: <unk>m with confusion, weakness
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Pa and lateral chest radiographs were obtained. The lungs are well inflated and clear. No consolidation, nodule, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal. Linear lucencies projecting over the left pulmonary artery on frontal and lateral image correspond to previously diagnosed pneumomediastinum.
<unk>-year-old man with pneumomediastinum.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is seen. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. A right-sided internal jugular approach central venous line is noted (port-a-cath system), seen to terminate overlying the right-sided mediastinal structures <num> cm below the level of the carina. This is compatible with the lower third of the svc. Comparison is made with the next preceding similar study <unk> <unk>. The port-a-cath system was present already at that time. Acute pulmonary infiltrates or pulmonary congestion absent.
<unk>-year-old female patient with cough, smoker and history of anal cancer, evaluate for metastases or other pathology.
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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 is persistent elevation of the right hemidiaphragm. No pulmonary edema is seen. Left subclavian stent is again noted.
history: <unk>m with esrd, vomiting, // evaluate for fluid overload
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
atypical chest pain.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
cough for <num> days, productive. rule out pneumonia.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>f with sweats for <num> day. lap chole <num> days ago // r/o pna
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Heart size is mildly enlarged. Mediastinal contours are stable. Flattening of the diaphragm is suggestive of copd. Bibasilar opacities, larger on the left, may represent atelectasis, but infection is not excluded. No large pleural effusion. No pneumothorax.
history: <unk>m with vascular disease // preop cxr
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Low lung volumes seen on the current exam. The superior most portion of the lung apices are excluded from the field of view. Where seen the lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities.
<unk>f with cough x <num> weeks // r/o acute process
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Pa and lateral views of the chest provided. The lungs are clear of focal consolidation or pulmonary edema. Blunting of the right posterior costophrenic angle suggests small effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with shortness of breath. evaluate for pleural effusion and 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.
<unk>f with cough, sore throat // eval for infection
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There is a subtle nodular opacity projecting over the left lower chest measuring approximately <num> cm; while could potentially represent a nipple shadow, pulmonary nodule may be present. Recommend shallow oblique chest radiographs or follow-up chest ct to further assess. Otherwise, no focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with diabetic right foot ulcer, unilateral swelling // eval for osteo,ultrasound for lower leg us
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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 shortness of breath, chest pain// asthma exacerbation
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Pa and lateral views of the chest were obtained. Lungs are symmetrically expanded. There is no focal consolidation. Heart is normal in size, and cardiomediastinal contour is unremarkable. There is no pleural effusion and no pneumothorax. Moderate mid thoracic spine compression fracture is age-indeterminate.
<unk>-year-old woman with tia, please evaluate for infection.
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Pa and lateral views of the chest provided. Bbs project over the lower anterior chest wall bilaterally. A retrocardiac opacity is likely a small hiatal hernia. There is no focal consolidation, effusion, or pneumothorax. A punctate hyperdensity projecting over the right upper lung is likely a calcified granuloma. The cardiomediastinal silhouette is normal. There is a chronic appearing mild compression deformity in the lower t-spine. No free air below the right hemidiaphragm is seen.
<unk>f w/chest pain, please eval for mediastinal widening, occult ptx, occult pna
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The lungs are hyperinflated and the diaphragms are flattened, consistent with copd. The cardiomediastinal silhouette is unchanged. There is upper zone redistribution, without overt chf. Mild prominence of interstitial markings could reflect underlying chronic changes. No focal infiltrate, focal consolidation, effusion or pneumothorax is detected. Advanced multilevel thoracic spine degenerative changes noted.
<unk> year old woman with l ant cp with cough x weeks, // r/o pneumonia
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There is a somewhat spiculated opacity identified at the left lung base laterally abutting the costophrenic angle on the frontal view. It is not clearly delineated on the lateral exam. Elsewhere, the lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Median sternotomy wires are noted. Vascular stent projects over the region of the great vessels.
<unk>m with dementia, here for medical clearance for placement // eval for acute infectious process
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Pa and lateral views of the chest provided. Lung volumes are low which somewhat limits the evaluation. Allowing for this, there is no convincing evidence for pneumonia or edema. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with chest pain // ?pneumonia
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Persistent, stable cardiomegaly with mild pulmonary vascular engorgement. Moderate right-sided pleural effusion has increased from the prior examination. There is right lower lobe volume loss/infiltrate the left lung appears clear
<unk> year old man with r pleural effusion // interval change
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Ap upright and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted. Lungs are 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>m with shortness of breath // eval for infiltrate
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette, mediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected.
<unk>-year-old woman with chest pain, here to evaluate for acute cardiopulmonary process.
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Frontal lateral views of the chest. The lungs are clear and well expanded without focal opacity, pleural effusion or pneumothorax. The heart size is top normal. The mediastinal and hilar contours are normal.
autoimmune hepatitis, on immunosuppression. now with epigastric pain and elevated liver function tests.
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Right-sided port-a-cath tip terminates in the svc. The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Streaky opacities within the lung bases bilaterally likely reflect atelectasis. Previously noted right apical nodular opacity is no longer visualized, though this area on prior ct was noted to have emphysematous changes. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormalities are seen.
shortness of breath.
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The lungs are mildly hyperinflated. The cardiac silhouette is mildly enlarged. The pulmonary vasculature is unremarkable. There is no pleural effusion or pneumothorax. No focal consolidation is identified. Bilateral breast implants have been removed.
<unk>f with atrial fibrillation starting <num> days ago. // cardiopulmonary process aggravating afib
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Two views of the chest were obtained. The lungs are well expanded and clear with linear left mid-lung atelectasis. There is no pleural effusion or pneumothorax. The heart remains enlarged with postsurgical changes. The aortic contour is normal and unchanged from the prior study. Small hiatal hernia may be present.
nausea and extensive cardiac history. assess for pneumothorax and aortic contour.
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Cardiomediastinal contours are stable. Patient has known cardiomegaly. Chronic right middle lobe collapse, volume loss in the right upper lobe, and a smaller atelectasis in the lingula are better seen on prior ct. There is no evidence of new abnormalities. . There is no pneumothorax or pleural effusion. Mild degenerative changes in the thoracic spine
<unk> year old woman with copd, osa, pe, hfpef, presenting for ams/elevated inr/fluid overload now resolved. // ?prominence of right hilar region, need lateral view
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The lungs are clear. There is no focal consolidation, effusion, or edema. There is chronic blunting of the right lateral costophrenic angle, likely scarring. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m w/sob, please eval for pna
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Cardiac silhouette size is normal. The mediastinal and hilar contours are within normal limits. Atherosclerotic calcifications are noted at the aortic knob. The pulmonary vasculature is not engorged. New focal opacity is seen within the right lower lobe which may reflect a combination of a small pleural effusion and atelectasis. Minimal atelectasis is also noted in the left lung base without focal consolidation. No pneumothorax identified. The osseous structures are diffusely demineralized. No definite displaced rib fracture is seen.
history: <unk>m with difficulty breathing, pain // evaluated for pleural effusion, rib fracture
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Frontal and lateral views of the chest were obtained. Cardiomegaly is mild, similar to the prior exam. There is calcification of the aortic knob. Prominence of vascular markings in the lung apices and around the hila are compatible with pulmonary vascular congestion. No pleural effusion or pneumothorax. No radiopaque foreign body. Osseous structures are unremarkable.
congestive heart failure and a. fib.
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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>f with shortnss of breath chest pain // eval for chest pain
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Pa and lateral views of the chest provided. Right chest wall pacer device is again noted with pacer leads extending to the region the right atrium and right ventricle unchanged. Small bilateral pleural effusions are present, with associated bibasilar compressive atelectasis. The heart is top-normal in size. Hila appear congested. Mediastinal contour is normal. Mild interstitial edema difficult to exclude. Bony structures appear intact.
<unk>f with severe mr, worsening doe, and bilateral crackles on exam.
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Prior dual lumen right-sided central venous catheter has since been removed. Increased interstitial markings seen throughout the lungs, similar compared to prior. There is no effusion. Moderate cardiac enlargement is again noted. Surgical clips project over the left axilla and there is prior left mastectomy. There are chronic right lateral rib fractures. .
<unk>f with cp // eval for pulm edema/
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There is a lead pacemaker/icd device whose leads terminate in the right atrium and ventricle, respectively. The heart is mildly enlarged. The aorta is mildly tortuous. There are no pleural effusions or pneumothorax. The lungs appear clear. Small anterior osteophytes are present throughout the visualized thoracic spine.
chest pain.
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Pa and lateral views of the chest provided. Lungs are hyperexpanded without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Right upper lung calcified granulomas are present. Note is made of old right rib fractures.
<unk> year old man with cough, hx pneumonia <unk> // r/o pneumonia; please wet read and page dr <unk> beeper <unk> with results
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A left-sided pacemaker is seen with <num> leads in unchanged position. Median sternotomy wires and vascular clips are seen consistent with prior cardiac surgery. The cardiomediastinal and hilar contours are remarkable for diffusely tortuous thoracic aorta and stable from the prior study. There is no evidence of focal consolidation, pleural effusion or pneumothorax identified.
<unk>m with acute dyspnea // acute cardiopulm disease
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with new onset nausea and palpitations // evaluate for acs
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Upright pa and lateral radiographs of the chest show a right port-a-cath terminating in the approximate superior cavoatrial junction. The lungs are normally expanded and clear. There is no focal airspace consolidation. The costophrenic sulci are sharp. There is no pneumothorax or pleural effusion detected. The osseous structures are grossly intact.
ovarian cancer, on chemo, presenting with fatigue. would like to rule out 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.
<unk>f with cp, cough // pna?
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Frontal and lateral chest radiographs were obtained. There is fixation about the left mid clavicular fracture with long plate and multiple screws. Multiple displaced left rib fractures are again seen with some callus formation. There is improved aeration in bilateral lungs, especially at the left lung base. The previous left pleural effusion has resolved. No focal consolidation, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal and hilar contours are normal.
patient status post mcc, with rib fractures, eval rib fractures.
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The patient is status post median sternotomy, cabg, and aortic valve replacement. The lungs are hyperinflated with flattening of the diaphragms suggestive of copd. The heart remains mildly enlarged. Aortic knob is calcified. The mediastinal and hilar contours are unchanged, with mild pulmonary vascular congestion again noted. Small right pleural effusion is similar in size compared to the previous exam, with adjacent compressive atelectasis. No left-sided pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain.
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As compared to the previous radiograph, the hilar structures have increased in diameter. This increase is more noticeable on the right than on the left. In addition, a zone of micronodules is seen in the perihilar areas on the right and, very subtle, on the left. Altogether, the findings are consistent with pulmonary sarcoidosis. No evidence of other lung changes. No pleural effusions. Normal size of the cardiac silhouette.
bilateral granulomatous uveitis, rule out sarcoid.
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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.
<unk> year old man with shortness of breath, chest tightness, elevated blood pressure
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The heart is normal in size. The aorta is calcified and tortuous. Otherwise, the mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the thoracic spine. The bones appear demineralized.
baseline dementia with decreased oral intake, weakness and cough.
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The heart size is top normal. The aorta is mildly unfolded with atherosclerotic calcifications noted at the aortic arch. Diffuse ground-glass airspace opacities are noted in both lungs with mild perihilar haziness. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
substernal chest pressure.
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Pa and lateral chest radiographs again demonstrate mild cardiomegaly and small bilateral pleural effusions without pulmonary vascular congestion or other evidence of volume overload. The lungs are clear. There is mild hilar prominence likely reflective of the patient's known history of cll.
history of cll, one month of productive cough.
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The lungs are clear of focal consolidation or edema. Degree of cardiomegaly is similar. No acute osseous abnormalities.
<unk>f with cough and fever // eval pneumonia
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Pa and lateral views of the chest provided. Patient is status post vats and left lower lobe wedge resection. Bilateral breast implants are stable from <unk>. Capsular calcifications are stable. Lungs are well inflated. Interval resolution of left tiny apical pneumothorax. Prior consolidation at the right lung bases substantially improved. A small left pleural effusion and associated mild left basilar atelectasis are mildly improved hilar and cardiomediastinal contours are normal.
<unk> year old woman s/p vats left lower lobe wedge resection and mediastinal lymph node dissection. // check interval change
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Lung volumes are normal and lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. No pulmonary edema. Mediastinal and hilar contours are unremarkable.
fever and back pain. evaluate for pneumonia or an acute process.
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The lungs are well expanded and clear with mild pulmonary vascular congestion without overt edema. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old with new seizures, assess for acute process.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough and ili concern for pna or consolidation // r/o consolidation or pna
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The lungs are clear. There is mild cardiomegaly. The hilar and mediastinal contours are otherwise normal. There is no pneumothorax. There is a small right pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with new diagnosis of leukemia presenting with severe leukocytosis. evaluate for pulmonary edema.
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The lungs are well expanded and clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with fever // eval for pneumonia
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Patient is status post median sternotomy, cabg, and coronary artery stenting. Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are mildly hyperinflated but clear. No pleural effusion or pneumothorax is demonstrated. There are moderate degenerative changes seen in the thoracic spine.
history: <unk>m with atrial fibrillation presents with hemoptysis
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Cortical disruption involving the left fifth to ninth posterior ribs likely represent acute fracutres.
patient is status post fall, now with rib pain. assess for fracture.
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The lungs are hyperinflated. Surgical chain sutures seen in the right upper lung new since prior. There is no consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>m with cough, immunocompromised by xplant // ? pna
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There is new mild interstitial edema. Lung volumes are low. The heart is top-normal in size. The mediastinal contour for is unchanged. There is no pneumothorax or large pleural effusion. Visualized osseous structures are unremarkable.
<unk>f with sob and pitting edema for several days, evaluate for pulmonary edema..
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The patient is status post recent aortic and mitral valve replacements with intact sternotomy wires. Massive cardiomegaly is unchanged. A small left pleural effusion is unchanged. There is no pneumothorax.
<unk>-year-old male status post avr and mvr; evaluate left lower lobe.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with chest pain and sob. assess for infiltrate, pneumothorax.
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Since <unk>, the right upper lobe opacity is resolved. Left lingular opacity has progressed consistent with worsening pneumonia.. Diffuse interstitial changes consistent with bronchiectasis. Coronary calcifications. Median sternotomy wires are in place. Elevation of left hemidiaphragm is unchanged since <unk>
<unk> year old man with myasthenia and two recent pneumonias, now with a return of fever one day after antibiotics // evaluate for pneumonia
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There are small bilateral pleural effusions. Streaky bibasilar opacities best seen on the lateral view are most likely atelectasis. The lungs are otherwise clear without consolidation or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with recent transplant, rising creatinine // eval for pna
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Compared with the prior radiograph, there is new right lower lobe atelectasis and consolidation in the area of the fiducial marker, as seen on the prior ct chest. Left lung is clear without pleural effusion. Cardiomediastinal silhouettes are grossly unchanged.
<unk>f with abd pain, nausea, rlq tenderness, hx sbo with similar symptoms. eval for acute process, attn to sbo.
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There is mild cardiomegaly and right infrahilar vascular crowding, but no pulmonary edema. The mediastinum and hila are normal. There is no pleural effusion and no pneumothorax. No pneumonia.
patient with copd.
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Clips in the right hilum and the right costophrenic angle represent post-surgical changes from prior upper and middle lobe resections. The remaining right lower lobe is well aerated. There is a small amount of pleural fluid with a locule of gas in the right apex representing a stable hydropneumothorax. There is no mediastinal shift or diaphragmatic flattening to suggest tension. Subcutaneous gas is seen along the right chest wall. The left lung appears unremarkable.
<unk>-year-old male with right upper lobe and right middle lobe resections with right apical fluid collection.
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Left-sided dual-chamber pacemaker device is noted with leads terminating in unchanged positions in the right atrium and right ventricle. Cardiac, mediastinal and hilar contours are normal. Coronary artery stent is again seen. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Right apical pleural thickening is unchanged. Remote right-sided rib fracture is again noted. No acute osseous abnormalities seen.
history: <unk>m with chest pain
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with cough, l lung base crackles and rhonchi. also with new r frontal brain mass concerning for tumor, question of primary in lung. evaluate for consolidation or mass.
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Ap upright and lateral views of the chest provided. Previously noted skin <unk> overlying the right axilla and chest wall have been removed. Increased hazy opacity projecting over the right upper lung likely reflects known seroma in the right chest wall areas of scarring in the right perihilar region appears unchanged. Areas of peripheral scarring in both lungs as better assessed on prior ct appear relatively unchanged. The cardiomediastinal silhouette is stable. Imaged bony structures are intact.
<unk>f with fever, leukocytosis // eval for pna
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Pa and lateral views of the chest. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.
cough.
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The mediastinal and hilar contours appear unchanged including a convexity reflecting a left-sided fat-containing bochdalek hernia. An eventration of the right hemidiaphragm is also unchanged. There is no pleural effusion or pneumothorax. A thoracolumbar compression deformity appears new since the prior radiographs and also since more recent lumbar spine radiographs.
left-sided abdominal pain and tenderness to palpation along the chest wall. question diverticulitis.
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Ap and lateral images of the chest demonstrate clear lungs bilaterally. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormalities.
<unk>-year-old male with weakness.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged with diffuse calcification of the thoracic aorta noted. The lungs are hyperinflated with lucency in the lung apices compatible with emphysema. Blunting of the costophrenic angles appears chronic, likely reflects chronic pleural thickening. No pulmonary vascular engorgement is present. There is no focal consolidation. No pneumothorax is present. There are no acute osseous abnormalities.
emphysema with increasing shortness of breath over the past <num> days, weakness, dysphagia.
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Surgical clips from prior thyroid surgery are again seen overlying the upper trachea. Allowing for differences in technique, the cardiomediastinal silhouettes are stable, demonstrating a tortuous thoracic aorta. In comparison to prior radiograph, there is a poor inspiratory effort and low lung volumes. Mild central and diffuse interstitial prominence potentially represents bronchovascular crowding in the setting of low lung volumes. There is no focal lung consolidation. There is a trace right pleural effusion. There is no left pleural effusion. There is no pneumothorax. There is mild levoscoliosis of the thoracic spine.
an <unk>-year-old woman with dyspnea and lower extremity swelling, evaluate for pneumonia or edema.
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Cardiomediastinal silhouette is within normal limits. Lungs are clear. Multiple surgical clips project over the periphery of the right mid lung and the right lower lung. There is no pleural effusion or pneumothorax.
history: <unk>f with chest pain // eval for pna
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The cardiac silhouette is within normal limits. There is bilateral hilar and right paratracheal lymphadenopathy new since prior examination from <unk>. A small focal opacity in the right upper lung, projecting over the <unk> posterior rib is also new since prior. The right lung is otherwise clear. There is a new small left pleural effusion. Increased opacity at the left lung base is likely reflective of atelectasis. There is no pneumothorax or pulmonary vascular congestion.
recent surgery, rule out pneumonia.
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Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy hardware is noted. No acute osseous abnormality detected.
<unk>-year-old male with fever and pleuritic chest pain.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain.
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The lungs are clear. Cardiac silhouette is normal. No pleural effusion or pneumothorax. No evidence of bony abnormalities on this nondedicated film.
altercation