findings,impression,study_id
The patient has had previous median sternotomy and coronary artery bypass grafting. The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion. No acute osseous findings are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.22735358327567601089576851015768204060
There is a right-sided PICC line with tip at the cavoatrial junction. Heart size and vascularity are normal. Diffuse bilateral pulmonary infiltrates are slightly improved. No discrete effusions.,Slight improvement in the diffuse bilateral pulmonary infiltrates.,1.2.826.0.1.3680043.8.498.36115038761447936204810173795269567817
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Aortic atherosclerosis. Old healed right-sided rib fractures.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.38812192131207274198685996995438970656
Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Bibasilar atelectasis. Upper lungs clear. No pleural effusion or pneumothorax. Bones demineralized with evidence of a severe lower thoracic kyphosis.,Enlargement of cardiac silhouette. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.94525330452885027318503702249981535731
The heart size is normal. There is no effusion or edema. No focal airspace opacities are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93218841405568180694376310441924495910
"Portable AP semi upright view at 8995 hours. Extubated. Enteric tube removed. Swan-Ganz catheter remains in place, tip at the level of the right main pulmonary artery. Mediastinal drain and left chest tube remain. Stable lung volumes. Stable cardiac size and mediastinal contours. No pneumothorax. Continued mild retrocardiac atelectasis. No pulmonary edema.","1. Extubated and enteric tube removed. Otherwise, stable lines and tubes. 2. No pneumothorax. Stable lung volumes and mild retrocardiac atelectasis.",1.2.826.0.1.3680043.8.498.22345114090010129482343386590230633381
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94771050485358558344907367916963019657
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.13470332080236713087306441044018671727
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.39969517534170295872648639483775449488
There is a mid inspiration. There is a mild non congestive prominence of the central bronchovascular markings. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour. There is a moderate hiatal hernia.,No active process,1.2.826.0.1.3680043.8.498.37979537477343416684680657055110569401
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51078430716719608274797237506470486397
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34547023088522016664095835392673071574
Port-A-Cath is in place. The patient is rotated on the study. Lungs are clear. Heart size is upper normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.22858169073919364198352402786444352417
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85543453273411245848096636382424641838
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.84924472216077891425185006706155385767
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.41337372631705907515730224997426772296
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.68518316087199606996028979986305635003
The cardiac silhouette is enlarged. The lungs are free of focal consolidations. There is central pulmonary vascular congestion. The aortic arch is calcified. The costophrenic angles are sharp. The bony structures are adequately mineralized.,Cardiomegaly with central pulmonary vascular congestion. There are no focal lobar consolidations.,1.2.826.0.1.3680043.8.498.31719519057718195826341579045593504996
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88638100041757564856312466014774642174
Trachea is midline. Heart is at the upper limits of normal in size. Aorta is tortuous. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.55946419061733403970643437663501135319
There are patchy airspace opacities in the lower lobes bilaterally consistent with pneumonia. No effusion. Heart size upper limits normal. Degenerative changes in the thoracic spine.,Bilateral lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.53163820918758189827063884193334359076
There is consolidation in the right lower lobe compatible with pneumonia. Left lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.30283411607450485416850167120930288677
The lungs are adequately inflated and clear. The heart and mediastinal structures are normal. The pulmonary vascularity is not engorged. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72654429712887950825570505020124530295
Interval worsening of left upper lobe pneumonia. Right lung remains clear. No pleural effusion or pneumothorax. Heart size is normal.,Interval worsening of left upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.45894938270095384912284136820930780627
"Chronic interstitial markings. Mild patchy opacity at the left lung base, likely atelectasis. No pleural effusion or pneumothorax. Stable cardiomediastinal silhouette. Aortic atherosclerosis. Multiple compression deformities in the thoracic spine.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89881833591212811002052759927362192185
Bilateral confluent airspace opacities most consistent with multifocal pneumonia. Clinical correlation and follow-up to resolution recommended. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,Multifocal pneumonia.,1.2.826.0.1.3680043.8.498.23328494989791435771584149091853835371
There is focal airspace disease in the right lower lobe consistent with pneumonia. The left lung is clear. Heart size is normal. There is no pneumothorax or pleural effusion.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.32900805391119336261448182343771232744
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41271652123339828192224245529370954989
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95323170060438656940477213463820041014
"An endotracheal tube is in place with tip 4.6 cm above the carina. A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. A right-sided internal jugular central venous catheter with tip terminating in the mid superior vena cava. Lung volumes are low. There is cephalization of the pulmonary vasculature, without frank pulmonary edema. Bibasilar opacities may reflect areas of atelectasis and/or consolidation. Small right pleural effusion. Mild cardiomegaly. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Atherosclerosis in the thoracic aorta.","1. Support apparatus, as above. 2. Low lung volumes with bibasilar atelectasis and/or consolidation and small right pleural effusion. 3. Mild cardiomegaly. 4. Atherosclerosis.",1.2.826.0.1.3680043.8.498.37596351513362022679501742961868656647
No displaced rib fracture is seen. No pneumothorax is present. No abnormal pleural fluid collection is recognized.,No displaced rib fracture.,1.2.826.0.1.3680043.8.498.74806915160385793286787746976493104293
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.60980942047278214857108489397416334457
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78168720980463115071048778885367452280
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.20607376622603725244867202503089207484
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38268926129978420234334778230793172742
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality. No rib fracture. No pneumothorax.,No acute findings.,1.2.826.0.1.3680043.8.498.48957843228950609143758154378927009772
The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Left lung is clear. Minimal right basilar subsegmental atelectasis is noted. The visualized skeletal structures are unremarkable.,Minimal right basilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.34835618780653925331459346988850848662
Upper normal heart size. Mildly tortuous thoracic aorta. Mediastinal contours and pulmonary vascularity otherwise normal. Subsegmental atelectasis at both lung bases. Lungs otherwise clear. No pleural effusion or pneumothorax. Bones demineralized.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.36718788597288494251583097359735026737
"Resolved nodular opacities in the right lung. The cardiomediastinal contours are normal. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Resolved nodular opacities in the right lung consistent with resolved COVID-19 pneumonia. No acute chest finding.,1.2.826.0.1.3680043.8.498.86291030004684934041847226358994920488
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31966224306084672816121484426214766320
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.77955702505836296956464500643665853520
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89467820350178430150202046572674515408
The heart and mediastinum are within normal limits. The lung volumes are slightly diminished. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45490236693479987164025664599242247560
"Heart: Normal. Lungs: There is suggestion of bilateral perihilar, peribronchial thickening and minimal scattered chronic lung changes throughout both lung fields. Mediastinum: Normal. Pleural effusions: None. Bones: Stable. Visualized upper abdomen: Normal.","Suggestion of minimal scattered chronic lung changes throughout both lung fields and bilateral perihilar, peribronchial thickening with no gross evidence of associated focal infiltrate. Consider correlation with PA and lateral chest x-ray and/or CT chest to better evaluate if there remains clinical concern.",1.2.826.0.1.3680043.8.498.95027485026471136852042829521843187290
"Normal mediastinum and cardiac silhouette. Normal pulmonary vasculature. No evidence of effusion, infiltrate, or pneumothorax. No acute bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.75079931184626742090405289785093252705
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93271237004045053192518545948686236096
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.62239057462624028629081349791790432221
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30354434835229218894238030692607965061
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82464092114796424939656291323431880766
There is a right-sided venous catheter with the tip projecting over the right atrium. There is a left-sided venous catheter with the tip projecting over the right atrium. There are small bilateral pleural effusions. There is a small area of infiltrate at the right lung base. There is atelectasis at the left lung base. There is no pneumothorax. The heart size is stable.,1. Small bilateral pleural effusions with adjacent atelectasis. 2. Small area of infiltrate at the right lung base which may represent atelectasis or developing pneumonia.,1.2.826.0.1.3680043.8.498.14129210595789196886994659705074646867
The patient is status post partial lobectomy of the left lung. There is no pneumothorax. There is atelectatic change in the left mid lung and right base regions. No consolidation. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions.,Status post partial lobectomy on the left. Areas of mild atelectatic change. No consolidation. No pneumothorax. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.58454522844862367685918731147937457430
"Endotracheal tube is 2.2 cm from the carina at the thoracic inlet. Enteric tube in place, tip and side-port below the diaphragm. Lung volumes are low. The heart is normal in size. Normal mediastinal contours for technique. No pneumothorax. No pleural effusion. No acute fracture.",1. Endotracheal tube in place with tip 2.2 cm from the carina. Enteric tube in place with tip and side-port below the diaphragm. 2. Low lung volumes. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23612776210840399921448541339213520143
"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified. Cervical ACDF noted.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55313775366750245164169802609185421955
Endotracheal tube is 5.6 cm above the carina. Right central line tip is in the SVC. NG tube enters the stomach. There is mild atelectasis at the right lung base. No evidence for pneumothorax.,Stable position of endotracheal tube. New atelectasis at the right base.,1.2.826.0.1.3680043.8.498.69934972518550767230365974161945131699
Cardiac shadow is stable. Right chest wall port is again seen and stable. There is a left upper lobe mass again identified and stable from the prior exam. No new focal infiltrate is seen. No bony abnormality is noted.,Stable left upper lobe mass. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.84307951139024973893418009826641861567
"The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is elevation of the left hemidiaphragm. Degenerative changes are seen in the spine.",No acute process. Elevated left hemidiaphragm.,1.2.826.0.1.3680043.8.498.80641547996231510085208386149367920833
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.63208849674605733739403058990493729963
Cardiac shadow is within normal limits. The right lung is clear. There is a large masslike density in the left upper lobe with associated effusion consistent with neoplasm. No bony abnormality is noted.,Large left upper lobe mass with left-sided pleural effusion. CT of the chest with contrast is recommended for further evaluation.,1.2.826.0.1.3680043.8.498.34320920207765967618359292389165094803
Endotracheal tube tip is 2.5 cm above the carina. No pneumothorax. There is a new focal infiltrate in the left mid lung. There is also atelectatic change in the left base. There is a minimal left effusion. The right lung is clear. Heart is upper normal in size with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,"Tube and catheter positions as described without pneumothorax. New infiltrate left mid lung, felt to represent a focus of pneumonia. Persistent left base opacity, likely atelectasis. Minimal left effusion. Stable cardiac silhouette. There is aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.76798502881830724887663946639281255202
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39849379565478859277597311666388293687
"Shallow inspiration. Borderline heart size and pulmonary vascularity, likely normal for technique. No focal airspace consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Calcified and tortuous aorta. Degenerative changes in the spine.",Shallow inspiration. No evidence of active pulmonary disease.,1.2.826.0.1.3680043.8.498.50399257221634662093964120552655464711
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44485552650852263547642559856364356624
Heart is upper limits normal in size. Lungs are clear. No effusions. Degenerative changes in the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87540688141941752931915675424993673078
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13936692289121615986538045837634085756
"Heart is normal size. Linear density noted in the lingula, scarring or atelectasis. Right lung is clear. No effusions. No acute bony abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67983816268530575489015027732269221773
Endotracheal tube tip is at the clavicular heads. The orogastric tube reaches the stomach. Right subclavian line with tip at the SVC. Hazy bilateral chest opacification from layering pleural effusions. Diffuse interstitial opacity that is stable. No pneumothorax. Normal heart size.,Stable hardware positioning and pulmonary infiltrates.,1.2.826.0.1.3680043.8.498.60177631053020631923759588681786482558
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92795431642341967890255609254882597452
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.40749252209434285875313378423838546547
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.56305773768457262008925513191006445703
"Mild cardiomegaly. There is a moderate size hiatal hernia. No significant pulmonary consolidation, pulmonary edema, pleural effusion, nor pneumothorax.",1. Please see above.,1.2.826.0.1.3680043.8.498.38877705733668484345293326518684505056
There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.29751829084641998724056348323324868534
Cardiomegaly is noted. No acute infiltrate or pleural effusion. No pulmonary edema. Thoracic aorta is tortuous.,No active disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.52703160368978665636617430360461631936
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.19081715769976209323242374333168201058
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71710636147731143234584974293427022936
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.79317883866344830673689854695746293694
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Thoracolumbar scoliosis noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70822035264589054878087624567987011363
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36475963984666757151785025494117958016
"Single frontal view of the chest demonstrates a stable cardiac silhouette. Linear areas of scarring at the left lung base. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.81372927689118741595150850348866785115
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.96146745484332912405908900130471181829
The lungs are well-expanded. The cavitary lesion in the right upper lobe is again demonstrated. There is persistent rightward shift of the mediastinum. There is pleural thickening versus pleural fluid at the right lung base. The interstitial markings of the left lung are increased diffusely. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. The tracheostomy tube tip lies 2.5 cm above the carina. The bony thorax exhibits no acute abnormality.,COPD. Persistent large cavitary lesion in the right upper lobe. Diffuse interstitial infiltrates throughout the left lung consistent with pneumonia. There is a probable small right pleural effusion. The cavitary process is relatively stable. The tracheostomy tube is in appropriate position.,1.2.826.0.1.3680043.8.498.18990734094279170856345370907923044444
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No rib abnormalities are identified.,No acute cardiopulmonary process. No rib abnormalities identified.,1.2.826.0.1.3680043.8.498.88744967590801281412074160403534621366
No pneumonia is seen. There are prominent perihilar markings with some peribronchial cuffing which may indicate a central airway process such as bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect bronchitis.,1.2.826.0.1.3680043.8.498.35214205751055065920548041866801579807
There is peribronchial thickening. No focal airspace disease or effusion. Lung volume is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.64839340916481353656580627179275388743
The heart is normal. The lungs are clear. Mediastinal contours are normal. No bony abnormalities.,No active disease.,1.2.826.0.1.3680043.8.498.51168018283656127588798914884679118711
"Small bilateral pleural effusions are again noted, perhaps slightly worsened from the prior study. Vascular congestion is again noted, with patchy bilateral midlung and lower lung airspace opacities, concerning for multifocal pneumonia. No pneumothorax is seen. The heart is mildly enlarged. No acute osseous abnormalities are identified.","Small bilateral pleural effusions again noted, perhaps slightly worsened from the prior study. Vascular congestion and mild cardiomegaly, stable. Patchy bilateral midlung and lower lung airspace opacities, concerning for multifocal pneumonia.",1.2.826.0.1.3680043.8.498.23722214196915549030846579862022860442
The heart is mildly enlarged. There is tortuosity of the thoracic aorta. The pulmonary hila appear normal. The lungs are clear of an acute process. No pleural effusions. No worrisome pulmonary lesions. The bony thorax is intact.,No acute cardiopulmonary findings. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.58648821805436587405059506172745505003
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29028010212200985305555935072259341553
"Normal cardiac silhouette. Left central venous catheter tip projects over mid SVC. No consolidation, effusion, or pneumothorax identified. Pulmonary vascular congestion. Bones are unremarkable.",Pulmonary venous hypertension. No consolidation.,1.2.826.0.1.3680043.8.498.34637305244636544684582970362362563409
Heart/Mediastinum: The cardiomediastinal silhouette appears grossly unremarkable. Lungs: No visualized consolidation or acute infiltrate. No pneumothorax. Pleural effusions: No visualized effusion. Bones: No significant osseous findings. Visualized upper abdomen: Grossly unremarkable.,No definite acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.26936370365947700217139909747616564768
There is persistent left lower lobe atelectasis with an associated small left pleural effusion. The right lung remains clear. The heart size is normal.,Stable left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.19688565864541870853519540743671783572
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72060729187642935160366127741259141380
"Low lung volumes. There is no significant pulmonary consolidation, pulmonary edema, pleural effusion, nor pneumothorax. The cardiomediastinal silhouette is within normal limits. No grossly displaced rib fracture is noted.",1. No acute cardiopulmonary abnormality is noted.,1.2.826.0.1.3680043.8.498.38622340591320627699012724859520668538
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56273694591299926227720428180632120564
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94125597725169344065174038651244993021
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57210850833152897066277127757374652510
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71324256043904447447301620548400467844
The heart is mildly enlarged. The mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.,No acute cardiopulmonary findings. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.95528122358104033984040801011575113324
Large mass-like area of consolidation in the right lower lobe. This measures approximately 6.6 x 6.6 cm on the frontal view. There is an associated right pleural effusion. The left lung is clear. Normal heart size and shape. Bony thorax intact.,Right lower lobe mass-like consolidation is concerning for primary lung neoplasm. Recommend CT of the chest for further evaluation.,1.2.826.0.1.3680043.8.498.91531097300750895173821687845840365989
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11891858750630945270605620241073388043
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.23895590936019859930473119405031206194
Left chest tube has been removed. There is a tiny left apical pneumothorax. Left lower lobe pulmonary nodule is unchanged. There is minimal left lower lobe atelectasis.,1. Tiny left apical pneumothorax after left chest tube removal. 2. Otherwise no change.,1.2.826.0.1.3680043.8.498.59068876970418484645121735947570134302
The heart is enlarged. There is pulmonary vascular congestion with evidence of interstitial edema. There is a small left pleural effusion. There is no pneumothorax. The bony structures appear intact.,1. Cardiomegaly with pulmonary edema and left pleural effusion. Correlate for congestive heart failure. 2. Some minimal left lung base pneumonia is not excluded.,1.2.826.0.1.3680043.8.498.49744543522166152499561105748643136461
"Left arm PICC tip is in the SVC. Heart size is normal. There is no heart failure, infiltrate or edema. There is a small right pleural effusion.",Small right pleural effusion. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.46873472403523516530464987220507628734
No focal pneumonia or pneumothorax. The heart size is normal. Pulmonary vasculature is unremarkable. No acute osseous findings.,No acute cardiopulmonary findings. No displaced left-sided rib fracture is identified.,1.2.826.0.1.3680043.8.498.60371676242976630786215954263322476114
The heart size and mediastinal contours are within normal limits. Both lungs are clear.,No active disease.,1.2.826.0.1.3680043.8.498.15427685484680043721350161091283909923
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51787475220126563617871690461339552657
The lungs are clear. There is no pleural effusion. Heart size is upper normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.57702701234479789312125114276373342570
There is airspace consolidation throughout the left lower lobe with left pleural effusion. There is a moderate right pleural effusion with right base atelectasis. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. Central catheter tip is in the superior vena cava. Feeding tube tip is below the diaphragm. No pneumothorax.,Left lower lobe consolidation with left pleural effusion. Right base atelectasis with right pleural effusion. There is a degree of underlying congestive heart failure.,1.2.826.0.1.3680043.8.498.55296772191097253390222729810578227165
Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64599389697892110166467421926925615404
"Persistent moderate RIGHT pleural effusion, not significantly changed. RIGHT basilar atelectasis, unchanged. No new pulmonary parenchymal abnormalities. No pneumothorax. Cardiac silhouette normal in size, unchanged. Thoracic aorta atherosclerotic, unchanged. Hilar and mediastinal contours otherwise unremarkable. Pulmonary vascularity normal. Degenerative changes involving the thoracic spine.",Stable moderate RIGHT pleural effusion and RIGHT basilar atelectasis. No new abnormalities.,1.2.826.0.1.3680043.8.498.40960950996091394646428894648461503713
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.85802782087946557547301465373877584612
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49867309723655264880213482295851502480
Stable normal sized heart and right axillary surgical clips. No rib fracture or pneumothorax seen.,No acute abnormality.,1.2.826.0.1.3680043.8.498.72952069271653465043138627630635055882
"Lungs are adequately inflated without consolidation or effusion. Cardiomediastinal silhouette, bones and soft tissues are normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61593476785510914659168714733957400442
There is some central airway thickening. No focal airspace disease or effusion. Heart size normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.17937246431974893915219105506825011057
Again seen is a right upper lobe mass. Right lower lobe nodules also noted. COPD changes present. No effusions. Heart is normal size. No acute bony abnormality.,Right upper lobe mass and right lower lobe nodule. COPD.,1.2.826.0.1.3680043.8.498.58864635406367122675129068883866208313
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.54472432037687463850176014338051161429
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51152603621449629792175410600822886475
"Two views of the chest show a normal size cardiomediastinal silhouette. There is no evidence of consolidation, mass or pleural effusion. The bones are unremarkable.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31759197911960848460076721225834411220
Trachea is midline. Heart is enlarged. Pacemaker lead tips project over the right atrium and right ventricle. A moderate right pleural effusion and right basilar air space disease persist. Left basilar airspace disease. Small left pleural effusion.,"1. Persistent right basilar air space disease and bilateral pleural effusions, right greater than left. 2. Left basilar airspace disease may represent atelectasis.",1.2.826.0.1.3680043.8.498.88425277330598571147655166930456461644
Cardiac silhouette normal in size. Hilar and mediastinal contours unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79315020348272085583007880538721319221
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24166075028145367285546292846479176451
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53198738011532418089223544150621979739
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.62532784880809357409347241640134065372
The lungs are clear. No pleural abnormality is seen. The heart is enlarged. Median sternotomy wires and mediastinal surgical clips are seen. The visualized bony structures are unremarkable.,No evidence of active chest disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.23572142574195028389589477781088876146
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No evidence of pulmonary edema. Heart size is mildly enlarged. The patient is status post median sternotomy and CABG. Atherosclerosis in the thoracic aorta.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Mild cardiomegaly. 3. Atherosclerosis.,1.2.826.0.1.3680043.8.498.70438124467413858243479224080960888525
The lungs are well-aerated. Focal opacity at the left midlung zone is thought to reflect overlying soft tissues. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.75057576791796550581384694308456062335
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95465933042005416474000013124571722202
Heart is normal size. No confluent airspace opacities or effusions. No acute bony abnormality. Aortic atherosclerosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91106954874035184044506342878057929715
The lungs are well-expanded. There is increased density in the right upper lobe. There is a small right pleural effusion. There is minimal atelectasis at the left lung base. The heart and pulmonary vascularity are normal. The porta cath appliance tip projects over the midportion of the SVC. The bony thorax exhibits no acute abnormality.,COPD. Increasing density in the right upper lobe consistent with pneumonia. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.81875181679752395458838203257938564507
The lungs are clear. No pneumothorax is seen. Mediastinal contours appear normal. The heart is within normal limits in size. Fixation hardware is noted in the lower cervical spine. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.38574139376002925464413793421725243331
Heart size is normal. There is perihilar peribronchial thickening. No focal consolidations. No pleural effusions. No evidence for pulmonary edema.,Findings consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.82911221139552779084421615771031738717
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69280156370578356454990912670584593579
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48657845866818506697900004156709831698
"There is a coin in the upper abdomen, right of midline. The lungs are clear. The cardiomediastinal silhouette is normal. There is no pleural effusion. There is no pneumothorax. The osseous structures are unremarkable.",No acute pulmonary disease. Foreign body in the upper abdomen right of midline.,1.2.826.0.1.3680043.8.498.48755300319377808116030491709505322484
Right IJ Port-A-Cath is stable position. Stable cardiomegaly. Persistent right mid and lower lung consolidation with mass. This appears slightly more prominent than on prior chest x-ray. This is consistent with patient's known lung cancer. No prominent pleural effusion. No pneumothorax.,1. Right IJ Port-A-Cath is stable position. 2. Persistent right mid and lower lung consolidation with mass. This appears slightly more prominent than on prior chest x-ray. This is consistent with patient's known lung cancer.,1.2.826.0.1.3680043.8.498.41410370789342911798016884350376665068
The heart size is normal and stable. The thoracic aorta is mildly atherosclerotic but unchanged. The hilar and mediastinal contours are otherwise unremarkable. The lungs remain hyperinflated with mild scarring in the right upper lobe. Mild central peribronchial thickening is unchanged. No new pulmonary parenchymal abnormalities are identified. There are no pleural effusions. Mild degenerative changes are again noted throughout the thoracic spine. There has been no significant interval change.,COPD. No evidence of acute disease. Stable since [DATE].,1.2.826.0.1.3680043.8.498.49137839692980726655191662888363570445
"An endotracheal tube is in place with tip 2.9 cm above the carina. A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. Lung volumes are low. No acute consolidative airspace disease. No definite pleural effusions. Mild pulmonary venous congestion, without frank pulmonary edema. Heart size is mildly enlarged. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Atherosclerosis in the thoracic aorta.","1. Support apparatus, as above. 2. Mild cardiomegaly with pulmonary venous congestion, but no frank pulmonary edema. 3. Atherosclerosis.",1.2.826.0.1.3680043.8.498.22488161410045425795895542105783818779
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.85654332411415896190552486002082540647
"Right PICC line is in place. The tip is in the mid right atrium. Recommend pulling back approximately 6 cm. Left pacer is unchanged. There is cardiomegaly. Patchy bilateral airspace disease again noted, not significantly changed. Small bilateral effusions.",Right PICC line tip in the mid right atrium. Recommend pulling back 6 cm. No change in bilateral airspace disease.,1.2.826.0.1.3680043.8.498.24831099519523791607614059402235318190
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77107848285054965051364824103188259047
There is cardiomegaly and pulmonary edema. No focal airspace disease is identified. No definite effusion.,Cardiomegaly and pulmonary edema.,1.2.826.0.1.3680043.8.498.98469721234098076341676512622322398645
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart is mildly enlarged but stable in size as compared to the prior exam. The mediastinal and osseous structures show no significant abnormalities.",1. No acute changes are identified. 2. The heart appears mildly enlarged but is stable in size as compared to the prior exam.,1.2.826.0.1.3680043.8.498.65945192252362755049142180499377861416
The inspiratory level is less than optimal. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. There is thickening of the interstitial markings compatible with interstitial edema. Atelectasis is noted at the right base. The heart is mildly enlarged. The mediastinal and osseous structures show no acute changes.,1. The inspiratory level is less than optimal. 2. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. 3. No definite pneumonia is seen. 4. There is haziness at the right base consistent with atelectasis. 5. The heart appears mildly enlarged.,1.2.826.0.1.3680043.8.498.22275251823661248936431232923544427532
There is hyperinflation compatible with COPD. Heart is upper limits normal in size. No confluent airspace opacities or effusions. Degenerative changes in the thoracic spine.,COPD. No active disease.,1.2.826.0.1.3680043.8.498.75231753096210855555370609944095981871
Cardiomegaly and CABG changes again noted. Left lower lung consolidation/atelectasis and small bilateral pleural effusions are again noted. There is no evidence of pneumothorax. Bilateral rib fractures and left clavicle fracture again noted.,Little significant change with continued left lower lung consolidation/atelectasis and small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.66536950157230679681710907451842157778
"Lung volumes are low. There is interstitial pulmonary edema with a component at the left lung base. No consolidative process, pneumothorax or effusion. Heart size is normal.",1. Pulmonary edema. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.51014787206921033842614382361964161366
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11834133254965170117016994515717051296
The heart is upper limits of normal. The aorta is tortuous and calcified. There is mild tortuosity of the thoracic trachea. The lung volumes are low and there is bibasilar atelectasis. No edema or effusions. Colonic interposition is noted on the right side.,Low lung volumes with vascular crowding and atelectasis.,1.2.826.0.1.3680043.8.498.22124565933381201315358242105704673835
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27993135137441899973870187108568482676
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22829272784657869896830561060935195728
"Endotracheal tube is 1.2 cm above the carina. OG tube is in the stomach. UVC is at the T7 level. UAC tip is at the T6-7 level. Cardiothymic silhouette is within normal limits. Mild hazy opacities in the lungs, slightly improved since prior study. No effusions or pneumothorax.","Mild hazy opacities in the lungs, slightly improved since prior study.",1.2.826.0.1.3680043.8.498.41692895841178428758676380982268302903
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16022039754824660718359777433733522355
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99133367433360036335886840741938626140
"Normal heart size, mediastinal contours, and pulmonary vascularity. Patchy infiltrates in the mid to lower lungs bilaterally consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.",Bilateral pulmonary infiltrates consistent with pneumonia.,1.2.826.0.1.3680043.8.498.27573015262969599261782468075916473259
Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.44918210800587058803866469422584033707
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54241040276471732108834929144033941295
Linear atelectasis or scar at the left base. No consolidation or pleural effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease. Scarring or atelectasis at the left base.,1.2.826.0.1.3680043.8.498.19567687845779078920932461951780474991
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19839759818829701787169987929008805760
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15750408349818098403994208324106116960
Hyperinflation of the lungs compatible with COPD. No infiltrate or congestive heart failure. Atelectasis at the left lung base. No plain film evidence of pulmonary malignancy. Atherosclerotic calcification of the aorta. Heart size within normal limits. Left shoulder arthroplasty. Right shoulder degenerative changes.,COPD. Atelectasis at the left lung base. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.42453905367373011133483300064223404832
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.29884881555430649838907269326686174380
Lung volumes are within normal limits. Normal cardiac size and mediastinal contours. Tracheal air column is within normal limits. No consolidation or pleural effusion. There is central peribronchial thickening. No confluent airspace opacity. Negative visualized bowel gas and osseous structures.,Central peribronchial thickening compatible with viral airway disease in this setting.,1.2.826.0.1.3680043.8.498.38059852217694392345362988881109517138
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94965788448188538509755827979791119757
Small left pleural effusion similar to prior radiograph. Left lung base atelectasis. The right lung is clear. No pneumothorax. Stable cardiac silhouette. No acute osseous pathology.,1. No pneumothorax status post thoracentesis. 2. Small left pleural effusion and left lung base atelectasis.,1.2.826.0.1.3680043.8.498.57347686842191326113253217076987476471
There is no pneumothorax. The heart is mildly enlarged. There is pulmonary vascular congestion and bilateral pulmonary edema. A small left pleural effusion is present. The bony structures are unremarkable.,1. No evidence of pneumothorax. 2. Findings suggestive of pulmonary edema. Correlate for congestive heart failure.,1.2.826.0.1.3680043.8.498.30277975092887482331801788109563080351
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Left lower lobe pneumonia has resolved.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76433134690721610514196474304932022525
The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,Negative PA and lateral chest x-ray.,1.2.826.0.1.3680043.8.498.85797436937136223968886936310409143295
Tracheostomy tube in place. Heart is normal size. Aorta is tortuous. Biapical pleural thickening. Increased opacity at the right upper lobe concerning for infiltrate. No pulmonary vascular congestion. Degenerative changes of the spine. Follow-up PA and lateral radiograph suggested for better assessment of the lung bases.,Suspect right upper lobe infiltrate.,1.2.826.0.1.3680043.8.498.90344980058794074776566232208464820085
"There is peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.",Peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease.,1.2.826.0.1.3680043.8.498.24367236590606084319068685304057628082
There is increased density at both lung bases suggestive of atelectasis versus infiltrate. There is no effusion or pneumothorax. The heart is at the upper limits of normal in size. There is a retrocardiac density suggestive of a hiatal hernia.,Basilar atelectasis versus infiltrate. Followup PA and lateral views would be recommended.,1.2.826.0.1.3680043.8.498.36204146646545374550167401933308375692
"The heart is mildly enlarged. The lung fields are clear. There is no bony abnormality. There is no effusion, infiltrate or edema.",Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76364821481848578399373339817226388784
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.33888136884310425574160793278334556820
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13884337452369248461241633130406861160
Shallow inspiration. Normal heart size and pulmonary vascularity. Focal airspace disease in the right lung base likely to represent pneumonia. Linear atelectasis or infiltration in the left lung base. No blunting of costophrenic angles. No pneumothorax. Calcified and tortuous aorta.,"Infiltration or atelectasis in the lung bases, greater on the right.",1.2.826.0.1.3680043.8.498.59549033895967710893963098963239164581
The lungs are adequately inflated. There is elevation of the left hemidiaphragm. The interstitial markings on the left are mildly increased but this is not a new finding. The confluent alveolar infiltrate on the left has cleared. The right lung is clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is normal in width. The observed portions of the bony thorax exhibit no acute abnormalities.,There is no evidence of residual pneumonia nor other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.64555753999107113873099167586239308849
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28716778628832098854249814324039004621
The lungs are adequately inflated. There is linear density lateral to the left heart border that suggests atelectasis or scarring. There is no pleural effusion or pneumothorax. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97753444409160505131021348477556354545
"Tracheostomy tube and right IJ catheter are in place. The cardiac silhouette, mediastinal and hilar contours are within normal limits. There is tortuosity and calcification of the thoracic aorta. Left lower lobe process is likely a combination of effusion and atelectasis. The right lung is clear. No pneumothorax. The bony thorax is intact.","Left lower lobe process, likely a combination of effusion and atelectasis.",1.2.826.0.1.3680043.8.498.11429473058895803944840841393486966111
"Umbilical venous catheter is seen with tip overlying the intrahepatic IVC, approximately 1.5 cm below the inferior cavoatrial junction. Umbilical artery catheter is seen with tip at the level of T7-8. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal. Bowel gas pattern is normal.",Umbilical artery and venous catheters in appropriate position. No active lung disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.88714720015822683868604484278355708438
"Frontal and lateral views of the chest show no focal pneumonic consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Pulmonary vascularity is normal.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.51175098716763063908105491778787916420
There is interstitial pulmonary edema. Heart size is normal. No pleural effusion. No focal bony abnormality.,Pulmonary edema compatible with congestive heart failure.,1.2.826.0.1.3680043.8.498.83149423048579392066368344175871898089
"Right arm PICC tip is in the lower SVC. Heart size is at the upper limits of normal. Chronic interstitial lung disease is again seen. No evidence of focal airspace disease, pleural effusion, or pneumothorax.",No acute cardiopulmonary process. Chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.17562308982103862078197184399806543096
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14108123424173664455460818213799036182
"Swan-Ganz catheter has been removed. Right jugular sheath remains. Changes of aortic valve replacement. Left chest tube and mediastinal drain remain in place, unchanged. No pneumothorax. Left lower lobe atelectasis and small left effusion, slightly increased. Mild right base atelectasis and small right effusion.",Postoperative changes. No pneumothorax. Increasing left lower lobe atelectasis and left effusion.,1.2.826.0.1.3680043.8.498.22145827433314451910925780804888114702
Right PICC is in place with tip in superior vena cava. No pneumothorax is evident. The cardiac silhouette is moderately enlarged. There is ectasia of thoracic aorta. There is elevation of the right hemidiaphragm with minimal right basilar atelectasis. No pulmonary edema is seen.,Right PICC in place with tip in superior vena cava. No pneumothorax is evident. Cardiomegaly with ectasia of thoracic aorta. There is elevation of the right hemidiaphragm with minimal right basilar atelectasis.,1.2.826.0.1.3680043.8.498.54406356505015689714006982256347813809
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78167562852524270353873858693191444549
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61159993745735542546811873409424346250
The heart size and mediastinal contours are within normal limits. Atherosclerosis of the aortic arch. The lungs appear mildly hyperinflated. Mild diffuse interstitial prominence. No focal consolidation. No visible pleural effusions or pneumothorax. The visualized skeletal structures are unremarkable.,"1. Hyperinflation of the lungs, suggesting COPD. 2. Diffuse interstitial prominence, which could represent bronchitic change versus mild edema.",1.2.826.0.1.3680043.8.498.39023573400138609711658967408889022387
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable. Low lung volumes.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22511612051231352935916179980369616726
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12764128444391929685704988747964313207
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76026320580928509145474042178784458622
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68624638143283286093000010857157485915
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.55348678356968154546689454443090443362
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.29017370572055749032818106274411396519
"The lungs are poorly expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is mildly engorged and indistinct. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",Low lung volumes with mild interstitial edema.,1.2.826.0.1.3680043.8.498.78694373574322110705123694097449385345
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.72199162324832222085486045464703282695
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.88817372770387238631477300652103716640
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.48797638155348100289497768526395306625
AP portable semi upright view 4786 hours. Left chest tube in place. Re-expansion of the left lung with trace residual apical pneumothorax. Mildly decreased lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pleural effusion. Mild atelectasis at the lung bases.,1. Left chest tube placed with re-expansion of the left lung and trace residual apical pneumothorax. 2. Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.75288284660739212552874038361553914527
The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.12961717204926521380161389173478013787
Bilateral confluent opacities most consistent with multifocal pneumonia. Clinical correlation and follow-up to resolution recommended. No pleural effusion pneumothorax. The cardiac silhouette is within limits. No acute osseous pathology.,Multifocal pneumonia.,1.2.826.0.1.3680043.8.498.79971255262469109314732681958229775414
"Left PICC line is in place with the tip at the cavoatrial junction. There is cardiomegaly. Diffuse bilateral airspace disease, left greater than right. Layering left effusion. No acute bony abnormality.","Cardiomegaly with bilateral airspace disease, left greater than right, likely edema. Layering left effusion. Findings could reflect CHF.",1.2.826.0.1.3680043.8.498.68650536928297187978521936335380545768
"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No acute pulmonary process.,1.2.826.0.1.3680043.8.498.42888749711382470516973038028801171610
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.15709389603967735577001678281812372019
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.57004335185560211836564729166486939283
"Since 1/1/2014, no pneumothorax with slight decrease in left basilar atelectasis seen. Lungs otherwise clear with normal heart size. Port-A-Catheter position remains stable.",1. No pneumothorax post thoracentesis. 2. Slight decrease in left basilar atelectasis. 3. No new acute findings.,1.2.826.0.1.3680043.8.498.56161911920887712884875301312201651317
The lungs are hypoinflated. The interstitial markings are more prominent today. The left hemidiaphragm is less well demonstrated. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is engorged.,The findings are consistent with congestive heart failure and pulmonary interstitial edema. A followup PA and lateral chest x-ray would be of value when the patient can tolerate the procedure.,1.2.826.0.1.3680043.8.498.54233705698069545962927937387238364626
Linear scarring or atelectasis at the lingula. No consolidation or pleural effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50224059761104517708603081006638733455
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57680630431652714942642084473772294286
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64507448234763301127036992886978658085
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73739850953456342333194775833318659474
"An orogastric tube is in place with its tip in the stomach. The cardiothymic silhouette is normal. Mild hazy opacities are consistent with mild RDS. No consolidation, pleural effusion or pneumothorax is identified. The visualized bowel gas pattern is unremarkable.",Mild RDS.,1.2.826.0.1.3680043.8.498.72211672854440034299640798751969549952
There is little change in opacity at the left lung base. This may represent atelectasis or pneumonia. The right lung is clear. No effusion is seen. The heart is within upper limits of normal. No bony abnormality is noted.,Persistent opacity at the left lung base. Atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.39587518373902019597898584156794666557
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.57923926197254818990494069927643089128
Sternotomy wires are present. Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are demineralized but grossly intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61727365104739615603798734626393736227
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38262201195668509151705783431639856222
Interval placement of a right internal jugular central venous catheter with the tip in the proximal SVC. Endotracheal tube is 3.6 cm above the carina. Enteric tube in place. Stable heart size. Persistent low lung volumes with atelectasis at the left lung base. No pneumothorax. No pulmonary edema.,1. New right internal jugular central venous catheter with the tip in the proximal SVC. 2. Stable endotracheal tube and enteric tube. 3. Stable atelectasis at the left lung base.,1.2.826.0.1.3680043.8.498.64519123640012616505233947073681510970
"No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.92683176475179833453898975724617970823
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88942791884880802342446714281955371279
OG tube is in place with the tip in the stomach. Heart is normal size. Lungs clear. No effusions. No acute bony abnormality.,OG tube in the stomach. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79946917958544631659682764419177170273
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Mild thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86308594142635968427811228945576930285
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78913517805445801648068018031303213446
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.44411195795823768533475776494714786982
"Unchanged endotracheal tube, Swan-Ganz catheter and enteric tube. Unchanged right-sided chest tube. Stable cardiomediastinal silhouette status post mitral valve repair. Normal pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax.",1. Unchanged postoperative chest x-ray. 2. Stable position of support apparatus.,1.2.826.0.1.3680043.8.498.30515119042162389830174357343605766497
Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease.,1.2.826.0.1.3680043.8.498.59828156572691657557979179368381285914
"Enlargement of cardiac silhouette post CABG. Mediastinal contours and pulmonary vascularity normal. Atherosclerotic calcification aorta. Moderate LEFT pleural effusion with bibasilar atelectasis, greater on LEFT. Upper lungs clear. No pneumothorax. Bones demineralized.","Persistent bibasilar pleural effusions and atelectasis, not significantly changed. Enlargement of cardiac silhouette post CABG.",1.2.826.0.1.3680043.8.498.80958765802355819987712083472175994190
"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.75768185373811386766668194280653857222
There is linear density at the lung bases suggestive of atelectasis or minimal fibrosis. The lungs otherwise appear to be clear. The heart is normal. The bony and mediastinal structures are unremarkable.,No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.52432491382673836544598255454453631513
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.81816033124853801045927275738286155320
Lungs are hyperinflated. Heart size is normal. There are no focal consolidations or pleural effusions. No pulmonary edema.,Hyperinflation. No evidence for acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.41328765777613795642205841026937858456
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.37322297307875803029991347471301679148
Lung volumes are somewhat low. There is mild left basilar atelectasis. The lungs are otherwise clear. Heart size is upper normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.84893519352411602166339232686611539762
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.33397226485572808370663826956440850812
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33557155633290825780356795923111957280
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23377798665010350846593375153170753685
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67591765434172930091146124677020833298
Mediastinum and hilar structures normal. Heart size normal. Right apical pleural-parenchymal thickening noted most consistent with scarring. COPD. No acute infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,COPD. Right apical pleural-parenchymal thickening noted most consistent with scarring.,1.2.826.0.1.3680043.8.498.39673453832972788865831431664332364028
"Cardiac silhouette moderately enlarged but stable. Mild diffuse interstitial pulmonary edema, improved since the examination 2 months ago. Baseline changes of bronchiectasis and mild to moderate central peribronchial thickening, again demonstrated. Lungs otherwise clear. No localized airspace consolidation. No pleural effusions. No pneumothorax. Normal pulmonary vascularity.","Stable cardiomegaly. Improved pulmonary edema since February, 2009. Stable baseline changes of bronchiectasis and moderate central peribronchial thickening consistent with the given history of asthma. No new/acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.17255539552651832307821539357976246254
There is chronic elevation of the right hemidiaphragm. There is linear atelectasis or scar at the right lung base. The lungs are otherwise clear. Heart is upper normal in size. The pulmonary vascularity is normal. No effusions. No acute osseous abnormality.,No acute cardiopulmonary disease. Stable elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.34062907922967463018285853730601153219
Low lung volumes are again noted. Left lower lobe atelectasis or infiltrate is again seen and without significant change. Small left pleural effusion is also stable. No pneumothorax identified. Cardiomegaly is stable. Prior CABG again noted.,"Stable left lower lobe atelectasis, left lower lobe infiltrate, and small left pleural effusion. No significant change since prior exam.",1.2.826.0.1.3680043.8.498.51441377941247680690262854914494169267
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15624217648106487243749683142807763831
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82247802762492475922012094105056714403
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72509756182343665580008071315071815926
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41376497486560361092892088999575778815
"There is persistent airspace consolidation in the right middle lobe region, similar to prior study. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.","Persistent right middle lobe consolidation consistent with pneumonia. This area of consolidation is similar to prior study but is more apparent compared to recent study of February 04, 2012. Stable cardiac silhouette.",1.2.826.0.1.3680043.8.498.45121806598902914849451953543091318990
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24687255503686004066078106796032651520
Both lungs are clear. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits. No bony abnormalities identified.,Normal chest.,1.2.826.0.1.3680043.8.498.29506556638594785968093839201311843988
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78994118812356026551677504716335793131
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36170700306105121284915916268230644987
There is interstitial pulmonary edema. The heart is mildly enlarged. No pleural effusions are noted. No focal airspace consolidation.,1. Interstitial edema. 2. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.87378325922769505753883870182459355184
Linear scarring or atelectasis at the right base. Left lung clear. Heart is normal size. No effusions or acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49747899352532832905693511712647406532
"There is again noted increased density at the right base consistent with postsurgical change and apparently secondary to prior right middle lobe resection. No pneumonia, pneumothorax or pleural effusion is seen. No acute bony abnormalities are identified.",Stable appearing chest as compared to the prior exam of 9/4/2013. No acute changes are identified.,1.2.826.0.1.3680043.8.498.48139743909152955288849406668754252649
"The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Right upper quadrant surgical clips, presumably cholecystectomy.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44348478481640400895247283912542343135
Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.63351843668837011491671573031153975132
Low lung volumes. Bibasilar atelectasis. Mild vascular congestion. Heart is borderline in size. No definite effusions. No acute bony abnormality.,"Low lung volumes, worsening bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.75195337385626433762687135379742283058
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37448111218641082097014691011645236106
There is no evidence of fracture or dislocation. There are no arthritic changes.,Negative study.,1.2.826.0.1.3680043.8.498.15730825913413994097897028207190402708
Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.83142573686984154449778818776003331755
Endotracheal tube is 4.5 cm above the carina. Right Port-A-Cath is in place with the tip at the cavoatrial junction. NG tube enters the stomach. There is cardiomegaly with diffuse bilateral airspace disease. No effusions. No acute bony abnormality.,Cardiomegaly with diffuse bilateral airspace disease which could reflect edema or infection. Support devices as above.,1.2.826.0.1.3680043.8.498.27572557323560687365591030645047517427
There is a right arm PICC line with tip in the SVC. The heart size is enlarged. There is a small left pleural effusion and left base atelectasis. The right lung appears clear.,1. Left base atelectasis and effusion. 2. Cardiac enlargement.,1.2.826.0.1.3680043.8.498.66819741729049847020598195071109615134
Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No soft tissue or bony abnormalities.,Normal chest,1.2.826.0.1.3680043.8.498.94238530919480061525855596877197702400
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs demonstrate bibasilar atelectasis. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.16565995526700157434819367642131792340
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99316137978794972855545784354923497847
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.45605918392385378263825440759476571901
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10918289956549747576102227395329091610
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Mild peribronchial changes are noted consistent with a viral etiology. The upper abdomen is within normal limits. No bony abnormality is seen.,Increased peribronchial changes as described.,1.2.826.0.1.3680043.8.498.64052333591379514657854943365769131229
Right IJ catheter tip is in the right atrium. Normal heart size. Small left pleural effusion and basilar airspace disease. No pneumothorax.,Small left effusion and basilar airspace disease.,1.2.826.0.1.3680043.8.498.38986226274304262347601219943696481603
Bullet projects over the left upper chest. Lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.69007612124406275914174857160074169600
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48524499138850212223188729108290291225
Mediastinal and hilar structures normal. Lungs are clear. No pneumothorax. No acute bony abnormality. No evidence of displaced rib fracture.,No acute or focal abnormality.,1.2.826.0.1.3680043.8.498.77221220351561230115614566796712163818
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75435269544525994179208499376851947789
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55386346139290823478336557748291642400
"Upper normal heart size. Atherosclerotic calcification aorta. Lungs clear. No infiltrate, pleural effusion or pneumothorax. No acute osseous findings.",No active disease.,1.2.826.0.1.3680043.8.498.30477712002624989341692868778398993510
There is a right-sided pacer with leads in the right atrium and right ventricle. No pneumothorax is identified. The heart is enlarged. There is a left pleural effusion with overlying atelectasis. There is improved aeration of the right upper lobe.,1. No evidence for pneumothorax after pacer placement. 2. Left pleural effusion with overlying atelectasis. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.85243509679832447056390972767559181804
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50391540154559130563101462687827914050
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.57530304327821725701591810935482698002
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17986484411792562373072507347193080320
The heart is enlarged. The aorta is atherosclerotic. There is mild pulmonary vascular congestion. Diffuse interstitial infiltrates are increased since previous. Small bilateral pleural effusions are suspected. There is no pneumothorax.,1. Cardiomegaly and mild CHF. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.25682284272552729870679800908938860788
Left subclavian central venous catheter is in place with the tip in the superior vena cava. There is no pneumothorax. Basilar atelectasis is noted. Mild interstitial edema is evident.,1. Left subclavian central venous catheter without complication. 2. Mild edema and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.31752228777837198050441197909685517838
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.78333193474264039036973752630161998403
Cardiomediastinal silhouette is normal. Mildly calcified aortic knob. Similar chronic interstitial changes with hyperinflation. No pleural effusion or focal consolidation. No pneumothorax. Osteopenia. Soft tissue planes are nonsuspicious.,"COPD, no acute cardiopulmonary process.",1.2.826.0.1.3680043.8.498.92531309069831701746798396516946713620
Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66952816082096970741531957110993823244
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.62064600605646330150809629894815473740
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61684967643910571905555479485397103945
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.26339030169975804372411182324144584870
The heart is enlarged. There is left lower lobe opacity which is a combination of pleural fluid and atelectasis. Chronic interstitial changes are noted. No evidence for pulmonary edema. No evidence for pneumothorax.,1. Cardiomegaly. 2. Left lower lobe process likely a combination of pleural fluid and atelectasis. 3. Chronic interstitial changes.,1.2.826.0.1.3680043.8.498.55380125494495625111794437841093408207
"Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No bronchial thickening. No infiltrate, mass, effusion or collapse. Pulmonary vascularity is normal. No bony abnormality.",Normal chest,1.2.826.0.1.3680043.8.498.12693287898107387114543092167373691204
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.94764636872382078315832035635776983301
"Normal heart size, mediastinal contours, and pulmonary vascularity. Atherosclerotic calcification aorta. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.88447148536186395211411952414752563890
The nasogastric tube tip is in the stomach. The lung volumes are low. There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Low lung volumes. No edema or consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.99264696052090844978985492695075120802
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97714395547481890168119384617654992227
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22414657716554484916792038923519042612
"Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No osseous abnormality identified. Negative visible bowel gas pattern.",Negative. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.92877537870910370062029188872616455242
There is a right paratracheal mass extending from the superior aspect of the mediastinum to the aortic arch. Heart size is normal. The lungs are clear. No effusions. No osseous lesions.,Right paratracheal mass extending up into the neck. Heart size is normal. The lungs are clear.,1.2.826.0.1.3680043.8.498.30198521571027005527825751753846691921
The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions. No pneumothorax. Low lung volumes.,No acute disease.,1.2.826.0.1.3680043.8.498.92895027325261997252534990377071507385
There is increased density in the upper lung fields bilaterally. The finding is suggestive of bilateral pneumonia. Some of the density seen may be secondary to a hiatal hernia behind the heart. The heart is enlarged. There is no significant effusion. The bones are osteopenic.,1. Findings suggestive of bilateral pneumonia. 2. Cardiomegaly. 3. A component of superimposed congestive heart failure may be present. Correlate clinically.,1.2.826.0.1.3680043.8.498.16614109954561660900644269265399586296
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36029848131930325443145861026604835135
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40892995359347024523477529069107832786
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48380206957420124190779009569314754757
The heart is enlarged. There is a probable left nipple shadow. There is a small left pleural effusion. The lungs are otherwise clear.,1. Cardiomegaly. 2. Small left pleural effusion with probable left nipple shadow. A repeat PA film with nipple markers is recommended.,1.2.826.0.1.3680043.8.498.98179706202362082972312368473559646778
The left arm PICC line tip is in the right atrium. The orogastric tube tip is in the stomach. The heart size is normal. No pleural effusion or pneumothorax. No airspace consolidation identified.,1. The left arm PICC line tip is in the right atrium. 2. The tip is in satisfactory position.,1.2.826.0.1.3680043.8.498.23339401040697924368538789488162722446
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16965900708645448844449160672723695572
Endotracheal tube and NG tube removed. Swan-Ganz catheter removed. Chest tube and mediastinal drain remain in place. No pneumothorax. Mild left lower lobe atelectasis unchanged. Negative for heart failure.,Endotracheal tube removed. No pneumothorax. Mild left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.58027667647979652320791875612974876044
Heart is normal size. Aortic atherosclerosis. No confluent airspace opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40031799261786444501515719263220131191
Extensive bilateral airspace disease persists without marked change since the most recent examination. Small bilateral pleural effusions are noted. There is cardiomegaly. Atherosclerosis. No pneumothorax.,No marked change in diffuse bilateral airspace disease compatible with pneumonia or edema.,1.2.826.0.1.3680043.8.498.41846766582202522798565342482123367181
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24646457619937388591293049921964369504
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72462523678845167925958608814483562798
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.59228482301903667926237066907719890834
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.52240000606219841851143674748390366287
"Cardiovascular: The heart size is at the upper limits of normal. The pulmonary vascularity is normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.55189876231261428767720206472001023042
The right pneumothorax has increased slightly in size. It is estimated at 10-15%. Lung volumes are lower. There is increased atelectasis at the lung bases. Postsurgical changes are noted in the right mid lung.,1. Slight increase in right pneumothorax. 2. Lower lung volumes with increased basilar atelectasis.,1.2.826.0.1.3680043.8.498.10072483522521129317189144631311702732
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84524511166952019049678913621100460707
The patient is rotated to the left. The lung volumes are low. There are moderate to large bilateral pleural effusions. The heart is enlarged. There are diffuse interstitial opacities which may represent pulmonary edema. Underlying airspace disease cannot be excluded.,1. Cardiomegaly with bilateral pleural effusions and probable pulmonary edema. 2. Underlying airspace disease cannot be excluded.,1.2.826.0.1.3680043.8.498.96763493621272521923674762983724277898
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70356563182850713151900861061291227628
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.44394078885432162421421071754329889861
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.83064405910394523138003188126652303671
Heart size is normal. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion. No mass or adenopathy identified. No significant change compared to prior exam.,No active disease.,1.2.826.0.1.3680043.8.498.14792736827788173496389930866199397082
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74875608180247453247709884606942425250
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fractures seen; no acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.46129539421513781809022107123277548152
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.44519915904289386159883943010837085921
Heart size is normal. There is perihilar peribronchial thickening. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.51792699180931948585567494144623424610
"Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. No focal consolidation, pleural effusion, or pneumothorax. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.54519637061774414335183570251923223156
There is central airway thickening with no focal airspace disease. No effusion. Heart size is normal. No focal bony abnormality.,Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.95861153707419947307445736398061517464
"Low lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion, consolidation, or confluent airspace opacity. No acute osseous abnormality identified.","Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.38657971983446417878449444337573348425
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72159030728992118589727265341755030652
Endotracheal tube is noted with its tip above the carina. A nasogastric tube is in place. The cardiomediastinal silhouette is of normal size and shape. The pulmonary vasculature is unremarkable. The trachea is midline. The costophrenic angles are clear. There is no evidence of a pneumothorax. There is no evidence of significant airspace or interstitial disease. Evaluation of the bony thorax is grossly unremarkable.,Endotracheal tube and nasogastric tube in place. No evidence of acute pulmonary disease.,1.2.826.0.1.3680043.8.498.29382423010720107911765975339721320512
Endotracheal tube and gastric catheter are again noted and stable. Cardiac shadow is stable. Patchy infiltrates are again identified bilaterally but slightly increased when compared with the prior exam particularly in the left perihilar region. No bony abnormality is noted.,Slight increase in bilateral infiltrates particularly in the left perihilar region.,1.2.826.0.1.3680043.8.498.86602598040964126717920602364059906902
There is increase in airspace disease at the right lung base with a small right effusion. Linear atelectasis is noted at the left lung base. There is increase in patchy airspace disease in the right lung apex. No pleural effusion is seen. Heart size is stable.,1. Increasing right basilar airspace disease with a small right effusion. 2. Patchy airspace disease in the right lung apex.,1.2.826.0.1.3680043.8.498.38248352052902443273270319283333050787
OG tube tip is in the stomach. Normal bowel gas pattern. No evidence of esophageal mass or stricture. No abnormal calcifications.,Normal esophagus.,1.2.826.0.1.3680043.8.498.55205989984556659471551250454827319924
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71106126364600596463257574488534302727
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.74603675191072875428597542267925150854
Enteric tube enters the stomach with the tip not seen on this image. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Mild bibasilar atelectasis. No pulmonary edema.,1. Enteric tube enters the stomach with the tip not seen on this image. 2. Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.56498595923086828902287668614950335262
Endotracheal tube is in place with the tip in good position at the level of the clavicular heads. There is bilateral airspace disease with an upper lobe and perihilar distribution. Small left pleural effusion noted. Heart size is mildly enlarged.,1. ET tube in good position. 2. Bilateral airspace disease could be due to asymmetric edema or pneumonia.,1.2.826.0.1.3680043.8.498.89196578195218046754304418621522156161
Cardiac shadow remains enlarged. Postsurgical changes are again seen. Aortic calcifications are noted. The vascular congestion is again identified and stable. Small right-sided pleural effusion is noted. No focal infiltrate is seen. No bony abnormality is noted.,Stable cardiomegaly with mild congestive failure and small right-sided pleural effusion.,1.2.826.0.1.3680043.8.498.62091273973350041713855478372866234936
Cardiothymic silhouette is normal. Lungs are free of focal consolidations and pleural effusions. No pulmonary edema. Visualized osseous structures have a normal appearance.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34440128099632318847972219195835334320
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.49958207275768896219464974245009787693
Heart is enlarged. Aorta is tortuous and calcified. Bilateral pleural effusions appear similar. There is pulmonary vascular congestion and bilateral areas of airspace disease which may reflect edema or pneumonia.,No significant change.,1.2.826.0.1.3680043.8.498.47339542874297193344205302068104983858
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84596648608458508769745152647869384322
Nasogastric tube is in place with its tip in the stomach. There is mild gaseous distention of the bowel. No evidence of free air. Contrast is seen within the colon.,Nasogastric tube tip in the stomach.,1.2.826.0.1.3680043.8.498.21160268833366396601710270740901133151
Cardiac silhouette is normal in size and configuration. No mediastinal or hilar masses. No evidence of adenopathy. There are patchy areas of airspace opacity in the mid and lower lungs consistent with multifocal pneumonia. No evidence of pulmonary edema. No pleural effusion or pneumothorax. Skeletal structures are unremarkable.,"Patchy bilateral airspace lung opacities consistent multifocal pneumonia, pattern compatible with atypical/viral pneumonia.",1.2.826.0.1.3680043.8.498.72738008000617684466160613409628865934
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23609236613366834386896852472135308447
There is a right chest wall porta-catheter with tip in the SVC. Heart size is normal. There is no pleural effusion or pulmonary edema. Left upper lobe lung mass is again identified. Compared with the previous exam there is improved aeration to the left lung. The right lung is clear.,1. Improved aeration to the left lung. 2. Stable left upper lobe lung mass.,1.2.826.0.1.3680043.8.498.12548921479939175228000959844686996592
Cardiothymic silhouette is normal. The lungs are clear. No effusions. Bony structures unremarkable.,Normal chest.,1.2.826.0.1.3680043.8.498.78575057455945060810258010163979382117
The current exam shows increased prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. No pulmonary edema or pleural effusion is seen. No pneumonia is noted. The heart is upper limits for normal in size.,1. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. 2. No pneumonia is seen. 3. No acute changes of the heart or pulmonary vasculature are identified.,1.2.826.0.1.3680043.8.498.28851253264173693822592935496242304059
The heart is mildly enlarged. The aorta is tortuous. Mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,Mild cardiomegaly. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.60408782615741422802585276154512346240
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43482605923542859052006339925455852641
The heart is within normal limits and size. The lung fields are clear. No effusions are seen. No pneumothoraces are noted.,No acute cardiopulmonary disease noted.,1.2.826.0.1.3680043.8.498.92883093441431484134745720255952594032
Right internal jugular dialysis catheter is present with tip over the right atrium. Cardiomegaly. Diffuse pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,1. Cardiomegaly with pulmonary edema consistent with congestive heart failure. 2. Right internal jugular dialysis catheter with tip in the right atrium.,1.2.826.0.1.3680043.8.498.66430955387555210585282930994607423657
There is density associated with the anterior right 5th rib costochondral junction which is unchanged from 3/8/2012 and on CT scan at that time represents an area of calcification associated with the costochondral junction which is unchanged. No acute fractures are identified. There is no pneumothorax. The lungs are clear. Heart size is normal.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47838850253560981958715941817196815852
AP portable semi upright view at 2959 hours. Stable left greater than right patchy airspace opacity. Stable cardiac size and mediastinal contours. No pneumothorax. No definite pleural effusion.,Stable left greater than right airspace disease.,1.2.826.0.1.3680043.8.498.55039123435577003832347100419437751658
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.17317392592679485181178832053756319788
"Lungs are adequately inflated and otherwise clear. Cardiothymic silhouette, bones and soft tissues are normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88279278303789279191688954365254286852
The patient has a large hiatal hernia. There is elevation of the left hemidiaphragm with overlying atelectasis. There is also atelectasis at the right lung base. No evidence for pulmonary edema. No focal consolidation.,1. Large hiatal hernia. 2. Bibasilar atelectasis left greater than right.,1.2.826.0.1.3680043.8.498.38159736936811416260181206437990801529
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.93265775828136953760461590663620404593
The heart size and mediastinal contours are within normal limits. New opacity in the left lung base is suspicious for pneumonia. No pleural effusion or edema. The visualized skeletal structures are unremarkable.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.96810208229057007395231090513110353374
"Single frontal view of the chest shows adequate inspiration. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.",No acute cardiopulmonary process on this single view.,1.2.826.0.1.3680043.8.498.45390968327601258715910213454208272066
Inspiration is suboptimal on the current examination accounting for the crowded bronchovascular markings in the bases. This also accentuates the heart size which I suspect is normal. The atelectasis in the right lung on the previous examination has improved. The lungs remain clear otherwise. There are no pleural effusions.,Suboptimal inspiration. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19609344480584406689257160403346610254
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36634392116692180275398989603353369817
There is consolidation in the right upper lobe compatible with pneumonia. Left lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Right upper lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.69631747256169497479234622901353567259
There is airspace consolidation in the posterior segment of the right upper lobe. The lungs are otherwise clear. The heart and mediastinal structures are normal. There is no pleural effusion. The bony thorax is grossly intact.,Right upper lobe pneumonia. Follow-up is recommended.,1.2.826.0.1.3680043.8.498.91349606118562015583458103371944668697
The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. A minimally displaced manubrial fracture of the sternum is again noted. No other osseous findings are seen.,Stable examination. No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.10260370940444546788613038324704623497
Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No acute or significant findings.,1.2.826.0.1.3680043.8.498.94272177313646715987159471621729762282
"The cardiomediastinal silhouette is unremarkable. Mild airway thickening is present. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Mild airway thickening without focal pneumonia. This may be a reflection of a viral process.,1.2.826.0.1.3680043.8.498.99984527637552844825056922992714865087
Stable low lung volumes. Stable ectasia of the thoracic aorta. Stable heart size. No pneumothorax. No pleural effusion. Stable patchy left basilar opacity. No pulmonary edema.,"Stable patchy left basilar lung opacity, which could represent atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.47942733755493650997414546180110204489
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.25265493597255191881898413881593108824
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.78811617124346484207459385643315976456
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95397031376028247180313439764984669838
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.20465320799494082566326145510804415976
Two views of the chest were obtained. The lungs are mildly hyperinflated and clear. The heart size and pulmonary vascularity are normal.,There is pulmonary hyperinflation. There is no evidence of pneumonia.,1.2.826.0.1.3680043.8.498.21845857413265975098540389000232424954
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.74270881472247219585769090556928853804
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94229152000992371039028299927426289548
Right PICC line is unchanged. Stable cardiac silhouette. There is interval improvement in the air space disease within the right lung. Chronic interstitial lung disease is noted. No pneumothorax.,1. Some improvement in right lung pneumonia. 2. Chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.24633011249033361877907406347515714700
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.97294895225251068371716116640812501889
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65816322164182493090969250027056021229
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.67589006658660562320422106808577020961
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.19383814019736114857958829496224130200
"The heart size and pulmonary vascularity are normal. The mediastinal and hilar structures are grossly unremarkable. There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Age-appropriate osseous structures.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.15550204926697731364928244308944689326
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15664532320307327376022447779437094972
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.78842930320363984461079233488793554648
Tip of orogastric tube projects over stomach. Tip of umbilical venous catheter projects over RIGHT atrium; recommend withdrawal 10 mm to place tip at the inferior cardiac margin. Normal heart size and mediastinal contours. Lungs clear. No pleural effusion or pneumothorax. Bowel gas pattern normal.,Recommend withdrawal of umbilical venous catheter 10 mm to place tip at the inferior cardiac margin. Findings called to Abou Nabil Housain NP in NICU on 5/5/2000 at 4111 hrs.,1.2.826.0.1.3680043.8.498.34805584238468351345600049199448590344
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Atherosclerosis in the thoracic aorta. Status post aortic valve replacement.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.83761679818116778037422280010792348659
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55563607830023748528811196856284449019
Low lung volumes. Some crowding of the bronchovascular markings. No focal consolidation. No pleural effusions. Stable cardiac silhouette. Mild atelectasis at the lung bases. No pneumothorax.,1. No evidence of pulmonary edema. 2. Low lung volumes and mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.62488365309982501371200589335973565717
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84057845732098573529325416589012327025
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19597371957896371665949664433419433446
Stable normal sized heart and diffuse peribronchial thickening. Mild increase in patchy opacity at the right lung base. No significant change in patchy opacity elsewhere in both lungs. Unremarkable bones.,1. Mildly increased right basilar atelectasis or pneumonia. 2. Stable diffuse bronchitis and bilateral pneumonia.,1.2.826.0.1.3680043.8.498.82600928310910991441103896491793341181
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51901496298252888758038323842288137746
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12000560835830060935376248505330265511
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73586585183910417221581248787688597098
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. Lungs are clear. Bony structures are intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.40078966496073083259914828034700456726
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,Normal chest radiographs.,1.2.826.0.1.3680043.8.498.98795136380303369784706875619443342464
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Mild scoliosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65916728923979011745306570191792681260
Cardiac shadow is stable. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active disease.,1.2.826.0.1.3680043.8.498.61486484731397428983069761093570917723
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50853592598611855290012365151038484766
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.82120399933428277656145588882405664403
Mediastinum and hilar structures normal. Heart size normal. Partial clearing of left lower lobe infiltrate. Low lung volumes. No pleural effusion or pneumothorax. No acute bony abnormality.,Partial clearing of left lower lobe infiltrate consistent with partial but incomplete clearing of pneumonia.,1.2.826.0.1.3680043.8.498.45086539141705777567722515018647332776
Cardiothymic silhouette is unremarkable. No pleural effusions or focal consolidations. Normal lung volumes. No pneumothorax. Soft tissue planes and included osseous structures are normal. Growth plates are open.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62533306187310893527431482730558029826
The lungs are mildly hypoinflated. The perihilar lung markings are coarse. There is no alveolar infiltrate. There is no pleural effusion. The cardiothymic silhouette is normal. The esophagogastric tube tip and proximal port project below the GE junction. The bony thorax is unremarkable.,Mild hypo inflation limits the study. Probable subsegmental atelectasis in the left lower lobe. No definite evidence of pneumonia.,1.2.826.0.1.3680043.8.498.18032183454008170360040232345969876746
Lungs are clear. No pleural effusion or pneumothorax. The cardiomediastinal contours are within normal limits. The visualized bones and soft tissues are without significant appreciable abnormality.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.35850640240140204021290144016823623275
Aeration of the lungs has improved. There is still slight blunting of the left costophrenic angle which may be due to pleural thickening or small left pleural effusion. Mild cardiomegaly is stable. A permanent pacemaker remains. There are degenerative changes throughout the thoracic spine.,Improved aeration. Persistent small left pleural effusion versus pleural thickening.,1.2.826.0.1.3680043.8.498.49750702806985394918312015171617828035
The bony thorax is grossly intact. The aorta is tortuous and atherosclerotic. The heart and pulmonary vascularity are within normal limits. No focal pulmonary infiltrate is present. No pleural effusion is seen.,No acute cardiopulmonary abnormality is identified.,1.2.826.0.1.3680043.8.498.63236229594087465551232459153062319168
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89317580138732009592845944409410252531
"The heart, mediastinal and osseous structures show no significant abnormalities. There is no pneumothorax. The lungs are clear with no effusions.",No significant abnormalities are noted.,1.2.826.0.1.3680043.8.498.95233238303252370790394815228461487520
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54738633957350805682607484547286448522
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91458067071405599400788282002820293546
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.60677290187043187198432074861921372508
Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28601846687559454542790434677542233358
The opacity questioned previously within the right middle lobe has improved somewhat but does remain with linear atelectasis or scarring present. The lungs are hyperaerated consistent with COPD. Cardiomegaly is stable. No bony abnormality is seen.,1. Some improvement in right middle lobe opacity consistent with scarring. 2. COPD. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.93798006268529862557045207479988019094
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.45315517868619358206320127132823334237
Endotracheal tube is 2.6 cm above the carina. NG tube enters the stomach. Diffuse airspace disease throughout the left lung. Patchy airspace opacities in the right upper lobe and right lower lobe. No effusions. Heart is normal size. No acute bony abnormality. No pneumothorax.,Endotracheal tube and NG tube appear to be in satisfactory position. Diffuse airspace disease throughout the left lung. Patchy airspace disease in the right upper lobe and right lower lobe. Findings concerning for pneumonia.,1.2.826.0.1.3680043.8.498.83083871234074308785415222951129408693
Slight prominence of the pulmonary vasculature. Fluffy bilateral infiltrates. No pneumothorax. The osseous structures are intact. The heart appears enlarged. There are multiple overlying cardiac monitoring leads. Left-sided cardiac pacemaker in place. Multiple median sternotomy wires.,Central pulmonary vascular congestion vs pulmonary edema. Overlying pneumonia cannot be excluded.,1.2.826.0.1.3680043.8.498.57517043336481387695400782494549117927
An orogastric tube is seen with tip in the mid stomach. The bowel gas pattern is normal. No evidence of bowel obstruction or free intraperitoneal air.,Normal bowel gas pattern. No acute findings.,1.2.826.0.1.3680043.8.498.85808378547830628567700624130362667775
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10544010324702696560333677489175016790
There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is a moderate hiatal hernia. There is degenerative change in the thoracic spine. No rib fractures are evident. No pneumothorax.,No edema or consolidation. Moderate hiatal hernia.,1.2.826.0.1.3680043.8.498.27324637242144796970692654766367644843
The heart is normal in size. The lungs are underexpanded. Patchy infiltrates are seen in the lungs bilaterally. There is no effusion or pneumothorax. Dual lead pacemaker is seen.,Patchy bilateral pulmonary infiltrates.,1.2.826.0.1.3680043.8.498.32512963319019396616201820049229704367
"Stable cardiomegaly. New pulmonary vascular congestion and interstitial edema. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",New interstitial edema.,1.2.826.0.1.3680043.8.498.34476929936562791891678395938131610398
"Heart size is normal. There is no heart failure, infiltrate, or edema. The lungs are hyperinflated consistent with COPD. There is a small scar in the left lung base.",COPD. No acute abnormality.,1.2.826.0.1.3680043.8.498.60301326540019254070294366433914947800
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33192776469416773345978118708411759124
Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84022353854068641014021735725380359085
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.29756014225057426164727612194155326991
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25718900778860224446597271260794200364
Patchy airspace opacity in the right middle lobe. The left lung is clear. No evidence of pulmonary edema. Heart size and mediastinal contours are normal. No pleural effusion or pneumothorax. No acute osseous abnormality.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.11635065307493613133248758132944473092
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15249142098598522609440979025398303148
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26401372953882795114753383106953205383
"PA and lateral chest radiographs are provided. There is bilateral diffuse interstitial thickening likely representing chronic interstitial disease, but superimposed mild interstitial edema cannot be excluded. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.31989259134906473472947051031824722255
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.32898327234555722278849675464268357905
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66096024988107898376542277205467598719
"There are low lung volumes with patchy atelectasis at both lung bases, slightly increased on the left since previous study. No effusion or pneumothorax. Heart size normal. Bilateral rib fractures again noted.",1. Low volumes with some increase in patchy left lower lobe atelectasis. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.70024617474900853088416416444276367951
Patchy opacities are seen in the left mid lung and right lower lung. No pneumothorax or pleural effusion. Cardiac size is normal. Pulmonary vascularity is normal. No bone abnormality.,"Patchy bilateral pulmonary opacities, consistent with multifocal pneumonia.",1.2.826.0.1.3680043.8.498.22552554939200234904320875201685317405
There is persistent elevation of left diaphragm. There is left basilar atelectasis. There is a small left pleural effusion. There is no focal consolidation or pneumothorax. The heart and mediastinal contours are stable. There is evidence of prior CABG. The osseous structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54069479497731667585621786239597455601
"Endotracheal tube, NG tube, and central venous catheter are unchanged. Diffuse bilateral airspace disease is again seen and has worsened in the upper lung zones. No pneumothorax.",Worsening bilateral airspace disease.,1.2.826.0.1.3680043.8.498.25593718589328813963959441752549189551
The patient has undergone previous coronary artery bypass grafting. The heart is mildly enlarged. There is mild pulmonary vascular congestion without evidence of pulmonary edema. Mild atelectasis is noted at the lung bases. There is no evidence of consolidation or pleural effusion.,Cardiomegaly and mild basilar atelectasis. No evidence of pulmonary edema.,1.2.826.0.1.3680043.8.498.18777739919191120326538120727821174867
Post median sternotomy and CABG procedure. The heart size appears normal. Aortic atherosclerosis is noted. No pleural effusion or edema. No airspace consolidation. Spondylosis noted within the thoracic spine.,1. Low lung volumes. 2. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.55750449163918230343648604172565186262
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.90888150615900486619054379950700081504
Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion. Previously seen right upper lobe pulmonary nodule is not visualized on the current exam.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73489283721108164874529661574151981693
Endotracheal tube is 5 cm above the carina. NG tube enters the stomach. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality.,Endotracheal tube and NG tube in expected position. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69379499939133333619506103571438457726
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41013227716295067275696894324580241044
Cardiomegaly again noted. An endotracheal tube and NG tube have been removed. Bibasilar opacities appear slightly decreased. There is no evidence of pneumothorax or large pleural effusion. No acute bony abnormalities are identified.,Endotracheal tube and NG tube removal with slightly decreased bibasilar opacities. Continued follow-up recommended.,1.2.826.0.1.3680043.8.498.44398271837676025927060540208519142953
Left arm peripheral central venous catheter tip projects over the lower right atrium. Cardiomediastinal silhouette unremarkable. Lungs clear. No pleural effusions. Visualized bowel gas pattern unremarkable.,1. Left arm peripheral central venous catheter tip projects over the lower right atrium. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48608668297804307486481439413323183215
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81675681137369786142889199469558631556
"The heart is enlarged. Mediastinal contours are within normal limits. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. Surgical clips are seen in the right upper quadrant of the abdomen.",Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.94268825836382948496945854301523188501
"Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No bronchial thickening. No infiltrate, mass, effusion or collapse. Pulmonary vascularity is normal. No bony abnormality.",Normal chest,1.2.826.0.1.3680043.8.498.46622690944752287208387528045215508531
Patchy opacities at the lung bases are noted. Trace effusions are present. Heart size is normal. No pneumothorax.,"Patchy bibasilar airspace opacities, possibly atelectasis but pneumonia not excluded.",1.2.826.0.1.3680043.8.498.67251710896501789618533402005295530405
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18807624026615263259008222591668238384
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48217571940059334060250329544433692286
"Cardiothymic shadow normal. There is a linear density in the left mid lung, consistent with atelectasis or atelectatic pneumonia. No pleural fluid. Right lung clear.",Linear density in the left mid lung consistent with atelectasis or atelectatic pneumonia.,1.2.826.0.1.3680043.8.498.57249999964268628554920956535100141813
The heart size and mediastinal contours are within normal limits. Atherosclerosis of thoracic aorta is noted. No pneumothorax or pleural effusion is noted. Left lung is clear. Right upper lobe airspace opacity is noted concerning for pneumonia. The visualized skeletal structures are unremarkable.,Right upper lobe airspace opacity concerning for pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.98372711786696543845635456233646438901
A right upper extremity PICC line is present with the tip seen to the lower SVC. No pneumothorax is noted. The lungs are clear. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. No bony abnormality is seen.,Right upper extremity PICC line tip in lower SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.82648232074542449722545551269510847089
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66931679455003029499918794074785603892
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.94256022641956690977993401305624902969
No pneumonia is seen. There are prominent perihilar markings with some peribronchial thickening which can be seen with central airway process such as bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Probable bronchitis.,1.2.826.0.1.3680043.8.498.36884541049409036008494609439458592061
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78323123778115505682124682246125505137
"Linear densities in both lower lungs, atelectasis versus scarring. Heart is normal size. No effusions. No acute bony abnormality.",Stable bibasilar atelectasis or scarring.,1.2.826.0.1.3680043.8.498.47818528318128659527146315631127821590
The left-sided PICC line is coiled upon itself and needs to be repositioned. The heart is normal in size. The lungs are well expanded. There is left lower lobe infiltrate with small effusion. The right lung is clear. There is no pneumothorax. Multiple old left rib fractures are seen.,1. Left-sided PICC line is coiled upon itself in the axillary region and needs to be repositioned. 2. Left lower lobe infiltrate with small effusion.,1.2.826.0.1.3680043.8.498.70588447460673776519360762744933566559
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.90779158529921457822791238721016741852
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.35923046546085747801630412218572095094
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87864753157196825581102190068427273307
No pneumothorax or pneumomediastinum post bronchoscopy. Right upper lobe mass and right apical pleural thickening.,No pneumothorax or pneumomediastinum post bronchoscopy.,1.2.826.0.1.3680043.8.498.25061935798254932518510041588737255809
Endotracheal tube is 5 cm above the carina. Left PICC line tip is in the SVC. Swan-Ganz catheter is in the main pulmonary artery. NG tube is in the stomach. No pneumothorax. Minimal atelectasis in the left mid lung and left base. No effusions.,Support devices in expected position as above. No pneumothorax. Minimal left mid and lower lung atelectasis.,1.2.826.0.1.3680043.8.498.29028649992961776382599164430237887227
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.42308164127805514419926103261776490904
There is central airway thickening. Focal airspace opacity in the anterior left lower lobe concerning for pneumonia. No focal opacity on the right. No effusions. Heart is normal size. Visualized skeleton unremarkable.,Central airway thickening. Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.76441252803603617696312741390414662898
The lungs are clear. There is no pneumothorax. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.87884374797362488524902200087294776327
Interval placement of a right central venous catheter with tip projecting over the superior vena cava. Cardiothymic silhouette is within normal limits. Lungs are clear. No evidence of pneumothorax. Visualized bowel gas pattern is nonobstructive.,1. Interval placement of right central venous catheter. 2. Clear lungs.,1.2.826.0.1.3680043.8.498.10491974957545097453586513857111757944
"Mediastinum and hilar structures are normal. Cardiomegaly with normal pulmonary vascularity. Bilateral pleural effusions, left side greater than right. Findings are stable. No pneumothorax. No acute bony abnormality.","1. Persistent bilateral pleural effusions, left side greater than right. No change. 2. Stable cardiomegaly. No pulmonary venous congestion.",1.2.826.0.1.3680043.8.498.49731917046896681222444722087003093475
ET tube mid trachea. Enteric tube courses inferior to the diaphragm. Stable cardiomediastinal contours. Slight interval improvement in overall diffuse bilateral heterogeneous opacities. No pneumothorax or large pleural effusion.,Slight interval improvement in bilateral airspace disease which may reflect improving edema or infection.,1.2.826.0.1.3680043.8.498.36993713797007977041118581846602063633
Low lung volumes. Patchy basilar airspace disease. Normal heart size. No effusion or pneumothorax. No acute osseous finding.,Low lung volumes with patchy basilar airspace disease which could reflect atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.22404234068211940838437245167311814874
There is cardiomegaly. There is a tortuous and calcified thoracic aorta. The lungs are hyperinflated consistent with emphysema. There is a small right pleural effusion. There is a 1.5 cm nodular opacity in the right mid lung which was not present on the prior examination. There is a 5 mm nodular opacity in the left lower lung which was not present on the prior examination. There is no pneumothorax. No acute osseous findings are seen.,1. Cardiomegaly and COPD. 2. Small right pleural effusion. 3. Nodular opacities as described. Chest CT is recommended for further evaluation.,1.2.826.0.1.3680043.8.498.86973646046901740833768318392449047416
The chest is hyperexpanded. There is patchy airspace disease in the lung bases. No pleural effusion. Heart size normal.,Emphysema and patchy basilar airspace disease worrisome for pneumonia.,1.2.826.0.1.3680043.8.498.65220506883082627347175481398504742152
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.30760222029680177293617618765874205999
Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,Normal one view chest,1.2.826.0.1.3680043.8.498.60394337393564054971808279532905444000
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.60820427960023092273250306283628421799
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86645270343210971616534522998735730625
There is a small left pleural effusion with left base atelectasis. The right lung is clear. There is no pneumothorax. The heart size is normal.,Small left pleural effusion with left base atelectasis.,1.2.826.0.1.3680043.8.498.93249404227847180273669774713300495216
Small right apical pneumothorax is not significantly changed. Right chest tube remains in place. Opacity at the right lung base is consistent with a combination of pleural fluid and atelectasis/consolidation. Left lung is clear. Heart size is normal. Subcutaneous emphysema in the right chest wall is again seen. Multiple right rib fractures are better demonstrated on CT.,"1. Small right apical pneumothorax, not significantly changed. Right chest tube remains in place. 2. Right lung base opacity consistent with a combination of pleural fluid and atelectasis/consolidation.",1.2.826.0.1.3680043.8.498.88993247748124532936063388604554299720
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55132789864785540468100347460182242777
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61557397429673540151062179064422082182
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46237279383053678855095648262738918587
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25078149733348717467394946613985901544
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28264775262890614626127638382961897441
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23011635799826272050466013700847607335
"Marked cardiomegaly is stable. Left retrocardiac opacity is again seen, likely due to atelectasis or scarring. No evidence of pulmonary airspace disease or pleural effusion. Thoracolumbar scoliosis is again noted.","Stable cardiomegaly and left lower lobe opacity, likely due to atelectasis or scarring. No acute findings.",1.2.826.0.1.3680043.8.498.36545672776809036272165362286234703249
"Frontal and lateral views of the chest show no focal pneumonic consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Pulmonary vascularity is normal.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.51317916177676633751210707554241098413
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.82298733850048129416551574470007106123
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55842047989387215508708926010336428149
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92466373211874961128856077533462508917
The aortic arch is mildly tortuous. The lung fields appear clear. Vascularity is within normal limits. No effusions are seen.,1. No acute cardiopulmonary disease identified. 2. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.73573369940857870106864559864266291741
"Heart: Normal. Lungs: There is suggestion of mild bilateral perihilar, peribronchial thickening and minimal scattered prominence of the pulmonary interstitium throughout both lungs. Mediastinum: Normal. Pleural effusions: None. Bones: There is no suspicious lytic or sclerotic lesions throughout the visualized bony structures. Visualized upper abdomen: Normal.","Findings compatible with minimal congestive heart failure/pulmonary edema, however, cannot entirely exclude atypical infectious process.",1.2.826.0.1.3680043.8.498.60312932238327570879636990558814114479
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40742634891865447743267255861832591976
The heart is enlarged with a prominent left ventricle. The lungs are clear. No consolidation identified. No pleural effusion is seen.,"Cardiomegaly with atherosclerotic change of the aorta. No evidence of acute process; specifically, no consolidation.",1.2.826.0.1.3680043.8.498.80817169230271989230162997104160865872
Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. Ventriculostomy shunt catheter along the left chest is unchanged.,No acute disease.,1.2.826.0.1.3680043.8.498.51798339914318478607924292314160139294
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70159536943075148414415836061303811087
There is elevation of the right hemidiaphragm. There is right basilar atelectasis. The heart size is normal. No pleural effusions or pulmonary edema.,1. Persistent elevation of the right hemidiaphragm with overlying atelectasis. 2. Improved aeration to the right lung base.,1.2.826.0.1.3680043.8.498.75281271355168447372945221851124243166
EKG leads project over the patient's chest. Heart size is difficult to evaluate on the AP projection. Bilateral airspace disease present in the mid to lower lung fields. Costophrenic angles are sharp. Trachea is midline.,Bilateral airspace disease.,1.2.826.0.1.3680043.8.498.58852874997931965591391283913274955311
Two views of the chest show no pneumonia. Again there are prominent perihilar markings which can be seen with central airway disease. The heart is within normal limits in size.,No pneumonia. Prominent perihilar markings again noted.,1.2.826.0.1.3680043.8.498.36698185759600853331534316700008857619
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43262015350542270024738022167836042940
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10362231343892534261254183984044384689
The heart is within normal limits in size. The lung fields appear clear. The vascularity is within normal limits. No effusions are noted. Changes of COPD are noted.,1. COPD. 2. The lung fields are clear.,1.2.826.0.1.3680043.8.498.46838319951331525733685635268583947119
Cardiac silhouette is within normal limits. Atherosclerotic calcification of the aortic knob is seen. No airspace consolidation is noted. No pneumothorax. No concerning osseous lesions are seen.,No acute infiltrates throughout the chest.,1.2.826.0.1.3680043.8.498.31729407290847482022111812571725113781
The heart size is enlarged. The mediastinal contour is widened. The aorta is tortuous. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95434806644876834151678031752052831493
Trachea is midline. Heart is enlarged. Thoracic aorta is calcified. Right PICC tip projects over the SVC. There is airspace disease in the right upper lobe and right perihilar region. A right pleural effusion is small. Left lung is clear. No pneumothorax.,1. Right upper and right lower lobe airspace disease is most consistent with pneumonia. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.26925482784439671350484904718196071895
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82501227627434673898507773491284445800
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12687259244183699698757036527565377520
"The lungs are hyperinflated consistent with COPD. The cardiac silhouette is normal. There is no edema, infiltrate, effusion or pneumothorax. The bones are osteopenic.",COPD. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.96687116101931509012368323398137524728
"Endotracheal tube in place with tip positioned 2.2 cm above the carina. Enteric tube courses into the abdomen. Cardiac and mediastinal silhouettes are stable, and remain within normal limits. Lungs are normally inflated. There are persistent diffuse bilateral interstitial and airspace opacities, similar to previous. No definite pleural effusion. No pneumothorax. No acute osseus abnormality.",1. Tip of the endotracheal tube 2.2 cm above the carina. 2. Persistent diffuse bilateral interstitial and airspace disease.,1.2.826.0.1.3680043.8.498.11687265000963531275369183520165194695
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11029190055193205172081920887700998607
Lungs are clear. Cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.84713141157813673027477641724978245527
No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is mildly enlarged. There are degenerative changes throughout the thoracic spine. A right shoulder prosthesis is present.,Cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.99222503076206204861041814238372882157
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92293990543897775067406407606892599315
There is cardiomegaly. Status post CABG. There is mild vascular congestion. There are small bilateral effusions and basilar lung atelectasis. No focal lung consolidation. No pneumothorax.,Cardiomegaly with mild volume overload/congestive heart failure.,1.2.826.0.1.3680043.8.498.90760856944005626366628779022831749730
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68470554270919839512822332854099146335
Heart is normal size. Linear atelectasis or scarring in the right mid lung. Left lung clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75165039654643225044636768560296438764
Tip of RIGHT Swan-Ganz catheter projects over RIGHT pulmonary artery. Tip of intra-aortic balloon pump projects over aortic arch. Enlargement of cardiac silhouette. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.58373367537179128806090915000175440793
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.89373023220298151944159638228612805835
"The cardiac and mediastinal contours are unremarkable. There is no evidence of acute consolidation, congestion, or pleural effusions. No acute displaced fracture. Right-sided Port-A-Cath.","No acute consolidation, congestion, or pleural effusions.",1.2.826.0.1.3680043.8.498.31477841100950138257279959978752597545
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61244355013759052958468950010626351710
The heart is enlarged. There are small bilateral pleural effusions. There is no edema. The lungs are hyperinflated suggesting COPD. There is bibasilar atelectasis.,1. Cardiomegaly and small bilateral effusions. 2. Probable COPD.,1.2.826.0.1.3680043.8.498.31899814159884779313642274400818155026
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74624678693058362704340740570678810620
The heart is at the upper limits of normal in size. Mediastinal shadows are normal. The lungs are clear. No effusions. No acute bony finding. Chronic degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27088859542902203844876400111149337538
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. A moderate-sized hiatal hernia is noted. No acute osseous findings are seen.,No active cardiopulmonary process. Moderate-sized hiatal hernia.,1.2.826.0.1.3680043.8.498.87342451060813139219572748373088629429
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96165246910924928898404064883792205062
Shallow inspiration. Heart size and pulmonary vascularity are normal for technique. Increasing perihilar infiltration bilaterally suggesting possible developing edema. No blunting of costophrenic angles. No pneumothorax.,Increasing perihilar infiltrates suggesting developing edema since previous study.,1.2.826.0.1.3680043.8.498.71251910222044683771902841506999387070
"Heart is normal size. Linear densities in the lung bases, likely atelectasis. No effusions. No acute bony abnormality. No pneumothorax.",Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.85640861387691257611018845199006446550
The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,Negative PA and lateral chest x-ray.,1.2.826.0.1.3680043.8.498.20699654572144422682582802235419307673
"Multiple bilateral pulmonary metastatic lesions are again noted, similar to prior chest CT. No definite evidence of acute infiltrate. Heart is normal size. No effusions. Diffuse osseous metastatic disease again noted, unchanged.",Diffuse metastatic disease throughout the lungs and osseous structures. No definite acute infiltrate.,1.2.826.0.1.3680043.8.498.30829315584791974116533443145565907177
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65141122807969201075173603244152035160
The heart size is normal. There is no pleural effusion or pulmonary edema. Chronic interstitial coarsening is noted. No superimposed airspace consolidation.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.61965097622994308346339396444354357583
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are hyperinflated. No infiltrates, edema or effusions. The bony thorax is intact.",Hyperinflation but no acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.72119101061398470300427933584772813711
"No retained radiopaque foreign body. Low lung volumes. Bibasilar atelectasis. Heart is normal size. No visible effusions. No acute bony abnormality. Enteric tube in place, tip in the proximal stomach.",No retained radiopaque foreign body. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.36420861146829733747013444902494538780
Endotracheal tube is 5.5 cm above the carina. Feeding tube enters the stomach. Left PICC line tip is in the proximal SVC. There is cardiac enlargement with worsening bibasilar atelectasis versus airspace disease. No large effusion or pneumothorax.,Worsening basilar atelectasis versus airspace disease.,1.2.826.0.1.3680043.8.498.23535588512408142900073676494321648822
"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Resolved left lower lobe pneumonia. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46494685977747114720724436493908607695
Cardiac monitoring electrodes are present. The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89447530056285748970066886990977975190
Heart size is normal. No pleural effusion or pulmonary edema. There is a patchy airspace opacity within the right lower lobe which is suspicious for pneumonia. The remaining portions of the lungs are clear. Review of the visualized osseous structures is unremarkable.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.24596976197228656833558493152805350445
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.86355776580252459544594831420075627828
"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.80067473293573398547143767057663385060
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24170418275439355917101570210636503716
"Interval placement of left pacemaker with leads in the right atrium and right ventricle. No pneumothorax. Cardiomegaly. No confluent opacities, effusions or edema. No acute bony abnormality.",Left pacer placement as above. No pneumothorax. No active disease.,1.2.826.0.1.3680043.8.498.76187720817612502829586351484386193868
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73263404142568636326477872101986795546
"Low lung volumes with patchy bibasilar airspace disease, likely atelectasis. No effusion. Heart size normal. No bony abnormality.",Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.69273305158875534502270859339064531457
"The patient has been intubated. Endotracheal tube terminates 5 cm above the carina. There is worsening aeration of both lungs, particularly on the right. There is increasing airspace disease in the right upper lobe and also patchy airspace disease in the right lower lobe. Findings are consistent with pneumonia. No pleural effusions.",Endotracheal tube is appropriately positioned. Increasing right lung airspace disease.,1.2.826.0.1.3680043.8.498.75201468236314774764939219972412919243
"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active disease.,1.2.826.0.1.3680043.8.498.57415647075939219778442828296196176978
There is elevation of the right hemidiaphragm. There is a right chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified.,1. No acute cardiopulmonary abnormalities. 2. Chronic elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.54297067241742032281827095546495083663
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50012978097033151945898107393356728172
Aeration has improved. There is a small left pleural effusion present. No pneumothorax is seen. Cardiomegaly is stable. Median sternotomy sutures are noted.,Improved aeration. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.77825704177305342466430257360870114645
Left chest tube has been removed. A small left hydropneumothorax is identified. Opacity in the left mid and lower lung zones compatible with contusion noted. The right lung is clear. Heart size is normal. Bullet fragment on the left is noted. Subcutaneous emphysema on the left chest wall is identified.,Status post removal of left chest tube. Small left hydropneumothorax and left mid and lower lung zone airspace disease.,1.2.826.0.1.3680043.8.498.89661210379980710102268452168031141146
Mild cardiomegaly. No focal opacity or pleural effusion. No pneumothorax.,No active disease. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.89462297261712866387262743859997758213
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.62873316969151139161853175491475325772
"AP view at 4899 hours. Endotracheal tube tip is in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, tip not included. UVC catheter tip is at the level of the diaphragm. UAC catheter tip is at the T6-T7 level. Mildly lower lung volumes. Increased hazy opacity in both lungs. No pneumothorax, pleural effusion or consolidation. Normal cardiac size and mediastinal contours. Visible bowel gas pattern is normal.",1. Lines and tubes in good position. 2. Mildly increased bilateral pulmonary opacity. Favor RDS.,1.2.826.0.1.3680043.8.498.39317566140698155721281517486425558276
The left upper extremity PICC has been repositioned. The tip is now in the SVC/RA junction. The exam is otherwise stable.,The left upper extremity PICC has been repositioned with the tip now in the SVC/RA junction.,1.2.826.0.1.3680043.8.498.95173850980471773555863126836355406047
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98164697397051635190595187423942866506
"Lung volumes are stable and within normal limits. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.67366773473846333078370050616840067046
There is a moderate right pleural effusion with consolidation in the right base. There is a small left pleural effusion with consolidation in the left base. There is mild atelectatic change in the left upper lobe. Heart is upper normal in size with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,Moderate right pleural effusion with right base consolidation. Small left pleural effusion with left base consolidation. There may be a degree of underlying congestive heart failure. There is no airspace consolidation in the right upper lobe currently. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.40248081534881616137307938008399005200
Endotracheal tube and nasogastric tube are unchanged. Left IJ central line tip is in the SVC. Lung volumes remain low. There is bibasilar atelectasis with slight improvement in aeration of both lung bases since the prior examination. No evidence of pulmonary edema or pneumothorax.,Slight improvement in basilar atelectasis.,1.2.826.0.1.3680043.8.498.19056892483355900703587255215813956036
Right IJ portacatheter tip terminates over the right atrium. The heart and mediastinum are within normal limits. The lung volumes are low. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33973364489639100408822365210274241685
Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.51110334294827132730248456940319654575
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.50678213104825628248633758337086086352
"Low lung volumes. Multiple right rib fractures are again seen, similar to prior study. No visible pneumothorax. Bibasilar atelectasis. Heart is normal size.",Multiple right rib fractures. No visible pneumothorax. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.98554143535667953076922567816026182638
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22629608512729061711781713899526811648
Cardiothymic silhouette is normal. Streaky and fine granular opacities are identified throughout both lungs. Lung volumes are normal. No pneumothorax. No pleural effusion. No acute osseous finding. The visualized bowel gas pattern is normal.,Streaky and fine granular opacities in both lungs suggest RDS.,1.2.826.0.1.3680043.8.498.37215325338817642866643202332532263888
Resolution of the right lower lobe airspace disease. The lungs are clear. No pleural effusion or pneumothorax. The heart is top-normal in size. Degenerative changes of the visualized thoracolumbar spine.,Resolved right lower lobe pneumonia. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72393261391594428045661213495770249849
Heart size is mildly enlarged. Pulmonary vascularity is within normal limits. Mild patchy atelectasis at both lung bases. No pleural effusion or pneumothorax.,Cardiomegaly. Mild patchy atelectasis at both lung bases.,1.2.826.0.1.3680043.8.498.34148746647571865823301507550084474316
The heart is mildly enlarged. The mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.,No acute cardiopulmonary findings. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.26927483779940680751937450939708135599
There is cardiomegaly and pulmonary vascular cephalization without frank edema. No focal infiltrates or effusions are identified.,Cardiomegaly and pulmonary vascular cephalization.,1.2.826.0.1.3680043.8.498.40014661239219632149165763506818947383
Cardiac silhouette normal in size. Thoracic aorta mildly tortuous. Hilar and mediastinal contours otherwise unremarkable. Lungs clear. Bronchovascular markings normal. No pleural effusions. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49100160314543810921173108762306454606
Right-sided central venous line has tip in the right atrium. Left-sided pacemaker is present. The heart is enlarged. The aorta is calcific. The lungs are well expanded. There are congestive changes. There is a small left pleural effusion. There is a small infiltrate in the right upper lobe just above the minor fissure. Degenerative changes are seen in the spine.,1. Congestive changes. 2. Small left pleural effusion. 3. Small infiltrate in the right upper lobe.,1.2.826.0.1.3680043.8.498.11518023627223242572480774083061691337
There is opacity in the right middle lobe consistent with pneumonia. The remainder of the lungs is clear. No effusion is seen. The heart is within normal limits in size. No bony abnormality is noted.,Right middle lobe pneumonia. Recommend follow-up chest x-ray.,1.2.826.0.1.3680043.8.498.95610873378201953846568494539197735297
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.38926102585253821837355230757225165194
The heart is moderately enlarged. The mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.,Cardiac enlargement but no acute pulmonary findings.,1.2.826.0.1.3680043.8.498.78872931710714547638268090994266508080
Cardiothymic silhouette is normal. Lung volumes are normal. No consolidation or pleural effusion. No pneumothorax. No osseous abnormality.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.88014426480491189474100320950196485462
"Normal cardiac silhouette. No focal consolidation, effusion, or pneumothorax. No radiographic evidence of sarcoidosis. Bones are unremarkable.",No radiographic evidence of sarcoidosis.,1.2.826.0.1.3680043.8.498.50932679341266025913738578480534625237
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22004805189392656926410458098347285120
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.82959719774904853091802407663508276957
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.97618551976494959465556382463758154205
"Since 6/6/2013, slight decrease in right greater than left pulmonary edema and bilateral pleural effusions noted. Stable cardiomegaly seen.",1. Slight decrease in congestive heart failure findings as described. 2. No interval additional acute findings.,1.2.826.0.1.3680043.8.498.41553366209992023985380037396326868700
"The heart size and mediastinal contours are stable. There are chronic interstitial lung changes with associated scarring. No superimposed airspace disease, edema or pleural effusion is identified. There is no pneumothorax. The osseous structures appear unchanged.",Stable chronic interstitial lung disease. No acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.44631931537133448331056463879433264781
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fractures seen; no acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.43808053905437670616159905210534748751
Upper normal heart size. Mediastinal contours normal. Bibasilar atelectasis and small pleural effusions. Peribronchial thickening and central interstitial changes suggesting pulmonary edema. No pneumothorax. Bones unremarkable.,Bibasilar atelectasis and small pleural effusions. Mild peribronchial thickening and central interstitial changes likely reflecting pulmonary edema.,1.2.826.0.1.3680043.8.498.18216448983939859435185755201533049396
Left subclavian Port-A-Cath is present with tip overlying the SVC. The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,Left subclavian Port-A-Cath in satisfactory position without complicating features.,1.2.826.0.1.3680043.8.498.36327152228006735380936788731695223359
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.88983001416112689122871570339215573351
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76813796323727653487916231235795159629
There is mild cardiomegaly. Aortic calcifications are noted. The lung volumes are low. There are chronic interstitial lung markings. There is no pneumothorax. No large pleural effusion. There is no acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40576288856144499777398825044019899150
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.38958865327229021034235889229937759386
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.12582490598737046401465103521330155814
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Previously seen right lower lobe airspace disease has partially cleared since previous study. Small residual posterior right pleural effusion is seen as well as mild atelectasis or infiltrate in the right lower lobe. Left lung is clear. No evidence of pneumothorax.,"Partial clearing of right lower lobe airspace disease, consistent with resolving pneumonia. Small residual right pleural effusion and mild right lower lobe atelectasis versus infiltrate.",1.2.826.0.1.3680043.8.498.90758508309664364568018660584035938036
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94472076724416946090954106229267932406
Extensive bilateral airspace disease with air bronchograms at the bases. Cardiomegaly. Tracheostomy tube in good position. Right PICC with tip at the SVC. No visible effusion or pneumothorax.,Stable advanced airspace disease.,1.2.826.0.1.3680043.8.498.45380703604863140829452515220592744863
The lungs are adequately inflated. The interstitial markings are increased. The cardiac silhouette is enlarged. I see no pleural effusion. The pulmonary vascularity is prominent.,There are findings consistent with low-grade congestive heart failure. I do not see evidence of pneumonia.,1.2.826.0.1.3680043.8.498.88463791710415971302062927596171319083
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.40954124475528030960272750251089220759
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.89626403436374826257156911696600962504
"There are small bilateral pleural effusions, greater on the left. There is interstitial pulmonary edema. Basilar airspace disease on the left is likely due to atelectasis. No pneumothorax. There is cardiomegaly. Atherosclerosis noted.",Cardiomegaly and interstitial edema with small bilateral effusions.,1.2.826.0.1.3680043.8.498.43104190791872434231979832592964735945
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30137691564187939158967391380464863353
Heart size is difficult to evaluate on the AP projection. Calcification of the aortic knob is seen. There is prominence of the interstitial lung markings. This may be on the basis of vascular congestion. The costophrenic angles are sharp. Trachea is midline. Hilar structures are grossly unremarkable.,Interstitial lung disease present.,1.2.826.0.1.3680043.8.498.59082589257517013613500260200006566948
Cardiomediastinal silhouette is normal. The lungs are clear without no airspace consolidation. No pleural effusions. No pneumothorax. Osseous structures are normal.,Normal chest x-ray.,1.2.826.0.1.3680043.8.498.14440802379387030691547999827148161316
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59534340631281381004517456160871101069
Cardiomegaly with vascular congestion. Low lung volumes. No pleural effusion or pneumothorax. No focal consolidation.,Cardiomegaly with vascular congestion and low lung volumes.,1.2.826.0.1.3680043.8.498.15399225338074082556499760385272039324
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.22508832174732185961721019212770048313
Endotracheal tube tip is 2.1 cm above the carina. Nasogastric tube tip and side port are in the stomach. No pneumothorax. There is atelectatic change in the lung bases. Lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. Bibasilar atelectasis. No consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.60124543222613454125062760182441200061
Mediastinum and hilar structures normal. Heart size normal. Right lower lobe infiltrate consistent with pneumonia. Small right pleural effusion. No pneumothorax.,Right lower lobe infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.43842592621659464612312137768506666289
Endotracheal tube with tip approximately 3 cm above the carina. Enteric tube extends below the diaphragm with tip beyond the inferior margin of the image. Diffuse airspace opacities throughout the right lung and at the left lung base. No large pleural effusion. No pneumothorax. Stable cardiomediastinal silhouette. No acute osseous pathology.,1. Endotracheal tube above the carina. 2. Diffuse airspace opacities throughout the right lung and left lung base.,1.2.826.0.1.3680043.8.498.15080258719753967817479917292158583851
"UVC tip at the upper right atrium. The enteric tube tip and side-port reaches the stomach. Normal cardiothymic silhouette. No edema, consolidation, effusion, or pneumothorax. Gas distended bowel in the upper abdomen, similar to prior.",1. UVC tip at the upper right atrium. 2. Enteric tube in good position.,1.2.826.0.1.3680043.8.498.12335205975585750216528722158899765286
There is mild interstitial edema. No consolidation or pleural effusion. Heart is mildly enlarged with pulmonary venous hypertension. No adenopathy. No bone lesions.,Evidence a degree of congestive heart failure. No airspace consolidation.,1.2.826.0.1.3680043.8.498.38654599362388738515647789583455836041
Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.29199002190850907014107793990032876792
The heart is enlarged. The mediastinal contours are normal. There is mild vascular congestion without overt pulmonary edema. Patchy opacities are present in the lung bases. There may be small bilateral pleural effusions. No pneumothorax is seen. The bones are unremarkable.,"Cardiomegaly with vascular congestion and bibasilar patchy opacities, likely atelectasis. Pneumonia not excluded. Small bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.51575596683210341226618511576900919306
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76165672377291066167149210004136895650
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.37136497667180199091108859240305251708
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17125531176005873382516678201955575450
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81366964632717465556059870210172502336
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. Mild cardiomegaly is present. Median sternotomy sutures are noted. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.86235739233511196831499454236861292903
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78625621509889006903104524928642258057
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78153021289266198541987333618477885240
No pneumothorax or effusion. Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Detailed views show no displaced fracture or other focal lesion.,No acute disease,1.2.826.0.1.3680043.8.498.66317365058231253691603803131496736174
"Interval extubation. Interval removal of NG tube. Swan-Ganz catheter and left chest tube remain in place, unchanged. No pneumothorax. There is vascular congestion and bibasilar atelectasis, similar to prior study. Stable cardiomegaly.",Interval extubation. Continued vascular congestion and bibasilar atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.18145767011481304468512483097254791188
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87066199604382193756335676420280122279
Small left pleural effusion with left base atelectasis. Right lung is clear. Heart is normal size. No acute bony abnormality. No visible rib fracture. No pneumothorax.,Small left pleural effusion with left base atelectasis.,1.2.826.0.1.3680043.8.498.64928312141665777383502655175030392386
The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.21358962809174430445711133946937272774
There is cardiomegaly present with bilateral pleural effusions and probable mild pulmonary vascular congestion. Feeding tube is present. The bones are osteopenic.,Cardiomegaly with effusions and probable mild pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.45564346280569343045708973394173059957
Cardiac silhouette mildly enlarged. No mediastinal or hilar masses. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are demineralized but grossly intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55016146303117966784522457753544609351
"There is hyperinflation of the lungs compatible with COPD. Scarring noted in the upper lobes bilaterally. Increased density noted in the right lung base, increased since prior study. Cannot exclude early infiltrate. No confluent opacity on the left. Heart is normal size. No effusions.",COPD/chronic changes. Increasing density in the right lung base which could represent early infiltrate.,1.2.826.0.1.3680043.8.498.36669220865898843319139768977459595993
There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.48950573391075376860421784675029907479
The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.89321425989613012293304884110281096326
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35071341802408022453604065052794920668
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30590105025572812242419483336117010060
"Portable AP supine view at 8969 hours. Enteric tube is in place, side hole at the level of the gastric body. UVC tip projects at the level of the diaphragm. UAC tip at T6-T7. Normal visible bowel gas pattern. Normal cardiothymic silhouette. Improved lung volumes and bilateral ventilation. Mild granular pulmonary opacity at the left lung base appears regressed. No pneumothorax, pleural effusion or confluent pulmonary opacity. No osseous abnormality identified.",1. Enteric tube and UVC in place. UAC tip at T6-T7. 2. Improved ventilation with mild granular opacity at the left lung base regressed. 3. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.13027757098054881286790156514895689411
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88170293074025549947324372758118109851
The patient is significantly rotated. The heart is normal in size. The lungs are grossly clear. No pneumothorax. No pleural effusion.,Limited exam secondary to patient positioning. No obvious active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88991338926885345530669547301179421900
"There is cardiomegaly. New bilateral airspace opacities are noted, most prominent in the right upper lobe. Findings likely represent edema although infection cannot be completely excluded. No effusions. No acute bony abnormality.","New bilateral airspace disease, likely edema. Cannot completely exclude infection.",1.2.826.0.1.3680043.8.498.35717641925960756777633988287245105907
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16929494534085773893828294654350464776
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.35065270210361502908836032183566484572
Multiple left rib fractures are again noted. No pneumothorax. Bibasilar atelectasis increased slightly in the interval. No significant effusion. Heart size and vascularity normal.,No pneumothorax. Increased bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.40528869864515217001929220244276330306
"The lungs are hyperexpanded, with flattening of the hemidiaphragms, compatible with COPD. Right-sided scarring is noted, particularly at the lung apex. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. Scattered clips are noted at the right lung apex.",Findings of COPD; lungs otherwise grossly clear. No displaced rib fractures seen.,1.2.826.0.1.3680043.8.498.57701163578469054250721519961251883376
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46753411833108394411660203300968666747
The heart size and mediastinal contours are within normal limits. Patchy opacities at the lung bases. No evidence of pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,"Patchy opacities at the lung bases, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.97206654782281086634798197974210421057
Endotracheal tube tip remains in satisfactory position approximately 3 cm above the carina. Left subclavian central venous catheter tip remains in the upper SVC. Inspiration is markedly suboptimal accounting for atelectasis in the lung bases. This is superimposed upon pulmonary venous hypertension without overt edema. No new abnormalities are detected.,Tubes and lines satisfactory. Markedly suboptimal inspiration accounts for bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.16634017744500996654052070013352431768
Endotracheal tube tip is 2.2 cm above the carina. Nasogastric tube enters the stomach. The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. Lungs clear. Cardiac silhouette normal.,1.2.826.0.1.3680043.8.498.28500308525516529214624310957068591331
There is a right chest wall port catheter with tip in the projection of the SVC. The heart size appears normal. No pleural effusion or edema. No airspace consolidation. The previously noted left upper lobe pneumonia has resolved.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.34492201673668266074663237026716654200
"Portable AP semi upright view at 9EF0F-7X hours. Low lung volumes. Patchy and indistinct mostly peripheral and basilar pulmonary opacity, typical for COVID pneumonia. Cardiac size at the upper limits of normal. Other mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. Negative visible bowel gas pattern. No acute osseous abnormality identified.",Patchy and indistinct mostly peripheral and basilar pulmonary opacity typical of COVID pneumonia.,1.2.826.0.1.3680043.8.498.21808491745369604792914611027874622592
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55994598437129965593246713019026901900
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.28090779697049640573693520391248474821
Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45481726238297011998947165587579706132
"There is cardiomegaly with vascular congestion. New bilateral lower lobe airspace opacities are noted, likely atelectasis. There may be small bilateral effusions. No acute bony abnormality.","Cardiomegaly, vascular congestion. Bibasilar atelectasis. Cannot completely exclude pneumonia.",1.2.826.0.1.3680043.8.498.83329913031718186480272483194961084138
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.56532531290518911688197482785509891808
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Left-sided PICC line with the tip projecting over the SVC.,No active disease.,1.2.826.0.1.3680043.8.498.96137781590972994727451065130382236424
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.12820536224523274892230580724901106894
"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. Atherosclerotic calcifications present in the transverse aorta. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease. Aortic Atherosclerosis (ICD10-170.0).,1.2.826.0.1.3680043.8.498.71965434331228067237420864855099080292
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83256704742077074255564601640654501522
Interval removal of right-sided chest tube. No pneumothorax. Midline trachea. Prior median sternotomy. Mild cardiomegaly. Small right-sided pleural effusion. Right base atelectasis is similar. Minimal left base atelectasis.,1. No pneumothorax after right-sided chest tube removal. 2. Small right and trace left pleural fluid with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.38979784067899139434409442289439427620
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27938856377278720660482728730644549962
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The bony thorax is intact. Left subclavian dual lead pacemaker is in satisfactory position.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76689842437679289314976227266450131511
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.43445297799996342191920940974053744608
Cardiac shadow is mildly enlarged. Endotracheal tube is noted in satisfactory position. Gastric catheter extends into the stomach. The lungs are well aerated bilaterally with evidence of mild left retrocardiac atelectasis. Multiple right-sided rib fractures are again noted. No pneumothorax is seen.,Tubes and lines as described above. Mild left basilar atelectasis is noted.,1.2.826.0.1.3680043.8.498.64983946139409666835825183035024139171
Pacemaker projects over the right side of the chest. EKG leads project over the patient's chest. Cardiomegaly is present. Congestive heart failure is present. Bilateral pleural effusions are present. Calcified pleural plaques seen on the right.,"No significant interval change, allowing for differences in technique.",1.2.826.0.1.3680043.8.498.87786127946207048564181814737986378428
"No focal lytic lesions are identified within the skeleton. There are mild degenerative changes within the cervical, thoracic and lumbar spine. No suspicious focal osseous lesions are identified. The visualized lung fields are clear.",No focal bony lesions identified.,1.2.826.0.1.3680043.8.498.65533029304013899071893735332228022799
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71075108069609074583054404835674603864
Cardiac shadow is within normal limits. Aortic calcifications are seen. Elevation of the right hemidiaphragm is noted. No focal infiltrate or effusion is seen. No acute bony abnormality is noted.,No active disease.,1.2.826.0.1.3680043.8.498.50704755897931622111254204992239629685
The lungs are hyperaerated. Also there are prominent perihilar markings with peribronchial thickening most consistent with asthma or bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,Hyperaeration with prominent perihilar markings and peribronchial thickening most consistent with asthma or bronchitis. No pneumonia.,1.2.826.0.1.3680043.8.498.33787241159379812623568150475053145265
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.26402231604764973716704976026450939921
"Shallow inspiration. No focal consolidation, pleural effusion, pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.17316014648676256597358731623652130858
There is consolidation in the left base. This may represent pneumonia. There is also a small left effusion. The right lung is clear. There is cardiomegaly. There is a dual lead pacemaker. Central catheter tip is in the superior vena cava. No pneumothorax.,Left base consolidation. This may represent pneumonia. Small left effusion.,1.2.826.0.1.3680043.8.498.85834843578105811114024709119919094773
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72686230606283998114643062337792918934
There is thickening of the interstitial markings as well as mild peribronchial cuffing. No focal regions of consolidation are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable.,Findings consistent with viral pneumonitis versus reactive airway disease.,1.2.826.0.1.3680043.8.498.17981109361847804839807620794595854599
Cardiac and mediastinal contours are unchanged. Pulmonary vascular congestion with mild interstitial edema again noted. No pleural effusion or pneumothorax. No focal consolidation. Surgical changes of prior ACDF again noted. Interval removal of the nasogastric tube and endotracheal tube.,1. Persistent pulmonary vascular congestion and mild interstitial edema. 2. Interval removal of nasogastric tube and endotracheal tube.,1.2.826.0.1.3680043.8.498.62899703613377279987414341106368528153
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is a dextroscoliosis of the thoracic spine. No rib fracture is identified.",No acute process.,1.2.826.0.1.3680043.8.498.35344718159440264858089885915342033354
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.86281916968031435399134492373780801510
The lungs are clear. There is no pleural effusion. Heart size is normal. The descending thoracic aorta is ectatic. Surgical clips are noted in the gastroesophageal junction and in the right upper quadrant.,No acute disease.,1.2.826.0.1.3680043.8.498.19471407202292970298899435501393319694
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76481208322509963085576096665646174456
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20298787636825554475657346161415879245
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.88662283869245041640540154848916120798
Endotracheal tube tip between the clavicular heads and carina. The orogastric tube reaches the stomach. Right IJ line with tip at the SVC. Low volume chest with diffuse and patchy pulmonary opacity. No visible effusion or pneumothorax. Stable heart size.,Stable hardware positioning and pulmonary opacity.,1.2.826.0.1.3680043.8.498.96904972105598421668519061742090055431
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34885663975928897733423041981531745210
"Heart size is normal. Mediastinal shadows are normal. There is bronchial thickening but there is no infiltrate, collapse or effusion. No significant bony finding.",Bronchitis without consolidation or collapse.,1.2.826.0.1.3680043.8.498.37086396419531295303054500333354272498
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size stable. Degenerative changes thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59262158615947751011992132082659952093
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable. Emphysematous changes are noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88094247683448413433485448755168434064
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36240362275655790092046506774377942550
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30220515189360134147741681815089614088
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous mineralization normal. BB placed at site of symptoms lower anterior LEFT chest. No rib fracture or bone destruction.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.90390406850337628617485531280044105087
Tracheostomy tube is in place. There are small to moderate bilateral pleural effusions. Interstitial edema is noted. Bibasilar airspace disease likely reflects atelectasis. No pneumothorax is present. The heart is upper normal in size. The visualized soft tissues and bony thorax are unremarkable.,"1. Interstitial edema with bilateral pleural effusions and bibasilar airspace disease, likely atelectasis. 2. Tracheostomy tube is in place.",1.2.826.0.1.3680043.8.498.83384694009912060646178267777828114179
"There is advanced COPD. Patchy airspace disease is again noted bilaterally, similar to the prior study. Small bilateral pleural effusions are noted. The heart is mildly enlarged. No pneumothoraces are seen.",No significant interval change.,1.2.826.0.1.3680043.8.498.33949308055787486196880218092777343205
"The ventricular system is normal in size for the patient's age. There is no evidence of hemorrhage, mass effect or extra-axial fluid collections. There is no evidence of acute infarct in a major vascular distribution. The brain stem and cerebellum appear unremarkable. There is no evidence of acute infarct, mass effect or hemorrhage. No skull abnormalities are seen. There is no evidence of intracranial mass or mass effect. There is no evidence of hemorrhage. No abnormal extra-axial fluid collections are identified. There is no evidence of acute infarct. No skull abnormalities are seen. There is no evidence of intracranial mass or mass effect. No other significant change.","Negative study. No acute infarct, hemorrhage or mass effect.",1.2.826.0.1.3680043.8.498.27894046603757449588897357312261197769
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.62945715139409062241712632086552967511
"Heart size is normal. There is no heart failure, infiltrate, or mass. COPD is present. There is no suspicious lung nodule.",COPD. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74743857647276695432795104539211613148
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.60437965792681053074672380047237601058
"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.97682818610672971467960639416761648745
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88882002340968254832553299266011772653
There is a stable appearance of a right-sided defibrillator. The heart is mildly enlarged. There is no evidence for heart failure. Left lower lobe airspace disease is unchanged from the prior exam and may represent atelectasis or pneumonia. A calcified granuloma is again noted in the left mid lung. The lungs are otherwise clear. There is no evidence for pleural effusion.,1. No acute cardiopulmonary disease. 2. Stable appearance of the heart and lungs.,1.2.826.0.1.3680043.8.498.58918424369002744933420826960726686268
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.57730209418387725856630789336265520132
There is worsening aeration of both lungs consistent with diffuse airspace disease. The heart is mildly enlarged. Small bilateral effusions are noted.,Worsening CHF.,1.2.826.0.1.3680043.8.498.62892661271349171641432222936989150175
The lungs are adequately inflated and clear. The heart and mediastinal structures are normal. The pulmonary vascularity is not engorged. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22581773012423936155733756520226276108
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.75857997174435961573010339889151671908
There is thickening of the interstitial markings as well as peribronchial cuffing. A RIGHT-sided pleural effusion is identified which appears to have increased in size when compared to the previous study. The cardiac silhouette is enlarged indicative of cardiomegaly. A LEFT sided pectoralis pacing unit is identified with lead tips projecting in the region of the RIGHT atrium and RIGHT ventricle. The visualized bony skeleton is osteopenic.,1. Findings consistent with pulmonary edema. 2. Atelectasis versus infiltrate versus asymmetric edema within the lung bases. 3. Increased RIGHT effusion. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.96323423917942966133837285108269738403
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.85048514268978684177498720775845984791
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Mild thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61859589117831468207058105723637048126
"The lungs are well-aerated. Vascular congestion is noted, with bilateral central and bibasilar airspace opacities, likely reflecting pulmonary edema. A small right pleural effusion is noted, with associated right basilar airspace opacity, possibly reflecting asymmetric interstitial edema. A small left pleural effusion is also seen. There is no evidence of pneumothorax. The cardiomediastinal silhouette is mildly enlarged. The patient is status post median sternotomy, with evidence of prior CABG. No acute osseous abnormalities are seen.","1. Findings of pulmonary edema, with small bilateral pleural effusions. 2. Mild cardiomegaly.",1.2.826.0.1.3680043.8.498.50217657174162058403230912273126142578
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.80826743457927005830272573668300613039
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13097956352599261066442162999770005206
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64516881243940122235445661105515967784
Cardiac silhouette is mildly enlarged. Normal mediastinal contours. No focal airspace opacities. No pleural effusion or pneumothorax.,Mild cardiomegaly without acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90844746580935202992684023973855284592
There is consolidation in the right upper lobe compatible with pneumonia. Left lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.82589722856148831568440551180560881470
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35391947334509130151754921406316363291
Single portable AP chest radiograph is provided. There is bilateral diffuse interstitial thickening likely representing interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology. There is a moderate left pleural effusion. There is a small right pleural effusion. Stable cardiomegaly. The osseous structures are unremarkable.,Please see above.,1.2.826.0.1.3680043.8.498.36063664640275090255455978368474073668
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The chest is hyperexpanded compatible with a history of COPD. There are noted a few old-appearing rib fracture deformities on the LEFT.",1. No acute changes are identified. 2. COPD.,1.2.826.0.1.3680043.8.498.67675628447715735317586279147831153729
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84563132158007672967206963584466151794
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.84573002515108217691841434043427135617
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29727767711486983968366874954254416295
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63290556796623296164184675280625231083
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58885006334497424782205550154756644798
Heart size is normal. The mediastinum is unremarkable. There is linear scarring at the left lung base. The lungs are otherwise clear. No effusions. No significant bony finding.,No active disease.,1.2.826.0.1.3680043.8.498.36925249360313558555779553713857133254
Heart and mediastinal contours are within normal limits. There is central airway thickening. Focal airspace opacity in the right lower lobe concerning for pneumonia. Left lung clear. No effusions.,Central airway thickening. Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.22606518745246247031172315725672710797
Normal sized heart. Tortuous aorta. Small amount of right pleural fluid and/or thickening. Clear lungs. Mild thoracic spine degenerative changes.,Small amount of right pleural fluid and/or thickening.,1.2.826.0.1.3680043.8.498.78985629004818685301062102413179055696
"Normal heart size, mediastinal contours, and pulmonary vascularity. Mild peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or asthma. No acute infiltrate.,1.2.826.0.1.3680043.8.498.20838320837235646286190066661580268530
"Grossly unchanged cardiac silhouette and mediastinal contours. Interval placement of a right-sided chest tube with tip overlying the right mid lung. Interval decrease in residual small right-sided pneumothorax with residual small amount of pleuroparenchymal thickening about the right minor fissure. Improved aeration of the lungs with persistent bilateral heterogeneous opacities, most conspicuous within the peripheral aspect of the right upper lung. No new focal airspace opacities. No evidence of edema. No pleural effusion. No evidence of edema. No acute osseus abnormalities.",1. Interval placement of a right-sided chest tube with tip overlying the right mid lung. Interval decrease in residual small right-sided pneumothorax. No evidence of edema. 2. Improved aeration of the lungs suggests resolving atelectasis and/or airspace disease. 3. Residual bilateral opacities favored to represent atelectasis.,1.2.826.0.1.3680043.8.498.62712937272407690514595159914400463952
"The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",No radiographic evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.86395787464276138210251229445315382894
The lungs are mildly hyperinflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,COPD. There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23211363238395183695623174176577961933
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14588881854463009998118024499487275478
Low lung volumes with clear lungs seen. Stable heart size and post CABG changes seen. Left-sided pacemaker leads ending in the right atrium and right ventricle stable. No new significant abnormality is seen.,1. Low lung volumes. 2. Post CABG. 3. Otherwise no active disease.,1.2.826.0.1.3680043.8.498.36985971792415419128710022244513592153
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.51220372190875289932286954775501529605
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.73388359673524229663835704145638766916
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98766460934789863623825183102918165824
Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93376995518703912889224814490124400261
Heart size is normal. There is no pleural effusion or pulmonary edema. Lung volumes are low. There is plate-like atelectasis at both lung bases. No airspace consolidation.,1. Low lung volumes. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.47353380982743319500894196102992202598
Endotracheal tube is 5 cm above the carina. NG tube is in the stomach. There is mild central vascular congestion. There is plate-like atelectasis in the right mid lung. No effusions. No acute bony abnormality.,Endotracheal tube and NG tube in satisfactory position. Central vascular congestion. Plate-like atelectasis right mid lung.,1.2.826.0.1.3680043.8.498.62884491138654396753661224185053519150
Low lung volumes. New patchy airspace disease in the left upper lobe and right lung base. No pleural effusion. Stable cardiomediastinal silhouette. No pneumothorax. Large hiatal hernia.,"New patchy airspace disease in the left upper lobe and right lung base, which may reflect atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.59471663301011941120171648619882435606
There is increase in bibasilar airspace disease which may be atelectasis or pneumonia. There is no heart failure or effusion. Lung volume is normal.,"Increase in bibasilar airspace disease, possibly pneumonia.",1.2.826.0.1.3680043.8.498.68938186025112642811902215631207957987
"Endotracheal tube, nasogastric tube, and right subclavian central line are stable in position. There has been some progression of airspace consolidation throughout much of the left lung. Patchy airspace opacities at the right lung base are stable. Heart size normal. No definite effusion.",1. Some increase in left lung airspace consolidation. 2. Stable airspace opacities at the right lung base.,1.2.826.0.1.3680043.8.498.75100681107676583524739975021116047055
"There is opacity in the right middle lobe seen best on the frontal and lateral views, consistent with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.",Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.20422298425342150682470970834069609857
There is mild bilateral interstitial thickening. There is no focal consolidation. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56226885772404502206856635985072070061
There is a right-sided central venous catheter with the tip projecting over the right atrium. There is persistent elevation of the right hemidiaphragm. There is bibasilar atelectasis. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,1. No acute cardiopulmonary process. 2. Persistent elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.76776112497864880093645587855974353055
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. Postoperative changes of prior CABG are observed. There is degenerative spurring at multiple levels of the thoracic spine.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.93933522396667170738611484229847089230
Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Pulmonary vasculature is unremarkable. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25610873261256642917724694043565593967
There is peribronchial thickening bilaterally consistent with bronchitis. Lung volumes are normal. No consolidative infiltrates or effusions. No discrete osseous abnormality.,Bronchitis.,1.2.826.0.1.3680043.8.498.99466238638830051489835647492167449893
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17461546661588813563739262939512556593
Heart size within normal limits. Lungs hyperaerated but clear. No pleural fluid. There are degenerative changes in the spine.,COPD - no active disease.,1.2.826.0.1.3680043.8.498.12426729914501686080507468310708358319
Enlargement of cardiac silhouette with pulmonary vascular congestion. Atherosclerotic calcification aorta. Scattered interstitial infiltrates throughout both lungs consistent with pulmonary edema and/or pneumonia. Small LEFT pleural effusion with minimal LEFT basilar atelectasis post thoracentesis. No pneumothorax. Bones demineralized.,No pneumothorax following LEFT thoracentesis.,1.2.826.0.1.3680043.8.498.61208488469685690409055879629547748685
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26582227932907114590837162300743806063
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16907535678346246333893883789877058884
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.49947242007997470459850493414002867248
"Cardiac and mediastinal silhouettes are within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. Diffuse peribronchial thickening, which can be seen in the setting of acute bronchiolitis and/or reactive airways disease. No focal infiltrates to suggest pneumonia. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures within normal limits. Visualized soft tissues are unremarkable.","Diffuse peribronchial thickening, which can be seen in the setting of acute bronchiolitis and/or reactive airways disease. No focal infiltrates to suggest pneumonia.",1.2.826.0.1.3680043.8.498.55478521131956550461082771486907814410
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87844059975279482545164350090597650128
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.75807139259289229253887886051730604360
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30563898379164048704999169022277800387
The cardiac silhouette is moderately enlarged. There is upper lobe vessel prominence consistent with pulmonary venous hypertension pattern. There is minimal interstitial density in the right lung with minimal right costophrenic angle blunting. This most commonly reflects interstitial edema with minimal right pleural effusion. No consolidation is evident. There is minimal degenerative spondylosis.,The cardiac silhouette is moderately enlarged. There is upper lobe vessel prominence consistent with pulmonary venous hypertension pattern. There is minimal interstitial density in the right lung with minimal right costophrenic angle blunting. This most commonly reflects interstitial edema with minimal right pleural effusion.,1.2.826.0.1.3680043.8.498.34749423202193687644024925512356273304
The cardiothymic silhouette and pulmonary vasculature are within normal limits. Both lungs are clear. The orogastric tube tip overlies the gastric bubble. The visualized upper abdomen is unremarkable.,"Normal, mild, diffuse, granular opacities throughout both lungs.",1.2.826.0.1.3680043.8.498.70461113300361252515674011505692913211
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Moderate size hiatal hernia is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84037356684479362188008555741465798954
Upper-normal size of cardiac silhouette. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.43781235467758029622628933969491202577
The heart is enlarged. The aorta is calcific. The lungs are well expanded. There are bibasilar infiltrates with small effusions. Degenerative changes are seen in the spine.,Bibasilar infiltrates with small effusions.,1.2.826.0.1.3680043.8.498.59387892918653259142491588787300799523
"The lungs are well-aerated. Mild peribronchial thickening may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",Mild peribronchial thickening may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.49235832660414605456486041428385402453
"AP view of the chest shows the lung fields to be clear. No pneumonia, pneumothorax or pleural effusion is seen. No acute changes of the heart or pulmonary vasculature are identified. A Port-A-Cath is present with the tip projected over the region of the superior aspect of the right atrium. Nasogastric tube is present with the distal portion in the stomach.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.21331620182935540783268270294029021504
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22834503152578891917462665444633293582
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47518031770116694054846671406165763773
The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. Diffuse interstitial changes extend through the lungs suggesting chronic fibrosis. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected. Chronic interstitial changes extend through the lungs.,1.2.826.0.1.3680043.8.498.35788720655950949389587172138818753077
Right upper extremity PICC with tip terminating in the superior cavoatrial junction. Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No evidence of pulmonary edema. Heart size and mediastinal contours are within normal limits. Orthopedic fixation hardware in the cervical spine is incompletely imaged.,1. Tip of PICC line appears appropriately located at the superior cavoatrial junction. 2. No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98187736749291380595600887792169541984
There is cardiomegaly. There are small bilateral pleural effusions. Interstitial edema pattern has improved from the prior exam. Patchy areas of airspace disease within the right mid and lower lung are unchanged.,Improved edema pattern. No change in airspace disease.,1.2.826.0.1.3680043.8.498.62329000410433351515480886043270114212
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53176628168573160137305441939567609348
The cardiomediastinal contours are within normal limits. The lungs are clear. No pneumothorax or pleural effusion. No acute finding in the visualized skeleton.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98199991085191279311660387771303933947
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92224530235820145422066362675316086425
Cardiac silhouette is normal in size and configuration. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are demineralized but grossly intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25739094826752678416659175087601552499
The heart size and mediastinal contours are within normal limits. There are increased patchy airspace opacities throughout both lungs. There is no pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,Increased bilateral airspace opacities compatible with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.90790325600128884341347071010642926983
"Cardiac silhouette mildly enlarged, unchanged. Large hiatal hernia, unchanged. Thoracic aorta tortuous and atherosclerotic, unchanged. Hilar and mediastinal contours otherwise unremarkable. Linear atelectasis or scar in the left lower lobe, unchanged. Lungs otherwise clear. No localized airspace consolidation. No pleural effusions. No pneumothorax. Normal pulmonary vascularity. Degenerative changes involving the thoracic spine.",1. No acute cardiopulmonary disease. 2. Stable mild cardiomegaly. 3. Stable large hiatal hernia.,1.2.826.0.1.3680043.8.498.39294766508958330464060808587012632128
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. There are degenerative changes throughout the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46835639819842888928603157428692942708
There is extensive airspace disease in the right upper lobe compatible with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Extensive right upper lobe airspace disease compatible with pneumonia. Recommend follow-up plain films to clearing.,1.2.826.0.1.3680043.8.498.59130224414390935201113088169361501819
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. Right Port-A-Cath in stable position. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68016268796506156310959915888048412228
The patient has a new right PICC line with the tip in the distal SVC. It could be advanced approximately 3 cm. Stable appearance of the heart and lungs since the earlier film from today.,Right PICC line tip in distal SVC. It could be advanced 3 cm.,1.2.826.0.1.3680043.8.498.31132025630337117798528485104975264967
Endotracheal tube is in place with the tip approximately 2.5 cm above the carina. The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No focal bony abnormality.,1. Endotracheal tube in good position. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47636060988366965791467206440191277137
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30193332027712756262490786847470673491
The trachea is midline. Heart size is normal. Lungs are clear.,No acute findings.,1.2.826.0.1.3680043.8.498.46680735825290251138641962319591225195
"UVC has been pulled back with the tip in the lower right atrium approximately 7 mm above the IVC right atrial junction. Cardiothymic silhouette is within normal limits. Mild hazy opacities in the lungs, unchanged. No effusions.",UVC tip in the right atrium approximately 7 mm above the IVC right atrial junction.,1.2.826.0.1.3680043.8.498.42461088258546794072684636036960673737
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease.,1.2.826.0.1.3680043.8.498.75950639141343052284829689560369390828
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63921063165013944800452455598015607898
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20523936303376309381664159515273689820
"There is increased opacity at the left lung base, likely a combination of pleural effusion and atelectasis. There is also increased opacity in the left upper lobe, likely related to the patient's known lung cancer. Cavitary lesion in the right upper lobe is again demonstrated. Left upper lobe mass is again noted. No pneumothorax. Heart size and mediastinal contours are grossly stable.","1. Increased opacity at the left lung base, likely a combination of pleural effusion and atelectasis. 2. Increased opacity in the left upper lobe, likely related to the patient's known lung cancer. Cavitary lesion in the right upper lobe and left upper lobe mass appear grossly stable.",1.2.826.0.1.3680043.8.498.75553365075015022809804392457105895189
"LEFT arm PICC line tip projects over SVC. Enlargement of cardiac silhouette. Calcified mediastinal and hilar lymph nodes. Pulmonary vascular congestion. Chronic interstitial lung disease with upper lobe scarring and bronchiectasis. No definite acute infiltrate, pleural effusion or pneumothorax. Bones demineralized.",Enlargement of cardiac silhouette. Chronic lung disease with pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.44032219162770115045630303251814317575
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.53250887010138438457553872271581906081
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.90464264348305864205022406959005344259
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88686369167595852606389597087261597436
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.30797594709937831384477329797352038819
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.31870401872007324732943642748861445392
"Right central line, endotracheal tube, and nasogastric tube are unchanged. There is some patchy density at the lung bases which is improved. There was considerable consolidation in these areas on the prior chest x-ray. COPD again noted.",Improved aeration in the lower lobes.,1.2.826.0.1.3680043.8.498.13310367181090912961105979963020518693
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41693144366441381451310970366490523720
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58798556880183635455798425486695905675
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11439547593950743215019374572514099885
There is no evidence of fracture or dislocation. There are no arthritic changes.,Negative study.,1.2.826.0.1.3680043.8.498.71135334286294137930475748591241073601
Shallow inspiration. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97604159891065549708294653639496308474
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20921741179314679688692973432665485131
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90900316348181406383327418872957248018
"Cardiovascular: The heart size is mildly enlarged. The pulmonary vascularity is normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.78447096690189964816192159021530033951
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.10982121053870825563038148794805088534
Normal cardiothymic silhouette. Airway is normal. There is coarsened central bronchovascular markings. No evidence of focal consolidation. No pneumothorax. No pleural fluid. Bony thorax is intact.,Findings suggest viral process.,1.2.826.0.1.3680043.8.498.39984735095330319448891347069052101956
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.75226941312260620093186861725187865779
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61682513044164447076852290480396602122
Endotracheal tube is 4.6 cm above the carina. Nasogastric tube extends into the stomach. Swan-Ganz catheter tip is in the right pulmonary artery. There is a left chest tube and a mediastinal drain. No pneumothorax. No pleural effusion. Minimal basilar atelectasis. No pulmonary edema.,Support equipment appears satisfactorily positioned.,1.2.826.0.1.3680043.8.498.64607919202056447383945022180509263056
There is been slight improvement in the bilateral pulmonary edema. Heart size and vascularity are normal. No discrete effusions. No acute osseous abnormality.,Slight improvement in the bilateral pulmonary edema.,1.2.826.0.1.3680043.8.498.65997565456862619638948872860512405033
There is some patchy left basilar air space disease. The lungs are otherwise clear. No pleural effusion. Heart size normal.,Patchy left basilar air space disease could represent atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.46711943239070340445376834576369851758
There has been interval improvement in the aeration of both lung bases. Small bilateral pleural effusions are again noted. Aortic arch tortuosity is again noted. The heart size is normal. No new areas of pulmonary infiltrate are seen.,Improved basilar aeration. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.93672393480913440915676479113629092123
The lungs are hypoexpanded. Mild left basilar opacity likely reflects atelectasis. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Lungs hypoexpanded; mild left basilar opacity likely reflects atelectasis. Lungs otherwise clear.,1.2.826.0.1.3680043.8.498.62667059651297359615953901178295435394
The lungs are well-expanded. The interstitial markings are increased diffusely. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. I see no pleural effusion.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. Followup films would be of value.,1.2.826.0.1.3680043.8.498.94623182138523175116863489262131668572
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48196630862623320340534257287381165836
There is worsening diffuse airspace disease versus edema throughout the lungs. Heart size is obscured by the airspace process. Right IJ central line has been removed. No definite effusion or pneumothorax.,Worsening diffuse airspace disease versus edema.,1.2.826.0.1.3680043.8.498.60481374132843712156118717344484021448
"The heart size is within normal limits. The pulmonary vascularity is within normal limits. The mediastinal contour is within normal limits. No infiltrate, pleural effusion or pneumothorax. The bony structures are intact.",No acute process.,1.2.826.0.1.3680043.8.498.72685949950466317992361819475546609172
Heart size is normal. There is no heart failure. There is COPD. There is a calcified granuloma in the right lower lobe. There is mild left lower lobe atelectasis. There is no pneumonia or edema.,COPD and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.46433512952398004088805204814167438709
The lungs are clear. Heart size is upper normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.49096717900350728774440251643445660858
Two views of the chest were obtained. There is mild cardiomegaly. There is pulmonary hyperinflation. There are increased interstitial and scattered alveolar opacities throughout both lungs. There is no consolidation. There is no pneumothorax. There is no acute bone lesion. There are postop changes of the mediastinum.,There is cardiomegaly and mild CHF. There has been slight increase in the interstitial and alveolar opacities in both lungs since the prior study. There is no consolidation. There is COPD.,1.2.826.0.1.3680043.8.498.93627124955270449787370133013668031521
"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.85259521162721537534878568219361476680
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69344765439084516174136768118054672621
The heart is normal in size. There is a large area of consolidation in the right upper lobe. The lung volumes are low. Mild reticular opacities are seen at the left lung base.,1. Findings concerning for a large right upper lobe pneumonia. Underlying mass is not excluded. Followup radiographs are recommended to ensure resolution. 2. Mild reticular opacities at the left lung base may be secondary to atelectasis. Infection is not excluded. Followup PA and lateral chest radiograph is recommended.,1.2.826.0.1.3680043.8.498.26515953327504297037374784192563339371
Left PICC line is in place. The tip is in the mid SVC. Right PICC line has been removed. Left base atelectasis present. Heart is normal size. No effusions. No acute bony abnormality.,Left PICC line tip mid SVC. Left base atelectasis.,1.2.826.0.1.3680043.8.498.59654784740981257650121329621649019407
Endotracheal tube is 4.5 cm above the carina. Right central line tip is in the mid SVC. No pneumothorax. Nasogastric tube enters the stomach. There is mild basilar atelectasis. No effusions.,Right central line tip mid SVC. No pneumothorax. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.52233449735021690538315249885120069665
Exam limited by body habitus and positioning. The heart is enlarged. There is vascular congestion and pulmonary edema. No obvious pleural effusions. No pneumothorax. The right PICC line is likely in the right atrium.,1. Cardiac enlargement and congestive heart failure. 2. Pulmonary edema is limited by body habitus. 3. Right PICC line is in the right atrium.,1.2.826.0.1.3680043.8.498.35312272063096231583998706414095445373
There is central airway thickening. No focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.76406813672790517196885764644880178864
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.63092191791814269725311557398600743945
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98539805635945025601921613444266913615
Normal cardiothymic silhouette. No pneumothorax. No pleural effusion. No acute consolidative airspace disease. No evidence of significant lung hyperinflation. Nonspecific bowel gas pattern with no evidence of pneumatosis or pneumoperitoneum. Visualized osseous structures appear intact.,No active cardiopulmonary disease. Nonspecific bowel gas pattern.,1.2.826.0.1.3680043.8.498.22445310894253621545562734030736753808
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51576354090359911069547976826107349504
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15959557679266135162244088161186333737
Heart size is normal. There is no pleural effusion or pulmonary edema. Left hilar adenopathy is again noted. No acute airspace opacities are identified.,1. No acute cardiopulmonary abnormalities. 2. Left hilar adenopathy.,1.2.826.0.1.3680043.8.498.31327479127325004363088615715106937584
There is little change in diffuse airspace disease throughout both lungs most consistent with interstitial and possibly alveolar edema. No definite effusion is seen although small effusions cannot be excluded. Cardiomegaly is stable. No bony abnormality is seen.,Little change in diffuse airspace disease most consistent with edema.,1.2.826.0.1.3680043.8.498.91493568540983640256068813013058896132
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.74461197942705676393876859444344766038
Cardiac silhouette is normal in size and configuration. No mediastinal or hilar masses. There is central peribronchial thickening which is stable. There is opacity in the right lower lobe consistent with pneumonia. Remainder of the lungs is clear. No pleural effusion or pneumothorax. Skeletal structures are unremarkable.,1. Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.80776270223538569573513438224772213003
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18607840903380702837349989176721041273
Endotracheal tube tip is 3.6 cm above the carina. Nasogastric tube enters the stomach. Swan-Ganz catheter tip is in the right main pulmonary artery. Left chest tube is in place. No pneumothorax. Minimal basilar atelectasis. No pulmonary edema.,Satisfactory appearance following bypass surgery.,1.2.826.0.1.3680043.8.498.17635849743804685594987046031258772823
There is central airway thickening. No confluent opacities or effusions. Heart is normal size. No bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.16096296572170138329376819319194396475
There is a moderate-sized right pleural effusion with associated right lower lobe atelectasis. The left lung is clear. Heart size is normal. Aortic atherosclerosis is noted. No pneumothorax or acute bony abnormality.,Moderate right pleural effusion with right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.54294818096657268281406994341532882759
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16372817115680325738972633671930698355
The heart is mildly enlarged. The aorta is tortuous and calcified. The lungs show bibasilar atelectasis. No edema or effusions are seen. No acute fractures are evident.,1. Mild cardiomegaly. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.76190957423765697464373451471942369474
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.39141571455760447656337459486510768082
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.42923558082010728172394670939157630081
"There is persistent pulmonary vascular congestion with bilateral perihilar interstitial opacities, compatible with pulmonary edema. Small bilateral pleural effusions are noted. There is no evidence of pneumothorax. Stable cardiomegaly. No acute osseous abnormalities are seen.","Findings again compatible with pulmonary edema, not significantly changed from prior exam.",1.2.826.0.1.3680043.8.498.62620202045064555089224851156788187933
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21019981338000553681116563768746293555
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13361268808067417943054469495540274189
The cardiopericardial silhouette is within normal limits for size. The lungs are clear. Mild central airway thickening is evident. The visualized soft tissues and bony thorax are unremarkable.,"Mild central airway thickening without focal airspace disease. This is nonspecific, but can be seen in the setting of an acute viral process.",1.2.826.0.1.3680043.8.498.57480940611725734674372510189838820385
There is some patchy airspace disease in the right lung base. Lungs otherwise clear. No effusion. Heart size normal.,Patchy right basilar airspace disease compatible with atelectasis and/or scar. Otherwise negative.,1.2.826.0.1.3680043.8.498.96806071707434359482690342504435134106
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23897155417949835450109969217762034494
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89128406024499569794306612699509151667
No active infiltrate or effusion is seen. Linear scarring is noted in the left mid lung. Mediastinal contours appear normal. The heart is within upper limits of normal. Left rib detail films show no acute left rib fracture.,1. No active lung disease. 2. Negative left rib detail.,1.2.826.0.1.3680043.8.498.42492966024386491976028110863810249019
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.18920971733674312730403074658062881127
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43067964697160515857327446716398569327
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33790776242264143310645455341413500153
"The heart is mildly enlarged. There is pulmonary vascular congestion without overt pulmonary edema. No pleural effusions are identified. There is no evidence of focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities are identified.",Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.77064504161699586847206747200243951824
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen. The visualized bowel gas pattern is grossly unremarkable.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.77387942460877291678160623648091113952
Right jugular Port-A-Cath tip in the SVC in good position. No pneumothorax. Mild left lower lobe atelectasis. No pleural effusion.,Satisfactory Port-A-Cath placement.,1.2.826.0.1.3680043.8.498.67404686386280012540219267555234066165
Shallow inspiration. The heart size and pulmonary vascularity are normal. The lungs appear clear and expanded without focal air space disease or consolidation. No blunting of the costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,No evidence of active pulmonary disease.,1.2.826.0.1.3680043.8.498.16241406580088819202528111374593184003
"Eventration of the left hemidiaphragm, stable. Left basilar scarring again noted. Heart is normal size. Right lung clear. No effusions. No acute bony abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41564119625023688946916533630926106146
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86363993517373309436993440713705328389
Cardiac and mediastinal contours are within normal limits given portable AP technique. No focal or consolidative pulmonary opacities. Pleural spaces are normal. The visualized osseous structures are unremarkable.,No acute pulmonary process.,1.2.826.0.1.3680043.8.498.29209089981109302307987811856535850825
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or pleural effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.76710398876734236812788139249209947403
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86621690329514965976962898206465215782
"There is peribronchial cuffing which may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. No focal consolidation, pleural effusion, or pneumothorax. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.12273919847292706657828781894110642743
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94384920477051343614844814679659584782
The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.74746678526420983656133194137428459998
The lungs are clear. No pneumothorax or pleural effusion is seen. The cardiac silhouette is mildly enlarged. The mediastinum thin bony structures appear intact.,No evidence of acute pulmonary disease.,1.2.826.0.1.3680043.8.498.14962519792185381797515158853210226529
"No displaced rib fractures are seen. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fracture seen. No acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.12531418846716975684348019505819395560
"Cardiovascular: The heart is normal sized. The pulmonary vascularity appears normal. Mediastinum: The mediastinal contour and hilar configuration are within normal limits. Lungs: There are no consolidating infiltrates, pleural effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.49103274053263358352951632368005940516
"Endotracheal tube tip projects 2.5 cm above the carina. Nasal/orogastric tube passes below the diaphragm into the stomach. RIGHT arm PICC tip projects over the lower SVC at or near the cavoatrial junction. Improved aeration at the LEFT lung base, with only mild atelectasis persisting. Mild atelectasis at the RIGHT lung base, stable. Lungs otherwise clear. No new pulmonary parenchymal abnormalities.","1. Improved aeration at the LEFT lung base since yesterday, with only mild atelectasis persisting. 2. Stable mild atelectasis at the RIGHT lung base. 3. No new abnormalities.",1.2.826.0.1.3680043.8.498.71706569470625641451374594507388260861
The lungs are clear. There is cardiomegaly. Hiatal hernia is noted. The patient is status post CABG. No pleural effusion.,Cardiomegaly without acute disease. Hiatal hernia.,1.2.826.0.1.3680043.8.498.62383996826271689575594897531767550970
"There is elevation of the left hemidiaphragm with associated atelectasis. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The heart size and mediastinal contours are within normal limits. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26719328060410283954917844116489099612
Heart size is normal. The lungs are free of focal consolidations and pleural effusions. There is mild interstitial prominence. No evidence for pulmonary edema.,No evidence for acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88484949121471922107655122947450743340
Mediastinum and hilar structures normal. Cardiomegaly with interval clearing of pulmonary edema. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Cardiomegaly. 2. Interim clearing of pulmonary edema.,1.2.826.0.1.3680043.8.498.55202344689462033874316635377716065244
Stable borderline enlarged cardiac silhouette and mild changes of COPD. Stable diffuse osteopenia.,Stable borderline cardiomegaly and mild changes of COPD. No acute abnormality.,1.2.826.0.1.3680043.8.498.47846412223936781029724741716158551958
"Normal heart size, mediastinal contours, and pulmonary vascularity. Atherosclerotic calcification aorta. Lungs clear. No pleural effusion or pneumothorax. Osseous mineralization normal. BB placed at site of symptoms lower anterior LEFT chest. No rib fracture or bone destruction.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.81008466254673599151992004706043548754
Endotracheal tube tip is 2.5 cm above the carina. Enteric tube tip is in the left upper quadrant consistent with location in the upper stomach. Large hiatal hernia. Left lung base opacity is likely due to atelectasis adjacent to the hernia. The heart size and pulmonary vascularity are normal. Calcification and tortuosity of the thoracic aorta. No pneumothorax. No acute osseous abnormality.,Appliances appear to be in satisfactory location. Large hiatal hernia.,1.2.826.0.1.3680043.8.498.59746623456879419640067634177457105416
Stable enlarged heart silhouette. There is new interstitial edema. No focal consolidation. No pleural fluid. No pneumothorax.,1. New interstitial edema. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.38693819095043816145185299473695804352
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.43365797567583873750022067487396783755
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70686006226944296630784613318512911508
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61211679741310349589480092507670461395
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16457421354929655601114854595403221037
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23822757890522757617170465024348983244
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22943686284121105251858129024126021012
Tracheostomy tube is in place. Ventriculoperitoneal shunt catheter is seen along the right chest. Low lung volumes. Mild atelectasis at the bases. Heart is normal size. No effusions. No acute bony abnormality.,"Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.50695421522595324920070366480920981275
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29462533871904544803680778451288347581
"The patient has patchy bilateral airspace disease, which is somewhat worse on the left. No effusion. Heart size normal.",Patchy bilateral airspace disease worrisome for pneumonia.,1.2.826.0.1.3680043.8.498.39241659779100126438525192766737360627
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94059494274313828906365726858545533935
"Endotracheal tube is in place with the tip 5.5 cm above the carina. There is patchy airspace disease in the lungs bilaterally, new since the prior study. Heart size is normal. No effusion.",1. Endotracheal tube in satisfactory position. 2. New bilateral airspace disease which could represent pneumonia or possibly asymmetric edema.,1.2.826.0.1.3680043.8.498.54999152889115222435726304051247113026
Heart is upper limits normal in size. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25509643595521738529371984028299619290
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91033048258467698610687393974713579280
Heart size is within normal limits. Mild scoliosis is noted. Both lungs are clear. There is no evidence of pleural effusion. No mass or adenopathy identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71589927126900028900856955921232281537
There is no pulmonary vascular congestion seen. There are bilateral linear thin streaky opacities seen consistent with bibasilar atelectasis. No focal lung consolidation is seen. There is no pleural effusion seen. Visualized osseous structures show no acute findings.,1. Chronic lung findings without superimposed focal infiltrate. 2. No radiographically evident acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.29281201160808819380998012016866920143
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. There is a S-shaped scoliosis of the thoracolumbar spine. There is a nondisplaced fracture of the lateral right 10th rib.",Nondisplaced fracture of the lateral right 10th rib.,1.2.826.0.1.3680043.8.498.50636803681491393956985007789259063308
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.43976355253138457152752779244558147696
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53728205625772786236471646510953283603
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58618919136203435368748412691965360711
No pneumothorax after LEFT thoracentesis. A moderate LEFT pleural effusion remains with LEFT basilar atelectasis and/or airspace disease. Small RIGHT pleural effusion remains with mild basilar atelectasis. No new pulmonary opacities. RIGHT internal jugular central venous access is stable and well positioned in the cardiopericardial silhouette.,1. No pneumothorax after LEFT thoracentesis. 2. A moderate LEFT pleural effusion remains with LEFT basilar atelectasis and/or airspace disease. 3. Small RIGHT pleural effusion with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.42997529020603879566236987460398896335
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88497358658890665872814777333350089554
There is near complete opacification of the left hemithorax with left-sided volume loss and mediastinal shift. This is unchanged when compared with the prior examination. The right lung is clear. There is no evidence for pleural effusion. Surgical clips are noted in the left chest.,Stable appearance of the chest. Persistent near complete opacification of the left hemithorax.,1.2.826.0.1.3680043.8.498.58179399874868119902768634788887149984
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83915701292866414872112634459388830343
Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Mild linear opacity at the left lung base consistent with atelectasis or scarring. Lungs otherwise clear. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.26499982087985823047747330683185797443
Hyperinflation of the lungs compatible with COPD. Linear areas of scarring in the lung bases bilaterally. Heart is normal size. No effusions or pneumothorax. No visible rib fracture. Stable compression fracture in the lower thoracic spine.,COPD/chronic changes. No active disease.,1.2.826.0.1.3680043.8.498.81634750345982788773400623996809756185
The lungs are hyperinflated consistent with COPD. There is increased density at the lung bases which could represent atelectasis or pneumonia. Fibrosis or asymmetric edema are also considerations. The heart is normal in size. There is no effusion or pneumothorax.,COPD with persistent increased density at the lung bases which could represent atelectasis or infiltrate. Fibrosis is not excluded.,1.2.826.0.1.3680043.8.498.20901890255168040963078451766105020329
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48204732139293624842333514460298377345
There is persistent opacity at the left lung base which likely represents a combination of pleural fluid and atelectasis. Underlying pneumonia cannot be excluded. Mild atelectasis is seen at the right lung base. Cardiomegaly is stable. Pulmonary vascular congestion is again noted and without significant change. There is no evidence of frank pulmonary edema. No pneumothorax identified. Prior CABG again noted.,"1. Persistent opacity at the left lung base which likely represents a combination of pleural fluid and atelectasis, although underlying pneumonia cannot be excluded. 2. Stable cardiomegaly and pulmonary vascular congestion. No evidence of frank pulmonary edema.",1.2.826.0.1.3680043.8.498.91970842867272402519529865103123723293
"The right PICC line is stable. Very low lung volumes with vascular crowding and atelectasis. Bilateral effusions, right greater than left with overlying atelectasis. Stable central cavitary mass.",Low lung volumes with worsening basilar atelectasis and effusions.,1.2.826.0.1.3680043.8.498.96352943160369787538964627451232658075
Bilateral airspace disease is again noted and unchanged. The central venous catheter is in the right atrium. It needs to be retracted approximately 1.5 cm.,No significant change in severe bilateral airspace disease.,1.2.826.0.1.3680043.8.498.28791659356608402122188535283479542358
Cardiomediastinal silhouette is unremarkable for this low inspiratory examination with crowded vasculature markings. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Included soft tissue planes and osseous structures are non-suspicious. Multiple EKG lines overlie the patient and may obscure subtle underlying pathology.,No acute cardiopulmonary process for this low inspiratory examination.,1.2.826.0.1.3680043.8.498.18222658935623065354838833475057477068
The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. Mild elevation of the right hemidiaphragm is seen. Mild degenerative changes of the thoracic spine are seen.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46616098861499609245254591386860908178
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.77741716104462969133123610103702390782
Cardiac shadow is within normal limits. Aortic calcifications are again seen. The lungs are well aerated bilaterally. Mild scarring is noted in the left base. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72372835670485722755038333539451751647
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28891413452056445822301037522734105538
There are low lung volumes. No focal airspace opacities or effusions. Heart is mildly enlarged. Patient status post median sternotomy.,"Low lung volumes, mild cardiomegaly. No acute findings.",1.2.826.0.1.3680043.8.498.95554443980980505535756000835366074168
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42292146038557087309375793493506754149
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86724083495520059385354447974041649720
Shallow inspiration with minimal right lung base atelectasis. Patchy airspace opacity in the right mid to lower lung field most consistent with pneumonia. Clinical correlation and follow-up to resolution recommended. No pleural effusion pneumothorax. The cardiac silhouette is within limits. No acute osseous pathology.,Right mid to lower lung field pneumonia.,1.2.826.0.1.3680043.8.498.43472884575311924141040093620822653154
Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84571668210329068928598318977046394733
Heart size is upper normal. Negative for heart failure. The lungs are clear without infiltrate or edema. No pleural effusion. Neurostimulator electrode is in the midthoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41723981213391767943260359736306622281
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Status post aortic valve replacement. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84572212502153024323943338137106121176
"Endotracheal tube, left arm PICC line, and nasogastric tube are unchanged. There has been some interval improvement in lung volumes with mild bibasilar atelectasis persisting. No edema.",Improved lung volumes with residual basilar atelectasis.,1.2.826.0.1.3680043.8.498.30264382407846264463542339557430002216
Patchy airspace disease in the right upper lobe and bilateral lower lobes concerning for pneumonia. Heart is normal size. No effusions. No acute bony abnormality.,Patchy bilateral airspace disease in the upper and lower lobes concerning for pneumonia.,1.2.826.0.1.3680043.8.498.73919352800728884074275907889956205561
Prior CABG. Midline trachea. Normal heart size. No pleural effusion or pneumothorax. Minimal left base atelectasis remains.,1. No acute cardiopulmonary disease. 2. Minimal left base atelectasis.,1.2.826.0.1.3680043.8.498.54510328413940714595619597912385803955
A small left apical pneumothorax remains. Pneumomediastinum is again noted. Subcutaneous air is seen overlying both sides of the neck as well as overlying the right lung. The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,1. No significant change in small left apical pneumothorax. 2. Again noted is pneumomediastinum with subcutaneous air.,1.2.826.0.1.3680043.8.498.23132776337197556031232043355031927286
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.84004597832155668802799863486942476416
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53770954273000905945739786574040577949
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60768426823741399461364825888214260248
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87898789039593973597013068721295843131
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.79885502002919051161191109204163711844
"The cardiomediastinal silhouette is unremarkable. Mild airway thickening is present. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Mild airway thickening without focal airspace disease - question viral process or reactive airway disease.,1.2.826.0.1.3680043.8.498.32743016799939748651519613472961569219
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pulmonary edema or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51798706848595067486303707836770908901
Cardiomediastinal silhouette unremarkable. Suboptimal inspiration on the AP image which accounts for crowded bronchovascular markings diffusely; better inspiration on the LATERAL image and the bronchovascular markings are normal. Lung parenchyma clear. No pleural effusions. Lung volumes normal. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41200864146547205284186473147755732493
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No pneumothorax is seen. No acute rib fracture is noted.,No acute abnormality noted.,1.2.826.0.1.3680043.8.498.89797188420968190611579010289712348120
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87631877423520497630751687669433788199
Eventration of the right hemidiaphragm is again identified and stable. Mild right basilar atelectasis is seen. The left lung is clear. No pleural effusion or pneumothorax is noted. The cardiac shadow is within normal limits. No bony abnormality is seen.,Stable eventration of the right hemidiaphragm with mild right basilar atelectasis.,1.2.826.0.1.3680043.8.498.19667857633380978237542946700271744471
There is cardiomegaly present with pulmonary vascular congestion and effusions consistent with congestive heart failure. No bony abnormality is seen.,"CHF with cardiomegaly, pulmonary vascular congestion, and bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.54584540655224988031116995471409074090
"There is again noted increased density at the lung bases compatible with fibrosis. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no acute changes.",1. There is again noted increased density at the lung bases consistent with fibrosis. 2. No acute changes are identified.,1.2.826.0.1.3680043.8.498.96711243361506931509484688783455808422
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65126195429606238510401490540778777036
No pneumonia is seen. There are prominent perihilar markings with some peribronchial thickening which can be seen with bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Probable bronchitis.,1.2.826.0.1.3680043.8.498.12937206092800426766653896540607531705
"Right chest tube remains in place, unchanged. No pneumothorax. Right lower lobe airspace opacity again noted, unchanged. Left lung clear. Heart is normal size.",No significant change. No pneumothorax.,1.2.826.0.1.3680043.8.498.64791248665903311095448855832316200492
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42452904116656481277425425300674907642
There is some mild prominence of the pulmonary interstitium. Lungs are clear. Heart size is upper normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.46616841915550713288946251074643235918
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49498906451062430901466996507854659741
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.52579097265554030664098518894218640605
There is cardiomegaly. Bilateral airspace opacities are again noted. There are moderate bilateral pleural effusions. Mild vascular congestion. No real change since prior study.,"No significant change in bilateral airspace disease, bilateral effusions and vascular congestion.",1.2.826.0.1.3680043.8.498.45474818272156427734606403909889657548
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.77468702507512054561455204539901102640
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11484326833390924835063194195339705199
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84068098089039705764042523637276870197
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.49219125997743061178291342884842477252
The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Mild subsegmental atelectasis is noted in both lung bases. The visualized skeletal structures are unremarkable.,Mild bibasilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.87340285378339479311579551945717403756
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62498982630661514860836357626078342228
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58417014277220842029703216277725575879
The heart is markedly enlarged. The pulmonary vessels are slightly congested. No focal consolidation identified. No pleural effusion is seen.,Cardiomegaly with pulmonary vascular congestion. No evidence of acute process.,1.2.826.0.1.3680043.8.498.30556534325175180878501504697043343741
Interval CABG. Endotracheal tube terminates 5.6 cm above carina. Nasogastric tube extends beyond the inferior aspect of the film. Right internal jugular Swan-Ganz catheter is present with tip in the right pulmonary artery. Mediastinal drain and left chest tube are in place. There is no pneumothorax. No pleural fluid. Minimal left basilar atelectasis.,Interval CABG. Support apparatus satisfactory.,1.2.826.0.1.3680043.8.498.21332909210736535360526548232135592472
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97607854078635612318509881400043743345
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease.,1.2.826.0.1.3680043.8.498.90169543286311643503793004311802981976
AP view of the chest was obtained. Lung volume is normal. No pulmonary mass or consolidation is present. No pleural effusion or pneumothorax. Cardiomediastinal silhouette and pulmonary vascularity are within normal limits. No acute regional skeletal abnormality.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.35197354211472105385963284133816988929
The heart size and mediastinal contours are within normal limits. Left lung is clear. Large right upper lobe airspace opacity is noted concerning for pneumonia. The visualized skeletal structures are unremarkable.,Probable right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.62471870977977217984496876087295353198
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.26818049945909677557620555323206954353
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.50941845474864470280653305148889596610
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19407753906344243775028342221852096734
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21770443817466054887944176479919041629
There is airspace disease in the right lower lung zone. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.49187341408670059740932496674803174840
The heart is normal in size. The lungs are under expanded. Right lower lobe infiltrate is seen with a small effusion. The left lung appears clear. There is no pneumothorax.,Right lower lobe infiltrate with small effusion.,1.2.826.0.1.3680043.8.498.71576456844459414811495853740084731326
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84671558314730535855646241976160588927
"Right chest tube remains in place, unchanged. Small right apical pneumothorax again noted, unchanged. Right upper lobe consolidation and right hilar mass again noted, unchanged. Small right effusion. Left lung is clear. Heart is normal size.",No significant change.,1.2.826.0.1.3680043.8.498.70631377061541674050943441984128194990
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable. Bullet is seen projected over left eighth rib.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13505183209521744410235089515150889906
The heart size and mediastinal contours are stable. The aortic arch is mildly tortuous and calcified. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.65246737849308116244833040543894185361
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68313040703055171486401698160401992661
Stable cardiomediastinal silhouette. Status post aortic valve repair. Endotracheal and nasogastric tubes are in good position. Right internal jugular catheter is noted with tip in expected position of the SVC. Left-sided chest tube is noted without pneumothorax. Right lung is clear. Minimal left basilar subsegmental atelectasis is noted. Bony thorax is unremarkable.,Endotracheal and nasogastric tubes are in good position. Left-sided chest tube is noted without pneumothorax. Minimal left basilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.47498920358500262284593946363650367972
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.39516482492572890751372123544148964924
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.76183312575069680500189962568923177847
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.20142864676776106931160708653697460257
Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. LEFT basilar atelectasis. Lungs otherwise clear. No pleural effusion or pneumothorax. Bones demineralized.,Enlargement of cardiac silhouette. LEFT basilar atelectasis.,1.2.826.0.1.3680043.8.498.47124759078344726356800291855446622218
The lungs are adequately inflated and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is mild tortuosity of the descending thoracic aorta. There is no pleural effusion or pneumothorax. There are degenerative changes of the shoulders and of the thoracic spine.,There is no evidence of CHF nor pneumonia nor other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.43488105612496236068108398162250214840
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15848669841728108769752719396682539002
The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact. Again noted is dextroscoliosis of the thoracic spine. There is a remote healed left-sided rib fracture. There is no evidence of acute rib fracture. There is no pneumothorax seen.,No evidence of acute rib fracture. No evidence of acute pulmonary disease. Stable scoliosis. No significant change compared to prior study done on 11/17/2023.,1.2.826.0.1.3680043.8.498.86667773982358820120906454117403436758
The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact. There is a left-sided PICC line with degenerative changes of the shoulders.,Left PICC line in good position.,1.2.826.0.1.3680043.8.498.76534041528402782967065525324589679504
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89550228636308779981623393651631534837
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79989096593784512182013005213060367982
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33761455274921622354429792042479256883
"Shallow inspiration. No focal consolidation, pleural effusion, or pneumothorax. Mild cardiomegaly. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30916987495700961316320623312351779120
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. The visualized osseous structures are unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.94648132373746953286785945321843970261
"There is worsening bilateral airspace opacification, particularly notable in the right upper lung zone. This likely reflects worsening pulmonary edema, with underlying vascular congestion. No definite pleural effusions are seen. The cardiomediastinal silhouette is mildly enlarged. The patient is status post median sternotomy. No acute osseous abnormalities are identified.","Worsening pulmonary edema, particularly on the right.",1.2.826.0.1.3680043.8.498.76783579127906835172039950257264594268
Endotracheal tube is 5.6 cm above the carina. Nasogastric tube extends into the abdomen. Densities at the right lung base are suggestive for consolidation and/or pleural fluid. Subtle densities at the left lung base are also noted. Negative for a pneumothorax. Heart size is within normal limits.,Endotracheal tube is appropriately positioned. Basilar chest densities as described.,1.2.826.0.1.3680043.8.498.54879543826542192990204345364562810258
The heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.44070696473006954423023560156278285282
"The heart size and mediastinal contours are stable. There is aortic atherosclerosis. The left lung is clear. There is persistent opacity within the right lower lobe, slightly improved from the most recent examination. There is no pleural effusion or pneumothorax. The bones appear unchanged.",Slight improvement in right lower lobe airspace disease consistent with pneumonia. Continued radiographic followup is recommended to document complete clearing.,1.2.826.0.1.3680043.8.498.54259755103353160029918999677392436151
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59765294917151621334107837776792115229
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14814302858868860493973848544667748982
"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54810029400903313415316592373450804414
The heart is mildly enlarged. Pulmonary vascularity is within normal limits. Bibasilar atelectasis is noted. No pneumothoraces or effusions are seen.,Cardiomegaly without CHF. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.71405671342842811330712889854281354281
Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pneumothorax or effusion. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation.,1.2.826.0.1.3680043.8.498.79313014505333904614295556695205817279
Endotracheal tube is in satisfactory position. Nasogastric tube is followed into the stomach. Heart size normal. Minimal bibasilar atelectasis. Lungs are otherwise clear. Multiple right rib fractures. No definite pneumothorax.,Minimal bibasilar atelectasis. Multiple right rib fractures.,1.2.826.0.1.3680043.8.498.46235524406071478378490874783368977972
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19815963491876797443367902039854754753
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76253157132568167056842956416493314274
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.88399041346535102640298970215558925303
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66855815658824855027905132167768828926
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84672802079835766486322335346176568686
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81886192532198195152043444497055952657
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality. No visible rib fracture. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35617238967432348184865812297600636680
There is little change in airspace disease. Cardiomegaly is stable. Median sternotomy sutures are noted.,No significant change in airspace disease.,1.2.826.0.1.3680043.8.498.39352939384712389656877154780489225093
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82445554854918598623275676305654695005
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77589746041238479142360882538360572095
"There are moderate to large bilateral pleural effusions, increased from prior exam. There is vascular congestion with bibasilar pulmonary opacities which are probably due to atelectasis. There is no pneumothorax. Diffuse osseous metastatic disease is seen in the spine and in the right scapula. The bones are diffusely demineralized.",Moderate to large bilateral pleural effusions with bibasilar atelectasis. Vascular congestion. Diffuse osseous metastatic disease.,1.2.826.0.1.3680043.8.498.70145874979352018801393222829804750546
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29934957816162303344819220324915274454
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89870299729522878848546007204088201834
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95582100725739040794207622927859161967
There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is mildly enlarged. No pleural effusion or pulmonary edema. There is no airspace consolidation identified. Mild interstitial change of COPD noted.,1. Cardiac enlargement. 2. No heart failure.,1.2.826.0.1.3680043.8.498.26812716377590397146761332707862601781
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.69828828802051642432167838670843927511
The heart is normal in size. The lungs are clear. No pneumothoraces or effusions are seen. The lungs are hyperinflated. A metallic object projects over the right apex.,COPD. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84496591378551737916929698451974219793
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47803999006328559978864455285336861034
There is a right-sided dialysis catheter with tips in the projection of the right atrium. The patient is status post median sternotomy and CABG procedure. The lung volumes are low. There is mild interstitial edema. There are bilateral pleural effusions. There is atelectasis at both lung bases.,1. Low lung volumes. 2. Bilateral pleural effusions and interstitial edema consistent with CHF.,1.2.826.0.1.3680043.8.498.94319031923907861779020209885238898989
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32173206401562096574491169966016050075
The lungs are well expanded. The interstitial markings are increased diffusely. The retrocardiac region on the left is increased in density. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is indistinct. The patient has undergone interval intubation of the trachea. The tip of the tube lies approximately 1.5 cm below the inferior margin of the clavicular heads. There is a right subclavian venous catheter in place. The tip lies in the region of the midportion of the SVC.,1. There are findings consistent with congestive heart failure and pulmonary interstitial edema. 2. The endotracheal tube tip lies approximately 1.5 cm below the inferior margins of the clavicular heads.,1.2.826.0.1.3680043.8.498.19788621898123917736528133115064034795
There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.95380381313026664577332103960949030970
Shallow inspiration. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11181597827555406960212713636528995585
"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72024276531754685974408459395408155754
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50194552758288340551547824599355444721
"The ventricular system is normal in size for the patient's age. There is no evidence for hemorrhage, mass effect, or extra-axial fluid collections. The brain stem and cerebellum appear unremarkable. There is no evidence of acute infarct in a major vascular distribution. No skull abnormalities are seen.",Negative study.,1.2.826.0.1.3680043.8.498.35109449618242757351139760165352535765
There has been placement of an umbilical artery catheter with the tip at the level of T7. An umbilical vein catheter is seen with the tip approximately 1.5 cm below the level of the inferior cavoatrial junction. Diffuse heterogeneous airspace opacity is seen bilaterally. The bowel gas pattern is normal.,1. New UAC and UVC in appropriate position. 2. Worsening RDS.,1.2.826.0.1.3680043.8.498.50744171199378174427522239639983039811
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous mineralization normal. BB placed at site of symptoms lower left chest. No rib fracture or bone destruction.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.58973407410521310452505981588547502716
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.77718171250039479440194828914839947314
Right jugular central line is again noted and stable. Pericardial drain is noted in satisfactory position. Cardiac shadow remains enlarged. No pneumothorax is noted. Mild left basilar atelectasis is seen. No bony abnormality is noted.,No pneumothorax. Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.56079885578623005644952494325679677642
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.82074767395377423894894424844656335099
There is mild atelectasis at the lung bases. The lungs are otherwise clear. No pleural effusion. Mild cardiomegaly. Aortic atherosclerosis. Compression fractures in the thoracic spine appear stable.,No acute disease. Mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.11200942217830266976033964465075477404
The lungs are adequately inflated. There is no focal infiltrate. The perihilar lung markings are coarse. The cardiothymic silhouette is normal. The trachea is midline. There is no pleural effusion. The bony thorax and observed portions of the upper abdomen are normal.,Mild peribronchial cuffing suggests acute bronchiolitis. There is no alveolar pneumonia.,1.2.826.0.1.3680043.8.498.55062505342525540312602149732062090113
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25849443658128411868389831600730283867
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. Degenerative change thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32181935683828271666402566067833115384
The heart is enlarged. The aorta is calcific. The lungs are well expanded. There is left lower lobe infiltrate with small effusion. The right lung is clear. There is no pneumothorax. The left-sided pacemaker is similar. Degenerative changes are seen in the spine.,Left lower lobe infiltrate with small effusion. This appears similar to the prior study.,1.2.826.0.1.3680043.8.498.13140480403893064300478115363438559899
Median sternotomy wires and mediastinal clips are noted. The cardiomediastinal silhouette is enlarged. The pulmonary vasculature is within normal limits. There is a right basilar infiltrate. No pneumothorax or pleural effusion is seen. Bony thorax is intact.,Right lower lobe infiltrate. Follow-up is recommended. Cardiomegaly.,1.2.826.0.1.3680043.8.498.19034989281871653541327595115946778556
Enlarged cardiac silhouette. Mild prominence of the pulmonary vasculature. Minimal left basilar heterogeneous opacities favored to represent atelectasis. Small left pleural effusion. No pneumothorax. No acute osseus abnormalities.,1. Cardiomegaly and mild pulmonary vascular congestion without overt edema. 2. Probable small left pleural effusion and associated left basilar atelectasis.,1.2.826.0.1.3680043.8.498.54734525829240610880055665927403665447
"Upper limits normal heart size again noted. Mild peribronchial thickening is unchanged. There is no evidence of focal airspace disease, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80958137132776418513392024015754636373
There is a low-volume film. Cardiomediastinal silhouette is stable. Persistent patchy airspace disease left lower lung is noted suspicious for pneumonia. No evidence of pleural effusion.,Persistent patchy airspace disease left lower lung suspicious for pneumonia.,1.2.826.0.1.3680043.8.498.96719674668694519113891756801860054487
Cardiac shadow is stable. The lungs are well aerated bilaterally. Mild vascular congestion is noted centrally with very minimal interstitial edema. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,Mild vascular congestion.,1.2.826.0.1.3680043.8.498.11391001888919918359615574419317353317
Heart size is normal. The mediastinum is unremarkable. Lungs are clear. No effusions. No significant bony finding.,No active disease,1.2.826.0.1.3680043.8.498.61642394029360460463947777963664462335
"The heart is enlarged. Aortic atherosclerosis is noted. There is a left-sided pacemaker with leads projecting over the right atrium and right ventricle. There is diffuse interstitial prominence suspicious for pulmonary edema. There are small bilateral pleural effusions. Patchy airspace opacities are noted at the bases, left greater than right. There is no pneumothorax. No acute osseous abnormality.",1. Cardiomegaly with pulmonary edema and small bilateral pleural effusions consistent with congestive heart failure. 2. Left greater than right basilar airspace opacities may represent atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.76272712989951252354692256461037390237
The heart size and mediastinal contours are within normal limits. There is new blunting of the right costophrenic angle suggesting a small right pleural effusion with associated atelectasis. No edema or pneumothorax. The visualized skeletal structures are unremarkable.,New small right pleural effusion with associated atelectasis.,1.2.826.0.1.3680043.8.498.10416478487798855737604920950274743017
There is no fracture or dislocation. Glenohumeral joint space is maintained. Soft tissues unremarkable.,Mild osteoarthritic change. No acute bony abnormality.,1.2.826.0.1.3680043.8.498.14327422062374592310899397630219962920
The heart is moderately enlarged. Small bilateral pleural effusions are noted. The aorta is tortuous. The lungs are hyperinflated. No pulmonary edema or infiltrate is identified. No pneumothorax is seen. There is mild basilar atelectasis.,Cardiomegaly with small effusions. No definite edema.,1.2.826.0.1.3680043.8.498.77625098447938323240335034489815490474
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.97253427626753799584479135482708685417
The heart is enlarged. A right-sided pacemaker is stable. Diffuse interstitial pattern is now coarsened. Small bilateral pleural effusions are evident. No focal airspace disease is present. The visualized soft tissues and bony thorax are unremarkable.,1. Interval development of mild pulmonary vascular congestion and interstitial edema. 2. Small bilateral pleural effusions. 3. No focal airspace disease. This likely reflects atelectasis.,1.2.826.0.1.3680043.8.498.79855328096090677612735932010674577334
Lung volumes and mediastinal contours remain normal. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. Negative visible bowel gas and osseous structures.,Negative. No cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.40672555998086800390443606343106226253
The lungs are well-expanded. The interstitial markings remain coarse. There is no alveolar infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The right internal jugular venous catheter tip lies in the proximal SVC. The observed bony thorax is unremarkable.,COPD. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.46634711767773471029756329086861123328
"No radiographically apparent pleural effusion, consolidation, or pneumothorax. Low lung volumes. The cardiomediastinal silhouette is normal in size. The osseous structures are without an acute osseous abnormality.",No radiographic evidence of an acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.27827294349194094100789069048262903127
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40759158068909148490118952531607403181
"There is a large left pleural effusion. There is a left chest tube in place. There is an endotracheal tube in place. The heart is normal in size. The right lung is under expanded. There is no acute infiltrate, effusion or pneumothorax.",Underexpanded right lung. Large left pleural effusion. Left chest tube in place.,1.2.826.0.1.3680043.8.498.79965175837238228003997938408754085088
"Right-sided PICC with tip over central SVC. No enteric tube identified. There is shallow inspiration. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",1. No acute cardiopulmonary process. 2. Right-sided PICC with tip over central SVC.,1.2.826.0.1.3680043.8.498.39598204570871438842993367216145352448
Interval placement of right subclavian pacemaker with leads in the right atrium and right ventricle. No pneumothorax. Lungs are clear. No effusion. Heart size normal.,No acute disease,1.2.826.0.1.3680043.8.498.95733069868552034058414424173938321599
The tip of the endotracheal tube is approximately 2.5 cm above the carina. There is increased atelectasis at the right base. Left lower lobe airspace disease is about the same. No definite heart failure.,1. Endotracheal tube satisfactorily positioned. 2. Increased right lower lobe atelectasis. 3. Stable left lower lobe airspace disease.,1.2.826.0.1.3680043.8.498.17147702790161987626778446974714446450
Cardiothymic silhouette is within normal limits. Coarse reticulonodular opacities are present in the lungs bilaterally. Suspect focal airspace consolidation in the right upper lobe. No visible effusions or pneumothorax. No bony abnormality.,Coarse reticulonodular opacities in the lungs with suspect focal airspace consolidation in the right upper lobe. Findings could reflect meconium aspiration or infection.,1.2.826.0.1.3680043.8.498.93351243186200104417586626672543461255
Mediastinum and hilar structures are normal. Right lower lobe infiltrate is present. This is a persistent infiltrate. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Persistent right lower lobe infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.28821134677687583648643679729412036165
"Lung volumes are low. There are bibasilar opacities which may reflect areas of atelectasis and/or consolidation. Small bilateral pleural effusions. Pulmonary venous congestion, without frank pulmonary edema. Mild cardiomegaly. Upper mediastinal contours are within normal limits. Atherosclerosis in the thoracic aorta. Left-sided pacemaker device in place with lead tips projecting over the expected location of the right atrium and right ventricular apex.","1. Low lung volumes with bibasilar atelectasis and/or consolidation and small bilateral pleural effusions. 2. Mild cardiomegaly and pulmonary venous congestion, without frank pulmonary edema. 3. Atherosclerosis.",1.2.826.0.1.3680043.8.498.83151424165612188683508204214127938022
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24826514596182575567107934861805424845
"There is a mass arising in the left upper lobe, which measures 5.6 x 5.2 cm. There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.","Mass arising from the left upper lobe, stable. No edema or consolidation.",1.2.826.0.1.3680043.8.498.63985242095549747656779374954748292991
Endotracheal tube and nasogastric tube have been removed. Swan-Ganz catheter remains in place with its tip in the right pulmonary artery. Bilateral chest tubes and mediastinal drain are in place. No pneumothorax. There is mild basilar atelectasis. No edema.,Mild postoperative atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.16767433481571384554031935128727862447
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.19376659398214442694420534283563552787
Post CABG. Heart is mildly enlarged. There is elevation of the right hemidiaphragm with right basilar atelectasis. No definite consolidation. Scarring noted in the right upper lobe. Left lung is clear. No effusions. No acute bony abnormality.,Right basilar atelectasis with elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.34092229744825848079165727815569750321
The heart and mediastinum are within normal limits. There are mild perihilar reticular opacities. Mild bronchial cuffing noted.,Findings suggesting reactive airways disease.,1.2.826.0.1.3680043.8.498.79091672990833535020535816991343199216
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.98834846870039266669838734158609026223
The lungs are mildly hypoinflated. There is increased density at the left lung base. There is linear density at the right lung base which is new. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,Bibasilar atelectasis or pneumonia greatest on the left. No CHF. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.19573927274949316065749731405515301633
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57512763454506789724763266886042655469
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12677748499910842362372686974623514230
The endotracheal tube has been removed. The NG tube and right subclavian catheters are stable. The heart is enlarged but stable. Bibasilar atelectasis and a small right effusion are again noted. There is no evidence of pulmonary edema. No pneumothorax is seen.,1. Removal of endotracheal tube. 2. Bibasilar atelectasis and small right effusion.,1.2.826.0.1.3680043.8.498.57472758065144601062868594955094357749
Endotracheal tube is in stable position. Right central venous catheter tip is in the SVC. No pneumothorax. There is cardiomegaly. Worsening aeration of the lungs. Apparent left lung increase in opacity is felt to be due to patient rotation.,Right central venous catheter tip in the SVC. No pneumothorax. Endotracheal tube is stable.,1.2.826.0.1.3680043.8.498.17617920146952181912924248886092995103
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80457598834575842303971847402105920610
The lungs are not optimally aerated. No pneumothorax is seen. The heart is within normal limits in size. No bony abnormality is noted.,Suboptimal inspiration. No active lung disease.,1.2.826.0.1.3680043.8.498.73490904876247719707025482944056119870
Right PICC line has been retracted with the tip now in the right innominate vein. Prior CABG. NG tube and left base atelectasis again noted. Small left pleural effusion. No acute bony abnormality.,Right PICC line has been retracted with the tip in the right innominate vein. Otherwise no change.,1.2.826.0.1.3680043.8.498.13234449626560600841814539723814631641
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.57218637731811428762358613594217977217
Stable cardiomediastinal silhouette with top-normal heart size. No pneumothorax. No pleural effusion. No pulmonary edema. No acute consolidative airspace disease.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12366200434813670207041170942752445662
Cardiac and mediastinal contours are within normal limits given portable AP technique. There are subtle opacities at the right lung base. Pleural spaces are normal. The visualized osseous structures are unremarkable.,Subtle opacities at the right lung base could be due to atelectasis or pneumonia. Consider follow-up PA and lateral views of the chest.,1.2.826.0.1.3680043.8.498.67453639097266847961319567391537112986
"Normal heart size and mediastinal contours. The lungs are hyperinflated with mild bronchial thickening. No pulmonary edema, focal airspace disease, pleural effusion or pneumothorax. No acute osseous abnormalities are seen.",Stable exam with chronic hyperinflation and bronchial thickening. No acute findings.,1.2.826.0.1.3680043.8.498.71783096350260499804298729773816498168
Mediastinum and hilar structures normal. Heart size normal. No focal infiltrate. No pleural effusion or pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11896411900134686092414231530535771887
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is evidence of prior vertebroplasty. Surgical clips are identified in the epigastric region.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14596023537737498645546317604469246700
"Sternal sutures and mediastinal clips are noted. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.92724845511126058625519049917025320120
The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.24805705425730065655050001899329305161
There is a right chest wall porta-catheter with tip in the SVC. The heart size is normal. There is no pleural effusion or pulmonary edema. The lungs are hyperinflated. No acute airspace densities are identified. The previously described right upper lobe lung mass is difficult to visualize on the current exam.,COPD/emphysema. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.52431010339789478918952174397564550765
"Support devices are stable. There is continued cardiomegaly, vascular congestion, and bibasilar atelectasis. Mild interstitial prominence is noted, slightly decreased since prior study.",Slight decrease vascular congestion. Otherwise no change.,1.2.826.0.1.3680043.8.498.24854266146194106206865806478267375362
There are new small bilateral pleural effusions. Interstitial prominence is suggestive pulmonary edema. No pneumothorax. Cardiomegaly is similar to prior exam. No acute osseous abnormalities are seen.,1. Findings suggestive of CHF. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.66483987174490127323448248536991903273
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29058403088629895035879980427071740469
"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No acute chest findings.,1.2.826.0.1.3680043.8.498.24609378269447723393477044030526795016
Right IJ Port-A-Cath is unchanged. Left IJ catheter is unchanged. Stable cardiomegaly. Unchanged bilateral pleural effusions and bilateral pulmonary opacities. No pneumothorax.,1. Stable cardiomegaly and bilateral pleural effusions. 2. Unchanged pulmonary opacities which could represent pulmonary edema or atelectasis.,1.2.826.0.1.3680043.8.498.37081407369748785923275193016007454041
"Right internal jugular MediPort terminates at the cavoatrial junction. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. Small right pleural effusion, probably stable. No left pleural effusion. Extensive patchy consolidation throughout the right lung and at the left lung base.","1. Extensive patchy consolidation throughout the right lung and at the left lung base, worrisome for multifocal pneumonia. 2. Small right pleural effusion, probably stable.",1.2.826.0.1.3680043.8.498.16714657510977293910066409858937161835
There is improvement in the aeration in the lung bases. Residual left lower lobe atelectasis/ pneumonia persists. Right lung is clear. No edema. Stable heart size.,Some improvement in basilar airspace disease suggesting resolving atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.13026354686454991192570595453279808417
Extensive bilateral airspace disease is present. Lung volumes are low. Heart size is normal. No pneumothorax is present.,Extensive bilateral airspace disease could represent pneumonia or edema.,1.2.826.0.1.3680043.8.498.83844859530718020684339546984978051732
"The cardiothymic silhouette is within normal limits. There is peribronchial thickening, abnormal perihilar aeration and areas of atelectasis suggesting viral bronchiolitis. No focal airspace consolidation to suggest pneumonia. No pleural effusion. The bony thorax is intact.",Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.46239388154093873519763322819596555251
There is little change in prominent interstitial markings most consistent with chronic interstitial lung disease. No active infiltrate or effusion is seen. Cardiomegaly is stable. The bones are osteopenic.,Stable cardiomegaly and chronic interstitial change. No active lung disease.,1.2.826.0.1.3680043.8.498.48008859138568129615670432838323689167
Single portable AP chest radiograph is provided. There is a small right pleural effusion. There is no focal parenchymal opacity. There is no pneumothorax. The heart size is enlarged. The osseous structures are unremarkable.,Small right pleural effusion.,1.2.826.0.1.3680043.8.498.29698046595627602733244167349530269985
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.61440592336484854731174225051347235226
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27311859322374164464663355462821346428
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.39337752020516275928913821234531340124
"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.51328882124431456543576317136580680670
The heart and vascularity are unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.78747108051940070214850440989086236691
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.40434543360410915737477976521970304014
"Prior CABG. Heart is normal size. Small right pleural effusion and right base atelectasis, improved since prior study. Left lung clear. No acute bony abnormality. No pneumothorax.",Small residual right pleural effusion and right base atelectasis.,1.2.826.0.1.3680043.8.498.24058730984857032907336869693161969952
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. There is bilateral interstitial thickening with prominence of the central pulmonary vasculature. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",Overall findings are most concerning for mild pulmonary edema.,1.2.826.0.1.3680043.8.498.85697190708011583077956361152067443687
The lungs are mildly hyperinflated. There is no focal infiltrate. The interstitial markings are coarse. There is no pleural effusion or pneumothorax. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,Hyperinflation consistent with COPD. There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17851930230347484222838945849242364324
The heart is enlarged. Aortic calcifications are noted. There is no pneumothorax. Slight blunting of the left costophrenic angle is likely due to atelectasis. There is no significant pleural effusion. No acute osseous abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.15683135145936064142238892589016456090
Stable cardiomediastinal silhouette. Endotracheal and nasogastric tubes are unchanged in position. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,Stable support apparatus. No acute cardiopulmonary abnormality seen.,1.2.826.0.1.3680043.8.498.27242503313454800905481343256727999774
"No focal consolidation, pleural effusion, pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.12372003147561456227794867347847630950
"There is a persistent bilateral interstitial and airspace process, right greater than left. This is superimposed on chronic interstitial coarsening and bronchiectasis noted on prior CT. Small bilateral pleural effusions are noted. No pneumothorax. Cardiac silhouette is normal in size. No mediastinal or hilar masses. Bony thorax is intact.","Persistent bilateral interstitial and airspace process, right greater than left. This may reflect asymmetric pulmonary edema or multifocal pneumonia.",1.2.826.0.1.3680043.8.498.47352152948684814410262156331695328653
"The cardiac and mediastinal contours are unremarkable. There is no evidence of acute consolidation, congestion, or pleural effusions. No acute displaced fracture.",Mild peribronchial thickening. No dense consolidation.,1.2.826.0.1.3680043.8.498.58381460035634992006456972512760524689
Stable cardiomediastinal silhouette. No pneumothorax or pleural effusion is noted. Minimal subsegmental atelectasis is noted in the right lung base. Bony thorax is unremarkable.,Minimal right basilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.11594073097651830368773688263265799346
"There is a small right pneumothorax at the right lung base, slightly larger than on the prior exam. Atelectasis at the left lung base is stable. The heart size and vascularity are normal. No effusions. No osseous abnormality.",Small right basilar pneumothorax.,1.2.826.0.1.3680043.8.498.60813168295341573535847308006527674629
"The enteric tube is in place, tip in the region of the gastric body. Shallow inspiration. Heart size and pulmonary vascularity are normal. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.",No active disease.,1.2.826.0.1.3680043.8.498.20696540450608626167310143112900858888
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94125222016574402583868005790560293149
No active infiltrate or effusion is seen. Mediastinal contours appear stable. The heart is within upper limits of normal. A right-sided Port-A-Cath remains. No bony abnormality is seen.,Stable chest x-ray. No active lung disease.,1.2.826.0.1.3680043.8.498.49063273615138822287615717959538928971
"There is diffuse haziness throughout the mid and lower lung fields. There is silhouetting of the hemidiaphragms consistent with bilateral pleural effusions. There is no pneumothorax. Heart is enlarged, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture. There is an endotracheal tube present with the distal tip just above the carina.",Findings consistent with pulmonary edema/CHF.,1.2.826.0.1.3680043.8.498.90536934979601640909387595277753276979
There is a new opacity in the left mid lung which is probably in the superior segment of the left lower lobe based on the lateral view. This is concerning for pneumonia. Right lung is clear. No effusion. Heart size is normal.,New opacity in the superior segment of the left lower lobe consistent with pneumonia. Recommend follow-up radiographs to clearing.,1.2.826.0.1.3680043.8.498.53322482206578586603403241971825880352
"Cardiovascular: There is generalized cardiomegaly and pulmonary venous congestion. Mediastinal: The mediastinal structures are unremarkable. No hilar abnormality is seen. Lungs: There are no consolidating infiltrates, pleural effusions, or pneumothoraces. Lung volumes are appropriate. Osseous structures: Age-appropriate. Other: There is a right PICC line catheter again identified.",Pulmonary venous congestion.,1.2.826.0.1.3680043.8.498.73593648832705476403901800900288403265
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53486494890018852731308224175289933677
The right PICC line is stable. The heart is normal in size. Stable pleural calcifications. Persistent streaky areas of atelectasis. No pneumothorax.,Stable chest x-ray.,1.2.826.0.1.3680043.8.498.22691887465260442074135843195271034064
The lungs are clear. The cardiovascular structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78488881876729567669175918499945214789
A right central venous catheter is unchanged with its tip in the SVC. A rounded radiopaque object consistent with a bullet overlies the right lower lung zone. This is unchanged. The lungs are under inflated and grossly clear. No pneumothoraces or effusions are seen.,No significant interval change.,1.2.826.0.1.3680043.8.498.31631596226522163650781614330777772276
The heart size and mediastinal contours are normal. The lungs are hyperinflated. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,COPD. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.66081922194383737256469672972690453910
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46390629542117828558866568194326797154
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.11809641731318724388791644820774611401
Mild cardiomegaly. Lungs are clear. No pleural effusion or pneumothorax. Degenerative changes of the thoracic spine.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91110927193703877278828370951554580707
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Stable chest. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32059448337894032963970703936199486438
There is hyperinflation of the lungs compatible with COPD. Heart is mildly enlarged. No confluent airspace opacities or effusions. No acute bony abnormality.,COPD. Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.15779308321875629954841278307781508230
The heart size is normal. There are new patchy opacities throughout both lungs. There is no pneumothorax. No large pleural effusion. The visualized skeletal structures are unremarkable.,New bilateral patchy airspace opacities concerning for developing viral pneumonia.,1.2.826.0.1.3680043.8.498.91889739274728504472227963017658594995
Stable cardiac and mediastinal contours. Increased pulmonary vascular congestion now with bilateral airspace opacities. There is a predominately perihilar and right basilar distribution. Findings are most consistent with pulmonary edema. No pneumothorax. No large pleural effusion. No acute osseous abnormality.,"1. Pulmonary vascular congestion and bilateral airspace opacities most consistent with pulmonary edema. However, bilateral pneumonia is not excluded particularly in the right lung base. 2. Stable cardiac and mediastinal contours.",1.2.826.0.1.3680043.8.498.11513203937289201456109567820800190683
Endotracheal tube is in good position. The right subclavian central venous catheter tip is in the SVC. The left subclavian pacemaker device is stable. The nasogastric tube enters the stomach. The lungs are clear. No pneumothorax.,Tubes and lines are in good position. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59384396311875141778148457184403316855
Right IJ central venous catheter is unchanged at the lower SVC level. The heart size and mediastinal contours are stable. There are slightly low lung volumes with worsening bilateral airspace opacities. Small bilateral pleural effusions are suspected. There is no pneumothorax. The osseous structures appear unchanged.,Worsening bilateral airspace opacities concerning for progressive pulmonary edema or pneumonia.,1.2.826.0.1.3680043.8.498.95992178337158318463271347742348071975
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95913336062261354961388814678857189138
Right PICC line is unchanged. Stable cardiac silhouette. Mild central venous pulmonary congestion / edema is not significantly changed. No pleural fluid. No pneumothorax.,1. No interval change. 2. Stable cardiomegaly and mild pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.45669138573050592705438473397490896787
Heart is mildly enlarged. Lungs clear. No effusions or edema. No acute bony abnormality.,Mild cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.74442136775028282418476671695730713551
"Cardiomegaly and CABG changes again noted. A left central venous catheter with tip overlying the superior cavoatrial junction, a right IJ central venous catheter with tip overlying the superior cavoatrial junction and a left IJ venous sheath again noted. There is no evidence of pneumothorax. Mild right basilar atelectasis again noted. There is no evidence of pulmonary edema, consolidation, or pleural effusion.",Unchanged appearance of the chest with support apparatus as described. Continued right basilar atelectasis.,1.2.826.0.1.3680043.8.498.97854929467387221652703398502231691700
The lungs are adequately inflated. The perihilar lung markings are increased. There is no pleural effusion. The cardiothymic silhouette is normal in appearance. The gas pattern in the upper abdomen is normal. I do not see evidence of a radiopaque foreign body.,There are findings consistent with reactive airway disease and acute bronchiolitis. I do not see evidence of pneumonia. I do not see evidence of a radiopaque foreign body.,1.2.826.0.1.3680043.8.498.55676830362169556685251658318805210656
,,1.2.826.0.1.3680043.8.498.64966506582237811704217694537190664051
The lung volumes are low. The cardiac silhouette is enlarged. The patient has undergone prior CABG. There is mild prominence of the pulmonary vascularity. I see no pleural effusion.,1. I do not see evidence of pneumonia. 2. There is likely an element of low-grade CHF present.,1.2.826.0.1.3680043.8.498.63600699013385085722479097340417865844
An orogastric tube is in place with the tip located in the region of the mid body of the stomach. The cardiothymic silhouette is within normal limits. The lung fields demonstrate some mild bibasilar volume loss. No focal infiltrates or pleural fluid is seen. Bony structures appear intact.,Mild bibasilar volume loss.,1.2.826.0.1.3680043.8.498.86980875209107637385895456976599438625
The lungs are clear. Heart size is normal. There is no pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.13031103562069597084175406131229564003
"The heart size and mediastinal contours are stable. There is aortic atherosclerosis. There is chronic vascular congestion with patchy airspace opacities in the left lung base, similar to the prior study. There is a probable small left pleural effusion. No edema or pneumothorax. The bones appear demineralized. There are degenerative changes in the spine and at both shoulders.","Stable chronic vascular congestion and patchy left basilar pulmonary opacity, probably due to atelectasis. Pneumonia is possible. Small left pleural effusion.",1.2.826.0.1.3680043.8.498.53543302935426364632792825912537129186
Two views of the chest demonstrate clear lungs. There is no pleural effusion or pneumothorax. Stable top-normal cardiac size. The osseous structures are grossly unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98898797874641000522047164253693694655
The heart is enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. A calcified granuloma is identified within the right upper lobe.,1. Cardiac enlargement. 2. No evidence for heart failure.,1.2.826.0.1.3680043.8.498.26607547531952449580601094875311835677
Small left pleural effusion and left basilar airspace disease have improved since the most recent examination. The right lung is clear. Heart size is normal. No pneumothorax. No acute bony abnormality.,Small left pleural effusion and left basilar airspace disease have improved since the most recent examination. Residual opacity could be due to atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.54886388513302872791269294923251952256
The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 7/20/2017.,1.2.826.0.1.3680043.8.498.99303237825771605519737529479035703388
Heart and mediastinal contours normal. There is airspace disease in the right lower lobe consistent with pneumonia. No pleural fluid. Left lung clear.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.81448383744174560579147790812501448796
"The heart is enlarged with a prominent left ventricle. The lungs are incompletely expanded, but are clear. No consolidation identified. No pleural effusion is seen.","Cardiomegaly with atherosclerotic change of the aorta. Incomplete expansion of the lungs, no focal consolidation. No evidence of pulmonary edema.",1.2.826.0.1.3680043.8.498.39469065389373251768925603161466878757
The heart size is stable. Aortic calcifications are noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57237906243068162709772857127975085405
"Patchy ill-defined opacities and areas of interstitial prominence are noted throughout the lungs bilaterally, most evident throughout the mid to lower lungs. No pleural effusions. No evidence of pulmonary edema. Heart size is normal. Upper mediastinal contours are within normal limits.","Findings are concerning for multilobar pneumonia, compatible with reported diagnosis of COVID-19 infection. Overall, aeration is essentially unchanged compared to the prior study.",1.2.826.0.1.3680043.8.498.65611514317870759446312819448382151097
There is mid inspiration. There is mild chronic-appearing prominence of the bronchovascular markings of the mid and lower lung fields. There is no acute peripheral process. The heart and mediastinum are physiologic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.77715641081613935713371695335661610991
Nasogastric tube terminates below the level of the diaphragms but the tip is not included on the film. Right IJ Swan-Ganz catheter tip terminates over the main pulmonary artery. Heart size is mildly enlarged. Lung volumes are low with linear atelectasis seen at the left lung base. No pleural effusion. No pneumothorax.,Support apparatus as above.,1.2.826.0.1.3680043.8.498.99670129224212668651692375621545126617
Heart is normal size. Patchy airspace opacity in the right mid lung. Left lung clear. No effusions. No acute bony abnormality.,Patchy density in the right mid lung concerning for early infiltrate/pneumonia.,1.2.826.0.1.3680043.8.498.70626124999093271510492153173348636396
Right middle lobe airspace disease seen on the prior study has resolved. Lungs are clear. No pneumothorax or pleural effusion. Heart size normal.,No acute disease.,1.2.826.0.1.3680043.8.498.32621307872984838462738975758395397481
The lungs are mildly hypoexpanded. Small bilateral pleural effusions are seen. Mild vascular congestion is noted. No pneumothorax is identified. The cardiomediastinal silhouette is mildly enlarged. No acute osseous abnormalities are seen.,"Lungs mildly hypoexpanded, with small bilateral pleural effusions and mild vascular congestion.",1.2.826.0.1.3680043.8.498.80822656313194553958411710938608668919
The lungs are clear. No radiographic evidence for active tuberculosis.,No acute disease.,1.2.826.0.1.3680043.8.498.83007445873203555221362068510004330840
Patient is slightly rotated to the right. Tracheostomy tube is in place. The heart remains enlarged with a prominent tortuous aorta. There is slight increase in left base atelectasis. Right lower lobe atelectasis is stable. Patchy perihilar infiltrates are also suspected.,1. Slight increase in left base atelectasis. 2. Persistent right lower lobe atelectasis. 3. Probable perihilar infiltrates as well.,1.2.826.0.1.3680043.8.498.35626098817776659404091110685650614907
There is flattening of the hemidiaphragms. Thickening of the interstitial markings is appreciated within the RIGHT upper lobe and RIGHT mid lung. No new focal regions of consolidation or new focal infiltrates are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable.,Findings consistent with COPD with superimposed fibrotic change within the RIGHT upper lobe and RIGHT mid lung. No new focal regions of consolidation or new focal infiltrates are appreciated.,1.2.826.0.1.3680043.8.498.92591893787215444715510841472568751455
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66851443633094204876551977189293231767
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40532860207477171280227708114148709939
"Right-sided Port-A-Cath in satisfactory position. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37618087062860813181981460572010360708
There is been some improvement in aeration in the left lung base. Residual linear atelectasis or scar remains in the left lung base. Right lung is clear. No edema. Heart size is stable.,Improved aeration in the left lung base with mild atelectasis or scar remaining.,1.2.826.0.1.3680043.8.498.94755638140105091904349205636455091225
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90404898529022663335155078662754851840
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.55517754076454875942799645319663786276
Heart is borderline in size. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46990630352396356439470728343732883800
"There is cardiomegaly. Worsening bilateral airspace opacities are noted, likely worsening edema. There are bilateral effusions and bibasilar atelectasis.",Increasing pulmonary edema.,1.2.826.0.1.3680043.8.498.50397891648019777671494438075598082572
The heart is enlarged. There is atherosclerotic calcification of the aortic arch. Patchy infiltrate in the right lower lobe is slightly more prominent than on the prior study. There is also a small left pleural effusion with some left base atelectasis. No pulmonary edema.,1. Slight increase in right lower lobe infiltrate. 2. Small left effusion and left base atelectasis.,1.2.826.0.1.3680043.8.498.51757519834189803260261257065179445285
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No edema.,No active disease.,1.2.826.0.1.3680043.8.498.25493150378098585742164677445235338647
"There are persistent opacities at the lung bases bilaterally, not significantly changed compared to the prior study. No new lung findings. No pleural effusion or pneumothorax seen. Heart size and mediastinal contours are stable. Osseous structures about the chest are unremarkable.",No significant change in the bilateral lower lobe pneumonia. Recommend follow-up to ensure resolution.,1.2.826.0.1.3680043.8.498.83097039065599057228454611412261359005
The cardiac silhouette and pulmonary vasculature are within normal limits. The lungs are clear. There has been no interval change from the prior study.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.23797746443899832187290734510253187971
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted. Postsurgical changes in the right shoulder are seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76232028892305118839346249942434262500
Low lung volumes. Aortic atherosclerosis. Heart size within normal limits. Plate like atelectasis at the right lung base. No consolidation or edema. No pleural effusion. Lower thoracic and lumbar spondylosis.,Low lung volumes with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.73101489571555485273485497327218749434
There is some residual right upper lobe airspace disease with volume loss and pleural thickening on the right. The left lung appears clear. There is a small right pleural effusion. The heart size is normal.,1. Residual right upper lobe airspace disease. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.23644509508825762653013168364057524938
Heart size is normal. The aorta is unfolded. The lungs are clear. The vascularity is normal. No effusions. No significant bony finding.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53289938575947136069453643563891415722
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47236536421690477474199299581063094360
Stable normal sized heart. Increased bibasilar atelectasis. A tiny left apical pneumothorax is not currently seen. Small amount of left lateral chest wall subcutaneous emphysema.,1. No pneumothorax. 2. Increased bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.11869785348992980097830021873177283424
There is complete opacification of the right hemithorax with shift of the heart and mediastinal structures to the right. This is unchanged since the prior chest x-ray. A small amount of pleural fluid is now present on the left. There is no evidence of pneumothorax. The left lung is clear.,1. Stable appearance of the right hemithorax after a right thoracentesis. 2. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.49673279837641986551925362447713122601
There is a right-sided PICC line with tip in the projection of the SVC. Tracheostomy tube is unchanged. There are bilateral pleural effusions and interstitial edema. Bilateral airspace disease is again noted and appears unchanged.,1. No change in aeration the lungs.,1.2.826.0.1.3680043.8.498.72469413067627911640322461956907268549
No active infiltrate or effusion is seen. Mild cardiomegaly is stable. No bony abnormality is noted.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.77498451273285087794898210149720400555
The heart size and mediastinal contours are stable. Chronic scarring and postoperative changes are noted in the left upper lung unchanged. The heart size is enlarged. There is no pleural effusion or pulmonary edema. The patient is rotated to the right. No acute osseous abnormalities are identified.,Stable postoperative changes of the left upper lung. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.94843633424818159677269096594314131228
The patient has been extubated. NG tube has been removed. Lungs are clear. No effusion. No pneumothorax. Heart size normal.,Status post extubation. No acute disease.,1.2.826.0.1.3680043.8.498.62538936803640479838084162586313015197
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.55659388307372243098522004516114443643
Heart size and pulmonary vasculature are normal. No evidence for CHF. No focal or consolidative pulmonary opacities. Hyperexpansion of the lungs consistent with COPD. No pleural effusion or pneumothorax. Osseous structures are unremarkable.,No acute cardiopulmonary process. COPD.,1.2.826.0.1.3680043.8.498.52231194363692741369257034154509154187
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.40453712608042021295237035304737927440
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No pneumothorax is seen. The known rib fractures are not well appreciated on this exam. No new focal abnormality is noted.,Resolution of previously seen left basilar atelectasis. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.70395790321104199945784731276002717688
No active infiltrate or effusion is seen. The heart is within normal limits in size. No bony abnormality is noted. There is no change in the opacity in the lung bases compared to prior chest x-ray.,No active lung disease. No change in bibasilar opacities compared to prior chest x-ray.,1.2.826.0.1.3680043.8.498.72747582106767460925373516399449704996
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88798029229327829609959468471955512236
There is a left-sided pneumothorax which is stable to slightly decreased in size when compared to the prior exam. There is mild hazy lung opacities consistent with mild pulmonary edema. Heart size is normal. No effusions are noted.,1. Stable to slight decrease in size of left pneumothorax. 2. Mild pulmonary edema.,1.2.826.0.1.3680043.8.498.11621939555505240236438385465677987634
"The patient has taken a shallow inspiration. With technique taken into consideration, there is blunting of the left costophrenic angle. No new focal regions of consolidation or new focal infiltrates are appreciated. The cardiac silhouette is enlarged indicative of cardiomegaly. The visualized bony skeleton is unremarkable.",1. Persistent small left effusion versus chronic scarring. 2. Cardiomegaly. 3. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30008330377958677199121305514090033089
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86286665968278094009633270006990081921
The lungs are clear without infiltrate or edema. No pleural effusions. Heart size is normal. Elevation of the right hemidiaphragm is unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22528117018930148657740505406173880637
"AP view at 4899 hours. Cardiothymic silhouette within normal limits. Lung volumes within normal limits. No pneumothorax, pleural effusion, or confluent pulmonary opacity. No definite granular pulmonary opacity. Visible bowel gas pattern within normal limits. No osseous abnormality identified.",No definite acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.23118093320543017473559789878677470295
"There is mild cardiomegaly, stable. There is atherosclerotic calcification of the aortic arch. There is mild vascular congestion. No pulmonary edema. No focal consolidations. Possible small left pleural effusion. No pneumothorax. Degenerative changes are seen in the spine.",Cardiomegaly and vascular congestion. No pulmonary edema.,1.2.826.0.1.3680043.8.498.37636226226811257148744137284264984914
"The heart size and mediastinal contours are stable status post median sternotomy. There are low lung volumes with patchy bibasilar opacities, left greater than right. There is no pneumothorax or significant pleural effusion. The bones appear unchanged.","1. No evidence of pneumothorax. 2. Low lung volumes with patchy bibasilar opacities, left greater than right.",1.2.826.0.1.3680043.8.498.30512016725942151001990960126871300307
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Cardiomegaly. No CHF. 2. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.46634379396846747264900731998145443440
Patchy airspace opacities remain bilaterally but are improved in appearance compared to the prior study. No pleural effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,Improving bilateral COVID pneumonia.,1.2.826.0.1.3680043.8.498.48685047829156536726153674027331752018
There is airspace disease in the left lower lung compatible with pneumonia. Right lung is clear. Heart is upper normal in size. No pneumothorax.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.59887156225606069135070943111009819198
"Endotracheal tube, left PICC line, and NG tube are unchanged. Patchy bilateral airspace opacities are again noted, not significantly changed. Heart is borderline in size. No visible effusions or pneumothorax.",Stable patchy bilateral airspace disease.,1.2.826.0.1.3680043.8.498.67512607250195029076279372091565221227
Endotracheal tube and NG tube in stable position. Heart size normal. Bilateral pulmonary infiltrates/edema again noted. Bilateral pleural effusions again noted. No pneumothorax.,1. Lines and tubes in stable position. 2. Persistent bilateral pulmonary infiltrates/edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.92469229325450626832861830037131269940
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.41205882411758348738025056420618192737
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80407650945036070643616589502444366109
The heart is mildly enlarged. There is tortuosity and calcification of the thoracic aorta. The lungs are clear. No pleural effusion. No pneumothorax. The bony thorax is intact. There are stable advanced degenerative changes involving both shoulders.,No acute cardiopulmonary findings. Stable mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.81391775004999671587668525330643429057
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79061352079630718939620181730241002885
Monitoring leads overlie the patient. Stable cardiac and mediastinal contours. Low lung volumes. No consolidative pulmonary opacities. No pleural effusion or pneumothorax.,Low lung volumes. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.26717635813360764209230106326555104274
"Left upper anterior mediastinal mass has decreased in size, now measuring 7.6 x 5.6 cm on the frontal radiographic examination compared with 10.0 x 5.6 cm on the previous study. There is no new opacity to suggest a postoperative pneumothorax or pleural effusion. The lungs are clear, symmetrically aerated. No hilar masses. Heart size is normal.",1. Decrease in size of left anterior mediastinal mass. 2. No new acute findings.,1.2.826.0.1.3680043.8.498.85827799025402612842414472242922842792
Endotracheal tube is 3.5 cm above the carina. Right central line is in place with the tip in the upper right atrium. No pneumothorax. NG tube enters the stomach. Low lung volumes with mild vascular congestion and atelectasis. Heart is borderline in size.,Right central line tip in the upper right atrium. Endotracheal tube and NG tube as above. No pneumothorax. Mild vascular congestion and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.15413358213801785374959450171798810523
The lungs are clear. There is no infiltrate. There is no effusion. There is no pneumothorax. The heart is normal in size. The aorta is tortuous and calcified. There are multiple old right rib fractures. There is a hiatal hernia present.,"1. No acute cardiopulmonary disease. 2. Hiatal hernia. 3. Old, healed right rib fractures.",1.2.826.0.1.3680043.8.498.55621246740581964347192197556579004350
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69716583898472461411023749703657987530
"The heart size is normal and stable. The thoracic aorta is mildly tortuous and atherosclerotic but unchanged. The hilar and mediastinal contours are otherwise unremarkable. The lungs are clear. There are no pleural effusions. Again noted is a severe compression fracture in the midthoracic spine, unchanged since the prior examination.",No acute cardiopulmonary disease. Stable severe midthoracic spine compression fracture.,1.2.826.0.1.3680043.8.498.54763745661790435161384146931161577122
There are low lung volumes with bibasilar atelectasis. Heart is borderline in size. No effusions. No acute bony abnormality.,"Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.97191899778430575493773092872954215245
The lungs are clear and somewhat hyperaerated. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease. Slight hyperaeration.,1.2.826.0.1.3680043.8.498.60473882237784836832211785669972166397
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65165616506045657681378074035640420608
"Endotracheal tube, gastric catheter and left jugular central line are again seen and stable. Cardiac shadow is stable. Increasing infiltrative changes are noted in the right upper lobe and right lung base. Increasing infiltrative changes are noted in the left lung as well. Small right-sided pleural effusion is noted. No bony abnormality is seen.",Increasing bilateral infiltrates.,1.2.826.0.1.3680043.8.498.17971474326103962676366300632359661977
Right internal jugular dialysis catheter is noted with tip in the right atrium. The lung volumes are low. There are small bilateral pleural effusions. There is mild interstitial edema. Patchy consolidation of both lung bases may reflect atelectasis or pneumonia.,1. Low lung volumes with small bilateral pleural effusions. Mild patchy consolidation at both lung bases may reflect atelectasis or pneumonia. 2. Mild interstitial edema.,1.2.826.0.1.3680043.8.498.96301719380636321328429537285990292173
The right arm PCVC tip is in the mid SVC. The lungs appear clear. The cardiothymic silhouette is normal. No pneumothorax.,1. Right arm PCVC tip in the mid SVC. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.99820926712950309865129769397577052569
The heart is enlarged. Aortic atherosclerosis is noted. There is no pneumothorax. No large pleural effusion. The right lung is clear. There is some mild blunting of the left costophrenic angle which is improved from the prior study. There is no acute osseous abnormality.,1. Persistent but improved left pleural effusion. 2. No focal infiltrate.,1.2.826.0.1.3680043.8.498.84769469864808831106297562894496234902
There is no pneumothorax after right thoracentesis. There is a large right hilar mass with post-obstructive atelectasis of the right upper lobe. The left lung is clear.,No pneumothorax after right thoracentesis.,1.2.826.0.1.3680043.8.498.64833820590705423345542212728301669020
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Postsurgical changes related to prior CABG.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94797502441613667770578147243904462365
"The heart size and mediastinal contours are stable. There is aortic atherosclerosis. The left lung is clear. Patchy airspace disease within the right mid and lower lung zones persist, but are improved compared with the most recent examination. There is no significant pleural effusion. There is no pneumothorax. Old right-sided rib fractures are noted.",Improving right lung infiltrates compatible with resolving pneumonia. Continued radiographic followup is suggested.,1.2.826.0.1.3680043.8.498.81328214875675590790491389150965737206
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Patchy infiltrates are noted in the right lung consistent with the given clinical history. No bony abnormality is noted.,Right-sided pneumonia consistent with the given clinical history.,1.2.826.0.1.3680043.8.498.87036528575803243955796088272101546417
Endotracheal tube placed with tip measuring 6.5 cm above the carina. Enteric tube tip is off the field of view but below the left hemidiaphragm. Heart size and pulmonary vascularity are normal. Lungs are hyperinflated but clear. No pneumothorax.,Appliances appear to be in satisfactory location.,1.2.826.0.1.3680043.8.498.88711809136948196459818645028359502997
"Endotracheal tube, right central venous catheter, and NG tube are unchanged. Stable cardiac silhouette. There is bilateral pleural effusions not changed from prior. No pneumothorax.",Stable support apparatus. No significant change.,1.2.826.0.1.3680043.8.498.14790333920738765086929732172519605202
There is increased density in the RIGHT mid lung field compatible with pneumonia. The LEFT lung field is clear. Heart size is normal.,There is a RIGHT mid lung field infiltrate compatible with pneumonia.,1.2.826.0.1.3680043.8.498.42665421132572450554661083274653058507
Mild atelectasis is seen in the right upper lobe and left lung base. There is no evidence of pulmonary consolidation or pleural effusion. Heart size is normal. Orogastric tube is seen with tip in the mid stomach.,Mild right upper lobe and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.85929749811183382577363790478257591903
There is no fracture or dislocation. Glenohumeral joint space is maintained. Soft tissues unremarkable.,Mild degenerative change without acute bony abnormality.,1.2.826.0.1.3680043.8.498.46934313177625307698410581664774829783
Low volume chest with atelectasis at the bases. No evidence of hemothorax or pneumothorax. Prominent heart size accentuated by low volumes. Displaced sternal fracture.,Low volume chest without acute finding.,1.2.826.0.1.3680043.8.498.21806717350011822131827578854010071665
"Single frontal view of the chest shows no focal pneumonic consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Pulmonary vascularity is normal.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.76326798685551570732030416800369071325
The lungs are clear. Heart size is mildly enlarged. No pleural effusion or pneumothorax.,No acute disease.,1.2.826.0.1.3680043.8.498.67042590790200198489714689746896985905
"Enlargement of cardiac silhouette with pulmonary vascular congestion. Low lung volumes. Lungs grossly clear. No definite infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Enlargement of cardiac silhouette with pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.90041022824673238872686709244017711923
"A small right apical pneumothorax remains, slightly smaller compared to the previous exam. Small bilateral pleural effusions are again noted. The lungs are otherwise clear. Heart size and vascularity are normal. CABG. No bone abnormality.",1. Slight decrease in the small right apical pneumothorax. 2. Small bilateral pleural effusions. 3. CABG.,1.2.826.0.1.3680043.8.498.98347049971164060683579328813400161909
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No pneumothorax is noted. There is a 2-cm nodule in the left mid lung. The right lung appears free of infiltrate. The costophrenic angles are clear.",No evidence of pneumothorax following CT-guided lung biopsy.,1.2.826.0.1.3680043.8.498.31227911189943950548654157349316388502
No evidence for skeletal anomalies is seen. The orogastric tube tip overlies the gastric bubble. The bowel gas pattern is normal. The lungs are clear. The cardiothymic silhouette is normal.,Normal exam.,1.2.826.0.1.3680043.8.498.42186754726969219721741767916498341737
There is moderate cardiac enlargement. Bilateral pleural effusions and interstitial edema is again noted. The edema appears slightly improved from previous exam. Bilateral airspace consolidation is also noted and appears unchanged from prior exam.,1. Mild improvement in congestive heart failure. 2. No change in aeration to the lungs.,1.2.826.0.1.3680043.8.498.64234376194779275776224443525050082761
"The mass is homogeneous in appearance with visualization of the margins and hemidiaphragms without difficulty. There is no visualization of the lung surrounding the mass. No pleural effusion is seen. The liver is normal in size and contour. The gallbladder is not visualized. The common bile duct is normal in caliber, measuring 4 mm. The pancreas is not visualized. The spleen is normal in appearance. The left kidney measures 10.6 cm in length and the right kidney measures 11.6 cm in length. No renal mass or hydronephrosis is seen. No definite renal stones are identified. The aorta and inferior vena cava are not visualized.",Status post cholecystectomy. No evidence of biliary obstruction.,1.2.826.0.1.3680043.8.498.99758890225471669539205076460159326569
Unchanged central pulmonary vascularity. No pneumothorax or pleural effusion. No focal consolidation. Stable cardiomegaly. No acute osseous findings.,1. No evidence of pneumonia. 2. Central pulmonary vascularity is unchanged. Similar cardiomegaly.,1.2.826.0.1.3680043.8.498.75743103450873874358719007423141237795
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.60569052421377932022652474694152139486
There is a comminuted fracture of the right clavicle. There is also a fracture of the right first rib. There is no evidence of dislocation. The acromioclavicular joint is normal. The glenohumeral joint is normal. No soft tissue abnormalities are identified.,Fracture of the right clavicle and first rib.,1.2.826.0.1.3680043.8.498.20865002388864839529645645729128177263
There is a moderate-sized right pleural effusion. This is increased in volume since prior study. There is right lower lobe atelectasis or infiltrate. Left lung is clear. Heart is mildly enlarged. No acute bony abnormality.,"Moderate sized right pleural effusion, increased since prior study. Right lower lobe atelectasis or infiltrate.",1.2.826.0.1.3680043.8.498.85962700560637501253546340390252531226
The heart is normal in size. Lungs are under aerated and clear. No pneumothorax. No effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80176426561721531288350849786571192084
"The heart size is enlarged. Aortic calcifications are noted. A right-sided central venous catheter is identified with distal tip in the superior vena cava. There is no pneumothorax. There is no focal infiltrate, pulmonary edema, or pleural effusion. The visualized skeletal structures are unremarkable.",Right-sided central venous catheter is identified with distal tip in the superior vena cava. There is no pneumothorax.,1.2.826.0.1.3680043.8.498.26466888392478409962468182557644625038
There is a 5.6 cm mass in the right lower lobe. This is highly suspicious for primary lung cancer. CT is suggested for further evaluation. The lungs are otherwise clear. No pleural effusion. Heart size is normal.,Mass in the right lower lobe suspicious for primary lung cancer. CT chest is suggested for further evaluation.,1.2.826.0.1.3680043.8.498.98944591714818490914283361954212966512
The heart is mildly enlarged but stable. The lungs are clear. Emphysematous changes are again noted.,Stable mild cardiomegaly. No acute cardiopulmonary disease. Emphysema.,1.2.826.0.1.3680043.8.498.30144186794352724231836713612046696691
"Normal heart size. Stable aortic tortuosity. Linear scarring or atelectasis at the left base. There is no edema, consolidation, effusion, or pneumothorax.",No acute finding.,1.2.826.0.1.3680043.8.498.98089222204398019374826255290248897900
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84094105704285631410102610724329554071
There is persistent increased density at the lung bases especially in the left lung base. Findings suggest atelectasis or infiltrate. There is no effusion or pneumothorax. The heart is normal. The bony structures are intact.,Left lung base pneumonia. There is some minimal atelectasis or infiltrate at the right lung base. Atelectasis is favored.,1.2.826.0.1.3680043.8.498.71728398825691706106111567075492928651
Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease.,1.2.826.0.1.3680043.8.498.71840110059628099842974776463725302877
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89664193348957661413424457828758663340
"The patient's endotracheal tube is seen ending 3-4 cm above the carina. An enteric tube is noted extending below the diaphragm. The lungs are hypoexpanded. Vascular crowding and vascular congestion are seen. A small right pleural effusion is noted, with bibasilar airspace opacities, likely reflecting atelectasis. No pneumothorax is seen. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are identified.","1. Endotracheal tube seen ending 3-4 cm above the carina. 2. Enteric tube noted extending below the diaphragm. 3. Lungs hypoexpanded, with small right pleural effusion and bibasilar airspace opacities, likely reflecting atelectasis. 4. Vascular congestion noted.",1.2.826.0.1.3680043.8.498.49267981220123345295331270368728354455
Normal cardiothymic silhouette. Airway is normal. There is coarsened central bronchovascular markings. There is mild peribronchial cuffing. No focal consolidation. No pneumothorax. No bony abnormality.,Findings suggest viral process.,1.2.826.0.1.3680043.8.498.85792146349868302193511726877459553754
The heart size is normal. There is no pleural effusion. Diffuse interstitial lung disease is identified. Atelectasis and/or scarring is noted at the lung bases. No definite superimposed airspace disease is noted.,1. Chronic interstitial lung disease. 2. Mild atelectasis at the lung bases.,1.2.826.0.1.3680043.8.498.53751084780889099079290808705011033972
Right arm PICC line is seen with the tip overlying the distal SVC. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.,Right arm PICC line in appropriate position. No active lung disease.,1.2.826.0.1.3680043.8.498.48691278782890203763288946661291680860
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54383701906360818350442156991429490506
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.38342205364052881647759260077454460719
The current exam shows blunting of both costophrenic angles compatible with small bibasilar pleural effusions. The etiology for the effusions is not identified. No pneumonia is seen. The heart is enlarged but stable as compared to the prior exam. No pulmonary edema is noted.,1. There is increased density at both lung bases compatible with bibasilar pleural effusions. 2. Stable cardiomegaly. 3. No pulmonary edema is seen.,1.2.826.0.1.3680043.8.498.84839056223259950951787321724425054458
"Cardiomegaly and CABG changes again noted. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. Left lower rib fractures again identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15392003019730733719170435527880686842
There is a right-sided chest tube. No pneumothorax is identified. The heart size is normal. There is atelectasis at both lung bases. Patchy areas of atelectasis are noted on the right.,1. No evidence for pneumothorax. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.54342030692544037090125664798375232122
"Portable semi upright AP view 8799 hours. Endotracheal tube tip between level of clavicles and carina. Enteric tube courses to the abdomen, tip not included. Right internal jugular approach Swan-Ganz catheter, tip at the level of the right main pulmonary artery. Left chest tube and mediastinal drain. Sequelae of CABG. No pneumothorax. Mild atelectasis at the left lung base. No pulmonary edema or pleural effusion. Stable cardiac size and mediastinal contours.",1. Lines and tubes appear appropriately placed as above. 2. No pneumothorax. Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.44660232684529252207626013310781716645
There are no rib fractures identified. The visualized lungs are clear. No pleural fluid or pneumothorax is seen. The heart is normal in size. The mediastinum appears intact.,No evidence of rib fracture.,1.2.826.0.1.3680043.8.498.90618096855880981005908444832103169089
The lungs are mildly hyperinflated. There is no evidence of pneumothorax or pleural effusion. The cardiothymic silhouette is normal. The osseous structures and soft tissues are normal. An endotracheal tube is in place with the tip 1.5 cm above the carina.,1. Endotracheal tube in place. 2. Mild pulmonary hyperinflation.,1.2.826.0.1.3680043.8.498.40611966606601057149829013031533439356
There is patchy atelectasis in the left base. There is a minimal left pleural effusion. Lungs elsewhere are clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Patchy left base atelectasis. Small left pleural effusion. Lungs elsewhere clear. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.95352348425947900476819793561638350377
Lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.64714824378446349299768127444681416219
Endotracheal tube is well positioned with tip 1.2 cm above the carina. Enteric tube passes below the diaphragm. Cardiothymic silhouette is normal. Lungs are clear. No pleural effusion or pneumothorax seen.,1. Well-positioned endotracheal tube. 2. Clear lungs.,1.2.826.0.1.3680043.8.498.56992693673959126886538422254187573190
There is a mass in the right upper lobe. This is not new. The left lung is clear. The cardiac silhouette is not enlarged. There is a Port-A-Cath appliance in place.,There is a persistent mass in the right upper lobe. I do not see evidence of a pneumothorax or pneumomediastinum.,1.2.826.0.1.3680043.8.498.60437720148438844776936058884189492903
"Umbilical vein catheter is seen with tip overlying the intrahepatic IVC, approximately 1.5 cm below the inferior cavoatrial junction. Bowel gas pattern is normal. No evidence of dilated bowel loops. Orogastric tube is been removed since prior exam.",Umbilical vein catheter in appropriate position. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.11726986187832192612870635964893619122
The heart size and mediastinal contours are within normal limits. Previously seen bilateral airspace opacities have resolved since previous study. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28739447054378320905736711853999579110
Heart size is normal. Negative for heart failure. Lungs are clear without infiltrate or mass lesion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93523458920631400556994293592150778577
"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.64854267050241432594921125242157682384
Peribronchial thickening is noted bilaterally. No evidence of focal air space opacity. No pleural effusions or pneumothorax. The bony thorax and upper abdomen are within normal limits.,Central airway thickening without focal opacity. Question viral process versus reactive airway disease.,1.2.826.0.1.3680043.8.498.41332594825833377478214555942564180095
"Portable upright AP view 6061 hours. Stable lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion, consolidation, or confluent airspace opacity.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.29431027624667230047812910392570889337
"EKG leads project over the patient's chest. Heart size is difficult to evaluate on the AP projection. Calcification of the aortic knob is seen. Extensive airspace disease is present throughout the right lung, increased compared to the prior study. A left upper lobe infiltrate is also suspected. Bilateral pleural effusions are present.","Increasing airspace disease, particularly on the right side of the chest. Bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.87423433141496337439184818880254616058
Normal cardiac and mediastinal contours. Consolidative opacity within the right upper lung. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,Right upper lung consolidative opacity may represent pneumonia in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.77388951861951268663878552657198699518
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47772525830640957586691459197560488802
The heart and mediastinum are within normal limits. The lungs are hyperinflated. No focal pulmonary opacities.,"Hyperinflation. Otherwise, no acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.97027067852823946045900308222105553537
"The left subclavian central venous catheter tip is in the mid SVC. No complicating features are demonstrated. The cardiac silhouette, mediastinal and hilar contours are stable. The lungs are clear. No pneumothorax.",1. Left subclavian central venous catheter tip in the mid SVC. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.58214833059586728231962455006432483327
"The patient's umbilical venous line is noted ending within the right atrium; this should be retracted approximately 1 cm. The enteric tube is seen ending at the body of the stomach. The lungs are relatively well expanded and appear grossly clear. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiothymic silhouette is within normal limits. No acute osseous abnormalities are identified. The visualized bowel gas pattern is grossly unremarkable.",1. Umbilical venous line noted ending within the right atrium; this should be retracted approximately 1 cm. 2. Lungs clear bilaterally. 3. Unremarkable bowel gas pattern.,1.2.826.0.1.3680043.8.498.22705130868985682146701001709949009909
There is no evidence of the bowel loops to suggest obstruction. No evidence of barium is identified. A gastrostomy tube is identified within the right colon.,Negative for obstruction. No evidence of barium.,1.2.826.0.1.3680043.8.498.42347716201824308600419368741937814316
"Heart is normal size. Linear densities in the lung bases, likely atelectasis. Small bilateral pleural effusions. No acute bony abnormality. Surgical clips in the right axilla.",Small bilateral effusions. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.32009205026014588639752353558044891048
AP view of the chest was obtained. Lung volume is normal. No pulmonary mass or consolidation is present. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette and pulmonary vascularity are within normal limits. Regional skeletal structures are unremarkable.,No acute chest process.,1.2.826.0.1.3680043.8.498.82695019959796841849031980629649188011
"Right jugular central venous catheter is seen with tip in the distal SVC. No evidence of pneumothorax. Cardiomegaly stable. Increased atelectasis or infiltrate is seen in the left retrocardiac lung base. Increased interstitial prominence is seen, suspicious for interstitial edema.",1. Right jugular central venous catheter in distal SVC. No evidence of pneumothorax. 2. Increased left retrocardiac atelectasis versus infiltrate. 3. Probable mild interstitial edema.,1.2.826.0.1.3680043.8.498.27203098707035228697184844539807478964
"Normal heart size and mediastinal contours. Peribronchial thickening. No pulmonary infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.17703255475899565489528248987988286352
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31052644018049298621617820565151330615
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.57381727808639946707898380858136908707
Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.13526346320538631782382200560739489004
Left chest tube has been removed. Swan-Ganz catheter has been removed. No pneumothorax. Slight atelectasis at the lung bases. The remainder of the chest is clear. No pulmonary edema.,No pneumothorax post chest tube removal. Basilar atelectasis.,1.2.826.0.1.3680043.8.498.94206762316241519386097836543472310044
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.59660722912210387645125183764194481066
There is peribronchial thickening. The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,Bronchitic change without focal process.,1.2.826.0.1.3680043.8.498.55641135279161906067508706447979078817
There is a moderate right pleural effusion with right lower lobe atelectasis which is unchanged. Left upper lobe scarring and atelectasis is again noted. There is a small left effusion. There is COPD. There is a new area of opacity in the right upper lobe which is probably due to atelectasis but pneumonia is possible.,1. New area of right upper lobe airspace disease which is probably due to atelectasis but pneumonia is possible. 2. No change in right lower lobe atelectasis and effusion.,1.2.826.0.1.3680043.8.498.38285700924038189473875664995514780847
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93165352961811598817201223227134822029
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28643382194745666977176780595989860536
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.49249391346585622307539842364084403040
The umbilical artery catheter tip is now in the descending thoracic aorta at the T7 level. The OG tube tip remains in the stomach. The cardiomediastinal silhouette is unremarkable. The lungs remain clear. The bowel gas pattern is unremarkable.,1. UAC tip now in the descending thoracic aorta at the T7 level. 2. No acute cardiopulmonary disease. 3. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.68116176042103075584171054318733448596
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42492642320251576087367272761573517149
Heart size is normal. There is no evidence of congestive heart failure or acute infiltrates. The costophrenic angles are sharp and the trachea is midline. Hila structures outline normally.,No acute disease.,1.2.826.0.1.3680043.8.498.58791460171437325290204883782026912444
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusion. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34303078558050380927129210863523402449
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46003225664604653371417473975896293787
The cardiac silhouette is within normal limits. Lungs are clear. Pulmonary vasculature is normal in caliber. The aorta is tortuous and uncoiled.,No acute cardiopulmonary process. Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.19022813811629581388316182956678037533
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64572465189438140924889813208966820922
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84254232818583661347197796760181818362
There is increased atelectasis at both lung bases. No overt edema. No pleural effusions. Stable cardiomegaly.,Increased bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.38057999457650838822978523896407814673
Mediastinum and hilar structures are normal. Heart size normal. Persistent right base infiltrate is noted. This is most likely residual pneumonia. Continued follow-up chest x-rays suggested to demonstrate complete clearing. No pleural effusion or pneumothorax. No acute bony abnormality.,"Persistent right lower lobe infiltrate. Although a component of these changes may be chronic, given the patient's smoking history, residual pneumonia is suspected. Continued follow-up chest x-rays suggested to demonstrate complete clearing.",1.2.826.0.1.3680043.8.498.36834773281183604518540174519216468057
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.21202423781740391157179749396439862438
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.36459934831227170688119415428712152375
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions.,No active disease.,1.2.826.0.1.3680043.8.498.63003042223420983525609882517866384995
Single frontal view of the chest demonstrates a stable cardiac silhouette. There is been marked improvement in the bilateral airspace disease seen previously. Persistent consolidation is seen within the left lower lobe. No effusion or pneumothorax. No acute bony abnormalities.,1. Persistent left lower lobe consolidation consistent with pneumonia. 2. Improved bilateral airspace disease.,1.2.826.0.1.3680043.8.498.65076157949982251369746199793360814550
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77186855941387199251978901449200351764
Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Minimal peribronchial thickening. No pulmonary infiltrate or pleural effusion. Bones unremarkable.,Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.50620287789714829145728408415537343956
Cardiothymic silhouette is normal. Lungs are clear. No pulmonary edema. No pleural effusions. No pneumothorax. Skeletal structures are unremarkable.,Normal chest radiographs.,1.2.826.0.1.3680043.8.498.76508577760117801784642229408046565502
Right PICC line tip projects over the cavoatrial junction. No pneumothorax. Cardiomegaly with pulmonary vascular congestion and mild interstitial edema. Atelectasis at the lung bases. No effusion. Endotracheal tube has been removed.,1. Right PICC line tip at cavoatrial junction. 2. Stable cardiomegaly with vascular congestion and mild interstitial edema. 3. Low lung volumes with basilar atelectasis.,1.2.826.0.1.3680043.8.498.38137780838762732925089367454381506956
The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.44376669514242924505199351606568430907
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.48105473289560999973854243379671214438
There is patchy airspace opacity in the upper and lower lung regions as well as in the right mid lung and left base regions. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions.,Multifocal airspace opacity consistent with multifocal pneumonia. Viral pneumonia may certainly present in this manner and is suspected given the clinical history. Heart upper normal in size. No adenopathy evident.,1.2.826.0.1.3680043.8.498.86777156796461005932461254057543615296
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.87860414060574029432770277006475514771
Endotracheal tube is 1 cm above the carina. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No bony abnormality.,No focal opacities in the lungs.,1.2.826.0.1.3680043.8.498.30303441034431079131142114568172738661
Linear atelectasis or scarring is noted at the left lung base. The lungs are otherwise clear. No pleural effusion is seen. Mediastinal contours are normal. The heart is within normal limits in size. No bony abnormality is noted.,No active lung disease. Linear atelectasis or scarring at the left lung base.,1.2.826.0.1.3680043.8.498.70314053569308368807397846501552908730
Mild cardiomegaly. Lungs are clear. No effusions. No acute bony abnormality.,Mild cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.29153372499588940088482970303842259162
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41118353334346434912053490794800172960
AP view of the chest was obtained. Lung volume is normal. No pulmonary mass or consolidation is present. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. Normal pulmonary vascularity. No acute regional skeletal abnormality.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.49146873219012208757437568711622207680
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96421637653779780388884076361453378879
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16883562631193238111414007190335898092
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.16070555297117671813640078277750778504
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62645902678679268354400804981137271164
Heart/Mediastinum: Cardiomediastinal silhouette appears grossly unremarkable. Lungs: No dense consolidation or definite acute infiltrate. No pneumothorax. Pleural effusions: No definite significant effusion seen. Bones: Chronic appearing thoracic changes/old healed fractures. Visualized upper abdomen: Grossly unremarkable. Right chest wall cardiac generator and leads again noted.,No definite acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.22955079680553325329637368107654915198
Patchy opacities are seen at the periphery of the mid and lower right lung. Left lung is clear. No pneumothorax or pleural effusion. Cardiac size is at the upper limits of normal. Pulmonary vascularity is normal. No acute bone abnormality.,Patchy right lung infiltrates.,1.2.826.0.1.3680043.8.498.80719923787182722264804357301130407251
There is moderate cardiomegaly. The lungs are clear of acute infiltrate or congestion. There is no pleural effusion.,Cardiomegaly. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.65366343856629645238408891847292997492
The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.66923851724447257149013534950223278358
Right central line is in place. The tip is in the SVC. No pneumothorax. Lungs are clear. Heart is normal size. No effusions.,Right central line tip in the SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.13014467899934696604242646305231247431
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.68223071620021473753575448550146309924
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.46762631777097470743293760192695248661
The heart size and mediastinal contours are within normal limits. Postsurgical changes of the LEFT upper lung are again noted. No residual pneumothorax. No focal consolidation or pleural effusion. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84000822733799883899957763763773670557
"Endotracheal tube and NG tube are unchanged. Stable cardiac silhouette. Mild central venous congestion. No effusion, infiltrate, or pneumothorax.",Stable support apparatus. No interval change.,1.2.826.0.1.3680043.8.498.41667322095810377973412329405451217033
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12706233396442034037544038861867657936
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67767730093683308663855219668033398103
"Right Port-A-Cath remains in place, unchanged. Left upper lobe mass again noted, unchanged. Right lung is clear. Heart is normal size. No effusions.",Stable left upper lobe mass. No acute findings.,1.2.826.0.1.3680043.8.498.94321684018081489401668787835927982024
Nasogastric tube in place. Left subclavian central line in place. Heart is normal size. Aorta is tortuous. Left hemidiaphragm is elevated. Left basilar atelectasis or infiltrate. Right lung is clear. No pulmonary vascular congestion. Degenerative changes of the spine and shoulders. No pneumothorax.,Left basilar atelectasis or infiltrate. Left hemidiaphragm is elevated.,1.2.826.0.1.3680043.8.498.18309883647266796562480499099188141558
The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44097028989494571136787301410064744539
"Large mass in the left upper lung, unchanged. Left pleural effusion, unchanged. Left apical pleural thickening is stable. Diffuse airspace disease in the left lung is new since the prior study. Mild patchy airspace disease in the right upper lung is stable. No pneumothorax. Cardiac silhouette is normal in size.","1. New patchy airspace disease throughout the left lung, which could reflect pneumonia or asymmetric edema. 2. Stable large mass in the left upper lung and left pleural effusion.",1.2.826.0.1.3680043.8.498.73275086522378399851264320610862975988
There are low lung volumes with central airway thickening. No focal airspace opacities or effusions. Cardiothymic silhouette within normal limits. Bony structures unremarkable.,"Low lung volumes, central airway thickening.",1.2.826.0.1.3680043.8.498.20194140762461473915419499745886231132
Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,Normal one view chest,1.2.826.0.1.3680043.8.498.42025580320914048108610039382806477835
"There is stable minimal enlargement of the cardiac silhouette. Ectasia and nonaneurysmal calcification of the thoracic aorta is seen. There is chronic elevation of the right hemidiaphragm. There is chronic minimal atelectasis and fibrotic change in the right upper lobe. Calcified granuloma is seen. No pulmonary edema, pneumonia, or pleural effusion is seen. There is osteopenic appearance of the bones. Degenerative spondylosis is present.","There is stable minimal enlargement cardiac silhouette. No pulmonary edema, pneumonia, or pleural effusion is evident.",1.2.826.0.1.3680043.8.498.93119738852376191978047159084282762086
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.90339962949971253002425235393531894957
Single portable AP chest radiograph is provided. There is right lower lobe airspace disease most concerning for pneumonia. There is no pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,"Right lower lobe pneumonia. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.85305046238248280552638820686888460240
Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.39347230123576976280954695016583500844
There is opacity at the left lung base which is most likely atelectasis. Pneumonia is possible. The right lung is clear. No pleural effusion. Heart size is normal.,New opacity at the left lung base is felt most likely to represent atelectasis. Early pneumonia not completely excluded.,1.2.826.0.1.3680043.8.498.34923200240009948492446149844503463613
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.48192402126582149205041725244557092923
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.85121227148188584913278110457914138049
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44883812781992116406972258946860038685
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.84359116157708620246723779134683529892
The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is enlarged. There is a double density projecting over the lower mediastinum to the left of midline. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with a hiatal hernia. I do not see evidence of CHF nor pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.53197643619931296895439429950828946999
There is a new area of atelectasis at the right lung base. The lungs are otherwise clear. There is no pleural effusion. The heart size is normal. No rib fractures are identified.,New right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.49742676482454517167761398433929584799
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79549681081796762862219381083865226130
Heart size is normal. The aorta is ectatic and unfolded. No pleural effusion. Lungs are clear. No acute bony finding.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.32546557599700779972220914088057348713
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89834217623753910062195052041382337506
Low lung volumes. Normal cardiothymic silhouette. There are patchy opacities in both lungs. No pleural effusion or pneumothorax. No osseous abnormalities.,"Patchy bilateral lung opacities, which may reflect atelectasis or meconium aspiration given clinical history.",1.2.826.0.1.3680043.8.498.48794221569023484346660552350635400213
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17592719085380060229296373379099988288
Endotracheal tube is in satisfactory position. Nasogastric tube is followed into the stomach. Right IJ Swan-Ganz catheter tip projects over the proximal right pulmonary artery. Left chest tube and mediastinal drain are in place. Seven intact sternotomy wires. Lungs are low in volume with mild bibasilar atelectasis. No pneumothorax.,Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.60400352984765515643538654230978450593
The lungs are well-aerated. Left basilar airspace opacity raises concern for pneumonia. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.,Left basilar airspace opacity raises concern for pneumonia.,1.2.826.0.1.3680043.8.498.17867911984038742533240405106477717878
There is focal airspace disease in the right lower lobe consistent with pneumonia. There is also patchy airspace disease in the left lower lobe consistent with pneumonia. Lung volume is normal there is no effusion.,Bibasilar pneumonia.,1.2.826.0.1.3680043.8.498.71104892333020736829257336773378027197
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.46276245271300101617222876138527291294
Right chest port catheter. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30475842370626743243967883825521784213
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.70115061970052272687714671240202689455
"There is central airway thickening with bilateral perihilar densities, but no focal airspace disease. No effusion. Heart size is normal. No focal bony abnormality.",Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.52853958346602207876662826162935844327
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64931992288649068921536201102656567138
Heart size within normal limits. No definite heart failure. Bilateral pleural effusions again noted with patchy bilateral lower lobe atelectasis or atelectatic pneumonia. No significant interval change. No new findings.,No significant change.,1.2.826.0.1.3680043.8.498.27664829544055757594477098502320638034
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52718870464468575694937865761039799354
"Low lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion, consolidation, or confluent airspace opacity. No acute osseous abnormality identified.","Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.48379004738699874291608208003558135310
"Since the prior study, there is less pneumomediastinum seen. The lungs remain clear. The heart size is normal. The visualized bony thorax appears intact.",1. Less pneumomediastinum. 2. No active disease.,1.2.826.0.1.3680043.8.498.16062011516715176699912509026869321752
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92218237315377080385386064173674621558
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41292827358258885557987054902312426953
"Portable AP upright view at 3735 hrs. Large lung volumes. Normal cardiac size and mediastinal contours. Calcified aortic atherosclerosis. Allowing for portable technique, the lungs are clear. No pneumothorax or pleural effusion. Osteopenia. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.44244569885392087186996289460649075252
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.15131616402543990799872392409337767040
The heart size and mediastinal contours are within normal limits. Previously seen opacity in the right lower lobe has resolved since previous study. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65968810633314541275190433296163508658
Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. No acute consolidative airspace disease. Mild diffuse prominence of the central interstitial markings with peribronchial cuffing. No significant lung hyperinflation. Visualized osseous structures appear intact.,"1. No acute consolidative airspace disease to suggest a pneumonia. 2. Mild diffuse prominence of the central interstitial markings with peribronchial cuffing, suggesting viral bronchiolitis and/or reactive airways disease. No significant lung hyperinflation.",1.2.826.0.1.3680043.8.498.74943269520369691736131101192446767144
There is cardiomegaly. The patient is status post median sternotomy. A left pleural effusion is noted with left lower lobe atelectasis or pneumonia. A small right effusion is suspected. There is mild vascular congestion. No acute CHF or definite pneumonia. No pneumothorax. Degenerative changes of the spine.,1. Cardiomegaly with small pleural effusions and basilar atelectasis. 2. Left lower lobe retrocardiac consolidation versus atelectasis. 3. Status post median sternotomy.,1.2.826.0.1.3680043.8.498.28593049476336466244700156424812055311
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83602168648197645872500092692231649032
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. No acute osseous findings.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.53363880165112324713312051348982652438
"Two right chest tubes are in place. No pneumothorax. Right central line is unchanged. Consolidation in the right lower lobe and right mid lung again noted, unchanged. Left base atelectasis.",No significant change.,1.2.826.0.1.3680043.8.498.16671709296231712587456326329781878099
"Cardiac silhouette, mediastinal and hilar contours are within normal limits. There is prominence of interstitial markings at the lung bases, possibly chronic but new since the prior chest x-ray on 09/05/2005. I do not see any definite infiltrates, edema or effusions. Bony structures are grossly normal.",1. COPD and chronic interstitial changes. 2. No definite acute pulmonary findings.,1.2.826.0.1.3680043.8.498.85410198309916384185089633954598383064
There is airspace consolidation in the posterior segment of the right upper lobe. Lungs are otherwise clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation consistent with pneumonia posterior segment right upper lobe.,1.2.826.0.1.3680043.8.498.20492887806625451526140902460039003583
"Cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. Bony structures are intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.59817879640090217960909158358605182357
There is focal airspace disease in the left upper lobe consistent with pneumonia. The right lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Left upper lobe pneumonia. Recommend follow-up films to clearing.,1.2.826.0.1.3680043.8.498.12910588695709104825589089778186520122
"The lungs are poorly expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. A right-sided PICC line is seen with its tip at the cavoatrial junction. No significant osseous abnormality is appreciated.",PICC line in place.,1.2.826.0.1.3680043.8.498.70180754867540119517188813993610141409
"The heart appears normal in size. The lungs are hyperinflated. No focal airspace consolidation, pleural effusion or pneumothorax. No acute osseous findings.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.18988834128737530640529701644556444516
PA and lateral views of the chest are made and are compared to a previous study of 11/01/07 and show stable scarring of the left base. The heart is within the limits of normal. The mediastinal contour is normal. The lungs are free of active infiltrate. No pneumothorax or pleural effusion is seen. The bones of the thoracic spine appear normal.,Stable scarring left base. No evidence of active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54514545753901714892902813222024386942
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23466208415989094330888412132854135181
The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.84122174336253518092484675622740981424
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.25731689204741492354858331930844904535
Endotracheal tube is 3.5 cm above the carina. There is a right jugular central line with the tip in the SVC. There is no pneumothorax. The lungs are clear. Heart size is normal. There is a nasogastric tube in the stomach.,Central line tip in the SVC. No pneumothorax. Endotracheal tube and nasogastric tube are in place.,1.2.826.0.1.3680043.8.498.90065645656123908957611410922944249068
Right chest tube is been placed. Right pleural effusion and atelectasis remain. No pneumothorax. Left lung is clear. Normal heart size.,Right chest tube placed. No pneumothorax. Residual right pleural effusion and basilar atelectasis.,1.2.826.0.1.3680043.8.498.31065247720693164850038814193381705695
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72813834379599744088812316352022122458
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94882703849377639749254023335086147452
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91440965275530318759239449920784821940
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23512191889195320220541011363201117684
There is central airway thickening. Consolidative changes noted in the right upper lobe compatible with pneumonia. Left lung is clear. No effusions. No acute bony abnormality. Cardiothymic silhouette is within normal limits.,Central airway thickening. Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.91140107492127653453913033622385782656
"There is extensive bilateral airspace disease, increased since prior study. Heart is normal size. No definite effusions.",Worsening bilateral airspace disease.,1.2.826.0.1.3680043.8.498.25852261517170852613092993644423010196
There is consolidation in the left upper lobe. The right lung is clear. There is no pleural effusion. There is no pneumothorax. There is stable cardiomegaly. There is evidence of prior CABG. The osseous structures are unremarkable.,Left upper lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.67761994775263526777190044439619492154
The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,No active disease.,1.2.826.0.1.3680043.8.498.52484512209991220952761788297410533128
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75440414767887130363794552082319828033
"Stable enlarged cardiac silhouette and left subclavian pacemaker lead. Small left pleural effusion, decreased laterally. Stable mild prominence of the interstitial markings and mild hyperexpansion of the lungs. Stable linear density at the left lung base. Diffuse osteopenia.","1. Small left pleural effusion, decreased laterally. 2. Stable cardiomegaly and mild changes of COPD and chronic bronchitis. 3. Stable left basilar linear atelectasis or scarring.",1.2.826.0.1.3680043.8.498.59727674831856507422056290929744370146
Heart size is normal. Both lungs are clear. No evidence of pleural effusion. Right-sided dialysis catheter is seen in place.,No active disease.,1.2.826.0.1.3680043.8.498.40906605318852917832853384266671460001
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Low lung volumes with bibasilar atelectasis. Lungs otherwise clear. No pleural effusion or pneumothorax. Spur formation thoracic spine.,Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.47687974786933645296672706488977638357
There is chronic scarring in the left lower lobe. The heart is normal size. The lungs are otherwise clear. No pleural effusion. No acute bony abnormality. Evidence of previous CABG.,Left lower lobe scarring. No acute findings.,1.2.826.0.1.3680043.8.498.51068668664152805736139659358649893039
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95074861312809944793102725773478642149
"Sternotomy wires are intact. The heart is normal in size. Aorta is tortuous. The lungs are well expanded. There is linear atelectasis at the left base. The lungs are otherwise clear. There is no acute infiltrate, effusion or pneumothorax.",No acute process.,1.2.826.0.1.3680043.8.498.46304333232410742964380919627740791322
There is mild pulmonary vascular congestion present with probable small right pleural effusion. Mild cardiomegaly is stable. Median sternotomy sutures are noted.,Cardiomegaly and mild pulmonary vascular congestion with small right effusion.,1.2.826.0.1.3680043.8.498.60651480419850578753076753037353908880
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88403028946704521855906288009133619789
The heart size and mediastinal contours are within normal limits. Endotracheal tube is in grossly good position. Nasogastric tube is seen entering stomach. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,Endotracheal and nasogastric tubes in grossly good position. No acute cardiopulmonary abnormality seen.,1.2.826.0.1.3680043.8.498.53624282701533722929424205233932350019
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs hyperinflated but clear. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.67041608880377215612549260663937673533
Cardiomegaly with bilateral pulmonary vascular prominence and bilateral pleural effusions noted. Bilateral atelectasis and/or infiltrates present. Similar findings noted on prior exam. Port-A-Cath noted in good anatomic position. Surgical clips noted over the right chest.,1. Cardiomegaly with bilateral pulmonary venous congestion bilateral pleural effusions. Findings consistent with congestive heart failure. 2. Bilateral atelectasis and/or infiltrates.,1.2.826.0.1.3680043.8.498.60435817972612932627235039154662880353
There is central airway thickening but no focal airspace disease. No pleural effusion. Heart size is normal. No focal bony abnormality.,Central airway thickening without focal process.,1.2.826.0.1.3680043.8.498.34965184841210884701116593410382374109
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42574133077232953903392741735295152072
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60967763688317281914612418951648389570
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76108897727639325415940651686551799884
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78877774776341981213181816980233867854
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89568913641835630419404959989902556862
No pneumonia is seen. There are prominent perihilar markings with some peribronchial cuffing which may indicate a central airway process such as bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect bronchitis.,1.2.826.0.1.3680043.8.498.37824233075517544577035733966981799797
The endotracheal tube has been removed. The heart is enlarged but stable. There is tortuosity and calcification of the thoracic aorta. Persistent small bilateral pleural effusions and overlying bibasilar atelectasis. No pulmonary edema.,1. Removal of ET tube. 2. Persistent small effusions and overlying atelectasis.,1.2.826.0.1.3680043.8.498.12882870056637297118731078013503740180
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. Mild thoracic degenerative disk disease is noted.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.87251838026957690723942493270210183052
"There is no focal consolidation, pleural effusion, or pneumothorax. Diffuse peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.55413334566663276279540333322082492328
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71292949322210116092534686583277319057
"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. Small left pleural effusion, stable. No right pleural effusion. Patchy left lung base opacity, similar. No pulmonary edema.","1. Stable small left pleural effusion with patchy left lung base opacity, which could represent atelectasis or pneumonia. Continued chest radiograph follow-up advised. 2. No new findings.",1.2.826.0.1.3680043.8.498.27700163415935887925692380396032700806
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76329923537606247195688741821827083774
"There is chronic elevation of the right hemidiaphragm. There is no evidence of edema, infiltrate, effusion or pneumothorax. The heart is mildly enlarged.",Stable chest x-ray with chronic elevation of the right hemidiaphragm. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.86485709562250531246714542289705756622
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87519143088988364447841950202296318824
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60724145785098307280225707700320320950
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,Aortic atherosclerosis. No edema or consolidation.,1.2.826.0.1.3680043.8.498.69426751960825710065756928928457688973
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28954118139502533087025763593244384084
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42098504660337097366005202006753538809
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86242830216044817259432092828724099806
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.71821764160494858517538874971820374721
"Endotracheal tube and orogastric tube remain in appropriate position. Diffuse coarse granular pulmonary opacity is again seen bilaterally, without significant change. No evidence of pulmonary consolidation or pleural effusion. Heart size is normal.","RDS pattern, without significant change.",1.2.826.0.1.3680043.8.498.69366802001662513879583280929370457497
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.27616573408295150502779320495712536512
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79613682540095678179674956967941208258
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70074051667318733111748251538705280488
"The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",No radiographic evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.57742800570431504951958781146889436997
There is a chest tube on the left with the tip at the left apex. There is no pneumothorax. There is atelectatic change in the left base. The right lung is clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Chest tube on the left with no pneumothorax. Left base atelectasis. Right lung clear. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.92426671709134886215030791585299541161
The cardiothymic silhouette is within normal limits. The lung volumes are normal. No pleural effusions or pneumothorax. The lung fields demonstrate mild hazy lung opacities bilaterally. The abdominal bowel gas pattern is unremarkable. No bony abnormalities.,Normal lung volumes with mild bilateral hazy lung opacities. Considerations include early RDS and/or retained fetal fluid.,1.2.826.0.1.3680043.8.498.63992135881251116551157803951982198082
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86441869928428674306710836095383725107
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33199759354535953234884148235198720332
The lungs are hyperaerated consistent with COPD. No pneumonia or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. There are degenerative changes throughout the thoracic spine. A left shoulder replacement is noted.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.16150783385506606720707951296591133565
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16005309796419706912744223461012556250
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79410821911674435658513924346722041496
The heart and mediastinum are within normal limits. The lung volumes are slightly diminished. No focal pulmonary opacities. Mild gaseous distention of the stomach is noted.,1. No acute cardiopulmonary disease. 2. Mild gaseous distention of the stomach.,1.2.826.0.1.3680043.8.498.14421799692237806591131450964996036589
Large left pleural effusion with left lung atelectasis. The right lung is clear. No pneumothorax. Heart size is obscured by the large pleural effusion.,Large left pleural effusion with left lung atelectasis.,1.2.826.0.1.3680043.8.498.18727859856460294784071743027952259417
There is improvement in the previously noted diffuse bilateral interstitial and alveolar infiltrative changes. Resolution as yet is not totally complete. No new infiltrates are seen. No pleural effusion is noted. The heart size is normal. The chest is hyperexpanded compatible with a history of COPD.,1. There is noted improvement in the previously noted bilateral pulmonary infiltrates or edema. 2. No new infiltrates are seen. 3. COPD.,1.2.826.0.1.3680043.8.498.98195593748912040143595489645479938873
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.44857836070623336317543862921018232310
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90151557252714999001595087318753452652
The heart is normal in size. The aorta is tortuous and calcific. The tracheostomy tube is above the carina. There is progression of bilateral infiltrates in the upper lobes and left midlung. There is no definite effusion or pneumothorax.,Progressive bilateral infiltrates.,1.2.826.0.1.3680043.8.498.46794279942947869492163550604121184745
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.35955516999633151504614348320209100496
Heart size is normal. There is no heart failure. The lungs are clear and there is no infiltrate or mass lesion. There is blunting of the left costophrenic angle which may be due to pleural scarring or a small effusion. No acute bony abnormalities.,"Small left pleural effusion or pleural scarring. Otherwise, negative.",1.2.826.0.1.3680043.8.498.96244272296108444297161574438458870250
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.87585279906054488446669606987574443185
Midline trachea. Heart size upper limits of normal. Mediastinal contours otherwise within normal limits. No pleural effusion or pneumothorax. Lung volumes are mildly low. Clear lungs.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20748586975739834721777602036260117021
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26150264615451819935997475077599911849
Patchy bilateral airspace disease has significantly worsened. Small bilateral pleural effusions are suspected. No pneumothorax. Normal heart size.,Significant worsening of bilateral airspace disease.,1.2.826.0.1.3680043.8.498.84502012013825495935362374981094428116
There is central airway thickening. No consolidative process. No pneumothorax or pleural effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.98704917532267148491661561970827770201
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86446524194197400079886132954431600668
The lungs are hyperinflated with hemidiaphragm flattening. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is calcification in the wall of the aortic arch. The bony thorax exhibits no acute abnormality.,COPD. No pneumonia nor CHF. No suspicious pulmonary parenchymal masses. Thoracic aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.27615920815853200275756880263011174743
"Tracheostomy tube is in place. Right IJ central line tip overlies the level of the superior vena cava. The heart is enlarged. There is left base opacity, consistent with a combination of pleural fluid and atelectasis/consolidation. No evidence for pulmonary edema.",1. Left base opacity consistent with a combination of pleural fluid and atelectasis/consolidation. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.64523710254709309727185896260068549246
The lungs are mildly hyperinflated. There is thickening of the interstitial markings. No focal regions of consolidation are appreciated. The cardiac silhouette is enlarged. The visualized bony skeleton is osteopenic.,COPD with findings likely representing a component of pulmonary fibrosis. No focal regions of consolidation are appreciated.,1.2.826.0.1.3680043.8.498.96613254805847839530438427741535261488
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34250344619787388669126987166501869025
"Endotracheal tube, left IJ Swan-Ganz catheter, and nasogastric tube are unchanged. There is cardiomegaly. Diffuse pulmonary edema pattern has increased. Bilateral effusions are noted. Increasing bilateral lower lobe opacities, likely atelectasis.","Increasing edema pattern, bilateral effusions, and bilateral lower lobe atelectasis.",1.2.826.0.1.3680043.8.498.99117929604548528195080000845364800721
Lung volumes are low. The heart is at the upper limits of normal. The lungs are clear. No pneumothorax. No pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36912340224977763630379315351571767716
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75915508912057009906700948906041479664
There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. Patient is status post aortic valve replacement. No bone lesions. No pneumothorax.,Status post aortic valve replacement. No edema or consolidation.,1.2.826.0.1.3680043.8.498.61280333118280469362303093468073491450
The heart is enlarged but stable. Diffuse interstitial and airspace opacities are again noted and have worsened. No significant pleural effusions are identified. The right arm PICC has been removed.,Worsening pneumonia versus asymmetric edema.,1.2.826.0.1.3680043.8.498.47314196070270208125206549072018194180
Endotracheal tube is 2.2 cm above the carina. Right central venous catheter tip is in the right atrium. No pneumothorax. There is diffuse airspace disease throughout the lungs bilaterally. Low lung volumes. Heart is mildly enlarged.,Endotracheal tube 2.2 cm above the carina. Diffuse airspace disease and atelectasis. Low lung volumes.,1.2.826.0.1.3680043.8.498.61386221937217552184570634336106235030
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71394033801032149930122882433400857693
The heart size and mediastinal contours are within normal limits. Emphysematous changes are noted. The lungs are hyperinflated. No pleural effusion or edema. The visualized skeletal structures are unremarkable.,1. Emphysema. 2. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.91886190956208786824671293062071253255
The lungs are clear. There is no pleural effusion. The cardiothymic silhouette is normal. The chest is hyperexpanded.,Hyperexpansion of the chest is suggestive of reactive airways disease. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.52195012067806462926280735951620379753
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63839719298371910367907073555259330139
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24660170502918992024204175073089134879
"Low lung volumes. Streaky opacities at the left lung base, increased from prior exam. Unchanged heart size and mediastinal contours. No pulmonary edema. No pneumothorax or pleural effusion. Stable osseous structures.",Low lung volumes with increased left basilar atelectasis.,1.2.826.0.1.3680043.8.498.49662350437775124964761775703848215336
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38983140698071690463570338417602161701
A small bore right-sided chest tube is in place with tip and side port projecting over the right lung apex. Trace residual right apical pneumothorax (less than 5% of the volume of the right hemithorax). Opacity at the right base likely reflects resolving atelectasis. Left lung is clear. No left pleural effusion. No evidence of pulmonary edema. Heart size is normal. Upper mediastinal contours are within normal limits.,"1. Small bore right-sided chest tube in place with tip and side port projecting over the right lung apex. Trace right-sided pneumothorax (less than 5% of the volume of the right hemithorax), similar to slightly decreased compared to the prior examination. 2. Resolving right lower lobe postoperative atelectasis.",1.2.826.0.1.3680043.8.498.34354329719020265845529789990916979663
Heart: Heart size normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.40925510174357567307179575432131717695
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.40989523065310483945780384777739126020
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41910014480472782983562292207938061380
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17111424323470304789082570194776491484
"Small (5% or so) left apical pneumothorax after left chest tube removal. Linear atelectasis in the left lower lobe and lingula, unchanged. Lungs otherwise clear. No pleural effusions. Cardiomediastinal silhouette unremarkable and unchanged.",Small left apical pneumothorax after left chest tube removal. Stable linear atelectasis in the left lower lobe and lingula. No new abnormalities.,1.2.826.0.1.3680043.8.498.30682308868137902874577387078290961716
The lungs are clear. The heart is mildly enlarged. There are degenerative changes throughout the thoracic spine.,No active lung disease. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.57000601164440868091675502256236097081
Right jugular catheter tip in the SVC. No pneumothorax. Improvement in bilateral airspace disease. No pleural effusion.,Slight improvement in bilateral airspace disease.,1.2.826.0.1.3680043.8.498.31200854475434999270452227565328289185
Cardiomegaly with bilateral pulmonary alveolar infiltrates are noted consistent with pulmonary edema. Bilateral pleural effusions are present. These findings are consistent with congestive heart failure.,Findings consistent with congestive heart failure with bilateral pulmonary edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.62446388949442563060344828204375785231
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15019887257213629592336837384730725789
Sternal sutures and mediastinal clips are noted. The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.95131311429359163794539063142255959161
"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52594304033853609290588156105164315393
Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31926625282444376935999353140056308039
The lungs are better inflated today. The interstitial markings are mildly increased. The left hemidiaphragm is better demonstrated. The cardiac silhouette is enlarged. The pulmonary vascularity is mildly prominent centrally.,There are findings consistent with low-grade CHF. I see no focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.99508995293091958950262055444430503967
The lungs are adequately inflated. There is no focal infiltrate. There is stable scarring in the lingula. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is mild tortuosity of the descending thoracic aorta. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19359666036491992457654184942177232841
The lungs are well-expanded and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,There is no evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.79045429459561190060112371549626495934
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.90727523372804178388597656477601199213
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84745770469166881750991930400282760589
An orogastric tube is stable in position. The cardiothymic silhouette is within normal limits. The lung fields demonstrate a very mild granular pattern with some basilar air bronchogram formation compatible with mild to moderate RDS. No areas of focal atelectasis or infiltrate are seen. No pleural effusions are noted. The visualized portion of the bowel gas pattern is unremarkable. Bony structures appear intact.,Findings compatible with mild to moderate RDS.,1.2.826.0.1.3680043.8.498.83083179904235736252352133240498114047
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24528576107708873275213275629675286202
Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Swan-Ganz catheter has its tip in the right pulmonary artery. There is mild left lower lobe atelectasis. The lungs are otherwise clear. No pneumothorax.,Mild left lower lobe atelectasis. Tubes and lines well positioned.,1.2.826.0.1.3680043.8.498.58475424176470457705681194041670199706
There is focal airspace disease in the anterior right upper lobe consistent with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.26606826720483849571406186827286643685
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.70160205586622563755438014428888722934
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79730793929664202922199313321181995786
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,Aortic atherosclerosis. No edema or consolidation.,1.2.826.0.1.3680043.8.498.19490140547154083740793965729671280491
Low lung volumes. No focal opacity or pleural effusion. Heart size upper normal. No pneumothorax.,No active cardiopulmonary disease. Low lung volumes.,1.2.826.0.1.3680043.8.498.92096781903032021351883985137740557350
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.37375270139632039653799566213123054289
"Low lung volumes. The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Low lung volumes without acute abnormality.,1.2.826.0.1.3680043.8.498.40403462534078757499830406131073666537
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.25770304281565855817653479179910555027
The patient is rotated. The lung volumes are low. Heart size is enlarged. Aorta is tortuous. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78173589047586958222915397195399735062
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67863615395474009464060870328378437269
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28118060199364511668024105981199768978
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66055083641676190414081319849510832050
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91746749678367140951291692493703611354
Shallow inspiration. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17373162836504036855076917887463507245
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62828253233312617395494589380959031531
Patchy bilateral opacities in a predominantly peripheral distribution. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,"Patchy bilateral opacities in a predominantly peripheral distribution, suspicious for multifocal pneumonia, including atypical viral pneumonia.",1.2.826.0.1.3680043.8.498.98048384872368881625411799335306401997
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29331635155763773126167741010332450357
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79193534505913019307234914316648106012
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44575076141269648827185287143015155236
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25691859523825386041505371186364442932
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.68668522376681632651009564871917483545
"The lung fields are clear. The heart, mediastinal and osseous structures show no significant abnormalities.",No significant abnormalities are noted.,1.2.826.0.1.3680043.8.498.26773773864321522574138099277647781720
"The heart size and mediastinal contours are within normal limits. Pulmonary hyperinflation again seen, consistent with COPD. Right apical pleural thickening remains stable. No evidence of acute infiltrate or edema. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.",Stable COPD and right apical pleural thickening. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95342903873405401471963871598287980113
There is patchy airspace disease throughout the lungs bilaterally. No pneumothorax is seen. The lungs are not quite as well aerated. The heart is within upper limits of normal.,No pneumothorax. Diffuse patchy airspace disease consistent with known lung metastases.,1.2.826.0.1.3680043.8.498.18504703944783142377419757668076131863
The lungs are adequately inflated. There is no focal infiltrate. There is stable scarring in the right middle lobe. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion. The mediastinum is normal in width.,There is no evidence of pneumonia nor definite evidence of other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.25617536362402215196231162484648086010
"Sternotomy wires overlie stable enlarged cardiac silhouette. There is scoliosis of the spine. No effusion, infiltrate, or pneumothorax. There is mild atelectasis at the left lung base.",1. Cardiomegaly. 2. No acute findings.,1.2.826.0.1.3680043.8.498.25492161460620036349627733880974487883
"The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Heart at the upper limits of normal in size. Otherwise unremarkable radiographs of the chest.,1.2.826.0.1.3680043.8.498.37700113044179247244576829708481010437
The heart is normal in size. The mediastinal and hilar contours are within normal limits. The lungs are clear of an acute process. No pleural effusions or pulmonary lesions. Thoracic spinal stabilization hardware is noted.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.34800870248978832643254093930412377750
The heart is mildly enlarged. There is no pulmonary edema. There is opacity at the left lung base which is likely atelectasis. This is similar to the prior exam. No other focal consolidations are identified. There is no pneumothorax.,1. Cardiomegaly. 2. Left lower lobe opacity is favored to represent atelectasis. Early infiltrate is possible.,1.2.826.0.1.3680043.8.498.91698390873309673604007671056252256458
Cardiomediastinal silhouette within normal limits. Calcifications of the aortic arch. No pneumothorax or pleural effusion. No confluent airspace disease. Coarsened interstitial markings. No displaced fracture.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.64240975295348969486365175116238279097
The lungs are hyperinflated. There is persistent increased density in the right middle lobe. The right upper lobe mass has increased in size. It measures 5.6 cm transversely x 3.9 cm AP x 3.9 cm AP. The left lung is clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is calcification in the wall of the aortic arch. The bony thorax exhibits no acute abnormality.,COPD. Persistent right middle lobe infiltrate or atelectasis. Enlarging right upper lobe mass. No CHF. Thoracic aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.74599390800383640527807986819052574297
Endotracheal tube is 5.5 cm above the carina. Right internal jugular central line tip in the mid SVC. No pneumothorax. Cardiomegaly with vascular congestion. Bibasilar atelectasis. No effusions.,"Right central line tip mid SVC. No pneumothorax. Endotracheal tube 5.5 cm above the carina. Cardiomegaly, vascular congestion and bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.67961601516980094654324920077707860016
Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15089288145643900817604811432167816411
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65253852354188309421564762695990250687
Patchy opacities in the mid lungs bilaterally compatible with pneumonia. Heart is normal size. No effusions or acute bony abnormality. No pneumothorax.,Patchy mid lung airspace opacities compatible with pneumonia.,1.2.826.0.1.3680043.8.498.27102966197155592299940890355593533399
Endotracheal tube is in place with the tip at the head of the clavicular heads in good position. Right-sided PICC again terminates in the superior vena cava. There is no pneumothorax. Lung volumes are low with some crowding of the bronchovascular structures. No focal airspace disease. Heart size upper normal.,1. Endotracheal tube in good position. 2. Low lung volumes without acute disease.,1.2.826.0.1.3680043.8.498.70081540295658960111209530618960941670
The lung volumes are low. Heart is normal in size. Aorta is mildly tortuous. Mild linear opacities at the lung bases likely represent atelectasis. There is elevation of the right hemidiaphragm.,1. Low lung volumes with mild basilar opacities that likely represent atelectasis. 2. Elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.54118608088375373464895086780058543225
"There is again noted increased density at the lung bases compatible with fibrosis. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The chest is hyperexpanded compatible with a history of COPD. The patient is status post right mastectomy.",1. Stable appearing chest as compared to the exam of 06/02/2020. 2. Fibrotic changes are again noted at the lung bases. 3. No new infiltrates are seen. 4. COPD.,1.2.826.0.1.3680043.8.498.80670319403077960709856611681806931613
The heart size and mediastinal contours are within normal limits. Subcutaneous emphysema is noted in the lower neck bilaterally. No pneumothorax or pleural effusion is noted. Mild bibasilar subsegmental atelectasis is noted. The visualized skeletal structures are unremarkable.,Subcutaneous emphysema in the visualized lower neck bilaterally. Mild bibasilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.72573268623349749254191385471861784160
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87016162560327627154483972028639589296
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75883907889848522713941796750946222881
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85826005645701453427633762618747824279
The cardiomediastinal silhouette is within normal limits. Lungs grossly clear without focal infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. Bony thorax is intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60317422005807104861468019105342971231
There is opacity at the right lung base which appears be due to pneumonia. The left lung is clear. The heart is within upper limits of normal. No bony abnormality is seen.,Right lower lobe pneumonia. Recommend follow-up chest x-ray.,1.2.826.0.1.3680043.8.498.67696266766001997949133429460397523395
"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61760243958345177758698480099209606209
Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pneumothorax or pleural effusion. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No focal consolidation identified.,1.2.826.0.1.3680043.8.498.45369813949688466729881292344976555458
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77552918431617096563214887809671580349
The lungs are clear. Heart size is normal. No pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.80133089303278980087887825705526814419
The lungs are clear. Mediastinal contours appear normal. The heart is within upper limits of normal. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.12400561461499514395994813547748875208
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13494029088632433587677939505263847501
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16875185030842904876086643144175084547
The lungs are well-aerated. Mild left basilar opacity could reflect mild pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Mild left basilar opacity could reflect mild pneumonia.,1.2.826.0.1.3680043.8.498.69887238926810392910901851588251797361
"Left-sided PICC line with tip in the distal SVC. Normal cardiac silhouette. No effusion, infiltrate, or pneumothorax.",1. Left PICC line in good position. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.62620109963754343246225549262674553146
"The heart size and mediastinal contours are within normal limits. Lung volumes are low. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active disease.,1.2.826.0.1.3680043.8.498.45431990078466806833195280642584644420
The heart size and mediastinal contours are within normal limits. Low lung volumes. The lungs are clear. There is no pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46442938790358654434729995978842759611
The heart is enlarged. There is diffuse interstitial and airspace pulmonary edema. No pleural effusions are seen. The bony thorax is intact.,Cardiac enlargement and moderate to severe CHF.,1.2.826.0.1.3680043.8.498.48977382465069248604718891597130655153
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22844696841954428192131410993831201248
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.53871473346454626801338442981916310688
"Lungs are adequately inflated and otherwise clear. Cardiomediastinal silhouette, bones and soft tissues are normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92622278444265873357554166964544395548
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29983542138381615504302055629240807942
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50615218879266044756392330833675877059
There is extensive airspace disease in the right lung. The left lung appears clear. No pneumothorax or pleural effusion. Heart size is normal.,Extensive right lung airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.13010578754532061312428168589502698108
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18783360610265135752091900744109082921
Heart: Normal. Lungs: There is some patchy atelectasis versus infiltrate in the left lung base. The lungs are otherwise clear. Mediastinum: Normal. Pleural effusions: There is a small left effusion. Bones: There are old right rib fractures. Visualized upper abdomen: Normal.,Patchy left basilar atelectasis and small effusion.,1.2.826.0.1.3680043.8.498.13685220372398438446213053450683842472
"Normal heart size, mediastinal contours, and pulmonary vascularity. Postsurgical changes left hemithorax with blunting of the left costophrenic angle. Minimal scarring left base. Emphysematous changes. No acute infiltrate, pleural effusion or pneumothorax. Bones appear demineralized. Old left rib fractures. BB placed at site of symptoms lower left chest. No definite acute rib fracture or bone destruction.",Postsurgical changes left hemithorax. Old left rib fractures. No acute abnormalities.,1.2.826.0.1.3680043.8.498.33861551419368975647010490727776577330
The heart is normal in size. The mediastinal and hilar contours are within normal limits. The lungs are clear. No pneumothorax. The bony thorax is intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.94770500977248421625944863073956316789
"Central catheter tip is in the superior vena cava. Endotracheal tube tip is 6.1 cm above the carina. Nasogastric tube tip and side port are in the stomach. No pneumothorax. There is interstitial thickening throughout the lungs bilaterally, stable. There is no new opacity. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.",Tube and catheter positions as described without pneumothorax. Widespread interstitial thickening consistent with a degree of chronic bronchitis. No new opacity. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.88689997053850404104573330454621154210
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.61606018035126642029430334090092742899
The heart size and mediastinal contours are within normal limits. The aorta is tortuous. The lungs are hyperinflated. There is a focal opacity in the right upper lobe. There is no pulmonary edema or pleural effusion. The visualized skeletal structures are unremarkable.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.71084715991272101435712524767155382998
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.95463992997576870646583282654950162128
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified. There are mild degenerative changes throughout the thoracic spine.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.27649113461248780644321281747277891652
There is a 2.2 cm mass in the right mid lung. There is no focal consolidation. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,1. No acute cardiopulmonary disease. 2. 2.2 cm mass in the right mid lung. Recommend further evaluation with CT of the chest.,1.2.826.0.1.3680043.8.498.11957090108100726154272020957393320501
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No evidence of sternal fracture. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83923841564416389459608973884187582932
Left subclavian Port-a-cath is in place. The tip is in the SVC. No pneumothorax. Left upper lobe lesion is again seen. Scarring at the left lung base is noted.,1. Port-a-cath placement without complicating feature. 2. Left upper lobe nodule.,1.2.826.0.1.3680043.8.498.76060134307429493533092743718001427901
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.17003721179033984038346012704727333695
Heart size is exaggerated by low lung volumes. Left basilar airspace disease is again noted. The visualized soft tissues and bony thorax are unremarkable.,1. Stable left basilar airspace disease. This is likely atelectasis. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.19656392630016517589959656284368150404
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39526590042777799981060214265997046129
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.33865504209082147013569034833819844336
"There is peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.",Peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease.,1.2.826.0.1.3680043.8.498.81083918759020199268674884226219397466
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76311006186745314442247162284040629512
The heart size and mediastinal contours are within normal limits. There is patchy consolidation of the right mid and lower lung. Mild left perihilar infiltrate is identified as well. There is no pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,Bilateral infiltrates in the right greater than left lungs suspicious for pneumonia.,1.2.826.0.1.3680043.8.498.33897281321062383462223217976129927302
There is mild peribronchial thickening and hyperinflation. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.45815613240095614449329016853577300095
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.67621240158294898027718049323677131036
There is no pulmonary vascular congestion. There are bibasilar reticular markings without focal lung consolidation seen. There is no pleural effusion or pneumothorax seen. Visualized osseous structures show no acute findings.,1. Chronic lung findings without superimposed focal infiltrate. 2. No radiographically evident acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.60731587957009017542625314067722893388
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.36088251786240339184652977574462883881
"The cardiac silhouette is enlarged. Mediastinal contours appear normal. No focal airspace consolidation, pleural effusion or pneumothorax is identified. There is no evidence of pulmonary edema. No acute osseous abnormality is seen.",Cardiomegaly. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93501432597367240144973439448034349968
Lungs are essentially clear. No focal consolidation or hyperinflation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78043787239230977931482660451869636827
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. No pneumothorax. No gross fractures are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56029474939481904371779259576720383094
The heart size and mediastinal contours are within normal limits. There is a 2.2 cm nodule in the right lower lung. The left lung is clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,2.2 cm right lower lung nodule suspicious for neoplasm. Recommend CT for further evaluation.,1.2.826.0.1.3680043.8.498.44105800831056095349575958086598060764
"Heart size is normal. Atherosclerotic calcification of the aortic knob. Mild prominence of the interstitial markings, similar to prior study. No consolidation. No pleural effusion or pneumothorax. Degenerative changes of the spine and shoulders.",No acute process in the chest.,1.2.826.0.1.3680043.8.498.28741829226950851998198084248536921424
There is airspace consolidation throughout the left mid and lower lung zones as well as in the right base. There is a small left pleural effusion. There is cardiomegaly with pulmonary venous hypertension. There is atherosclerotic calcification in the aorta. No adenopathy. Bones are osteoporotic. There is advanced arthropathy in the left shoulder.,Persistent airspace consolidation in the left mid lower lung zones as well as in the right base. Small left pleural effusion. Stable cardiomegaly with pulmonary vascular congestion. There is aortic atherosclerosis. Bones osteoporotic.,1.2.826.0.1.3680043.8.498.61547373189922488750238159417501316072
There is peribronchial thickening. Patchy opacity noted in the lingula compatible with pneumonia. Right lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Lingular pneumonia. Central airway thickening compatible with reactive airways disease.,1.2.826.0.1.3680043.8.498.84687038517532330460721821406789056755
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.95595305163057699864920004436215759566
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.82470951006596618708034923649864118876
The heart size is normal. There is no pneumothorax. Diffuse interstitial lung opacities are identified bilaterally. A small left pleural effusion is noted.,1. No pneumothorax status post bronchoscopy. 2. Suspect mild to moderate pulmonary edema. 3. Suspect small left pleural effusion. 4. Bilateral pulmonary nodules.,1.2.826.0.1.3680043.8.498.82508156611855293368980477414042426546
No pneumonia is seen. There are prominent perihilar markings with some peribronchial thickening which can be seen with central airway process such as bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Probable bronchitis.,1.2.826.0.1.3680043.8.498.17021477541854937826212254117160642756
"Patchy bilateral airspace disease again noted, similar to prior study. No pneumothorax. Heart is normal size. No effusions.","Patchy bilateral airspace opacities, unchanged.",1.2.826.0.1.3680043.8.498.83965768284980297515128617394664261995
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.95639004979227554739492268571785980741
Rotated to the left. Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Pulmonary vascularity normal. Diffuse infiltrates likely representing a combination of pulmonary edema and pneumonia. Small bibasilar effusions and basilar atelectasis. No pneumothorax. Bones demineralized.,Enlargement of cardiac silhouette. Pulmonary vascular congestion with probable pulmonary edema and small bibasilar effusions. Cannot exclude underlying pneumonia.,1.2.826.0.1.3680043.8.498.23595543467105783827568232678672414370
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.46759655140409290213873420164274572553
"The tip of the endotracheal tube is 2.2 cm above the carina. A nasogastric tube is present. The tip lies inferior to the diaphragm, presumably within the stomach. Stable cardiac and mediastinal contours. Low inspiratory volumes with bibasilar atelectasis. Atherosclerotic calcifications present in the transverse aorta. No pulmonary edema, pleural effusion or pneumothorax. No acute osseous abnormality.",1. Stable position of support apparatus. 2. Low inspiratory volumes with bibasilar atelectasis. 3. Aortic Atherosclerosis (ICD10-170.0).,1.2.826.0.1.3680043.8.498.94068631270999577837400266355699566087
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11071323788839246267571342421382221190
"There is airspace disease bilaterally, particularly in the left mid and lower lung zones. This is most compatible with pneumonia. There is no evidence of pleural effusion. Mild cardiomegaly is stable.","Bilateral airspace disease, left side greater than right. Pneumonia is suspected.",1.2.826.0.1.3680043.8.498.76162647836125151675310244889041236451
"There is airspace infiltrate in the right lower lobe compatible with pneumonia. The left lung is clear. Heart size and configuration are normal. Mediastinum, hila, pleura and osseous structures appear normal.",Right lower lobe pneumonia. Recommend follow-up chest x-ray after therapy to ensure clearing.,1.2.826.0.1.3680043.8.498.13475528293382092928675110022943710106
The bony thorax is grossly intact. The heart and pulmonary vascularity are within normal limits. No focal pulmonary infiltrate is present. No pleural effusion is seen.,No acute cardiopulmonary abnormality is identified.,1.2.826.0.1.3680043.8.498.36349002907859543890150031462663620207
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33346790071617803267019347732524185423
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable. Surgical clips in the upper abdomen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53440512024260314004653702716288005418
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32052927919171835738314672783161031420
The lungs are mildly hyperinflated. There is increased density at the right lung base. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion. The mediastinum is not widened.,There are findings consistent with COPD. There is likely subsegmental atelectasis or developing infiltrate at the right lung base. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.86232829429572097587358419085649406455
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85534589586813636122028093947758490185
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43826269273224137406992917480565213130
Endotracheal tube is noted with its tip above the carina. The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.30934951894607504378922789261874291374
Normal heart size and mediastinal contours. Minimal peribronchial thickening. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.64884592283457588300512958292796701386
There is a large right pleural effusion with significant atelectasis of the right lung. I cannot exclude a component of consolidation. The left lung is clear. No evidence for pneumothorax.,Large right pleural effusion with significant atelectasis of the right lung. Cannot exclude a component of consolidation.,1.2.826.0.1.3680043.8.498.73794755554953202629352662102987439396
LUNGS: NO consolidations or significant effusions. PLEURAL SPACE: NO pneumothorax. HEART: The heart is normal in size and position. MEDIASTINUM: No gross mass or adenopathy. BONES/JOINTS: NO definite fracture or dislocation.,- NO evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.67683414817250141719097991385123327765
There is perihilar peribronchial thickening. No focal consolidation is present. There is no effusion or pneumothorax. The cardiac silhouette appears normal. The bony structures appear intact.,Findings suggest bronchitis or reactive airway disease. No focal consolidation.,1.2.826.0.1.3680043.8.498.56693861975216535629029971354604285193
Cardiomediastinal silhouette is normal. There is central bronchial thickening. There is patchy pneumonia in the right upper lobe and left lower lobe. No dense consolidation or lobar collapse. No effusions. No bone abnormality.,Bronchitis and patchy pneumonia in the right upper lobe and left lower lobe consistent with pneumonia.,1.2.826.0.1.3680043.8.498.97917713582594505283274628136295406239
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11684992858579270183181109395454782554
Endotracheal tube is in stable position. Nasogastric tube is in place with the tip not visualized. There is cardiomegaly. Bilateral perihilar airspace disease is again seen and has worsened since prior study. Small bilateral pleural effusions are noted.,"Worsening bilateral airspace disease, likely representing pulmonary edema.",1.2.826.0.1.3680043.8.498.32335550246053603261480088940494700099
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.45416998869843541224839814201567872917
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion.,No evidence of pulmonary infiltrate or hyperinflation.,1.2.826.0.1.3680043.8.498.59698296348825441043206938196191511317
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13828502565822815565554584345645835258
The heart is enlarged. The aorta is tortuous and calcific. The lungs are well expanded. Diffuse congestive changes appear similar. Bilateral pleural effusions appear similar. Degenerative changes are seen in the spine.,Similar appearance of the chest.,1.2.826.0.1.3680043.8.498.46417903383503813375315244826921656617
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98447293272636662335793572279811230385
A right upper extremity PICC has been placed with its tip in the superior aspect of the right atrium. Bibasilar atelectasis has improved slightly. A nasogastric tube is unchanged. There is no evidence of pneumothorax.,1. Right upper extremity PICC tip in the superior aspect of the right atrium. 2. Slight improvement in bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.47037398832302040700814486172185769052
Shallow inspiration. Mild cardiac enlargement. No pulmonary vascular congestion. Perihilar infiltrates may represent pneumonia or early edema. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,Shallow inspiration with mild linear perihilar infiltrates.,1.2.826.0.1.3680043.8.498.14452485975296227376732978045433271353
The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.32056515408748382654728091475894305312
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47784446793981896335720067796798274537
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98838001505433486254210147357554436024
There is diffuse patchy increase in density in the right lung compatible with pneumonia. There is also observed minimal infiltrate in the left upper lobe. No pleural effusion is seen. The heart is mildly enlarged. No acute bony abnormalities are identified.,1. There is diffuse patchy increase in density in the right lung compatible with pneumonia. 2. Minimal infiltrate is also noted in the left upper lobe. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.36512840072972014874356895921262585767
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.83532379288905646436269707121334258392
Left-sided PICC line has been repositioned with the tip now in the superior vena cava. Nasogastric tube is in place. Both lungs are clear. Heart size is normal.,PICC line tip now in superior vena cava. No active lung disease.,1.2.826.0.1.3680043.8.498.88129562551284616524792630650997748692
"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Radiopaque foreign body projecting over the region of the left scapula is compatible with a bullet. Right clavicle fracture again noted.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.40218857203929428354396992929310421709
There is bibasilar atelectasis. Heart is normal size. No effusions. No acute bony abnormality. No pneumothorax.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.47076991676766337366273377630403887821
"Frontal and lateral views of the chest show no focal pneumonic consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Pulmonary vascularity is normal. A moderate to large hiatal hernia is present.",1. No acute cardiopulmonary abnormality. 2. Moderate to large hiatal hernia.,1.2.826.0.1.3680043.8.498.79796321653193032975096500156545140381
The left PICC line tip is in good position in the distal SVC near the cavoatrial junction. Chronic lung changes with possible overlying mild edema.,1. Left PICC line tip in distal SVC. 2. Stable appearance of the heart and lungs.,1.2.826.0.1.3680043.8.498.22702693513311024850539051699892545873
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86655227666495146071841341564718718021
Lungs are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.14926013575534661923431932264755597150
The endotracheal tube is stable. The right IJ catheter tip is in the SVC. The nasogastric tube is coiled in the stomach. There is a left chest tube. No pneumothorax is seen. The left lung is nearly completely opacified. The right lung is under-inflated and grossly clear. The stomach is markedly distended.,1. Interval placement of a left chest tube. 2. No pneumothorax. 3. Marked gastric distention. 4. Almost complete opacification of the left lung.,1.2.826.0.1.3680043.8.498.46308796789429497203983376200788285879
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.84935890555999010433246173084097202862
Cardiac silhouette is normal in size and configuration. No mediastinal or hilar masses. No evidence of adenopathy. Mild linear opacity at the lung bases consistent with atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax. Skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56397490646287772778720747079827044585
The heart size and pulmonary vascularity are normal. The lungs appear clear and expanded without focal air space disease or consolidation. No blunting of the costophrenic angles. No pneumothorax. Mediastinal contours appear intact. Visualized ribs appear grossly intact.,No evidence of active pulmonary disease.,1.2.826.0.1.3680043.8.498.20854764552290812121953208255954859658
The lungs are clear. No lung nodules are seen and there is no pleural effusion. The heart size is normal and no focal bony abnormality is seen.,No active disease.,1.2.826.0.1.3680043.8.498.95059034113402399387180422785938646222
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60473442218909279590564223599664275851
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Right upper lobe infiltrate is again seen but significantly improved when compared with the prior exam. No new focal infiltrate is seen. No sizable effusion is noted. No bony abnormality is seen.,Significant improvement in right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.27442410777349417573480318005741061957
"Endotracheal tube, nasogastric tube, and right internal jugular central line are unchanged. Increased consolidation in the right upper lobe. Left lung is clear. No pleural effusion or pneumothorax. Stable heart size.",Worsening right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.93092106851723153342735438557088068724
The heart is enlarged. There is pulmonary vascular congestion with mild edema. No focal consolidations. No pleural effusions. No pneumothorax. Surgical clips overlie the right axilla. Degenerative changes are seen in the spine.,Cardiomegaly and mild edema.,1.2.826.0.1.3680043.8.498.74835122021039570237926734474210060187
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.46700506312374578168855677760011498135
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.75390672665780001870313405238270942083
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85776492919670299962031059171828340384
The heart is mildly enlarged. Patchy bilateral pulmonary infiltrates are present. There is no evidence of pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,Patchy bilateral pulmonary infiltrates compatible with pneumonia.,1.2.826.0.1.3680043.8.498.93827744908639006140558140598856151109
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.26777468339136686014915967042498224814
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65258630743726307382163177865455070475
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26609581211743264427259814591482942070
The lungs are hypoinflated but clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion. No pneumothorax is evident. The mediastinum is normal in width. The observed portions of the bony thorax exhibit no acute abnormalities.,I do not see evidence of acute thoracic trauma. There is bilateral pulmonary hypoinflation. I cannot exclude acute bronchospasm in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.62076871350912716973054529701985301794
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.15243509905447361489289657070219001112
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56895022253526205137178038402476231406
Cardiac shadow is stable. Aortic calcifications are again seen. Bilateral pleural effusions are again noted and stable. Mild bibasilar atelectasis is seen. No acute bony abnormality is noted.,Stable appearance of the chest with bilateral effusions.,1.2.826.0.1.3680043.8.498.29003499660918597198562299911611049369
No active infiltrate or effusion is seen. Linear atelectasis or scarring is noted in the right middle lobe. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active lung disease. Linear scarring or atelectasis in the right middle lobe.,1.2.826.0.1.3680043.8.498.98077011285765666882543441044472263711
"There is cardiomegaly. Linear densities are noted in the lingula and left base, unchanged. No effusions. No acute bony abnormality.",Stable lingular and left lower lobe scarring. No acute findings. Cardiomegaly.,1.2.826.0.1.3680043.8.498.48247672766464202648794348149858573862
Heart and mediastinal contours are within normal limits. Lung fields appear clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures appear intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.55116790894020235283204987511985876791
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26843438218839891747104381150945276223
Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pleural effusion or pneumothorax. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation identified.,1.2.826.0.1.3680043.8.498.97550348456006853326693323790533069656
There is central airway thickening. No focal airspace opacities. Cardiothymic silhouette within normal limits. No effusions. No acute bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.79873570533556551260673550581092399642
"Endotracheal tube 4.5 cm from the carina. Enteric tube in place, tip and side-port below the diaphragm. The heart size and mediastinal contours are unchanged. Small right pleural effusion with associated atelectasis. Minimal left basilar atelectasis. No pneumothorax. No pulmonary edema. The bones appear unchanged.","1. Endotracheal tube 4.5 cm from the carina. Enteric tube in place, tip and side-port below the diaphragm. 2. Small right pleural effusion with associated atelectasis.",1.2.826.0.1.3680043.8.498.44931001949176842877451861108733240966
The umbilical venous catheter tip is 1.5 cm inferior to the inferior vena cava-right atrium junction. The umbilical arterial catheter tip is at the T7 level. Orogastric tube tip and side port are in the stomach. The lungs are borderline hyperexpanded with mild reticular interstitial prominence. There is no airspace consolidation. Cardiothymic silhouette is normal. No adenopathy. No pneumothorax. No bowel dilatation or bowel wall thickening. No pneumatosis. No free air or portal venous air.,Tube and catheter positions as described without pneumothorax. Evidence of a degree of respiratory distress syndrome. No bowel consolidation. Cardiothymic silhouette within normal limits. Bowel gas pattern unremarkable.,1.2.826.0.1.3680043.8.498.11036038236830727343891121483276095924
"There is no evidence of acute infiltrate, pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. There is evidence of prior aortic valve replacement. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83743224598643996238480256687816564800
Real-time imaging shows normal appearing veins with normal compressibility. Doppler evaluation shows normal venous flow with respiratory variation and augmentation with distal compression.,No evidence for deep venous thrombosis in the visualized veins.,1.2.826.0.1.3680043.8.498.35839853350599297433181188683669803391
"Single view of the chest shows a normal size cardiomediastinal silhouette. There is no evidence of consolidation, mass or pleural effusion. The patient is rotated.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25611229812003128659982731350381619957
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.58642091076943376451515575408057014222
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.67972104977933743260717458449564241729
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.64007764929145442013706588079421604134
No pneumothorax or effusion. Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Detailed views show no displaced fracture or other focal lesion.,Negative,1.2.826.0.1.3680043.8.498.74843966106374004669126260297203395820
Cardiac shadow is enlarged. A pacing device is again seen. Feeding catheter is noted extending into the stomach. The lungs are well aerated with evidence of bilateral pleural effusions and mild interstitial edema. No focal confluent infiltrate is seen. No bony abnormality is noted.,Changes consistent with CHF and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.71247023752046341760809802152765809396
The lungs are clear and hyperaerated consistent with COPD. Mediastinal contours are normal. The heart is within normal limits in size. No bony abnormality is seen.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.57118392437098130257053962682261885946
Heart size is normal. Both lungs are clear. No evidence of pleural effusion. No mass or adenopathy identified.,No active disease.,1.2.826.0.1.3680043.8.498.35890116326285937637109648869670099296
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24301110786486734647960096806781219563
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87315299254196614830272286827098434007
There is mild chronic interstitial coarsening. The lungs are otherwise clear. Pulmonary vasculature is normal. No pleural effusion. Hilar and mediastinal contours are unremarkable and unchanged. Prior cardiac surgery with a leadless pacemaker.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71965021783372914227693899493281658786
"Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No bronchial thickening. No infiltrate, mass, effusion or collapse. Pulmonary vascularity is normal. No bony abnormality.",Normal chest,1.2.826.0.1.3680043.8.498.60346738925322569090022097146048808190
"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27958581176309133156534984019797352089
"The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.29544046116456575968559584274001192587
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.55673018486352289282906173598792176051
"The enteric tube is unchanged. The cardiac silhouette remains mildly enlarged. Lung volumes are low. No confluent airspace opacity, edema, sizable pleural effusion, or pneumothorax is identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40245173638695036055776793955277748186
Heart size is normal. No pleural effusion or edema. Bilateral airspace consolidation is identified which appears increased in the left lung base when compared to the previous exam. The visualized osseous structures are unremarkable.,Increasing bilateral airspace consolidation.,1.2.826.0.1.3680043.8.498.83701267397800787640152303798050932708
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93544359757396708086381244486310972744
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73203426978214663817532657603524953221
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44543337762462922093495970643627499808
Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.40018674195328059254556284900910295319
There is marked cardiomegaly. There is vascular congestion with interstitial pulmonary edema. No definite pleural effusion. No pneumothorax. The mediastinal contours are normal. There is atherosclerosis of the aorta. No acute osseous findings are seen.,Marked cardiomegaly with vascular congestion and pulmonary edema. Findings consistent with CHF.,1.2.826.0.1.3680043.8.498.62154678660541913454158041717816314923
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99905404176165924801367432205181007272
New LEFT chest wall pacemaker/ICD apparatus in place. No pneumothorax seen. Heart size and mediastinal contours are within normal limits. Lungs are clear. Osseous structures about the chest are unremarkable.,New pacemaker/defibrillator. No acute findings.,1.2.826.0.1.3680043.8.498.54126062797016553828793943661567634816
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96685676531081019381352683181772780416
The heart and vascularity are unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.36514493778292818364409602130581627129
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10887028264098753915070448225233638241
"Endotracheal tube, central line and NG tube is noted in good anatomic position. Diffuse bilateral pulmonary infiltrates are noted. These are dense particularly on the left. These could represent pneumonia or asymmetric pulmonary edema. No other focal abnormalities are identified.",1. Good line and tube position. 2. Diffuse bilateral pulmonary infiltrates particularly on the left.,1.2.826.0.1.3680043.8.498.37110526507331907008967544749363797213
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43927397273853815255527769753608651799
Tracheostomy tube is in place. The heart is enlarged. There is dense opacity in the retrocardiac left lower lobe. The right lung is clear. No pneumothorax is present.,1. Asymmetric left basilar airspace disease is present. This may represent atelectasis or infection. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.42093452358381786566682947275532379885
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Right lower lobe infiltrate consistent with pneumonia. Small right pleural effusion. No pneumothorax. Degenerative changes and scoliosis thoracic spine.,1. Right lower lobe infiltrate consistent with pneumonia. Small right pleural effusion. 2. Cardiomegaly. No pulmonary venous congestion.,1.2.826.0.1.3680043.8.498.44931479196568946650065506349173168769
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. Hiatal hernia again noted. Degenerative changes thoracic spine. No evidence of displaced rib fracture or focal bony abnormality.,1. No acute cardiopulmonary disease. 2. Hiatal hernia again noted.,1.2.826.0.1.3680043.8.498.68376142340136718119880255402749401012
"Heart size and pulmonary vasculature are within normal limits. There are multifocal bilateral patchy and ground-glass pulmonary opacities, not significantly changed since the prior study. No pleural effusions or pneumothorax. Dual lead pacemaker again seen.","Stable multifocal bilateral pulmonary opacities, likely related to the patient's history of COVID.",1.2.826.0.1.3680043.8.498.82514211935767549655228172771405648248
The heart size is normal. Atherosclerotic calcifications are present at the aortic arch. Previously seen pulmonary edema has resolved. Emphysematous changes are again noted. No focal airspace disease is evident. Mild degenerative changes are present in the thoracic spine.,1. Interval resolution of pulmonary edema. 2. Emphysema. 3. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68816748022971267808530995301530258752
The cardiopericardial silhouette is within normal limits for size. There is elevation of the right hemidiaphragm slightly more pronounced than on the prior exam. Atelectasis is noted at the left lung base. No focal consolidation or evidence for pulmonary edema.,1. Minimal left base atelectasis. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25231564566434756545678652606322230636
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.25881277280017988477653962047461024630
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58380631251829098977293654783467208306
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart is upper limits for normal in size or slightly enlarged. The mediastinal and osseous structures show no significant abnormalities.",1. No acute changes are identified. 2. The heart is upper limits for normal in size or slightly enlarged.,1.2.826.0.1.3680043.8.498.87811172276096821942520157591250755410
Lungs are clear. The cardiothymic silhouette is normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.15726771118106486476954238422077476043
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96035407885924743416889393531928626996
The lungs are adequately inflated. There is no focal infiltrate. There is a small amount of pleural fluid on the right posteriorly. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,There is no pneumonia nor other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.34514950512128357731767574933115788302
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. End plate spur formation thoracic spine.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.67067222383516428614518033982424467625
The heart is enlarged. There is no heart failure. The aorta is tortuous and calcified. There is no infiltrate or edema.,Cardiac enlargement. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36970923682401240670711729977082500624
AP chest at [DATE] hours shows stable pulmonary edema pattern. The heart is enlarged. The right jugular central line is in the SVC. No pneumothorax.,Stable pulmonary edema.,1.2.826.0.1.3680043.8.498.56742191197130847893531897280285302907
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95874353182101798301513239656925649782
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28867252372981524796233468611178957344
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.90074531691852411739275209993675076356
The lungs are clear. No pneumothorax is seen. Mediastinal contours appear normal. The heart is within normal limits in size. Left rib detail films show no acute left rib fracture.,1. No active lung disease. 2. Negative left rib detail.,1.2.826.0.1.3680043.8.498.63487855626638459773686189795532340950
"The endotracheal tube, NG tube, and right IJ central venous catheter are stable. The heart remains enlarged. The lung volumes remain low. There is slight improvement in the bilateral airspace disease particularly at the right lung base. Left upper lobe and right upper lobe airspace disease is stable. No effusions or pneumothorax.",1. Stable support apparatus. 2. Slight improvement in bilateral airspace disease.,1.2.826.0.1.3680043.8.498.72254118166995306112134021665824487635
Mild cardiomegaly is stable. Both lungs are clear. No evidence of pleural effusion. No mass or adenopathy identified. Prior CABG again noted.,Stable cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.81815853890705681847027856478328385255
Cardiac silhouette is mildly enlarged. Changes from CABG surgery are stable. No mediastinal or hilar masses. No evidence of adenopathy. Mild basilar atelectasis. Lungs otherwise clear. No convincing pleural effusion and no pneumothorax. Skeletal structures are grossly intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80478296156289115122485251156093191317
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35961149655400278079015853204654992962
"There is no focal consolidation, effusion or pneumothorax. Cardiac silhouette is mildly enlarged. The bony structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22103858670781857548578236484467148392
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.66668137763521212299956881963155001481
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95161493746610678845892007296729775080
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.20369417686944660265156943699083782695
The heart size is normal. Mild pulmonary vascular congestion is present. There is no edema or effusion. No focal airspace disease is present. A left-sided PICC line is stable in position. A new left subclavian line terminates in the mid SVC. There is no pneumothorax. The visualized soft tissues and bony thorax are unremarkable.,1. New left subclavian line terminates in the mid SVC. 2. Stable left-sided PICC line. 3. Mild pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.89181223373522004889391312292167634241
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98524432574026447272762561623307056221
"The heart is normal in size. The aorta is tortuous. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.26831169044424087588111497850066652831
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90080551867031627195996775217573290068
Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No significant bony finding.,No active disease,1.2.826.0.1.3680043.8.498.87099959841719571117319087284401298058
There is focal airspace disease in the right middle lobe consistent with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.88811444653789500368398847346343546549
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.82137398923652487253936205514912480563
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66825534662309463457808418661833934037
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.89538936854017233011992588423436556137
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.82517550388899667043371457769476331937
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41127423264633540927211844030761305108
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.27611998458418935945741227111661597166
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79450011673631111480791132065484001975
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22199017182597254084852217465197762379
"Linear densities in the lower lungs, likely atelectasis. Heart is borderline in size. No significant change since prior study. No evidence of effusions. Degenerative changes in the shoulders.",Stable bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.39608480629728183388193181666442926956
EKG leads project over the patient's chest. Heart size is difficult to evaluate on the AP projection. Calcification of the aortic knob is seen. Vascular congestion is present. Bilateral infiltrates present in the mid to lower lung fields along with bilateral pleural effusions. Trachea is midline.,Bilateral infiltrates and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.37653245125671387065678805509470949471
The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 9/15/2014.,1.2.826.0.1.3680043.8.498.74479552452952145919992248002537186270
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68347814096406328121035270410242947201
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84688181462161644680612895507751698323
Heart and mediastinal contours normal. COPD. Right apical lung mass has decreased in size. No new findings. No pleural fluid or osseous lesions.,1. Decrease in size of right upper lobe mass. 2. COPD. 3. No new findings.,1.2.826.0.1.3680043.8.498.16563091466021471888690004685193865125
Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.75342318855507290926927486297733962704
"There is diffuse haziness over the mid and lower lung fields. There is prominence of the pulmonary vasculature. There is no pneumothorax. Heart is enlarged, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",Pulmonary edema.,1.2.826.0.1.3680043.8.498.17910857627943118887298224765137784163
There is patchy infiltrate in the posterior left base. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Patchy infiltrate posterior left base.,1.2.826.0.1.3680043.8.498.11856747982903849064202513826569227262
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. There is mild tortuosity of the thoracic aorta. There is mild eventration of the left hemidiaphragm with overlying vascular crowding and atelectasis. No infiltrates, edema or effusions. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.15504094155541110014603388258427787209
"The heart is enlarged. The aorta is tortuous and ectatic. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is a mild dextroscoliosis of the thoracic spine.",Cardiomegaly. No acute process.,1.2.826.0.1.3680043.8.498.91600579320199035516171705680348746958
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40896757313780200719327894021317531786
The heart is mildly enlarged. There is tortuosity and calcification of the thoracic aorta. The lungs are hyperinflated consistent with emphysema. There is peribronchial thickening and bronchial calcification which can be seen with bronchitis. No focal infiltrates or pleural effusion. The bony thorax is intact.,Emphysematous changes and bronchitic changes. No focal infiltrates.,1.2.826.0.1.3680043.8.498.79570012626356376214963461864929248893
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22493149154217806420478100166962290966
The heart is moderately enlarged. The pulmonary vasculature is within normal limits. The aorta is tortuous and calcified. Linear atelectasis is seen at the lung bases. The lungs are otherwise clear. No pneumothoraces or effusions are seen.,Cardiomegaly without CHF. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.55723172433219527268211243338027930561
The lungs are hyperaerated consistent with COPD. Linear scarring is noted at the lung bases. No active infiltrate or effusion is seen. Heart size is stable. No bony abnormality is noted.,COPD and basilar linear scarring. No active lung disease.,1.2.826.0.1.3680043.8.498.73203593070108514882419331079944947383
Patchy airspace opacities are seen bilaterally in the upper lobes and right mid lung. There is no evidence of pleural effusion. Heart size and mediastinal contours are normal.,Bilateral airspace disease consistent with pneumonia.,1.2.826.0.1.3680043.8.498.75753233279371163137389047081842605548
Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,No acute cardiopulmonary changes.,1.2.826.0.1.3680043.8.498.25135639450646045422305502553750586656
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31524294024959302702658422497592997942
Stable mediastinum and cardiac silhouette. There is a large amount of free air beneath the right and left hemidiaphragms which is increased compared to prior. There is a left lower lobe opacity which is also increased. No evidence of pulmonary edema. No pneumothorax.,1. Increasing amount of pneumoperitoneum suggest perforation. 2. Increasing left lower lobe density suggests atelectasis versus infiltrate.,1.2.826.0.1.3680043.8.498.43176851687910927980062302601678062488
Heart size is normal and the vascularity is normal. The lungs are hyperinflated with flattening of the diaphragm consistent with COPD. There is no infiltrate or mass.,COPD. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76972502232318977451924149995332551446
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Right clavicular fracture with fixation. Multiple right rib fractures again noted.,1. No acute cardiopulmonary disease. 2. Right clavicular fracture with fixation. Multiple right rib fractures again noted. No pneumothorax.,1.2.826.0.1.3680043.8.498.39808177445359576132185612499229804994
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.69762585669774100093163522709633810846
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84830211534754313945225112056821701006
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54576411406437938425034284722236287906
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23529418565325615412809965578710599036
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.68057084475049770562993084017199503714
Endotracheal tube is seen in appropriate position. Nasogastric tube is seen entering the stomach. A right arm PICC line is seen with the tip in the distal SVC. There is increased left lower lobe atelectasis or consolidation since prior exam. There is no evidence of pneumothorax. A small left pleural effusion cannot definitely be excluded on this exam. Heart size is normal.,Increased left lower lobe atelectasis versus consolidation. Small left pleural effusion cannot definitely be excluded on this exam. Support lines and tubes in appropriate position.,1.2.826.0.1.3680043.8.498.10614431340368495092794679205003636115
Right PICC line with tip projecting in the region of the cavoatrial junction. Patient is rotated to the left. Cardiomediastinal silhouette is enlarged. Mediastinal contours appear intact. There is no evidence of pneumothorax. Left lower lobe airspace consolidation versus atelectasis. Osseous structures are without acute abnormality. Soft tissues are grossly normal.,Right PICC line with tip projecting at the cavoatrial junction. Enlarged cardiac silhouette. Left lower lobe airspace consolidation versus atelectasis.,1.2.826.0.1.3680043.8.498.28767496415323060544644787832288037160
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Thoracic aortic atherosclerosis.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27798457014926542614181570983008493560
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12882996246993965140703246314390969385
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.53711227774663179328913325536368587068
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98518342202375660062034746317293770848
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no acute changes.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.23308195172408301132263395456127594763
Heart/Mediastinum: The cardiomediastinal silhouette appears grossly unremarkable. Lungs: There are some mild right basilar pulmonary airspace opacities visualized. The left lung base is clear. No definite dense consolidation is seen. No pneumothorax. Pleural effusions: No definite significant effusion seen. Bones: Grossly unchanged. Visualized upper abdomen: Grossly unremarkable.,Findings suggestive of some minimal right basilar atelectasis/airspace disease. No definite consolidation.,1.2.826.0.1.3680043.8.498.92440540202993946517164634679666740174
The lung volumes are low. The heart size is at the upper limits of normal. Atherosclerotic calcifications are present at the aortic arch. Mild atelectasis is present at the lung bases. There is no edema or confluent airspace opacity. There is no pleural effusion.,Low lung volumes with mild bibasilar atelectasis. No definite acute findings.,1.2.826.0.1.3680043.8.498.45331576486416839197156457902795003960
The heart is enlarged. The lungs are clear. No consolidation identified. No pleural effusion is seen.,"Cardiomegaly with no evidence of acute process; specifically, no consolidation.",1.2.826.0.1.3680043.8.498.68580775210731784738493482698453858741
Low lung volumes. Elevated left diaphragm with left lower lobe atelectasis. No pleural effusion or pneumothorax. Stable cardiomediastinal contours.,Low lung volumes with left basilar atelectasis.,1.2.826.0.1.3680043.8.498.13220614159773129132584200225742587800
The lungs are mildly hypoinflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74097386238280046758751081218842519929
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39053141424276868837602966770798767582
EKG leads project over the patient's chest. Heart size is difficult to evaluate on the AP projection. Bilateral infiltrates present in the mid to lower lung fields. Small left pleural effusion is seen. Hilar structures are grossly unremarkable. Trachea is midline.,Bilateral infiltrates mid to lower lung fields. Left pleural effusion.,1.2.826.0.1.3680043.8.498.34588189771983773194116872270140930628
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47000774206237714186483939967107245127
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97911769170869821090095796346273971435
"The trachea is midline. The cardiac, mediastinal and pulmonary vascular shadows are normal. There is no infiltrate or effusion. The osseous structures are intact.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.70489538784981249055608362230010362019
There is extensive airspace consolidation throughout the left mid and lower lung zone consistent with pneumonia. Patchy airspace opacity is noted in the right upper lobe. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Extensive airspace consolidation throughout the left mid and lower lung zones consistent with pneumonia. Patchy infiltrate right upper lobe. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.44936501285779626564431670271645710103
Single frontal view of the chest was obtained. Patient is status post intubation. The tip of the ET tube is 1.2 cm above the carina. The heart is not enlarged. The pulmonary vascularity is within normal limits. Calcific atherosclerotic changes are present. No lobar areas of consolidation are seen. No pleural effusion or pneumothorax. No acute osseous abnormality is identified.,1. Tip of the ET tube is 1.2 cm above the carina. 2. No lobar areas of consolidation.,1.2.826.0.1.3680043.8.498.46613044933894879987485312599102142284
Low lung volumes. New patchy airspace disease in the left mid lung. Mild cardiomegaly. No effusions or pneumothorax. No acute bony abnormality.,Low lung volumes. New patchy airspace disease in the left mid lung concerning for pneumonia.,1.2.826.0.1.3680043.8.498.94343707523792685699080923223333368393
There is a small left pleural effusion with atelectatic change in the left base. There is mild atelectatic change in the right base. The lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. Patient is status post coronary artery bypass grafting. There is aortic atherosclerosis. No adenopathy. No bone lesions.,Small left pleural effusion with left base atelectasis. Mild right base atelectasis. No edema or consolidation. Stable cardiac silhouette. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.37225577305295852721258536816114407875
"Endotracheal tube is 1.2 cm above the carina. Orogastric tube extends into the abdomen. Coarse lung markings are noted bilaterally, particularly at the lung bases. No focal airspace consolidation. No pneumothorax. No large effusion. Heart size is normal.","Satisfactorily positioned endotracheal tube. Coarse lung markings, particularly at the bases.",1.2.826.0.1.3680043.8.498.31845128139831748131994941888060441939
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86800008818833001009193545458108183820
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98087047519741814909589663386359326005
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49686776432943892508590439896943992487
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.90298638316657932516582925807935609391
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.11905952047943851922584610943901746612
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82760307005289001965953052323270587477
There is a new patchy airspace disease in the right lower lobe. The left lung is clear. No pneumothorax or pleural effusion. Heart size is normal. Remote left rib fractures are noted. No acute fracture is identified.,New patchy airspace disease in the right lower lobe could be due to atelectasis or infection. No acute fracture is identified. Remote left rib fractures noted.,1.2.826.0.1.3680043.8.498.90969505055514241909892580414867758867
"Endotracheal tube, NG tube, and right chest tube are unchanged. No pneumothorax. Bibasilar airspace opacities are again noted. Small left effusion.",Stable. No pneumothorax. Bibasilar airspace disease and small left effusion.,1.2.826.0.1.3680043.8.498.68770478641008908364890199889447328813
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21174761380635958033556354984722058773
The lungs are clear but hyperaerated consistent with COPD. Mediastinal contours appear normal. The heart is mildly enlarged. No bony abnormality is seen.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.16590876234699882821807912958640970790
The heart is mildly enlarged. The lungs are clear. No consolidation is identified. There is no evidence of pulmonary edema or pleural effusion. No pneumothorax is seen. No acute osseous abnormalities are identified.,Mild cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45975057110583110287857139878243248437
There is the mid inspiration. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.78611092075155496962161198438362593916
There is consolidation in the left upper lobe. Patchy airspace opacities are seen in the left lower lobe and right upper lobe as well. There is a small left pleural effusion. No pneumothorax. Heart is top-normal in size.,Multifocal pneumonia.,1.2.826.0.1.3680043.8.498.59768906672584717829625461612680619607
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.68286343952522585935911460972271410042
There is cardiomegaly with congestive heart failure and bilateral pleural effusions. The CHF pattern has worsened slightly since the prior study.,Worsening CHF.,1.2.826.0.1.3680043.8.498.26907224245081665995525853614862132034
"Single portable AP chest radiograph is provided. There is elevation of the left diaphragm. There is right lower lobe airspace disease which may represent atelectasis versus developing infiltrate. There is no other focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.90063331227629603466610019037447286106
"Cardiac silhouette is upper limits of normal in size, mediastinal silhouette is nonsuspicious. No pleural effusion or focal consolidation. No pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious. Mild degenerative change of thoracic spine. Chronic appearing compression fractures.","Borderline cardiomegaly, no acute pulmonary process.",1.2.826.0.1.3680043.8.498.62612553290869740546239372841524331966
"Tip of endotracheal tube projects 4.2 cm above carina. Nasogastric tube extends into stomach. Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.93011462417345964578766795051462793759
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56897812479600449909232467608721401354
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91408188423009577110988547138916098729
"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Unchanged scarring in the right upper lobe. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.41469008569409072069060338953836376493
Lung volumes are normal. There is central airway thickening. No focal airspace disease or consolidation. Heart and mediastinum are within normal limits. No large pleural effusions. No acute bone abnormality.,Central airway thickening consistent with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.68878050044886972705795522263042629149
Right Port-A-Cath in place with the tip in the upper right atrium. No pneumothorax. Low lung volumes. Heart is normal size. No confluent airspace opacities or effusions. No acute bony abnormality.,Right Port-A-Cath tip in the upper right atrium. No pneumothorax. Low lung volumes. No active disease.,1.2.826.0.1.3680043.8.498.85174409402227013575064841399079842228
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51487789909083896532556185786030619496
"Single frontal view of the chest demonstrates a stable cardiac silhouette. Interstitial scarring is again noted at the lung bases. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.48799034251129299063834942946277925414
"The heart is enlarged. The aorta is tortuous. The lungs are hyperinflated consistent with COPD. No sign of active infiltrate, mass, effusion or collapse. Ordinary degenerative changes effect the spine.",Cardiomegaly. COPD. No active disease.,1.2.826.0.1.3680043.8.498.59425193331856671811645208135110554158
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55812142894383962659738093421309319609
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Hyperinflation of the lungs with emphysematous changes. Scarring at the left lung base. No acute consolidation. No pleural effusions. No pneumothorax. Degenerative changes of the thoracic spine.,1. Hyperinflation of the lungs with emphysematous changes. 2. Scarring at the left lung base. 3. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67587650512875903370679489882125371985
"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69099159135604437257686099962691904246
The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 11/05/2010.,1.2.826.0.1.3680043.8.498.93344711701260655683117372705657531347
Right middle lobe airspace disease seen on the prior study appears improved. The left lung is clear. No pneumothorax or pleural effusion. Heart size normal.,Improved right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.39318834783656969916725666145572945081
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61639891496075314107192477109051097582
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55265233951055372306242069628817615831
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72187882342655415696300714132852930997
"Endotracheal tube terminates 3.5 cm above the carina. Right subclavian venous catheter terminates in the mid SVC. Cardiomegaly with mild pulmonary vascular congestion. Right upper lobe opacity, likely reflecting atelectasis. Underlying mild right upper lobe airspace opacity is possible. Small right pleural effusion. No pneumothorax.",Endotracheal tube terminates 3.5 cm above the carina. Additional support apparatus as above.,1.2.826.0.1.3680043.8.498.61254438010842297203679790223708093448
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74441557076032179496554698342745635623
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62826512031031781744111208429801061565
Cardiac silhouette is normal in size. No mediastinal or hilar masses. No convincing adenopathy. There is opacity at the right lung base consistent with atelectasis and/or pneumonia. This is similar to the prior exams. There is mild linear atelectasis at the left lung base. Lungs otherwise clear. No convincing pleural effusion and no pneumothorax. Stable colonic interposition between the right hemidiaphragm and the liver. Skeletal structures are grossly intact.,1. No acute cardiopulmonary disease. 2. Persistent opacity at the right lung base consistent with atelectasis and/or pneumonia.,1.2.826.0.1.3680043.8.498.75984811656612630585890385104277578333
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53120433094344025406738855327411652547
Stable normal sized heart and right subclavian pacemaker leads. Stable mild scarring at the right lung base. Stable mild diffuse peribronchial thickening. No acute bony abnormality.,Stable mild chronic bronchitic changes and right basilar scarring. No acute abnormality.,1.2.826.0.1.3680043.8.498.39858608453064335695600518656052007074
Endotracheal tube is present with the tip 3.5 cm from the carina. Lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No bullet fragment is present within the chest. The soft tissues are unremarkable.,1. Endotracheal tube in satisfactory position. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45364174232974819527312865330717371392
"Normal cardiothymic silhouette. Normal pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality. Normal bowel gas pattern. No pneumatosis. No free intraperitoneal air.",1. No active cardiopulmonary disease. 2. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.79240913814606810367873128082613348305
Patchy left lower lobe airspace disease consistent with pneumonia. The right lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.39070401264881286776985567747889061421
"Portable AP upright view at 3215 hours. Stable lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Negative visible bowel gas pattern. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.43984506384364883571711117195402688278
There are bilateral peribronchial infiltrates. No pleural abnormality is seen. The heart and mediastinum appear intact. The bony structures appear intact.,Bilateral peribronchial infiltrates.,1.2.826.0.1.3680043.8.498.59508996891140901274451208879270402426
The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.97380876136630135536211128198723169708
The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61747394410612598001563975210251910956
The heart is normal. The pulmonary vascularity is normal. The lungs are clear acute process. There is no pneumothorax or effusion. Mediastinal contours are normal. Hilar appearance is normal.,Negative chest,1.2.826.0.1.3680043.8.498.16230553118737981596031146355675228053
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11325799599104859754312073447676407947
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79104614869493138570662604295950464401
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.51015651715027182702036138162982675627
"Single portable AP chest radiograph is provided. There is a right-sided Port-A-Cath in unchanged position. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.79788771872296680401077400679082810757
The lungs are clear. The cardiovascular structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15852997802783163938623270810080949596
Confluent airspace disease is evident in the left lower lobe with extension to the left hilum on the lateral view. The right lung is clear. The heart is normal in size. The visualized soft tissues and bony thorax are unremarkable.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.61237413100722177168344939050366577049
There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.98585230075830489710473495104601033691
Extensive opacification of the left lung with volume loss. Patchy opacity at the right base. No visible effusion or pneumothorax. Feeding tube tip is in the stomach.,"1. Extensive left lung opacification with volume loss, suspect combination of pneumonia and atelectasis. 2. Patchy opacity at the right base which is similar to prior.",1.2.826.0.1.3680043.8.498.22251961474839543143529770391676984567
Left-sided PICC line tip terminates over the right atrium. Orogastric tube is appropriately positioned. Cardiothymic silhouette is normal. Lungs are better aerated with minimal granular pulmonary airspace opacity pattern. No pneumothorax.,Left-sided PICC line tip over right atrium.,1.2.826.0.1.3680043.8.498.36961264719486869922749156309183545087
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48140007653597855558634104112321646959
Cardiac silhouette is mildly enlarged. No pneumothorax or pleural effusion. No focal consolidation. Mild right infrahilar atelectasis. Osseous structures are without acute finding. Surgical changes in the left clavicle.,1. Mild cardiomegaly. 2. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.48144166299965809750193129795200945044
The heart is enlarged. There is aortic atherosclerosis. The lungs are clear. No effusions. No acute bony finding.,Cardiomegaly. Aortic atherosclerosis. No active disease.,1.2.826.0.1.3680043.8.498.51725061948314396001200486359926576777
Interval placement of left-sided pacemaker. Leads are in the right atrium and right ventricle. No pneumothorax. Stable cardiomegaly. No confluent opacities or effusions.,Interval placement of pacemaker without pneumothorax.,1.2.826.0.1.3680043.8.498.54761039278570002379064616201008818988
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95881158867922564669684769311942121664
Endotracheal tube tip is 6.2 cm above the carina. Nasogastric tube tip and side port are in the stomach. No pneumothorax. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. No edema or consolidation.,1.2.826.0.1.3680043.8.498.63807736037831921342519610254802868957
Cardiac and mediastinal silhouettes are within normal limits. Lungs are hypoinflated. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseous finding.,Shallow lung inflation. No other active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50442682714867436836536589445924041580
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28557369609640408835373049316942342292
The heart is enlarged but stable. The mediastinal and hilar contours are within normal limits and unchanged. The lungs are clear. No pleural effusion. The bony thorax is intact.,Cardiac enlargement but no acute pulmonary findings.,1.2.826.0.1.3680043.8.498.35514802667650010780395738319196973381
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.66546718685988833581092244356049867167
No fracture or other bone lesions are seen involving the ribs. No fracture or other bone lesions are seen involving the ribs.,Negative.,1.2.826.0.1.3680043.8.498.98242854474505304106520112400366608916
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.78551579230571534266484773147041157113
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.60847483231485941578819830634514292715
The cardiopericardial silhouette is within normal limits for size. The lungs are clear. The visualized soft tissues and bony thorax are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33096032954483442128755315553978646260
The heart is enlarged. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are demonstrated.,Cardiomegaly. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.94606455603394176643206160937441483126
"Normal cardiothymic silhouette. Prominent pulmonary markings. No consolidation, effusion, or pneumothorax. Bones are unremarkable.",Prominent pulmonary markings probably representing respiratory distress syndrome.,1.2.826.0.1.3680043.8.498.23075503627637264278777274087057992672
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63099722866980238554912623269987221624
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99839462188359303712603339771002330215
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.67644314285017262407029140408922031633
Endotracheal tube is seen in the trachea with the tip approximately 2.5 cm above the carina. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.,Endotracheal tube in appropriate position. No active lung disease.,1.2.826.0.1.3680043.8.498.10102315492805874800056157729549380539
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56690681747558503555329361560568208792
There is extensive fibrotic type change throughout the lungs bilaterally. There is no frank edema or consolidation. Heart is enlarged with pulmonary vascularity normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.,Extensive chronic fibrotic type change. No edema or consolidation. Stable cardiac prominence. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.53045891767466307620918059443817733790
The heart is enlarged. There is no heart failure. The lungs are clear without infiltrate or effusion.,Cardiac enlargement. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91619647776728112948075769159798668251
The heart is enlarged. Mediastinal shadows are normal. The lungs are clear. The vascularity is normal. No effusions. No bony abnormalities.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.82696940514227166682665299042909577342
Lung volumes and mediastinal contours are normal. Lungs are clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.76424135944646037603044739843935272673
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Mild right base infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Mild right base infiltrate. 2. Cardiomegaly. No evidence of overt congestive heart failure.,1.2.826.0.1.3680043.8.498.92664661965775649040823356072312544574
Tracheostomy tube and right-sided PICC line are unchanged. Diffuse interstitial and airspace opacities throughout both lungs are not significantly changed. No large pleural effusions. No pneumothorax.,No significant change in the bilateral interstitial and airspace disease.,1.2.826.0.1.3680043.8.498.34783512460317799970519372684605660575
The lungs are adequately inflated. The interstitial markings are mildly increased. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are mildly increased interstitial markings which may reflect interstitial edema of cardiac or noncardiac cause. I do not see pulmonary vascular congestion. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.61704185806148221451717990238135080037
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31605719261737374358839306557763745339
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86930104364131153478032925209833079430
Trachea is midline. Heart size is accentuated by a mild pectus deformity. Lungs are somewhat low in volume with bibasilar atelectasis. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.13385985365688344872804091771195905523
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11166599604472271964992159225527729196
Mediastinum and hilar structures normal. Low lung volumes with mild bibasilar atelectasis. Mild infiltrates in the lung bases cannot be excluded. Small left pleural effusion cannot be excluded. No pneumothorax. Heart size stable. No acute bony abnormality.,Low lung volumes with mild bibasilar atelectasis. Mild infiltrates in the lung bases cannot be excluded. Small left pleural effusion cannot be excluded.,1.2.826.0.1.3680043.8.498.18040845534404969456772852268721976713
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94072577619385815559174838898009980663
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95047821810255003470996770270079415492
"Cardiomediastinal silhouette unchanged in size and contour. Low lung volumes. No pneumothorax. No pleural effusion. Coarsened interstitial markings. Linear opacity in the right mid lung, similar to the comparison. No confluent airspace disease.",Low lung volumes with likely atelectasis and no evidence of acute cardiopulmonary disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.78156630816622982755354248376336991984
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.58720035682694461385201681558809717182
"Cardiac silhouette is mildly enlarged, mediastinal silhouette is nonsuspicious. Increasing central pulmonary vasculature congestion interstitial prominence with patchy airspace opacities. No pleural effusions. No pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.",Increasing mild cardiomegaly and interstitial prominence concerning for pulmonary edema.,1.2.826.0.1.3680043.8.498.86709571094044734484792848643995223312
"Patchy multifocal areas of interstitial prominence and airspace disease noted throughout the lungs bilaterally, asymmetrically distributed, most severe throughout the mid to lower lungs. No definite pleural effusions. No evidence of pulmonary edema. Heart size is normal. Upper mediastinal contours are within normal limits. Aortic atherosclerosis.","1. The appearance of the lungs is concerning for multilobar pneumonia, as above. 2. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.15487080416015886648504393768597060710
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.53332727051836701166721947831125976238
"Umbilical venous catheter is unchanged in position, tip approximately 5 mm above the inferior cavoatrial junction. Enteric tube is in the stomach. The lungs are clear. The cardiothymic silhouette is within normal limits. No evidence of pneumatosis or pneumoperitoneum.",1. Umbilical venous catheter is unchanged in position. 2. Enteric tube terminates in the stomach.,1.2.826.0.1.3680043.8.498.84749730319713193302268844432174812110
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81533939308163584284601674494933752058
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54127606966611250886481306599426789421
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs minimally hyperinflated but clear. No pulmonary infiltrate, pleural effusion, or pneumothorax. No acute osseous findings.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.15793295444840675437730889092522738075
"The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Azygos fissure noted in the right paratracheal region, a normal variant.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95360124352345388824017273082167990498
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77794601588573795176248345309555169980
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.10521200985410727546195449923619164423
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96412610488449125829547793490827511170
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20141888593051710648081600067804565632
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71864253984923168839398894201748077554
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39407129209275339085975299849187189645
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.66880854610904224777541663976959189332
The right jugular Swan-Ganz catheter has been removed. The sheath remains in place. Stable left chest tube. No pneumothorax. Stable enlarged cardiac silhouette. Mildly increased left basilar airspace opacity. Stable mild right basilar atelectasis. Stable post CABG changes.,1. Mildly increased left basilar atelectasis or pneumonia. 2. Stable mild right basilar atelectasis. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.60472214656343950557128845991434648507
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.55173784199715863392590428793762607898
Heart size is normal. There is persistent left lower lobe infiltrate. There is been some improvement in aeration at the left lung base when compared prior study. Small left pleural effusion is identified. The right lung is clear.,1. Persistent left lower lobe infiltrate. 2. Improved aeration at the left lung base.,1.2.826.0.1.3680043.8.498.41708973140891547603878087444246275073
"Cardiac silhouette is mildly enlarged, status post median sternotomy for CABG. Calcified aortic knob. Chronic interstitial changes with patchy airspace opacities in the lung bases, new from prior examination. Pleural thickening. No pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.",Stable cardiomegaly. New bibasilar patchy airspace opacities concerning for pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. Stable interstitial changes. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.59254278193617509366245988377511523499
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93215849961713779540143342322036671206
Linear atelectasis is seen in the lung bases. Lungs otherwise clear. No effusion. Heart size normal.,No acute disease.,1.2.826.0.1.3680043.8.498.66371396894701193480288868995965813893
"There is hyperinflation of the lungs compatible with COPD. Diffuse interstitial prominence again noted, similar to prior study. Patchy opacities in the lung bases are noted. This could represent atelectasis or pneumonia. Heart is borderline in size. No effusions.",COPD/chronic interstitial lung disease. Increasing opacities in the lung bases which could represent atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.95222235452221484869973356356811827310
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57913938274586576122873160649424648932
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.83333152541073290224380874721257108899
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37865308730289553312082121708126145609
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98509410733150258877396248099896420608
Cardiothymic silhouette is within normal limits for age. Lung volumes are normal. Mild interstitial prominence appears similar to multiple prior examinations. No focal airspace disease is noted. No pleural effusion or pneumothorax. The visualized bowel gas pattern is normal. The osseous structures are intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67433245021233744175365416384599276161
Heart size is normal. The mediastinum is unremarkable. Lungs are clear. No effusions. No bony abnormalities.,Normal chest,1.2.826.0.1.3680043.8.498.41759244222460918461043855800066484059
"Since the prior study, there has been worsening aeration with progressive bilateral airspace opacities especially at the right lung base. Small bilateral pleural effusions are seen. Stable cardiomegaly and vascular calcification.",1. Progressive bilateral airspace disease especially at the right lung base consistent with pneumonia. 2. Small bilateral pleural effusions. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.21272163669742382930449869077460481823
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.37526274627068698008196263256655509723
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78975360517274736035558009403169014989
"Portable AP semi upright view at 1440 hours. Enteric tube courses to the abdomen, tip not included. Stable lung volumes. Mediastinal contours remain normal. Small bilateral pleural effusions are suspected. No pneumothorax or pulmonary edema. No other confluent pulmonary opacity. Negative visible bowel gas pattern. No acute osseous abnormality identified.",1. Small bilateral pleural effusions suspected. 2. Stable ventilation.,1.2.826.0.1.3680043.8.498.39167746066692205863860307592541503050
There is a patchy infiltrate in the left upper lobe anteriorly. The lungs are otherwise clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,Left upper lobe pneumonia. Follow-up films following therapy are recommended to document clearing.,1.2.826.0.1.3680043.8.498.56677677567364104166074660889385308570
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.79230505363169468154873690799148789130
"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. There is obscuration of the right heart border. This is increased from prior. No evidence of effusion, pneumothorax, or bony abnormality.",Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.68871768403281095285943738348756691974
"The cardiomediastinal contours are normal. Subsegmental opacities persist in the left lung base/lingula and may represent atelectasis or scarring. Incidental calcified granuloma in the left upper lobe. Pulmonary vasculature is normal. No confluent consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No acute chest findings.,1.2.826.0.1.3680043.8.498.43144883846369741023053268993046761204
The patient has been extubated. Left subclavian central line has been removed. Lung volumes remain decreased with perihilar and lower lobe atelectasis and mild vascular congestion. No large effusion or pneumothorax. Exam is overall stable.,1. Interval extubation and removal of central line. 2. Stable perihilar and lower lobe atelectasis. 3. Low lung volumes.,1.2.826.0.1.3680043.8.498.81118439018375111305410310985043556383
"The patient has been extubated. The enteric tube has been removed. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.52235496457674760026415211648689158350
Airspace disease in the right upper lobe is compatible with pneumonia. The left lung is clear. There is no pleural effusion. The heart size is normal.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.17933005752829578939378524240492646073
Endotracheal tube terminates 4.5 cm above the carina. Enteric tube courses into the stomach. Right IJ venous catheter terminates in the mid SVC. The heart is top-normal in size. Diffuse bilateral airspace opacities are similar to the prior study. No pneumothorax.,Right IJ venous catheter terminates in the mid SVC. No pneumothorax. Otherwise no significant change.,1.2.826.0.1.3680043.8.498.36984028575557869668023594760645088854
"Surgical hardware from ACDF overlies the lower cervical spine. Stable cardiomediastinal silhouette with mild cardiomegaly. No pneumothorax. No pleural effusion. Diffuse patchy hazy opacities throughout both lungs, new.","Stable mild cardiomegaly. New diffuse patchy hazy opacities throughout both lungs, which are nonspecific and could represent pulmonary edema or atypical infection.",1.2.826.0.1.3680043.8.498.31987405260739560715065237917425473981
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86612269131916741417974026155576244624
"Cardiomegaly, stable. Mediastinal silhouette within normal limits. Lungs mildly hypoinflated. Mild diffuse pulmonary vascular congestion without overt pulmonary edema. No consolidative airspace disease. No pleural effusion. No pneumothorax. No acute osseous finding.",Stable cardiomegaly with mild diffuse pulmonary vascular congestion without overt pulmonary edema. No other active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55689199134783041497217392917764984087
The heart is enlarged. The aorta is unfolded. The pulmonary vascularity is normal. Lungs are clear. No effusions. Ordinary degenerative changes effect the spine.,Cardiomegaly. No evidence of heart failure.,1.2.826.0.1.3680043.8.498.70217523575688788554031776836182874321
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28057429562513530676695950872936566710
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.16172839069213837112541489369314594113
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66178208678829995062199838473157369759
There is a small right pleural effusion with some right base air space disease. The left lung is clear. There is cardiomegaly.,1. Small right effusion with patchy right base air space disease which could represent atelectasis or pneumonia. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.62230306201061431078533620751733656552
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55032850916802491807629737193676937877
Prior median sternotomy and valve replacement. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80435691942706142761471498649624060200
"Normal heart size, mediastinal contours, and pulmonary vascularity. Atherosclerotic calcification aorta. Lungs clear. No pulmonary infiltrate, pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.61329656904666546031119371935209146570
Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. Normal anterior clear space. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.52684677000444854807900769660283369949
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51734104227738235348416703134025337965
Stable cardiomegaly. Endotracheal and nasogastric tubes are unchanged in position. Left-sided PICC line is unchanged. No pneumothorax is noted. Stable bibasilar atelectasis is noted with associated pleural effusions. Multiple left rib fractures are again noted.,Stable bibasilar atelectasis with associated pleural effusions. Stable support apparatus.,1.2.826.0.1.3680043.8.498.24272645438347912849302024429614989201
There is airspace disease bilaterally primarily in the perihilar and lower lung fields. This pattern is consistent with edema. Small effusions are present. The heart is mildly enlarged.,Mild to moderate CHF pattern.,1.2.826.0.1.3680043.8.498.75381436404246902868483406962965527959
"Normal heart size, mediastinal contours, and pulmonary vascularity. Atherosclerotic calcification aorta. Hazy infiltrates in the mid to lower lungs bilaterally consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Bones demineralized with prior vertebroplasty of L1.",Bilateral pulmonary infiltrates consistent with pneumonia.,1.2.826.0.1.3680043.8.498.49582761409696114048216296451266330776
Grossly unchanged cardiac silhouette and mediastinal contours. The lungs remain hyperexpanded with flattening of the bilateral diaphragms. Grossly unchanged right middle lobe and right lower lung heterogeneous opacities. No new focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. Unchanged bones.,Grossly unchanged findings of lung hyperexpansion and chronic atelectasis/scar without superimposed acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24478686949012109067638383544899690955
There is parenchymal opacity in the right upper lobe consistent with pneumonia. The remainder of the lungs is clear. No effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.43042266027250193486330207958634816925
Normal cardiothymic silhouette. Airway is normal. There is coarsened central bronchovascular markings. No evidence of focal consolidation. No pneumothorax. No pleural fluid. Bony thorax is intact.,Findings suggest viral process.,1.2.826.0.1.3680043.8.498.43401460593876862685732266077964213942
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.83990797980811040560970759815501447720
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82285526770648083389046350459925342808
Stable appearance of the dual lead cardiac pacemaker. The right IJ catheter is unchanged. The cardiac silhouette remains enlarged. There is persistent left basilar opacity which is not significantly changed. A left pleural effusion is not excluded. The right lung is clear. No pneumothorax is identified.,Stable left basilar opacity which may reflect atelectasis or infiltrate. A left pleural effusion is not excluded.,1.2.826.0.1.3680043.8.498.68332257702210127457357396814291192354
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47019210121152197517639569917742215251
The lungs are mildly hyperinflated. There is no focal infiltrate. The cardiothymic silhouette is normal in appearance. I see no pleural effusion or pneumothorax. The mediastinum is not abnormally widened. The bony thorax is grossly normal.,There are findings consistent with reactive airway disease and acute bronchiolitis. I do not see evidence of pneumonia.,1.2.826.0.1.3680043.8.498.20173097037079745668811219243327783382
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15468309074541423905116532206623236750
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72656556499662279109115029206810882870
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18912595795359718855773244117280672981
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81629104870597684258262709589067219742
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96050902694577021481647340532985411510
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.40254181585295142412394804638820989126
There is a right-sided Port-a-cath with tip in the projection of the SVC. The heart size is normal. There is a moderate-sized right pleural effusion which is unchanged from the previous exam. The left effusion has improved from the previous exam. There is no pneumothorax or acute airspace disease.,1. Residual right greater than left pleural effusions. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44801035567294998015061055524568543200
Stable cardiomediastinal silhouette. Endotracheal and nasogastric tubes are unchanged in position. Interval placement of right-sided PICC line with distal tip in expected position of the SVC. No pneumothorax is noted. Stable bilateral lung opacities are noted concerning for pneumonia or edema. Bony thorax is unremarkable.,Stable support apparatus. Stable bilateral lung opacities as described above.,1.2.826.0.1.3680043.8.498.19063291129270255373778997136720242676
There are low lung volumes with bibasilar atelectasis. Heart is upper limits of normal in size. No effusions.,"Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.11443952291258959588678014711426057739
"The heart is enlarged. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Cardiomegaly. No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.86728444452632921820274559267700120159
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52360900960289521741782147791632237035
The lungs are clear. Heart size is normal. There is no pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.27780758696892491331839976783900763539
"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.91099762550465687969185577663586211805
Lung volumes are low. There is opacity at the left lung base which is likely a combination of pleural fluid and atelectasis. Pneumonia is possible. The right lung is clear. No pneumothorax. Cardiac silhouette is normal in size. No mediastinal or hilar masses.,Left lung base opacity consistent with a combination of pleural fluid and atelectasis. Pneumonia is possible.,1.2.826.0.1.3680043.8.498.10823742411312265943497907172847160135
Frontal chest as well as oblique and cone-down rib images were obtained. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is no demonstrable pneumothorax or pleural effusion. There is a healing fracture of the lateral left fifth rib. No other fracture apparent.,Healing fracture lateral left fifth rib. No other fracture demonstrable. Lungs clear.,1.2.826.0.1.3680043.8.498.46259840923643517904907558289412730110
Cardiac shadow is stable. Tracheostomy tube is again seen. Right-sided PICC line is been removed in the interval. The overall inspiratory effort is poor. Small right-sided pleural effusion is again seen. Right basilar atelectasis is noted. Left lung is clear. No bony abnormality is noted.,Persistent right basilar atelectasis and effusion.,1.2.826.0.1.3680043.8.498.65363067453072347932261775217734610176
Heart size is normal. The lungs are hyperinflated. There is perihilar peribronchial thickening. Scattered emphysematous changes are identified. No pleural effusions or pulmonary edema.,COPD/emphysema. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.24572636057848931718092308863504125065
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12946771923986851450508298295505960441
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.98887431003706899722105169654165586473
AP view of the chest reveals the heart size to be prominent. There has been interval increase in the previously noted bilateral air space disease in the lung bases. Small effusions are thought to be present.,Increase in the bilateral air space disease.,1.2.826.0.1.3680043.8.498.48640359900031029960852681815462852946
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.20224766649056485207056019644259309130
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93475552911067795472994035323353999578
The heart size is normal. The lungs are clear. The visualized soft tissues and bony thorax are unremarkable.,Negative chest.,1.2.826.0.1.3680043.8.498.77090452267883671881284835572686118933
"Again seen is left lower lobe airspace disease, which appears less dense than on the prior study. Calcified granulomas are seen in the left upper lobe. The right lung is clear. No effusion. Heart size is normal.",1. Improving left lower lobe pneumonia. 2. No new abnormality.,1.2.826.0.1.3680043.8.498.82515655557377722920825035604799017207
"Chronic hyperinflation. Unchanged heart size and mediastinal contours. Aortic atherosclerosis. Ill-defined opacity in the right middle lobe, new from prior exam. No pulmonary edema, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",1. Ill-defined right middle lobe opacity may be atelectasis or pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. 2. Chronic hyperinflation.,1.2.826.0.1.3680043.8.498.24671492670870092199205722102553879368
"There is extensive bilateral airspace disease, unchanged since prior study. Small bilateral effusions. Heart is borderline in size.",No significant change in diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.92007873949203710319189812844760369177
"Right chest tube remains in place, unchanged. Moderate right pleural effusion persists, unchanged. No pneumothorax. Right lower lobe atelectasis, unchanged. Left lung is clear. Heart is normal size.",No significant change.,1.2.826.0.1.3680043.8.498.10143076400022048197504671575619331677
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.58106873817009322285437729351155749772
Left-sided PICC line is in place with the tip in the superior vena cava. There is left base atelectasis. The lungs are otherwise clear. No pneumothorax. Heart size normal.,1. PICC line in good position. 2. Left base atelectasis.,1.2.826.0.1.3680043.8.498.46834725698388707186310088253575128882
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.98813838070060188812925296826176726964
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46159168058836893259465880023127586810
There is a moderate right pleural effusion with right lower lobe atelectasis or infiltrate. The left lung is clear. There is no pneumothorax. There is mild stable cardiomegaly. There is evidence of prior CABG. The osseous structures are unremarkable.,Moderate right pleural effusion with right lower lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.59940525245443926593488568699210396415
There is chronic cardiomegaly. Diffuse interstitial prominence is present which could represent interstitial edema or interstitial pneumonitis. No focal airspace opacities are identified. There is no evidence of pleural effusion or pneumothorax. No acute bony abnormalities are identified.,1. Diffuse interstitial prominence which may represent interstitial edema or interstitial pneumonitis. 2. No focal airspace opacities.,1.2.826.0.1.3680043.8.498.11869801512989389212245065569270612322
Lungs are clear. Heart is enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.53929667576185947041001867205626663344
"There is extensive subcutaneous emphysema in the left chest wall and in the left neck. There is a left pneumothorax, which is estimated at 10-15%. There is atelectasis in the left lung. Heart size and vascularity are normal. The right lung is clear.",Left chest wall and left neck subcutaneous emphysema. Left pneumothorax.,1.2.826.0.1.3680043.8.498.37058857487530043961275028321067558733
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Mild thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43836742496032344622028504582571582092
Heart and mediastinal contours are within normal limits. There is central airway thickening without focal airspace opacity or effusion. Visualized skeleton unremarkable.,Findings compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.39745406475829603828847428528576169497
"The lungs are hyperinflated. Heart size is normal. No mass, consolidation, or effusion. Heart and bony structures are unremarkable.",COPD. No acute process.,1.2.826.0.1.3680043.8.498.81928819746418166691498168015661913238
There is airspace infiltrate in the lingula compatible with pneumonia. The right lung is clear. Heart and mediastinal structures are normal. No pleural effusion is seen.,Lingular pneumonia.,1.2.826.0.1.3680043.8.498.88217347712796313143299179360622494725
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82249051171249743621491757478278646161
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.13145342614003934181725075414628919318
There is scarring in the anterior left upper lobe region. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aortic arch region. No bone lesions.,Scarring anterior segment left upper lobe. No edema or consolidation. Stable cardiac silhouette. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.66886157626629980431197874458233814040
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59290996598641152385320494414639683283
The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Right lung is clear. Mild left lingular opacity is noted concerning for pneumonia. The visualized skeletal structures are unremarkable.,Probable left lingular pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.15135714049194338646068207727574459384
There is mild central peribronchial thickening. No confluent airspace infiltrate or overt edema. No effusion. Heart size normal. Visualized bones unremarkable.,"Mild central airway disease suggesting bronchitis, asthma, or viral syndrome.",1.2.826.0.1.3680043.8.498.11240491943532809160517489980432745262
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.28947226945802659515849308638412958239
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72559239450672836569358320454677421163
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,1. Cardiomegaly. No pulmonary venous congestion. 2. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.34019080195566480492434310885914128652
The heart is enlarged. There are perihilar infiltrates and peribronchial cuffing consistent with pulmonary edema. Bilateral pleural effusions are identified. There is bibasilar atelectasis.,1. Cardiomegaly and perihilar edema consistent with congestive heart failure. 2. Bilateral pleural effusions and overlying atelectasis.,1.2.826.0.1.3680043.8.498.10773973476957736139898008826116187151
Lung volumes at the upper limits of normal. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pleural effusion or consolidation. No confluent pulmonary opacity. Mild central peribronchial thickening. No osseous abnormality identified.,No focal pneumonia. Mild central peribronchial thickening could reflect viral or reactive airway disease.,1.2.826.0.1.3680043.8.498.25300911423848393892820238171459195085
The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 02/06/1990.,1.2.826.0.1.3680043.8.498.14549558271428879627167497800887992678
There is focal airspace disease in the left lower lobe consistent with pneumonia. The right lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Left lower lobe pneumonia. Recommend follow-up films to clearing.,1.2.826.0.1.3680043.8.498.48115860439625093849231361547507614156
Stable cardiomediastinal silhouette. Endotracheal and nasogastric tubes are in good position. Left-sided chest tube is noted without pneumothorax. Right internal jugular catheter is noted with distal tip in expected position of the SVC. No pneumothorax is noted. Minimal bibasilar subsegmental atelectasis is noted. Bony thorax is unremarkable.,Endotracheal and nasogastric tubes are in good position. Left-sided chest tube is noted without pneumothorax. Minimal bibasilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.83746956784552879315123593508331213021
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67622253805054849401765322774140065366
"The cardiomediastinal contours are normal. Atherosclerosis of the aortic arch. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active disease.,1.2.826.0.1.3680043.8.498.92716681277734728291351172959565802340
Stable cardiomediastinal silhouette. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14543108856187025127496698969776500344
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.17851104283063722212310564596319436101
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32916355167943879700423578803063475489
PA and lateral views of the chest are compared with the prior study from 6-9-2 and show a Port-A-Cath to be in good position with the tip in the superior vena cava. There is linear atelectasis at the RIGHT lung base. There is also plate-like atelectasis in the LEFT lung base. No pneumonia or pleural effusion is seen. The heart is within the limits of normal. The bony structures show degenerative change.,1) Linear atelectasis at the lung bases. 2) Port-A-Cath in good position. 3) Degenerative bony changes. 4) No pneumonia.,1.2.826.0.1.3680043.8.498.68599443014701246736310813529129154998
"A right IJ catheter has been placed. The tip is in the SVC. The endotracheal tube, nasogastric tube and left IJ catheter are unchanged. There is atelectasis at both lung bases. No pneumothorax is seen.",Right IJ catheter tip in SVC. No pneumothorax. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.58824602289413058897577667953881133473
"Normal heart, mediastinum and hila. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.",No active disease.,1.2.826.0.1.3680043.8.498.60492385754861581819185852964638416368
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable. Median sternotomy wires are intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29827920696948463468679194820061726324
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35292974698168000016270633664308339186
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24814364161634096398766697067432833775
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47339511247188339636881149278505887463
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.66091025591473176684996243258874982080
"The patient has had a prior CABG. There is shallow inspiration with basilar atelectasis. No evidence of edema, infiltrate, nodule or pneumothorax. The biliary tube is in place.",Shallow inspiration with basilar atelectasis.,1.2.826.0.1.3680043.8.498.27009719104689891054943220107667658728
Normal cardiothymic silhouette. No pleural effusion or edema. No airspace densities identified. The visualized osseous structures are unremarkable.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.64570897973253635134110932076328974960
The heart is enlarged. There is tortuosity and calcification of the thoracic aorta. The lungs are grossly clear. No pleural effusion or pneumothorax. The bones are demineralized. There are multiple thoracic spine compression fractures which are age indeterminate. Chronic appearing right rib fractures.,1. Cardiac enlargement. 2. No acute pulmonary findings. 3. Age indeterminate thoracic spine compression fractures.,1.2.826.0.1.3680043.8.498.41396375279328465875809672289217747772
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34010814462158166603828888521826337715
"Endotracheal tube is in place with its tip 2.5 cm above the carina. Enteric tube is in place with the distal portion in the stomach. Right internal jugular Swan-Ganz catheter is in place with its tip in the right main pulmonary artery. Mediastinal drains and left chest tube are in place. No pneumothorax is evident. There is minimal atelectasis in the left midlung. No pulmonary edema, consolidation, or pleural effusion is seen. There is minimal atelectasis in the left base. The heart is mildly enlarged. There has been previous cervical fusion.",There is minimal postoperative change with support devices in place as described. No pneumothorax is evident.,1.2.826.0.1.3680043.8.498.41529078622765648436465754521605392393
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.24376386105643987339208568161141918740
Trachea is midline. Heart size normal. Thoracic aorta is calcified. Lungs are emphysematous. No pneumothorax. No pleural fluid.,Emphysema without acute finding.,1.2.826.0.1.3680043.8.498.58749658156112126636901778991867697293
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12956514108432875083410678427298404726
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.55190684864811142834648532940023052228
OG tube is in the stomach. Cardiothymic silhouette is within normal limits. No confluent opacities in the lungs. No effusions. No acute bony abnormality.,No acute findings.,1.2.826.0.1.3680043.8.498.25590973028311018802097991569837250826
The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.90001846145376082909460488918737014612
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99365460413081849814816707061349944323
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.92742108784347653691394073963862361734
There is a large right pleural effusion. This has increased in size since prior study. There is cardiomegaly. Low lung volumes with vascular congestion and probable mild edema.,"Large right effusion, increasing since prior study. Mild CHF.",1.2.826.0.1.3680043.8.498.50889206308061422734264430726179962874
Endotracheal tube and orogastric tube remain in appropriate position. Mild improvement in aeration of both lungs is seen since prior exam. Both lungs are clear. Heart size is normal.,Mild improvement in aeration. No acute findings.,1.2.826.0.1.3680043.8.498.71014704009071173789642582775966140311
Diatek catheter has been placed from the right internal jugular vein. The tips are in the right atrium. No pneumothorax. There is bilateral airspace disease and a left pleural effusion.,1. Right internal jugular Diatek catheter in place with the tips in the right atrium. 2. No pneumothorax. 3. Diffuse bilateral airspace disease and left effusion.,1.2.826.0.1.3680043.8.498.85816597156970258023520519374904079169
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11114027485870967268595960849131129611
"The cardiac silhouette is mildly enlarged. The mediastinal contour and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.65018045547018988839353819599577773513
The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. No fracture is evident.,No acute or active process is identified.,1.2.826.0.1.3680043.8.498.58745513140347145127597234356743710337
There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the lung bases. The cardiac silhouette is moderately enlarged. A right-sided Port-A-Cath is appreciated with the tip projecting in the region of the superior vena cava. The visualized bony skeleton is unremarkable.,1. Interstitial infiltrate likely representing a component of pulmonary edema. 2. Atelectasis versus infiltrate versus asymmetric edema within the lung bases. 3. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.77836324876083528005453577947894710774
Cardiomediastinal silhouette is normal. Calcified aortic knob. No pleural effusion or focal consolidation. Strandy densities LEFT lung base. No pneumothorax. Soft tissue planes and included osseous structures are non suspicious.,LEFT lung base atelectasis.,1.2.826.0.1.3680043.8.498.17084214459895795715936992077920772892
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.62071428430553552493307114638843679546
The cardiomediastinal silhouette is stable. Coarse interstitial markings again noted. No definite acute infiltrate. No pneumothorax or large effusion appreciated on this portable examination. There are no acute bony findings.,No significant interval change.,1.2.826.0.1.3680043.8.498.67621390341351839489366313420513280370
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68576608796191794597440912465435679031
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Increased density is noted in the right lung base consistent with aspiration. No bony abnormality is seen. The stomach is distended with air.,Right basilar infiltrate consistent with aspiration.,1.2.826.0.1.3680043.8.498.77957425878731380315719164340664696367
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23906334816013830803476031313215401409
There is opacity at the left lung base consistent with pneumonia. There is also opacity in the right mid lung which may also represent pneumonia. No definite pleural effusion is seen. The lungs are hyperaerated consistent with emphysema. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. There are degenerative changes throughout the thoracic spine.,1. Opacity at the left lung base most consistent with pneumonia. 2. Possible additional focus of pneumonia in the right mid lung. Recommend followup. 3. Emphysema.,1.2.826.0.1.3680043.8.498.71006648029176419981713357118526992956
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32889983803142659088810041514166942767
Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.81266407520317697447904310643384971284
"Mediastinum and hilar structures normal. Stable cardiomegaly. No pulmonary venous congestion. Persistent mild bilateral pulmonary infiltrates, right side greater than left. No pleural effusion or pneumothorax. No acute bony abnormality.",1. Persistent mild bilateral pulmonary infiltrates. 2. Stable cardiomegaly. No pulmonary venous congestion.,1.2.826.0.1.3680043.8.498.97251220744385541305419809057914461198
There is a large hiatal hernia. The lungs are adequately inflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is curvature of the thoracolumbar spine convex toward the right.,There is a large hiatal hernia. There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19087045107271780266663648273058983232
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95000529926621982704881353684881720838
The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Left lung is clear. Stable right upper lobe airspace opacity is noted consistent with pneumonia. The visualized skeletal structures are unremarkable.,Stable right upper lobe airspace opacity consistent with pneumonia.,1.2.826.0.1.3680043.8.498.21536098305244146314420992545313651854
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.33264147549519885806032109006878225616
There is extensive airspace disease in the left upper lobe and left lower lobe consistent with pneumonia. Patchy airspace disease in the right upper lobe. Heart size and pulmonary vascularity are normal. No pleural effusions. No pneumothorax. The visualized osseous structures are intact. Spinal stimulator in place.,Extensive left lung pneumonia.,1.2.826.0.1.3680043.8.498.22426643804453703834397411337633383491
Endotracheal tube is unchanged in position. Nasogastric tube is seen entering the stomach. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is within normal limits.,No acute findings.,1.2.826.0.1.3680043.8.498.39749789458006069195204243757777402098
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45002325871343863022592210324677250362
"Left central venous catheter is in place with the distal tip in the superior vena cava. The heart appears normal in size. The lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax. No acute osseous findings.",No acute cardiopulmonary findings. Hyperinflation of the lungs.,1.2.826.0.1.3680043.8.498.16961895750952993171379734528018692674
Umbilical venous catheter is present with the tip in the mid chest at the level of T4. Umbilical arterial catheter is present with the tip at the level of T7. Cardiothymic silhouette appears within normal limits. Pulmonary aeration is mildly improved. Bowel gas pattern is normal. Bowel gas is present in the abdomen to the level of the rectum.,1. Support apparatus as described above. 2. Improved pulmonary aeration.,1.2.826.0.1.3680043.8.498.64396579731943991996168205543598247806
Right upper extremity PICC tip in the mid SVC. Increasing hazy opacity throughout the right lung consistent with pleural effusion. Hazy opacity at the left lung base likely combination of pleural fluid and atelectasis. Unchanged heart size and mediastinal contours. No visualized pneumothorax.,1. Increasing hazy opacity throughout the right lung consistent with pleural effusion. Small left pleural effusion and basilar atelectasis. 2. Right upper extremity PICC tip in the mid SVC.,1.2.826.0.1.3680043.8.498.14852777141394901031209514676076355238
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54152577280551040579727221538333654035
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59793824544115080402566453479215145449
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.26009825578133667096991326202602710470
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73160532294421836767370315298440286612
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.95340436959428931092752009800124812050
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54659486665868175680720990500979181723
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65428492300990528055766971444349727834
Patchy areas of increased density are noted in the lung bases and upper lobes. No focal regions of consolidation are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable. Surgical clips are appreciated within the lower neck.,Findings which may represent an infiltrate versus atelectasis in the upper lobe regions and lung bases. Continued surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.24783620009965368024675145899851986357
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30601046468107375977301104254786654400
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.11362493974119691523436901227740704482
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70790426837764595032113106817636035906
"The cardiac silhouette is normal size and shape. No pleural abnormality is evident. No pulmonary edema, consolidation, or pneumothorax is seen. Bones appear average for age.",No acute or active cardiopulmonary or pleural abnormalities are identified.,1.2.826.0.1.3680043.8.498.91288336543203860748994806560758253949
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80156616472654993271680062178578760214
The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93015483495695541596194281159574361305
Endotracheal tube tip is 1.6 cm above the carina. Nasogastric tube tip and side port are in the stomach. There is no evident pneumothorax. There is no edema or consolidation. The cardiothymic silhouette is normal. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. No edema or consolidation.,1.2.826.0.1.3680043.8.498.14376844177827924789840712659551567162
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.46666460546339497664490091741249859187
PA and lateral chest radiographs are provided. There is left lower lobe airspace disease. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.24266405828499989675191864572048080224
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are stable.,No acute left-sided rib fracture. Stable examination.,1.2.826.0.1.3680043.8.498.32215740937123031423281777194817343941
Grossly unchanged cardiac silhouette and mediastinal contours. No focal parenchymal opacities. No pleural effusion or pneumothorax. No evidence of edema. No acute osseus abnormalities with special attention paid to the right clavicular/chest wall region.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10046834859282959785447216358066486359
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66053138768425718226807316897695155944
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.27841458236160573931379337408530949716
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21105428524287681019962842649578942247
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Status post aortic valve replacement. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54183016197332747527651329431698410857
Seated AP and lateral views of the chest. Confluent bilateral perihilar opacity. No pleural effusion. No pneumothorax. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No acute osseous abnormality identified.,"Bilateral pulmonary opacity, suspicious for bilateral pneumonia. No pleural effusion. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.",1.2.826.0.1.3680043.8.498.82902674551242281475201917909718373865
"There is a left-sided pacemaker/AICD generator noted with the tip of the electrode wire in right ventricle. The heart is enlarged. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",Cardiomegaly. No acute process.,1.2.826.0.1.3680043.8.498.24250285905333646336385795816657959193
There is central airway thickening. No consolidative process. No pneumothorax or pleural effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.49670653148291171688631198693740083066
Heart size is normal. The mediastinum is unremarkable. Lungs are clear. No effusions. No significant bony finding.,Normal chest.,1.2.826.0.1.3680043.8.498.80094717434804873310980930272853635568
There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the perihilar regions. The cardiac silhouette is enlarged indicative of cardiomegaly. The visualized bony skeleton is unremarkable.,Findings consistent with pulmonary edema. Asymmetric edema versus infiltrate left hemithorax. Surveillance evaluation recommended.,1.2.826.0.1.3680043.8.498.24877180086680431190407832402575194302
The patient has a right PICC line with the tip in the superior vena cava. No pneumothorax. Lungs clear. Heart size normal. No pleural effusion or focal bony abnormality.,Right PICC line in good position. No acute disease.,1.2.826.0.1.3680043.8.498.62288896189240603168004103331313645606
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.86923836069912835279379769402958651227
The interstitial markings of both lungs remain increased. There is increased density at both lung bases consistent with atelectasis and infiltrate. Small bilateral pleural effusions are present. The heart is not enlarged.,1. Increased density at both lung bases consistent with atelectasis and infiltrate. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.38803994823355850687866921669613540600
The heart appears normal in size. Mild bilateral hilar prominence. Mild peribronchial thickening. No gross pneumothorax. There is no dense consolidation. No acute fracture. Limited evaluation of the thoracic spine.,Mild peribronchial thickening. No dense consolidation.,1.2.826.0.1.3680043.8.498.85141064662247279719347023009723740244
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or pleural effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.13712394683690265284313873182877879227
"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70054764344819911304904385487459109667
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97898183793777528998002238739595386713
Low lung volumes. No focal consolidation or pleural effusion. Normal cardiomediastinal silhouette. No pneumothorax.,Low lung volumes without acute abnormality of the lungs in AP portable projection.,1.2.826.0.1.3680043.8.498.80361850189270827489476549719772013318
Single portable AP chest radiograph is provided. The endotracheal tube is in unchanged position. There is a nasogastric tube with the tip below the level of the diaphragm. There is a right-sided central venous catheter in unchanged position. There is persistent right upper lobe consolidation. There is increased airspace disease at the right lung base. The left lung is clear. Stable cardiomediastinal silhouette. The osseous structures are unremarkable.,Persistent right upper lobe consolidation with increased airspace disease at the right lung base which may represent atelectasis versus developing infiltrate. Stable support lines and tubing.,1.2.826.0.1.3680043.8.498.69698569058910426524397390223427962039
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50354189339948260240888427890755335198
"An endotracheal tube is in place with tip 2.6 cm above the carina. A right-sided internal jugular central venous catheter with tip terminating in the distal superior vena cava. Lung volumes are low. Bibasilar opacities may reflect areas of atelectasis and/or airspace consolidation. Small left pleural effusion. Pulmonary venous congestion, without frank pulmonary edema. Mild cardiomegaly. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Atherosclerosis in the thoracic aorta.","1. Support apparatus, as above. 2. Low lung volumes with bibasilar atelectasis and/or airspace consolidation and small left pleural effusion. 3. Mild cardiomegaly. 4. Atherosclerosis.",1.2.826.0.1.3680043.8.498.79563508026100093307180745621226487732
Patchy opacity in the left lower lobe concerning for pneumonia. Right lung is clear. Heart is normal size. No effusions or acute bony abnormality. No pneumothorax.,Patchy left lower lobe airspace opacity compatible with pneumonia.,1.2.826.0.1.3680043.8.498.91802520970846517127525605515972899303
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.28470850682483547792410358432025700634
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76603148176488583189304798998612210830
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.15489232446205524036989182692511857839
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Linear atelectasis or scarring in lingula.,No active disease.,1.2.826.0.1.3680043.8.498.21814053206810003662149416901384642733
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18499752188712998312659037312569219740
"There is elevation of the left hemidiaphragm with atelectasis at the left lung base. Heart size is normal. The right lung is clear. No mass, consolidation, or effusion. Heart and bony structures are unremarkable.",Elevation of the left hemidiaphragm with left basilar atelectasis.,1.2.826.0.1.3680043.8.498.41166135653417196697656193683175117234
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48419753974287404929446084551855958175
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.50908726934231589888191567793360884118
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.46553801156568808058578966915296643651
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50346072361391314412895245110569097078
The heart size is normal. Linear atelectasis is present in the lingula. The lungs are otherwise clear. There is no edema or effusion. The visualized soft tissues and bony thorax are unremarkable.,1. No acute cardiopulmonary disease. 2. Linear atelectasis in the lingula. 3. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75020724657775844318998376089678777167
Endotracheal tube is seen with the tip approximately 2.5 cm above the carina. Nasogastric tube extends into the stomach. Left chest tube and mediastinal drain are seen in appropriate position. Right jugular Swan-Ganz catheter tip is in the proximal right pulmonary artery. No pneumothorax visualized. Mild atelectasis is seen in the left lung base. No evidence of pulmonary consolidation or edema. Heart size is within normal limits. Prior CABG noted.,Postoperative chest with mild left basilar atelectasis. Support apparatus in appropriate position.,1.2.826.0.1.3680043.8.498.82200948061807722004995160003405869796
The lungs are mildly hypoinflated. The perihilar lung markings are increased. The cardiothymic silhouette is normal in appearance. There is no pleural effusion. The gas pattern in the upper abdomen is normal.,"There are findings consistent with reactive airway disease and acute bronchiolitis. I do not see evidence of pneumonia. I cannot exclude croup, however, in the appropriate clinical setting.",1.2.826.0.1.3680043.8.498.92270206238771272518138305110478138085
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84165351220313339427058787807921261040
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.15026670071725438216603467700937576456
"There is patchy density at both lung bases, most compatible with atelectasis. Pneumonia cannot be totally excluded. Mild cardiomegaly is stable. The bones are osteopenic.",Patchy basilar atelectasis or pneumonia. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.73000997768370914115670589017091256247
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68942604321869562403441743528476545462
"There is patchy airspace opacity in the right upper lobe. The left lung is clear. There is no pleural effusion. The pulmonary vasculature is normal. Hilar, mediastinal and cardiac contours are unremarkable.",Right upper lobe infiltrate.,1.2.826.0.1.3680043.8.498.92930126622831955817140267609754865250
The heart is enlarged. There is diffuse interstitial edema with small bilateral effusions. Atherosclerotic calcification is present. There is no pneumothorax.,Cardiomegaly with pulmonary edema and bilateral effusions consistent with congestive failure.,1.2.826.0.1.3680043.8.498.29942445913542446070758715886668112724
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74660260749901340092042922904991298518
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.29734537249319842798374893212007095654
Portable AP upright view of the chest demonstrates a normal cardiac silhouette. Pulmonary hila and vessels are within normal limits. Costophrenic angles are clear. Lungs are clear of any focal mass or consolidation. There is no pneumothorax. There are no osseous abnormalities.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.13818306529867460134518025458366807090
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46028874380487087810575109661742125589
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74371503428305857437598110297555406696
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42298492731969857883815912013265908480
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90523109617033593749674225626233811603
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12856728036209629143536476420311375407
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34594280958647817778831637782995346966
Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.,No active disease.,1.2.826.0.1.3680043.8.498.96819001450472908378260308535321316933
Enlargement of cardiac silhouette. Tortuous aorta. Pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Scattered end plate spur formation thoracic spine.,Enlargement of cardiac silhouette. No acute abnormalities.,1.2.826.0.1.3680043.8.498.37520131356747596025569436642445633757
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56814107702419476110018138099506003676
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65209447543207783985860757506178055306
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80922644549547065986161776136113635323
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. There is consolidation in the left lower lobe. There is also a patchy infiltrate in the right lower lobe. There is a small left pleural effusion.",Bilateral lower lobe infiltrates compatible with acute pneumonitis.,1.2.826.0.1.3680043.8.498.54533592573638646754707339032293886219
Linear areas of scarring in the lung bases bilaterally. No consolidation or edema. No pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits for size.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.44703779210822246511237200525143489478
"Frontal and lateral views of the chest show no focal pneumonic consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Pulmonary vascularity is normal. A left shoulder arthroplasty is partially imaged.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.13945025963417833316230596242418485617
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93802143021981033165037422162399848706
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.48398860385123142492215142493765176937
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59940881456210466230780328115679488475
The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is within normal limits. There are increased markings in the right mid to lower lung. No pneumothorax or pleural effusion appreciated on this portable examination. Bony thorax is intact.,Suspect right lower lung infiltrate. Followup is recommended.,1.2.826.0.1.3680043.8.498.72376932154199751274556779715256925764
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58381762073133649109327193349001101249
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.75295353212200254218323456607802257897
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.61869409300299244309430388004687774776
Cardiac and mediastinal contours are within normal limits. No focal or consolidative pulmonary opacities. Pleural spaces are normal. Osseous structures are unremarkable.,No acute pulmonary process.,1.2.826.0.1.3680043.8.498.23040809030941905411054708355121449150
Left-sided central venous port tip over the SVC. No pneumothorax. Mild cardiomegaly. No consolidation or effusion. Minimal atelectasis left base. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.31796878854710363519939436358753654473
There are bilateral pleural effusions and bibasilar atelectasis. The heart is enlarged. Pulmonary vascular congestion is noted.,Cardiomegaly and congestive heart failure.,1.2.826.0.1.3680043.8.498.50550802203089967437704660765733600867
Cardiac shadow is within normal limits. The left hemidiaphragm remains elevated. An endotracheal tube is noted in satisfactory position 4.6 cm above the carina. A nasogastric catheter is noted within the stomach. The proximal side port however lies in the distal esophagus. No focal infiltrate is seen. No bony abnormality is noted.,Tubes and lines as described above. This report was called to the floor although the patient had already been transferred to the emergency room.,1.2.826.0.1.3680043.8.498.17663539251515214910515373426604101313
The lungs are clear. Cardiomegaly is stable. Median sternotomy sutures are noted.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.33522239373908916931917779155847054857
The lungs are adequately inflated. There is no focal infiltrate. There is no pleural effusion or pneumothorax. The heart and pulmonary vascularity are normal. There is calcification in the wall of the aortic arch. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality. Left rib detail images reveal no acute displaced or nondisplaced rib fracture.,There is no acute cardiopulmonary abnormality. No acute left rib fracture is observed. Thoracic aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.79319406905571217522294531287922021327
"Normal mediastinum and heart silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax. Chronic bronchitic markings.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.48152958888746124944424420354433281248
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75254502234656421100763413705972586552
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.51029778988991262612896942607382174029
There are persistent patchy airspace opacities in the left lower lobe with an associated small left pleural effusion. There are mildly increased patchy airspace opacities in the right upper lobe. A small right pleural effusion is noted. The heart size and mediastinal contours are stable.,1. Persistent left lower lobe airspace disease with associated left pleural effusion suspicious for pneumonia. 2. Increased patchy airspace opacities in the right upper lobe and small right pleural effusion suggesting superimposed pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.89863210343403081662122584283976226390
The heart size and mediastinal contours are within normal limits. Both lungs are clear.,No active disease.,1.2.826.0.1.3680043.8.498.50461021650002079919549371108301258951
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88162017340442975306314333524687583781
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89003288703379727401673966974349360917
The heart is mildly enlarged. The lung volumes are low. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.20913483012585627814573221304829985194
PA and lateral chest radiographs are provided. There is mild bilateral interstitial thickening. There small bilateral pleural effusions. There is no pneumothorax. The heart size is enlarged. The osseous structures are unremarkable.,Overall findings are most consistent with pulmonary edema.,1.2.826.0.1.3680043.8.498.53404136452430167098260811147252234756
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14995545150558004389729536528440148628
The lungs are adequately inflated. There is no focal infiltrate. The LEFT hemidiaphragm is mildly elevated as compared to the RIGHT. The cardiopericardial silhouette is mildly enlarged. The pulmonary vascularity is not engorged.,I do not see evidence of pneumonia. I cannot exclude an element of acute bronchitis. There is mild enlargement of the cardiac silhouette without evidence of pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.46684882890113907649759277079042307346
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.19543074755490306398388001865035694045
There are low lung volumes. Coarsening of the pulmonary interstitium is again noted and appears unchanged. There is some atelectasis at the left lung base. The patient is status post CABG.,No interval change.,1.2.826.0.1.3680043.8.498.38912548562239217829609001935562461333
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.89354746966195640779844678040691945914
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Scattered endplate spur formation thoracic spine.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.60194009716092457944445472627275735811
The cardiomediastinal silhouette is unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.12127232353635332945132572367611194064
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.71740620054099353518385169812951626034
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. The bony thorax is intact. Nodular density in the right lower lobe is likely the patient's nipple. A follow-up chest x-ray with nipple markers is recommended.",No acute cardiopulmonary findings. Nodular density in the right lower lung is likely the patient's nipple. A follow-up chest film with nipple markers is recommended.,1.2.826.0.1.3680043.8.498.82304928755253704270971832228414248399
Nasogastric tube extends beyond the inferior aspect of the film. Left-sided IJ line is new and terminates at the mid SVC. Normal heart size. Possible trace left-sided pleural fluid. No pneumothorax. Low lung volumes with mild left base atelectasis.,Left-sided IJ line without pneumothorax. Suspect trace left-sided pleural fluid with adjacent atelectasis.,1.2.826.0.1.3680043.8.498.81708035011369205387056298654519082636
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. There is a dextro scoliosis of the thoracic spine.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.69503840279268930009339110012734876664
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39040503064705614860868812348264864747
There is focal airspace disease in the lingula consistent with pneumonia. The right lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Lingular pneumonia. Recommend follow-up films to clearing.,1.2.826.0.1.3680043.8.498.94282780561243531139299141314823218420
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.27765591456431749564072556021382516580
Right-sided Port-A-Cath is in place. There are bilateral pleural effusions with overlying atelectasis. No evidence for pneumothorax. Heart size is enlarged. There is vascular congestion.,Cardiomegaly with edema and bilateral effusions suggesting CHF.,1.2.826.0.1.3680043.8.498.78914982748467381564916610073201640829
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.77506103068620793243427537048169932501
Complete opacification of the left hemithorax with calcification of the left hemidiaphragm and postoperative changes in the left chest are stable. The right lung is clear. No definite change.,Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.77174972678559275270321495299490181269
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15483620590252203692929606376918562224
Lungs are clear. Cardiothymic silhouette is normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.49968530162588272494036272766759407562
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50945609136434014414702080767870126902
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.22951929346338650627528193974911417110
No fracture or other bone lesions are seen involving the ribs.,Negative.,1.2.826.0.1.3680043.8.498.22533671376768180008293110317136251338
Prior CABG. Cardiomegaly with vascular congestion. Left lower lobe atelectasis or infiltrate with small left effusion. Minimal right base atelectasis. Findings are similar to prior study.,Continued left lower lobe atelectasis or infiltrate with small left effusion. Minimal right base atelectasis. Findings are similar to prior study. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.10111345637208530732581391485606377014
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18088829191954293646548565696057250164
Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.31574183971681281811009051176705315343
Cardiac shadow is enlarged. Right-sided chest wall port is again seen and stable. The lungs are clear bilaterally. No focal infiltrate or effusion is seen. No bony abnormality is noted.,No active disease.,1.2.826.0.1.3680043.8.498.72224548818758713770398398737583804145
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38826755604961525104333708760869668995
There are bilateral pleural effusions. The interstitial markings are increased. The cardiopericardial silhouette is enlarged. The hemidiaphragms are obscured.,There are findings consistent with congestive heart failure and bilateral pleural effusions. There is likely underlying atelectasis or infiltrate in the lower lobes. When compared to the earlier study however this appears to be slightly more conspicuous.,1.2.826.0.1.3680043.8.498.70227899660891938382164788281999910672
There is elevation of the right hemidiaphragm. The lungs are clear. There is no pleural effusion. Heart size is mildly enlarged. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.56175233201631298035133930341145861629
Cardiac shadows within normal limits. Aortic calcifications are seen. The lungs are hypoinflated with mild bibasilar atelectasis. No sizable effusion is seen. No bony abnormality is noted.,Mild bibasilar atelectasis in the setting of a poor inspiratory effort.,1.2.826.0.1.3680043.8.498.26310852914228067962702481487508660397
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.32959661266821019459562069415698347560
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90031744686626590887227531066994612149
"The heart size is normal. The lungs are hyperinflated. No mass, consolidation, or effusion. Mild thoracic spondylosis.",COPD. No acute process.,1.2.826.0.1.3680043.8.498.27006659309082576803003792190283782759
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.63122854148831309052652063535276324970
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99987175730451701855600734462662909232
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32424091834637240339012049876909780538
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.12289220896085667973542103748054212848
Heart is normal size. Linear atelectasis or scarring in the lingula. Right lung is clear. No effusions. No acute bony abnormality. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81237683860007488182792340770774788538
Endotracheal tube is 2.6 cm from the carina. Left IJ central line tip is in the SVC. Right upper lobe mass is unchanged. There is right hilar adenopathy. There is patchy airspace disease in the right upper lobe which is similar to the prior exam. No pneumothorax. No pleural effusion.,1. Endotracheal tube and central line appear in good position. 2. Right upper lobe airspace disease and right upper lobe mass are unchanged.,1.2.826.0.1.3680043.8.498.85743052230391083528318692036694602529
"A right-sided pacemaker device is present. Two leads are present. The heart is normal in size. The lungs appear to be fully inflated and clear. There is no edema, infiltrate, effusion or pneumothorax. Degenerative changes are noted in the spine.",No acute cardiopulmonary disease evident. Pacemaker present.,1.2.826.0.1.3680043.8.498.17245126522848919759065172741489092659
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.79898167803536614700362546629893924010
"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80146232027473802029920576502137407382
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Mild atelectasis at both lung bases. Heart size and mediastinal contours are within normal limits.,No evidence of left rib fracture. No pneumothorax.,1.2.826.0.1.3680043.8.498.62396166290352475929794880182622752869
Rotated to left. Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Emphysematous changes with bibasilar atelectasis. No gross infiltrate or pleural effusion. Bones demineralized.,Enlargement of cardiac silhouette. COPD with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.51053599537519710564817273093888659887
Heart size is normal. Both lungs are clear. No evidence of pleural effusion. No mass or adenopathy identified. Several old left rib fracture deformities are noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37420819046144404081746341460609936249
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.86707376183221786451909528156339622218
There is interval development of bilateral airspace opacities most consistent with multifocal pneumonia. Clinical correlation and follow-up to resolution recommended. No pleural effusion pneumothorax. The cardiac silhouette is within limits. No acute osseous pathology.,Multifocal pneumonia.,1.2.826.0.1.3680043.8.498.16348394723884173541532463045263312483
Endotracheal tube is 3.5 cm above the carina. Low lung volumes. Bibasilar atelectasis. Heart is normal size. No effusions. No acute bony abnormality.,Endotracheal tube 3.5 cm above the carina. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.95346488476595332682588854296941959903
"Lungs are adequately inflated and otherwise clear. Cardiomediastinal silhouette, bones and soft tissues are normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47554821859343448809300292726852884789
The lungs are hyperinflated consistent with COPD. There is thickening of the interstitial markings. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable.,COPD with findings likely representing a component of pulmonary fibrosis. No focal regions of consolidation are appreciated.,1.2.826.0.1.3680043.8.498.19604136022266373878179776733867805656
There is a left paratracheal mass with left upper lobe atelectasis. Lungs elsewhere clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Left paratracheal mass with left upper lobe atelectasis. Advise noncontrast enhanced chest CT to further assess. Lungs elsewhere clear.,1.2.826.0.1.3680043.8.498.37171961393680873342202327706265081024
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Chronic elevation of right hemidiaphragm is stable. Linear scarring or atelectasis at the right lung base is unchanged. Left lung is clear. Heart size and mediastinal contours are within normal limits.,Stable chronic elevation of right hemidiaphragm. No acute rib fracture nor acute pulmonary abnormality.,1.2.826.0.1.3680043.8.498.50942649184358079685992178388913253124
There is a well-positioned right-sided Port-A-Cath. There is a small right pleural effusion with adjacent airspace disease. The left lung is clear. There is no pneumothorax. The heart size is normal. The mediastinal contour is stable.,1. Small right pleural effusion with adjacent airspace disease which may reflect atelectasis or developing infiltrate. 2. Well-positioned right-sided Port-A-Cath.,1.2.826.0.1.3680043.8.498.47044853737876917931719526737560547514
The heart size and mediastinal contours are within normal limits. Consolidation of the right upper lobe. The left lung is clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.38855407149900431036095467640737457931
Hyperinflated lungs. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. Asymmetric vague right suprahilar opacity on the frontal view not correlated on the lateral. No confluent pulmonary opacity. Negative visualized bowel gas and osseous structures.,Hyperinflation which can reflect viral or reactive airway disease. Asymmetric right suprahilar opacity on the frontal view not correlated on the lateral could reflect atelectasis or developing bronchopneumonia.,1.2.826.0.1.3680043.8.498.34004259759259878544366338592844505267
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18937837965921347866289113688616207573
The right-sided chest tube tip projects over the posterior aspect of the fifth rib. There is a persistent approximately 5% right apical pneumothorax. There is no mediastinal shift. There is persistent increased density in the right infrahilar region. The left lung is clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,Stable appearance of the right chest tube with a persistent 5% right-sided pneumothorax. Persistent right infrahilar density likely reflects pulmonary contusion.,1.2.826.0.1.3680043.8.498.78237845903270381382122368769695323948
"There is no evidence of fracture or dislocation. The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute abnormality.,1.2.826.0.1.3680043.8.498.86680864043225192871923028907051802246
"There is airspace disease in the right lung base, compatible with pneumonia. There is also mild airspace disease in the left mid and lower lung zones. There is vascular congestion. Small bilateral pleural effusions are suspected.","Bibasilar airspace disease, right greater than left. This is compatible with pneumonia.",1.2.826.0.1.3680043.8.498.89726217349207526964655739965731339280
"There is persistent left-sided volume loss, with a moderate left-sided pleural effusion, perhaps mildly increased from the prior study. Underlying left basilar airspace opacification is again noted. The right lung appears relatively clear. No pneumothorax is seen. The cardiomediastinal silhouette is mildly enlarged. No acute osseous abnormalities are identified.","Moderate left-sided pleural effusion again noted, perhaps mildly increased from the prior study, with persistent underlying left basilar airspace opacification. Underlying lung cancer again noted.",1.2.826.0.1.3680043.8.498.24093114545223378264621658888575225845
Trachea is midline. Heart is at the upper limits of normal in size. Lungs are somewhat low in volume with bibasilar atelectasis. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.12356655630728617238505513408613776133
The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.65917961039997431193969923778683670807
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73961909787944198324661672763605782775
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16380999703435774608274084208188677977
The heart is at the upper limits of normal in size. The thoracic aorta is tortuous. The hilar and mediastinal contours are otherwise unremarkable. Linear scarring is present in both lower lobes. The lungs are otherwise clear. There are no pleural effusions. Degenerative changes are present in the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29384170695418481608078329956594463879
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Mild scoliosis and degenerative changes in the thoracolumbar spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11239913736324638034471949770783554139
The lungs are symmetrically inflated and clear. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Clear lungs.,1.2.826.0.1.3680043.8.498.18006686287872903424821625215462517196
Endotracheal tube is 5 cm above the carina. NG tube enters the stomach. There is mild cardiomegaly. Bibasilar atelectasis present. No effusions. No acute bony abnormality. No pneumothorax.,"Endotracheal tube and NG tube in expected position. Mild cardiomegaly, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.41226365291881699053140574144554239029
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24935314039114901910584760983743636665
The lungs are well-aerated. Mild left lower lobe airspace opacity is concerning for pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Mild left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.61662701034879018915425388377247791020
Sternotomy wires are stable in position and appearance. Heart size is normal. The lungs are free of focal consolidations and pleural effusions. No pulmonary edema. No pneumothorax.,No evidence for acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.81635459149707885030551828240113754514
The lungs are well-expanded and clear. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease. Cardiomegaly may reflect underlying cardiac chamber enlargement.,1.2.826.0.1.3680043.8.498.94281430116037258438138352763227582556
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.47944632716573339184409883547289722062
Lungs are adequately inflated without focal consolidation or effusion. Cardiomediastinal silhouette is normal. There is a lead over the anterior left chest. There is minimal anterior wedging of the midthoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47626734152649014436827161884503479273
Extensive right upper lobe consolidation. Left lung is clear. No effusion or air leak. Normal heart size.,1. Unchanged extensive right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.93861783652371178553931135395838705337
Interval placement of right internal jugular central venous catheter with distal tip projecting over the superior vena cava. Left internal jugular central venous catheter is unchanged. Low lung volumes. Stable cardiac and mediastinal contours. Elevation of the right hemidiaphragm. Bibasilar atelectasis. No pleural effusion or pneumothorax.,Interval placement of right internal jugular central venous catheter. No pneumothorax.,1.2.826.0.1.3680043.8.498.75823021469168381050454556470204556251
No displaced rib fracture is seen. No pneumothorax is present. No abnormal pleural fluid collection is recognized.,No displaced rib fracture.,1.2.826.0.1.3680043.8.498.22998898417165314063266950276722101624
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71863804831545050631986952837482989167
The lungs are emphysematous. Lung volumes are low. There is some bibasilar atelectasis. Heart size is upper normal. No pleural effusion.,1. Emphysema. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.52638806619153142399033433555500720235
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64677575200650432909691805219444113867
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.59548119123335624677852851282834624578
PA and lateral chest radiographs are provided. There are bilateral small pleural effusions. There is bilateral interstitial thickening. There is no pneumothorax. The heart and mediastinum are unremarkable. There is a right shoulder arthroplasty.,Overall findings are most consistent with pulmonary edema.,1.2.826.0.1.3680043.8.498.90436377125482436190760420964024671059
Right-sided central venous catheter with tip over the distal SVC. A right-sided chest tube is in unchanged position. There is a small right apical pneumothorax. The heart is normal in size. The left lung is free of focal consolidations. There is a small right pleural effusion. Again noted is a mass in the right perihilar region. Again noted is a small nodular opacity in the right upper lung zone.,"1. Small right apical pneumothorax with a right-sided chest tube in place. 2. Small right pleural effusion. 3. Small nodular opacity in the right upper lung zone. Again, recommend follow-up chest x-ray after resolution of acute symptoms.",1.2.826.0.1.3680043.8.498.83516146672309436452938045799671310534
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.56013984251940931267199496849589134103
There is cardiomegaly. No evidence of edema or focal airspace consolidation. No pleural effusions. No evidence of pneumothorax.,Cardiomegaly without acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44161611983774940872988167613223380431
Normal cardiothymic silhouette. No pneumothorax. No pleural effusion. No acute consolidative airspace disease. No evidence of significant lung hyperinflation. Visualized osseous structures appear intact.,No active disease.,1.2.826.0.1.3680043.8.498.63947749629919620224966800773401230177
"Interim extubation and removal of NG tube. Swan-Ganz catheter, mediastinal drainage catheter, left chest tube in stable position. Prior CABG. Stable cardiomegaly. Low lung volumes with mild bibasilar atelectasis. No pleural effusion or pneumothorax.",1. Interim extubation and removal of NG tube. Remaining lines and tubes including left chest tube in stable position. No pneumothorax. 2. Prior CABG. Stable cardiomegaly. 3. Low lung volumes with mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.64957596236396350174461790646725569025
The heart is normal in size. The aorta is tortuous. The lungs are clear. No pneumothorax. No acute rib fractures.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10298636900255711780921063154968395914
Endotracheal tube tip is 2.2 cm above the carina. Nasogastric tube tip and side port are in the stomach. Pacemaker leads are attached to the right atrium and right ventricle. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. Left base atelectasis. No edema or consolidation. Heart upper normal in size.,1.2.826.0.1.3680043.8.498.14758419044880240356267922333586786798
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.28262105064740213229799714050037867808
There is a new focal area of consolidation in the left lower lobe. There is also a new area of increased density at the right lung base. No discrete acute bony abnormality. Heart size is stable. Elevation of left hemidiaphragm is again noted.,1. New left lower lobe consolidation. This could represent an area of atelectasis or airspace disease. 2. New right basilar atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.30991579009713547450252618324880422345
Dual lead pacemaker has been placed from the left. Leads in the region of the right atrium and right ventricle. Negative for heart failure. Lungs are clear without infiltrate or effusion. No pneumothorax.,Interval pacemaker placement. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.63792681778950558454952478904976346393
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76634164663104715272251545721889365650
"There is a right-sided peripherally inserted central venous catheter noted with the tip in the superior vena cava. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. Atherosclerotic changes are noted in the aorta. There is a small right pleural effusion with blunting of the right costophrenic angle. No lung mass, parenchymal infiltrate or pneumothorax is seen. There is thoracic dextroscoliosis.",Right PICC line in good position. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.21449364727603532916685400104034648177
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. There is a left shoulder replacement.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.97258290136378841902885796352555211398
The lungs are well-aerated. Vascular congestion is noted. Increased interstitial markings may reflect mild interstitial edema. There is no evidence of pleural effusion or pneumothorax. The heart is borderline normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Vascular congestion noted. Increased interstitial markings may reflect mild interstitial edema.,1.2.826.0.1.3680043.8.498.70974747027403479984497581147964314921
The heart size and mediastinal contours are stable. There is chronic scarring and volume loss in the left upper lobe with associated pleural thickening. The right lung is clear. There is no pleural effusion or pneumothorax. The bones appear unchanged.,Stable postoperative changes in the left upper hemithorax. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.12437681165064198853072367858790300449
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58422418666233887701070277682777034442
The lungs are clear. No pneumothorax is seen. The heart is within normal limits in size. No bony abnormality is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.56923590361072252220599786629905012999
Endotracheal tube is 3.5 cm above the carina. Right central venous catheter tip is in the lower SVC. There is no pneumothorax. Linear densities in the left lower lung are suggestive for atelectasis. Heart size is within normal limits and stable. No evidence for a pleural effusion.,Stable chest radiograph findings. No evidence for acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49328888274005080045383041493401973418
The lungs are well-expanded. The interstitial markings remain increased bilaterally. Areas of confluent density are slightly less conspicuous today. The cardiac silhouette remains enlarged. The pulmonary vascularity is less engorged and more distinct. The patient has undergone previous CABG. There is no pleural effusion.,Slight interval improvement in the appearance of the pulmonary interstitium consistent with improving interstitial edema and pneumonia.,1.2.826.0.1.3680043.8.498.44923303875747302273402658783316869173
Linear atelectasis or scarring at the left lung base. No consolidation or effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50358282629973644361542658477718144408
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.82899086099780862528481077114494912558
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64502769297295786366106623743151661175
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.88751825001772421835267444350991741122
The lungs are clear. Mediastinal contours appear normal. The heart is mildly enlarged. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.47512465553483723798842170078954851648
There is chronic cardiomegaly with slight pulmonary vascular prominence. The pulmonary vascularity is normal. The patient has taken a shallow inspiration. There is slight atelectasis at the right lung base posterior medially. No effusions. No acute osseous abnormality.,No acute abnormalities. Chronic cardiomegaly.,1.2.826.0.1.3680043.8.498.40550044013538450026207043992387270047
The heart size is normal. The lungs are clear. There is no edema or effusion to suggest failure. The visualized soft tissues and bony thorax are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36895016524846130175468248836142093484
There is peribronchial thickening centrally. No focal consolidation or pleural effusion. Normal heart size. No pneumothorax.,Peribronchial thickening consistent with viral illness. No focal pneumonia.,1.2.826.0.1.3680043.8.498.27186690360350538180754656492414692263
The heart is mildly enlarged. The pacemaker is grossly normal. The lungs are grossly clear. No pneumothoraces or effusions are seen.,Cardiomegaly. No CHF.,1.2.826.0.1.3680043.8.498.34902437411078492090525249993556208167
The lungs are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.64721582038011430453748691225244782238
There is hyperinflation of the lungs compatible with COPD. Heart is normal size. No confluent opacities or effusions. No acute bony abnormality.,COPD. No active disease.,1.2.826.0.1.3680043.8.498.51377942594133284176624788706764212001
Lungs are clear. The cardiothymic silhouette is normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.16179088828899009098795353095825422028
"Endotracheal tube is 2.5 cm from the carina at the thoracic inlet. Enteric tube in place with tip and side-port below the diaphragm. Low lung volumes. The heart is normal in size. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",1. Endotracheal tube 2.5 cm from the carina at the thoracic inlet. Enteric tube in place with tip and side-port below the diaphragm in the stomach. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.91734676383748039273290403875018270784
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28211492982660503053715088646067761782
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.96912894227226099518461495967499125365
No displaced left-sided rib fracture is noted. No pneumothorax. Left axillary surgical clips are noted.,No acute findings.,1.2.826.0.1.3680043.8.498.33681605592762174621136452512694533724
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.40260733639917945464193121559332924845
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.11377870334481841669942207961914717476
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99929082929880738513262974236315527389
Stable cardiomegaly. Atherosclerosis of thoracic aorta is noted. No pneumothorax is noted. Mild bilateral pleural effusions are noted with associated atelectasis or edema. Bony thorax is unremarkable.,Mild bilateral pleural effusions with associated atelectasis or edema. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.23730604726703790309350938021145508463
"Low lung volumes. Mild linear scarring or atelectasis at the left lung base. The lungs are otherwise clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58928812426631057818194406833764977468
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The chest appears mildly hyperexpanded suspicious for reactive airway disease.",1. The lung fields are clear. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.89119144680604722151043105133955854891
"Lung volumes are stable and within normal limits. Normal cardiac size and mediastinal contours. Calcified atherosclerosis of the aortic arch. Nodular and interstitial opacity appears stable since 4020. No pneumothorax, pulmonary edema, pleural effusion or consolidation. No acute osseous abnormality identified. Negative visible bowel gas pattern.",Stable since 4020. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.44579021226564651666072088216313139900
Lungs are adequately inflated without focal consolidation or effusion. There is no evidence of a pneumothorax. Stable position of a left-sided dual lead pacemaker. Cardiomediastinal silhouette is within normal. There are degenerative changes of the spine. Surgical clips are present over the left axilla.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40982605781613018642218447434936449345
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.58217903217332722706800194684906339917
Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99306901245728933693099951019879972846
Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20672611071581450940662722134414641226
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74400858757386117899246492150674930795
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86609078629482892575610222888658431617
There is elevation of the left diaphragm. There is atelectasis at the left lung base. No pleural effusion or pneumothorax. Normal cardiomediastinal contours.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.45802144734483533760968305049736492590
"The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is mildly engorged and indistinct. The heart is enlarged. No significant osseous abnormality is appreciated.",Cardiomegaly with mild interstitial edema.,1.2.826.0.1.3680043.8.498.77897185527291997935893746524712346098
There is peribronchial thickening. Faint right upper lobe opacity is compatible with pneumonia. The left lung appears clear. No pleural effusion. No significant hyperinflation. Heart size is normal.,Right upper lobe pneumonia. This is compatible with pneumonia.,1.2.826.0.1.3680043.8.498.56429112534216326615488795401750442496
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41137702032178924981105237656038647871
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52421447915112438059918257516721718763
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.57829640875691537012616019096871548816
The UAC and UVC are stable. The UVC tip is in the left upper abdomen. The UAC is tip at the T7 level. The lungs demonstrate improved aeration with resolving airspace disease. Heart size is normal. Bowel gas is unremarkable.,Improved lung aeration with resolving airspace disease.,1.2.826.0.1.3680043.8.498.75388620977226762619249015291524115834
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28964817190458374482520177401892139391
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.82757706418668239543870185352081588606
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. Degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16427907819880956503431213771425823987
Patchy bilateral airspace disease. No pleural effusion. Normal heart size. No pneumothorax.,Patchy bilateral airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.12178733620597524344807399115505259842
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95587927543270430161545999950215476550
Normal cardiothymic silhouette. Airway is normal. There is coarsened central bronchovascular markings. There is mild peribronchial cuffing. No focal consolidation. No pleural fluid. No pneumothorax.,Findings suggest viral process.,1.2.826.0.1.3680043.8.498.48180059975445868030513994322019571260
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94547281064759464538791609250831415605
An endotracheal tube is now present with the tip approximately 2.5 cm above the carina. There is again noted increased density at the right base compatible with atelectasis and effusion. The left lung is clear. The heart is enlarged.,Please see above.,1.2.826.0.1.3680043.8.498.54236198078298845143034475904127663985
"There is a left-sided pacemaker generator noted with atrial and ventricular leads in place. The cardiac silhouette is moderately enlarged. The mediastinal contour and pulmonary vascularity are within normal limits. Atherosclerotic changes are noted in the aorta. The right lung is free of infiltrate. There is a patchy infiltrate at the base of the left lung. No lung mass, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Left basal infiltrate. Cardiomegaly.,1.2.826.0.1.3680043.8.498.53698727618540109151628911851496730966
"Median sternotomy wires and numerous sternal clips are noted. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. There is a chronic interstitial pattern to the lung, with superimposed basilar fibrotic changes. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",Chronic interstitial lung disease with basilar fibrotic changes. No acute infiltrate.,1.2.826.0.1.3680043.8.498.17104816667813555648051204016093943105
Cardiac shadow remains enlarged. Aortic calcifications are again seen. Increasing left-sided pleural effusion is noted as well as left basilar atelectasis. The right lung remains clear. No bony abnormality is noted.,Increasing left basilar atelectasis and left-sided pleural effusion.,1.2.826.0.1.3680043.8.498.61321019236972283007859598803607961476
"Feeding tube with tip at the stomach. Normal heart size and stable mediastinal contours. Low lung volumes with mild interstitial crowding. There is no edema, consolidation, effusion, or pneumothorax.",No acute or focal finding.,1.2.826.0.1.3680043.8.498.87491016229671755130844047113100481059
The heart is enlarged. The lungs are under aerated with bibasilar atelectasis. No pneumothorax. No pleural effusion.,Cardiomegaly. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.68667331281243389382514135577950288417
There is airspace consolidation in the left base. There is patchy infiltrate in the right base. There is a small left pleural effusion. There is cardiomegaly with pulmonary vascularity normal. Patient is status post coronary artery bypass grafting. No adenopathy. There is atherosclerotic change in the aorta. No bone lesions.,Airspace consolidation in the left base consistent with pneumonia. Patchy infiltrate right base may represent atelectasis or pneumonia. Small left pleural effusion. Stable cardiomegaly. Postoperative changes noted. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.28541577699225329134156193864666764617
Endotracheal tube is in satisfactory position. Nasogastric tube is followed into the stomach. Right IJ central line tip projects over the SVC. Heart size is accentuated by AP semi upright technique. Lungs are low in volume with bibasilar atelectasis.,Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.94346957924747810629342029017605915097
The ETT terminates 2 cm above the carina. The NG tube terminates below today's film. No pneumothorax. Cardiomegaly. The hila and mediastinum are unchanged. Persistent pulmonary edema. Small effusions with underlying atelectasis.,1. The ETT terminates 2 cm above the carina. 2. Persistent pulmonary edema.,1.2.826.0.1.3680043.8.498.17430086728032760692726203440808189829
There is cardiomegaly with congestive heart failure and bilateral pleural effusions. The left PICC line is unchanged.,Congestive heart failure with bilateral effusions.,1.2.826.0.1.3680043.8.498.73459761869824156075006300675781959210
The cardiac silhouette is within normal limits. The lungs are clear. The pulmonary vasculature is normal in caliber.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.10106617976503723616941034243946102292
Postoperative changes in the mediastinum. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. Blunting of the right costophrenic angles suggesting pleural effusion or pleural thickening. No pneumothorax. Mediastinal contours appear intact. Old bilateral rib fractures. Degenerative changes in the spine and shoulders.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96465022210562260108720980584939049033
The heart is enlarged. There is no heart failure. There is mild atelectasis in the right lung base.,Cardiac enlargement. No acute abnormality.,1.2.826.0.1.3680043.8.498.33185001731806347992729955899492396367
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62336806318535808709552539557681033989
"Stable cardiomegaly and mediastinal contours. Stable lung volumes. No pleural effusion, pulmonary edema, pneumothorax or consolidation. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.96859924870076590596449553756846539121
"Heart is borderline in size. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.49999779334479765748971142611073128123
Mild prominence of the cardiac silhouette and hila. Mild peribronchial thickening. No gross pneumothorax. Focal left lower lobe opacity. No acute fracture.,"1. Focal opacity within the left lower lobe, suspicious for pneumonia. 2. Mild peribronchial thickening, which may represent bronchitis.",1.2.826.0.1.3680043.8.498.17504070116610731722329295095865229300
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85422997764394428032566632307904684417
"Endotracheal tube is now noted, with distal tip 2.8 cm above the carina. There is continued opacification of the left hemithorax, with shift of the mediastinal contents to the left. There is continued hypoventilatory change of the right lung. The cardiomediastinal silhouette is not well seen. The pulmonary vascularity is not well seen. There is no evidence of a pneumothorax. There is no evidence of new consolidation or new pleural effusion.","Endotracheal tube is now noted, with distal tip 2.8 cm above the carina. Continued opacification of the left hemithorax, with mediastinal shift to the left. No evidence of pneumothorax.",1.2.826.0.1.3680043.8.498.67165377737768134651069538720926427107
The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions. Visualized skeleton unremarkable.,No acute disease.,1.2.826.0.1.3680043.8.498.23373585615169241780058397870939151274
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. There is a linear density in the right upper lobe, consistent with disk atelectasis. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Right upper lobe disk atelectasis. No acute infiltrate.,1.2.826.0.1.3680043.8.498.48323272294888877232012084024675931319
"Status post excision of the left axilla. The radioactive seed and biopsy marker clip are present, completely intact, and were marked for pathology.",Specimen radiograph of the left axilla.,1.2.826.0.1.3680043.8.498.32861836915477174658243562069444795335
Postoperative changes in the mediastinum. Normal heart size and pulmonary vascularity. Blunting of the right costophrenic angles suggesting small right pleural effusion. No focal airspace disease or consolidation in the lungs. No pneumothorax. Degenerative changes in the spine and shoulders.,Small right pleural effusion. No evidence of active pulmonary disease.,1.2.826.0.1.3680043.8.498.13997529994273637155520653379163625407
Cardiac and mediastinal contours are within normal limits given portable AP technique. There is consolidation in the right mid and lower lung. The left lung is clear. No pneumothorax or pleural effusion.,Right mid and lower lung airspace opacities suggesting pneumonia.,1.2.826.0.1.3680043.8.498.28177165542851184368478175065510239210
Stable large left hilar mass. No pneumothorax. Stable mildly enlarged cardiac silhouette. Diffuse prominence of the interstitial markings with mild progression. Stable mild diffuse peribronchial thickening.,1. Stable large left hilar mass. 2. No pneumothorax. 3. Mildly progressive mild chronic interstitial lung disease and mild chronic bronchitic changes.,1.2.826.0.1.3680043.8.498.22890186254153544181492611516506578569
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47225535162205333486440605865152714672
Endotracheal tube is 3.5 cm above the carina. There is complete opacification of the left hemithorax with shift of the mediastinum to the left. Appearance is compatible with atelectasis of the left lung. The patient has a known left upper lobe mass. The right lung shows interstitial prominence without focal consolidation. No evidence of pneumothorax.,Endotracheal tube is 3.5 cm above the carina. There is complete opacification of the left hemithorax with left lung atelectasis secondary to the left upper lobe mass.,1.2.826.0.1.3680043.8.498.26533439734017111749030840143197120158
The heart is mildly enlarged. The mediastinal and hilar contours are within normal limits and stable. There is mild tortuosity of the thoracic aorta. The lungs are clear. No pneumothorax. The bony thorax is intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.61736228688745039552333417079100907024
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.20622770128701984527708237070737686354
The patient has developed right lower lobe atelectasis or pneumonia. Lung volumes are low. The patient is status post median sternotomy for CABG. Heart size is normal.,1. New right lower lobe atelectasis or pneumonia. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.88408423069651136169367507948783094548
There is some peribronchial thickening which can be consistent with bronchitis. No focal consolidation is seen. There is no effusion. The heart is normal in size. The lungs are otherwise clear.,Bronchitis. No focal consolidation.,1.2.826.0.1.3680043.8.498.42997524437399915161468032091474739864
"The umbilical venous catheter tip is in the right atrium, approximately 1.5 cm from the IVC/right atrial junction. The cardiothymic silhouette and pulmonary vasculature are within normal limits. Both lungs are clear. The stool and bowel gas pattern is within normal limits. There is no gross organomegaly. There is no evidence of pneumothorax or pleural effusion bilaterally.",Umbilical venous catheter tip in the right atrium. Please pull back approximately 1.5 cm.,1.2.826.0.1.3680043.8.498.91748025457047002043534162238915211885
The heart size is normal. Lung volumes remain low. Subsegmental atelectasis is again noted at the left base. New atelectasis is present at the right base. There is no edema or effusion. No other focal airspace disease is present. The visualized soft tissues and bony thorax are unremarkable.,1. Low lung volumes and bibasilar atelectasis. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20981032697805973877026675841170612732
Heart size within normal limits. There is no appreciable airspace consolidation. No evidence of pleural effusion or pneumothorax. No acute bony abnormality identified.,No evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.42553175163580849565319452157365689266
"There is increased density at the lung base on the left. The heart is not enlarged. There is no edema, effusion or pneumothorax. The bones are osteopenic. Azygos lobe is incidentally noted.",Left lower lobe pneumonia. Followup is recommended.,1.2.826.0.1.3680043.8.498.29778153889374942828015337328569468507
The NG tube has been removed. The right subclavian Port-A-Cath is stable. The heart remains enlarged. The right hemidiaphragm remains elevated with overlying atelectasis. Mild left basilar atelectasis is stable. No pneumothorax.,1. Removal of NG tube. 2. Stable bibasilar atelectasis. 3. Elevated right hemidiaphragm.,1.2.826.0.1.3680043.8.498.54185393013640348044663795664473404406
Right PICC line is in place. The tip is in the SVC. Lungs are clear. Heart is normal size. No effusions. No acute bony abnormality.,Right PICC line tip in the SVC.,1.2.826.0.1.3680043.8.498.34681606026579828449113673448447568591
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16103395766305188897721840717851086409
There are low lung volumes. Bibasilar atelectasis present. Heart is normal size. No effusions. No acute bony abnormality. No pneumothorax.,"Low volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.71406285375392739135477618326140411547
Central catheter tip is in the superior vena cava. Feeding tube tip is in the stomach. There is a small left pleural effusion with left base atelectasis. Lungs elsewhere clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax.,Central catheter tip in superior vena cava. No pneumothorax. Small left pleural effusion with left base atelectasis. Lungs elsewhere clear.,1.2.826.0.1.3680043.8.498.17259982968856997872980888214659746853
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58200177654497146170599087998259623553
The lungs are unchanged. No pleural abnormality is seen. The heart and mediastinum are unremarkable. The visualized bony structures are unremarkable. Right-sided dialysis catheter is unchanged.,No significant interval change.,1.2.826.0.1.3680043.8.498.16148468979680683532506514634736038368
Patchy airspace opacity is noted in the left mid lung and left base regions. Right lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.,Patchy airspace opacity consistent with pneumonia left mid lower lung zones. Right lung clear. Stable cardiac silhouette. There is aortic atherosclerosis. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.10472037755980604842299069797122882871
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.28901252051553594222901671030129805856
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.76505822879945865323049337525952928121
"Portable AP supine view at 9385 hours. Endotracheal tube tip in good position between the level the clavicles and carina. Pacer or resuscitation pads continue to project over the chest. Confluent and indistinct opacity throughout the right lung, most confluent in the right upper lobe. Mediastinal contours remain normal. No pneumothorax or pleural effusion evident on this supine view. No displaced rib fracture identified.",1. Endotracheal tube in good position. 2. New confluent and indistinct opacity throughout the right lung compatible with aspiration. Asymmetric pulmonary edema is less likely.,1.2.826.0.1.3680043.8.498.43221893644197668485733317744850661579
Cardiomegaly. Status post CABG. No CHF or acute lung process. Pulmonary hyperaeration. Bony thorax intact.,Cardiomegaly. Satisfactory COPD.,1.2.826.0.1.3680043.8.498.54193999772748069905338029230611105042
"The heart is enlarged. Mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Cardiomegaly. No acute chest findings.,1.2.826.0.1.3680043.8.498.54668919508249857993280319476463163975
Right Port-a-cath tip is in the SVC. Feeding tube is coiled in the stomach. There is increasing left lower lobe consolidation with a left effusion. Right lower lobe aeration is stable. Right upper lobe mass is again noted. No definite edema. No pneumothorax.,1. Increasing left lower lobe consolidation and left effusion concerning for pneumonia. 2. Stable right upper lobe mass.,1.2.826.0.1.3680043.8.498.91648353193328033117147081712752430982
There is a new patchy infiltrate in the left midzone. The heart size and vascularity are normal. No effusions. No osseous abnormality.,New infiltrate in the left midzone consistent with pneumonia.,1.2.826.0.1.3680043.8.498.17861024397815123813337487017740218238
Cardiomegaly with pulmonary venous hypertension. Mild interstitial prominence consistent with interstitial edema. Small right pleural effusion. Findings consistent with CHF. No acute bony abnormality.,1. Cardiomegaly with pulmonary venous hypertension and mild bilateral interstitial prominence suggesting interstitial edema. Findings consistent with CHF. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.40977807171041926663721562284326688772
Cardiomediastinal silhouette unremarkable and unchanged. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93843990093099757420922674859564160950
Mediastinum and hilar structures normal. Heart size normal. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax. Degenerative change thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10091267542253791514239866032909257402
"The cardiac silhouette is moderately enlarged. Postsurgical changes of the mediastinum are noted. The pulmonary vascularity is within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",Cardiomegaly. No active pulmonary disease.,1.2.826.0.1.3680043.8.498.52622398826959951541901790879866097022
Right-sided Port-A-Cath with tip at the cavoatrial junction. There is background of emphysema. Bilateral airspace opacities are identified which have progressed since the prior study. Small bilateral pleural effusions are noted. There is no pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology. Partially visualized percutaneous gastrostomy tube in the upper abdomen.,1. Progression of bilateral airspace disease. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.46587355462237287592196926772244839848
"The heart size and mediastinal contours are within normal limits. Lung volumes are normal. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active disease.,1.2.826.0.1.3680043.8.498.95923864249251260776964948341452775563
There are persistent low lung volumes with diffuse bilateral air space disease and underlying chronic interstitial changes. No significant change is identified. There is no pneumothorax. The heart size and mediastinal contours are stable.,Stable examination with persistent diffuse bilateral air space disease.,1.2.826.0.1.3680043.8.498.53068691348798208061062011976174809800
There is some mild central airway thickening. No focal airspace disease or effusion. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.34442235590469869162768378742098760821
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19533859321128104070539696789840869194
There is again noted increased density at the right base compatible with a right pleural effusion. The etiology for the effusion is not identified. No definite pulmonary edema is seen. The heart is mildly enlarged but stable as compared to the prior exam. The chest is hyperexpanded compatible with a history of COPD.,1. Persistent right pleural effusion. 2. The etiology for the effusion is not identified. 3. No new pulmonary infiltrates are seen. 4. Stable cardiomegaly. 5. COPD.,1.2.826.0.1.3680043.8.498.35220599258102495953540863247612920863
"The cardiothymic silhouette is within normal limits. No focal airspace consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.54142972305584960120648085957617148391
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34994454553338310183953493524643464745
Rotated to the left. Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Persistent left lower lobe consolidation. Mild atelectasis at right base. Upper lungs clear. No pneumothorax. Bones demineralized.,Persistent left lower lobe consolidation. Enlargement of cardiac silhouette.,1.2.826.0.1.3680043.8.498.89263058423846091758859574544431039146
"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact. There is a right chest port with distal tip overlying the region of the superior cavoatrial junction.",Right chest port in satisfactory position. No evidence of pneumothorax.,1.2.826.0.1.3680043.8.498.50294484463717903123276693133762077058
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.15667916615951503859348811479519643633
The patient is status post median sternotomy. The heart size is normal. The lung volumes are low. The patient is intubated. The tip of the endotracheal tube is 3.5 cm above the carina. The side port of the NG tube is in the stomach. A mediastinal drain and a left-sided chest tube are in place. There is no pneumothorax. Mild left basilar atelectasis is evident.,1. Status post median sternotomy for CABG. 2. Support apparatus is in satisfactory position. 3. Low lung volumes and left basilar atelectasis. 4. No pneumothorax.,1.2.826.0.1.3680043.8.498.10589277987171762539781631384227136779
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.12616394434453842915677614035406521636
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50620902007070972664014002199621888032
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52100264599326108098688928047970463877
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97112865717286030332793295302773109531
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24638977109630055405799729249579291615
Low lung volumes. Bilateral perihilar airspace opacities are identified. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,Bilateral perihilar airspace opacities which may reflect pulmonary edema versus multilobar pneumonia.,1.2.826.0.1.3680043.8.498.19506847454819295432256343740818740952
Cardiac shadow is stable. Persistent vascular congestion is noted with patchy diffuse edema similar to that seen on the prior exam. Small bilateral pleural effusions are again noted and stable. No new focal infiltrate is seen. No bony abnormality is noted.,Stable CHF with bilateral effusions.,1.2.826.0.1.3680043.8.498.91907591227955687827414648723594080003
"Single frontal view of the chest demonstrates a stable cardiac silhouette. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.","Stable exam, no acute process.",1.2.826.0.1.3680043.8.498.78033829536424870917768109628321694559
Mediastinum and hilar structures normal. Persistent infiltrates noted in the left lung base. These are stable from prior exams. No pleural effusion or pneumothorax. Heart size normal. Degenerative changes thoracic spine.,Persistent infiltrates noted in the left lung base. These are stable from prior exams.,1.2.826.0.1.3680043.8.498.12420541157576853411888691667130702707
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44810279000936880532121921212180162300
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.29216274741694925003094298303760916863
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42458306555343623740258959511606246850
The right-sided Port-A-Cath is in place with the tip at the cavoatrial junction. Heart size is normal. There is no pleural effusion or edema. No airspace consolidation.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.32068685461943392914312254468504351906
EKG leads project over the patient's chest. There are bibasilar infiltrates and small bilateral pleural effusions. A component of underlying atelectasis is present.,Bibasilar infiltrates and bilateral pleural effusions with no significant interval change.,1.2.826.0.1.3680043.8.498.44854653898120590731626500499221374125
There is peribronchial thickening and vascular congestion similar to the prior study. Left mid lung scarring is stable. No new consolidation is identified. No pleural effusion. Heart size is normal.,Peribronchial thickening and vascular congestion. No acute findings.,1.2.826.0.1.3680043.8.498.47112415700910327031111182524880791399
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71525460073627484039190695749786517183
Lung volumes are low. Linear opacity at the left lung base most resembles atelectasis. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. Nondisplaced lower sternal fracture not well demonstrated radiographically. Other visible osseous structures appear intact. Negative visible bowel gas pattern.,1. Low lung volumes with mild left lung base atelectasis. 2. Nondisplaced sternal fracture visible radiographically. Other visible osseous structures appear intact.,1.2.826.0.1.3680043.8.498.33478509791843967283140660971992310657
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Left axillary surgical clips.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86930801981790543324810294934029953805
There is cardiomegaly and pulmonary edema. A right pleural effusion is noted. A dual lead pacing device is in place.,1. Cardiomegaly and congestive heart failure. 2. Right effusion and basilar airspace disease likely reflect atelectasis.,1.2.826.0.1.3680043.8.498.62321328154572707913586563270098000363
Lung volumes are low. There is no infiltrate or effusion. Port-A-Cath remains in place. Heart size is normal.,Low lung volumes. No acute abnormality.,1.2.826.0.1.3680043.8.498.56685697318394713541553367416733554663
"Interval development of airspace consolidation in the right lower lobe. Baseline changes of COPD and mild diffuse interstitial thickening unchanged. Emphysematous changes in the upper lobes again noted. Cardiac silhouette normal in size, unchanged. Thoracic aorta mildly atherosclerotic, unchanged. Hilar and mediastinal contours otherwise unremarkable. Small right pleural effusion. Mild degenerative changes involving the thoracic spine.",Right lower lobe pneumonia and associated small right pleural effusion superimposed upon COPD/emphysema.,1.2.826.0.1.3680043.8.498.21145348315726457003141557341605123956
Left subclavian dual lead pacemaker device is present with leads in the right atrium and right ventricle. No pneumothorax is seen. The heart is mildly enlarged. The lungs appear clear.,1. Left-sided pacemaker. 2. No pneumothorax. 3. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.87338159402201352783900535212547389582
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10674943679488044011711871708691900679
Linear opacity in the left lung base most consistent with atelectasis. There is a small left pleural effusion. The remainder of the lungs are clear. Cardiac and mediastinal contours are within normal limits. No acute osseous abnormality.,1. Linear opacity in the left lung base most consistent with atelectasis. 2. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.12429164329372207681258969068182214969
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.11700574393088267243691115931099429069
The heart and vascularity are unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.91367414296679163188694743052113392391
"LEFT-sided pacemaker again noted. Cardiomegaly is present. There is a small LEFT apical pneumothorax, which appears decreased from the prior study of 4/30/2023. There is no evidence of mediastinal shift. LEFT basilar atelectasis again noted.","Decreased LEFT apical pneumothorax, now small. Continued LEFT basilar atelectasis.",1.2.826.0.1.3680043.8.498.58464679796521000732721241927173416715
The heart size and mediastinal contours are within normal limits. Emphysematous hyperinflation of the lungs. Airspace opacities within the right mid and lower lung are improved from the previous exam. No new areas of airspace consolidation. No evidence of significant pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,1. Improving aeration of the right mid and lower lung suggesting improving airspace disease from pneumonia. 2. Emphysematous hyperinflation of the lungs.,1.2.826.0.1.3680043.8.498.97309892165420712685896981854926596247
The heart is mildly enlarged. There is tortuosity and calcification of the thoracic aorta. The lungs are hyperinflated consistent with emphysema. No focal airspace consolidation or pulmonary edema. No pleural effusion or pneumothorax. The bony thorax is intact. Stable scoliosis.,No acute cardiopulmonary findings. Emphysema.,1.2.826.0.1.3680043.8.498.38502967800919800176659230729453648228
Mediastinum and hilar structures normal. Bibasilar infiltrates noted consistent with pneumonia. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Bibasilar infiltrates consistent with pneumonia.,1.2.826.0.1.3680043.8.498.70113642211851269172522571849788092498
The lungs are adequately inflated. There is no pneumothorax or pneumomediastinum. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The observed bony thorax exhibits no acute abnormality. The known right anterior second rib fracture is not visible on this study.,There is no acute cardiopulmonary abnormality. The known right anterior second rib fracture is not visible on this study.,1.2.826.0.1.3680043.8.498.13087255467141992858912770670250768547
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.62097464353036339307383119613353863922
The heart is enlarged. There is aortic atherosclerosis. The pulmonary vascularity is normal. No effusions. No acute bone finding.,Cardiomegaly. Aortic atherosclerosis. No active disease.,1.2.826.0.1.3680043.8.498.76442637465897694629336555171148831587
Stable cardiomediastinal silhouette. Status post coronary artery bypass graft. Left internal dialysis catheter is unchanged in position. No pneumothorax or pleural effusion is noted. No acute pulmonary disease is noted. Bony thorax is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40570954017988414531662137096835880447
The lungs are adequately inflated and clear. The heart is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17088474436409825029121913182121899078
The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 5/27/2002.,1.2.826.0.1.3680043.8.498.45031200882757946955387723500331780898
There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. There is thickening of the interstitial lung markings compatible with interstitial edema. A trace RIGHT effusion is observed. The heart is enlarged. The general appearance of the chest is compatible with CHF superimposed on COPD. No pneumonia is identified. Postoperative changes of prior CABG are noted.,The chest shows changes consistent with CHF superimposed on COPD.,1.2.826.0.1.3680043.8.498.87093303311046057134402960974158227641
The orogastric tube is in place with the tip located in the region of the mid body of the stomach. An umbilical venous catheter is in place and the tip is located in the intrahepatic portion of the inferior vena cava. The cardiothymic silhouette is within normal limits. The lung fields demonstrate a mild granular pattern with no areas of focal atelectasis or infiltrate seen. No pleural effusions are noted. The bowel gas pattern is unremarkable.,1. Support tubes as above. 2. Mild RDS.,1.2.826.0.1.3680043.8.498.39295732568397581047264281665279238993
Portable AP semi upright view at 3735 hours. Improved lung volumes and bilateral ventilation. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. Allowing for portable technique the lungs are clear. No pneumothorax or pleural effusion. Comminuted proximal right humerus fracture re-identified. No other acute osseous abnormality identified. Negative visible bowel gas pattern.,1. No acute cardiopulmonary abnormality. 2. Proximal right humerus fracture.,1.2.826.0.1.3680043.8.498.12936063452314617453241484583009557050
There is slight atelectatic change in the left base. The lungs elsewhere are clear. Heart is mildly enlarged with pulmonary vascularity normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.,Mild left base atelectasis. No edema or consolidation. Stable cardiac silhouette. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.14515430391141154825624398913784294437
Endotracheal tube is 3.5 cm above the carina. Lungs are clear. No pneumothorax. Heart is normal size. No effusions. No acute bony abnormality.,Endotracheal tube in the mid trachea. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78222397294030017684310454349813079938
The heart is upper limits of normal. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.72979626547026988358379676254845572411
Cardiac shadow is within normal limits. The lungs are hyperinflated consistent with COPD. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,COPD without acute abnormality.,1.2.826.0.1.3680043.8.498.60472215343716688584882487692203587791
No displaced rib fracture is seen. No pneumothorax is present. No abnormal pleural fluid collection is recognized.,No evidence of displaced rib fracture or pneumothorax.,1.2.826.0.1.3680043.8.498.95614628915624954016479230036071333483
There is a right lower lobe infiltrate which is slightly more prominent than on the prior study. The left lung is clear. There is no pleural effusion. The heart is normal in size.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.58921004542554155765662272829587700997
Heart size is normal. There is a large hiatal hernia. The left lung is hyperinflated. There is scarring identified at the lung bases. The right lower lobe lung mass appears decreased in size from previous exam. No pleural effusions or interstitial edema.,1. Decrease in size of right lower lobe lung mass. 2. COPD.,1.2.826.0.1.3680043.8.498.30067553253061840864456102047942598815
"Heart size is upper normal, stable. Overall cardiomediastinal silhouette is stable in size and configuration. Atherosclerotic changes again noted at the aortic arch. Lungs are clear. No evidence of pneumonia. No pleural effusion. No pneumothorax seen. No osseous fracture or dislocation seen.",No active cardiopulmonary disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.54161943243622193220196837251895637155
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20670880831623093447324972724725631991
There is a mid inspiration. There is mild chronic-appearing prominence of the bronchovascular markings of the mid lung fields. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.59527846915264806517251199250581507930
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73677874632078859209675685474625684182
The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.35515142786952971229908920503104819200
The lungs are hypoexpanded. Right basilar airspace opacity may reflect atelectasis or pneumonia. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.,Lungs hypoexpanded. Right basilar airspace opacity may reflect atelectasis or pneumonia. Would correlate with the patient's symptoms.,1.2.826.0.1.3680043.8.498.13585394029676638516951447482439570224
There is opacity at the left lung base which may be due to atelectasis or pneumonia. There is mild atelectasis at the right lung base. Cardiomegaly is noted. Median sternotomy sutures are present.,1. Opacity at left lung base may be due to atelectasis or pneumonia. 2. Mild right basilar atelectasis.,1.2.826.0.1.3680043.8.498.54688897669667475030004387498772233208
Right Port-A-Cath is unchanged. Mild cardiac enlargement. Negative for heart failure. Negative for pneumonia or effusion. No mass or lung nodule.,No active disease.,1.2.826.0.1.3680043.8.498.62938945685729301814332668483920814733
Tracheostomy tube is in place. Left lower lobe atelectasis/consolidation is again noted. There may be a small left effusion. Low lung volumes.,No significant change.,1.2.826.0.1.3680043.8.498.35680855060112279540659646655035979153
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81817080289166649506702730105068207100
The heart size and mediastinal contours are within normal limits. New atelectasis in the right lower lobe. No pneumothorax. No significant pleural effusion. The visualized skeletal structures are unremarkable.,New right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.97672665096320048402919640594430441790
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81294982199029614902962473273512856940
Interval extubation. Removal of nasogastric tube. Right-sided Swan-Ganz catheter is unchanged in position. Left-sided chest tube and mediastinal drain remain in place. No pneumothorax. Cardiomegaly accentuated by AP portable technique. Probable small left pleural effusion. No congestive failure. Mild bibasilar atelectasis.,1. Interval extubation and removal of nasogastric tube. 2. No pneumothorax. 3. Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.75728149871575034300478052341311186732
"Cardiac and mediastinal silhouettes are within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. Diffuse peribronchial thickening, which can be seen with reactive airways disease and/or viral pneumonitis. No focal infiltrates to suggest pneumonia. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures within normal limits.","1. Diffuse peribronchial thickening, which can be seen with viral pneumonitis and/or reactive airways disease. 2. No focal infiltrates to suggest pneumonia.",1.2.826.0.1.3680043.8.498.43818346383054983060113346721920574249
There is a patchy infiltrate in the left upper lobe compatible with pneumonia. The right lung field is clear. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.,There is a patchy left upper lobe infiltrate compatible with pneumonia. Follow-up examination until clear is recommended.,1.2.826.0.1.3680043.8.498.40495733019478725252864643924924278484
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. There is tortuosity and calcification of the thoracic aorta. There are new bilateral lower lobe infiltrates and small bilateral pleural effusions.",New bilateral lower lobe infiltrates.,1.2.826.0.1.3680043.8.498.87460878990512269069837733429933342619
Cardiac silhouette is mildly enlarged and unchanged. Calcified aortic knob. Mild chronic interstitial changes without pleural effusion or focal consolidation. No pneumothorax. Osteopenia. Soft tissue planes are nonsuspicious.,Stable cardiomegaly. Mild chronic interstitial changes.,1.2.826.0.1.3680043.8.498.16112666309837011618342859851434805885
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.75371943638666169047539251570513989192
"There is persistent airspace opacity in the right lower lobe, suspicious for pneumonia. There is mild atelectasis at the left lung base. Cardiomegaly is stable. There is no evidence of pneumothorax or pleural effusion.","Stable right lower lobe airspace opacity, suspicious for pneumonia. Stable cardiomegaly.",1.2.826.0.1.3680043.8.498.28747131031536424185732105231826400521
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.67882046109481385397934856341232002864
The lungs are adequately inflated. The interstitial markings are increased. The pulmonary vascularity is engorged. The cardiac silhouette is enlarged. I see no definite pleural effusion.,The findings are consistent with congestive heart failure and pulmonary interstitial edema. I see no focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.14832866950973966896292328304858666683
Cardiac silhouette and pulmonary vasculature are within normal limits. The lungs are clear. There has been no interval change from the prior study.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.18337812091937807132128005607293384848
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Old rib fractures are noted on the right. No acute rib fractures are noted on the left. No pneumothorax is seen.,No acute rib fracture.,1.2.826.0.1.3680043.8.498.79448553713991858540576398484230741585
Cardiac silhouette is normal in size. Calcified aortic knob. Similar RIGHT lung base strandy densities. No pleural effusion. No pneumothorax. Redemonstration of RIGHT humerus fracture.,1. No acute cardiopulmonary process. 2. RIGHT humerus fracture.,1.2.826.0.1.3680043.8.498.68829270806731482820788068774794604223
Postoperative changes in the right hemithorax are again noted. There is volume loss with elevation of the right hemidiaphragm. Scarring in the right upper lung and right base are again noted. Left lung is clear. No effusion. Heart size is normal.,Stable postoperative changes on the right. No acute disease.,1.2.826.0.1.3680043.8.498.42667844079613238597672561598222651081
Heart size is normal. There is no pleural effusion or pulmonary edema. The lung volumes are low. No airspace consolidation identified. Chronic interstitial lung changes are identified consistent with COPD.,1. Low lung volumes. 2. COPD.,1.2.826.0.1.3680043.8.498.61884716847375716753492271419966353983
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.48833378339379446509870885567406641188
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.30530968276749602352698734671368746285
Heart size is normal. There is no pleural effusion. There is improved aeration of the right upper lobe when compared with the previous exam. Persistent atelectasis and airspace consolidation is noted within the right upper lobe. The left lung is clear.,1. Persistent right upper lobe airspace consolidation. 2. Improved aeration of the right upper lobe when compared with the previous exam.,1.2.826.0.1.3680043.8.498.15703960424076011021159241373096575379
"Right PICC line is in place. The tip is in the mid SVC. Left pacer, tracheostomy tube, and feeding tube are unchanged. Left lower lobe atelectasis and left effusion again noted. No change since prior study.",Right PICC line tip mid SVC. Otherwise no change.,1.2.826.0.1.3680043.8.498.46980053353426127353629820487754235103
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85420101902913771969893310141624609942
Patient is rotated to the left. There is increased airspace disease in the left mid and lower lung. Cardiomegaly. Right basilar atelectasis. There may be a small left pleural effusion. No pneumothorax. Nasogastric tube is present with the tip not visualized. Severe scoliosis.,1. Interval increase in left lung airspace disease concerning for pneumonia. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.54049661358893730722449741720117238129
The lungs are mildly hyperinflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60895074738205721931687629577114930503
Right arm PICC line is seen with tip overlying the distal SVC. Cardiomegaly. Mild to moderate pulmonary vascular congestion. No evidence of pulmonary consolidation or pleural effusion.,Right arm PICC line in appropriate position. Cardiomegaly and pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.23437900434727018997676828181225179455
Cardiovascular: The heart size and pulmonary vascularity are normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are interstitial infiltrates in the mid and lower lungs bilaterally. Osseous structures: Age-appropriate.,Bilateral interstitial infiltrates suggesting chronic fibrotic change. Superimposed pneumonitis cannot be excluded.,1.2.826.0.1.3680043.8.498.66654701829172158923782685257533277078
The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.46142292238799732604848195012480224631
"Heart size is normal. There is a linear density at the right lung base, likely due to platelike atelectasis. A subsegmental infiltrate at this level cannot be excluded. Hilar structures are grossly unremarkable. The costophrenic angles are sharp. Trachea is midline.",Rule out small area of atelectasis or infiltrate at the right lung base.,1.2.826.0.1.3680043.8.498.61404045548433869306233104554947095289
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96457547486408274285783416368502648261
Low normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. No pulmonary edema or confluent pulmonary opacity. Bone mineralization is within normal limits. BB marker at the level of clinical concern projects over the lateral right tenth rib. No displaced rib fracture identified. No acute osseous abnormality identified.,"No acute displaced right rib fracture identified. Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.61692560916709752607355435138902352536
There is persistent infiltrate at the right base which is improved when compared with the prior study. The lungs are otherwise clear. The heart size and mediastinal contours are normal. There is no pneumothorax.,Improved right basilar infiltrate.,1.2.826.0.1.3680043.8.498.69944067240498899326271035764911301082
"The heart is enlarged. The lungs are clear. There is no edema, infiltrate, effusion or pneumothorax.",Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.64489138581470750946764445826893281433
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47471760580542017553589623116501304515
Lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.78411743826619297582015892108639214352
Endotracheal tube is 1 cm above the carina. Diffuse opacities are present throughout the lungs with shift of the mediastinum to the left. The appearance is consistent with diffuse atelectasis of the left lung. The visualized bowel gas pattern is unremarkable.,1. Endotracheal tube 1 cm above the carina. 2. Diffuse left lung atelectasis.,1.2.826.0.1.3680043.8.498.45852720601508831666964085476697455294
"Stable cardiomegaly. Atherosclerotic calcifications are present in the transverse aorta. Stable mild pulmonary vascular congestion without overt edema. No pneumothorax, pleural effusion or focal airspace consolidation. No acute osseous abnormality.",Stable cardiomegaly and mild pulmonary vascular congestion without overt edema. Aortic Atherosclerosis (ICD10-170.0).,1.2.826.0.1.3680043.8.498.61822002540172156926497770713284743099
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.75764237683702961851857714954135797492
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes with basilar atelectasis. No pleural effusion or pneumothorax.,"1. Cardiomegaly, no CHF. 2. Low lung volumes with basilar atelectasis.",1.2.826.0.1.3680043.8.498.67611472599969522675384914994134553782
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.63222046830563784279998051463838413738
There is improved aeration of the left lower lobe with residual airspace disease present. There is also a new area of airspace disease in the right lower lobe. The heart is normal in size. A feeding tube is present.,1. Feeding tube in the stomach. 2. Improved left lower lobe airspace disease. 3. New right lower lobe airspace disease.,1.2.826.0.1.3680043.8.498.56653959398140657812189935697642219676
Interval extubation and removal of NG tube. Left central venous catheter is unchanged. Worsening airspace disease in the right lung. Patchy airspace disease in the left lung is unchanged. Small right pleural effusion. No pneumothorax. Stable cardiomegaly.,Worsening airspace disease throughout the right lung concerning for pneumonia.,1.2.826.0.1.3680043.8.498.16168489765447871703720271720727317606
Endotracheal tube and NG tube are unchanged. Right pleural effusion is decreased following thoracentesis. No pneumothorax. Small left effusion and bilateral lower lobe airspace opacities are unchanged.,No pneumothorax following right thoracentesis.,1.2.826.0.1.3680043.8.498.16157217107661615041477104434196740677
The cardiomediastinal silhouette and pulmonary vascularity are within normal limits. No consolidation or pneumothorax. Visualized bony structures are intact.,No acute pulmonary parenchymal process.,1.2.826.0.1.3680043.8.498.70217381204193202236660754522102850364
There is airspace consolidation throughout the right mid and lower lung zones as well as in the left base. There are pleural effusions bilaterally. There is interstitial edema throughout the lungs bilaterally. Heart is upper normal in size with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. Bones are osteoporotic.,Findings felt to be consistent with congestive heart failure. Superimposed airspace consolidation in the bases may represent superimposed pneumonia or alveolar edema. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.10746126165501233070105776913858369243
"Cardiac silhouette is mildly enlarged. Ectasia and tortuosity of the thoracic aorta is stable. The lungs are well inflated. There is mild central vascular congestion with no evidence of consolidation, edema, pleural effusion, or pneumothorax. There is diffuse osteopenia. Multiple compression fractures are again seen in the thoracic spine. Multiple vertebroplasties are noted.",Stable cardiomegaly and mild vascular congestion. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82855088829088333724780806784676689905
There is chronic elevation of the right hemidiaphragm. Lungs are clear. No effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.31961891551595294675237826615908775158
Heart size and mediastinal contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax is seen. Osseous structures about the chest are unremarkable.,No active disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.57139898694719708384878923445457923267
Endotracheal tube and left central line are unchanged. There is continued left lower lobe atelectasis or infiltrate. No significant change since prior study. Stable cardiomegaly.,No significant change.,1.2.826.0.1.3680043.8.498.73262126996086760881723109728602127839
"Portable AP semi upright view at 6475 hrs. Stable endotracheal tube tip at the level the clavicles. Stable right IJ central line. Stable enteric tube, side hole projects at the proximal stomach. Continued low lung volumes. Stable cardiac size and mediastinal contours. No pneumothorax or pleural effusion. No pulmonary edema. Mild basilar atelectasis.",1. Stable lines and tubes. 2. Low lung volumes with mild atelectasis.,1.2.826.0.1.3680043.8.498.41329152474049241198908755569843473542
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36118519683316022696212423075049950083
Low lung volumes are present. The cardiothymic silhouette is prominent and may be related to the low lung volumes. There is bibasilar atelectasis. Mild vascular congestion is suspected but no overt pulmonary edema. No pleural effusions are seen. There is no evidence of pneumothorax. The visualized bony structures appear intact.,Low lung volumes with vascular congestion and basilar atelectasis.,1.2.826.0.1.3680043.8.498.45165951485824954323879210388850216436
The heart is normal in size. The aorta is tortuous. The lungs are clear. No focal consolidation or mass. No edema or effusions.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10035439625831284027234512759514725328
Two views of the chest show the lungs to be clear. The heart is within upper limits of normal. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.49703587535028892113486608973374253146
"The cardiomediastinal silhouette is unremarkable. Mild right basilar atelectasis is again noted. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Mild right basilar atelectasis.,1.2.826.0.1.3680043.8.498.55125357825229754197926705327875418429
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34212970572274943205961895996620588005
Endotracheal tube terminates 2.5 cm from the carina. Transesophageal tube tip and side port distal to the GE junction. Right IJ approach central venous catheter tip terminates at the superior cavoatrial junction. Telemetry leads and external support devices overlie the chest. Diffuse bilateral heterogeneous opacities are again seen throughout both lungs with slight interval worsening particularly in the right upper lobe. Suspect layering bilateral pleural effusions. Stable cardiomediastinal contours. No acute osseous abnormality.,Slight interval worsening in bilateral heterogeneous airspace opacities which may reflect pulmonary edema and/or multifocal infection. Lines and tubes as above.,1.2.826.0.1.3680043.8.498.43692046922961810679105895707328233850
Right internal jugular central venous catheter tip: Right atrium. No pneumothorax. Heart size is at the upper limits of normal. There is pulmonary vascular congestion with diffuse interstitial edema. No definite pleural effusions.,"1. Pulmonary vascular congestion and interstitial edema, suspicious for volume overload. 2. Right internal jugular central venous catheter tip: Right atrium.",1.2.826.0.1.3680043.8.498.78443105880457987349416500084855160215
"Cardiac silhouette is mildly enlarged. Ectasia and nonaneurysmal calcification of the thoracic aorta are seen. No pulmonary edema, pneumonia, or pleural effusion is seen. There is minimal degenerative spondylosis.",Mild cardiac silhouette enlargement. No acute or active cardiopulmonary or pleural abnormality is evident.,1.2.826.0.1.3680043.8.498.79432625773974360319090090166138234632
Low lung volumes. Increased opacity at the left lung base. Stable cardiomediastinal contours. Aortic atherosclerosis. No pneumothorax.,Increased left basilar atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.35625035077364578938496884182819843031
Cardiomediastinal silhouette unremarkable and unchanged. Lungs clear. No pleural effusions. Degenerative changes throughout the thoracic spine.,No acute cardiopulmonary disease. Stable since the examination 2 months ago.,1.2.826.0.1.3680043.8.498.46805283982525764005921175519547907269
Endotracheal tube is 1.2 cm above the carina. Umbilical arterial catheter extends to the T7 level. Umbilical venous catheter extends into the right atrium. Normal cardiothymic silhouette. There is diffuse ground-glass opacities throughout the lungs. No consolidation or collapse. No pneumothorax. No effusion. Normal bowel gas pattern.,Ground-glass opacities throughout the lungs consistent with RDS. Satisfactory line and tube placements.,1.2.826.0.1.3680043.8.498.23418078433063792007557904975189918380
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16159483325345070140615280131929043079
Patchy bilateral airspace disease with mild progression from prior exam. No evidence of pleural effusion or pneumothorax. Heart size and mediastinal contours are within normal limits.,Patchy bilateral airspace disease with mild progression from prior exam. Findings consistent with COVID-19 pneumonia.,1.2.826.0.1.3680043.8.498.99741041786881597244708538713451375051
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.60110970286248129125516608899367116986
Right side down decubitus view reveals no evidence for pneumothorax. Nasogastric tube is in place. Endotracheal tube tip is in satisfactory position above the carina. Right jugular central line tip is in the SVC. There is persistent atelectasis at the right lung base with associated right pleural effusion.,No pneumothorax is identified.,1.2.826.0.1.3680043.8.498.93543750320327164161520699628966464655
The cardiomediastinal silhouette is unremarkable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease.,1.2.826.0.1.3680043.8.498.41539526326790940493734928239779627651
"Elevation of the right hemidiaphragm. Low lung volumes. The cardiomediastinal contours are normal. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Elevation of right hemidiaphragm with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.15781602681461673855455950614572743763
Mediastinum and hilar structures normal. Low lung volumes with mild basilar atelectasis. Mild basilar infiltrates cannot be excluded. Small left pleural effusion cannot be excluded. No pneumothorax. Heart size normal. No acute bony abnormality.,1. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small left pleural effusion cannot be excluded. 2. No pulmonary venous congestion.,1.2.826.0.1.3680043.8.498.88368926264516128100957901800494201732
The lungs are adequately inflated. There is a small amount of pleural fluid on the right. There is no pneumothorax. The cardiac silhouette remains enlarged. The sternal wires are intact. The retrosternal soft tissues are normal. The mediastinum is normal in width. The observed bony thorax exhibits no acute abnormalities.,Improving appearance of the sternum. Small right pleural effusion and mild basilar atelectasis. No pulmonary edema.,1.2.826.0.1.3680043.8.498.41801367112874091031088647175808709053
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.60629211793352477281679763608232404437
"The umbilical vein catheter tip is now in the mid right atrium, approximately 12 mm above the inferior cavoatrial junction. Endotracheal tube and orogastric tube remain in appropriate position. Diffuse granular pulmonary opacity is unchanged consistent with mild RDS. The bowel gas pattern is normal.","1. Umbilical vein catheter tip now in mid right atrium, approximately 12 mm above the inferior cavoatrial junction. 2. Mild RDS, without significant change. Normal bowel gas pattern.",1.2.826.0.1.3680043.8.498.76388700985397583657937052306833282786
"Single frontal view of the chest demonstrates stable enlargement of the cardiac silhouette. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.","Stable exam, no acute process.",1.2.826.0.1.3680043.8.498.33306714362359020098340284934846211234
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75691671217348060630426063341148267791
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.47461470152368137774185097492783982620
"An orogastric tube is in place with the tip located in the region of the mid body of the stomach. The bowel gas pattern demonstrates mild diffuse gaseous distention with no areas of focal bowel loop distention, pneumatosis, free intraperitoneal air, or portal gas. Gas is identified to the level of the rectum.",Mild diffuse gaseous distention with no evidence for focal abnormality.,1.2.826.0.1.3680043.8.498.19668429142168753100673229278693254541
Cardiomediastinal silhouette is enlarged. Mediastinal contours appear intact. Left-sided cardiac pacing device is unchanged. Post CABG changes are again seen. There is a moderate right pleural effusion with associated atelectasis. Underlying airspace consolidation cannot be excluded. There is no evidence of pneumothorax. Osseous structures are without acute abnormality. Soft tissues are grossly normal.,Moderate right pleural effusion with associated atelectasis. Underlying airspace consolidation cannot be excluded. Enlarged cardiac silhouette.,1.2.826.0.1.3680043.8.498.23644418250933489145849200186204868783
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is a calcified granuloma at the left lateral base. The bones are normal in appearance.",No acute process.,1.2.826.0.1.3680043.8.498.44461702870943306165331580855288626574
Interim removal of left chest tube. Right IJ sheath in stable position. Prior CABG. Cardiomegaly. Low lung volumes with basilar atelectasis. Small left pleural effusion cannot be excluded. No pneumothorax.,1. Interim removal of left chest tube. No pneumothorax. 2. Low lung volumes with basilar atelectasis. Small left pleural effusion cannot be excluded. 3. Prior CABG. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.58031700487156463043191422810424953984
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91434701742602479411199497062169432739
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. There is improvement in the bilateral infiltrates compared with the prior study.",No acute pathology. Improvement in bilateral infiltrates,1.2.826.0.1.3680043.8.498.24271376957102032595988403445184674685
"There is a large right pleural effusion, increased since prior study. There is right lower lobe atelectasis. Heart is mildly enlarged. No confluent opacity on the left.",Large right pleural effusion with right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.64327617391059638863306946803125029394
There is a left chest wall pacer with lead in the right ventricle. The heart size is normal. There is no pleural fluid or pulmonary edema. Chronic interstitial change consistent with COPD is noted. There is atelectasis at the left lung base.,1. No evidence for heart failure. 2. COPD.,1.2.826.0.1.3680043.8.498.19113816377706424474126013287401366497
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26842024209783475411810788093561074515
The cardiomediastinal silhouette is moderately enlarged. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.23045123140429713020541033437262032698
"Normal heart size and mediastinal contours. Peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.95658473592273224122733780728991439649
Right upper extremity PICC line is present with tip projecting over the superior vena cava. Monitoring leads overlie the patient. Stable cardiac and mediastinal contours. Tortuosity of the thoracic aorta. Minimal heterogeneous opacities right lung base. No pleural effusion or pneumothorax.,Right upper extremity PICC line tip projects over the superior vena cava. Heterogeneous opacities right lung base favored to represent atelectasis.,1.2.826.0.1.3680043.8.498.49073037739958172174110664158405076385
There is a focal opacity at the left lung base which obscures the left hemidiaphragm. This is consistent with a combination of pleural fluid and atelectasis/consolidation as seen on prior CT. There is a small right pleural effusion. Chronic interstitial coarsening is present. No superimposed edema is identified. There is no pneumothorax. The bones are osteopenic. There is a severe thoracolumbar scoliosis. The heart size is normal.,"1. Small bilateral pleural effusions, left greater than right. 2. Left lower lobe opacity which is likely a combination of pleural fluid and atelectasis/consolidation as seen on prior CT.",1.2.826.0.1.3680043.8.498.23560910416252958069560737192376964700
The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.32110843462134275801645122992540152419
Right IJ central venous catheter is present with the tip in the superior vena cava. There is no pneumothorax. The lungs are clear. The heart is normal in size.,Right IJ catheter tip in the superior vena cava. No pneumothorax.,1.2.826.0.1.3680043.8.498.85717023393282855981782198245205580146
There is linear atelectasis at both lung bases. Linear atelectasis is noted in the right mid lung. No pneumonia or effusion is seen. The heart is within upper limits of normal. Thoracolumbar Harrington rods are present.,Bibasilar linear atelectasis or scarring. No active lung disease.,1.2.826.0.1.3680043.8.498.80617707177825992016461201239883280977
Trachea is midline. Heart is at the upper limits of normal in size. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.86762348175706194917847173172468757872
The heart is enlarged. There is elevation of the right hemidiaphragm. There is linear atelectasis at the right lung base. The lungs are otherwise clear. The visualized soft tissues and bony thorax are unremarkable.,1. Cardiomegaly without failure. 2. Elevated right hemidiaphragm and right basilar atelectasis.,1.2.826.0.1.3680043.8.498.17665290096193273486582037563279283478
There is diffuse interstitial prominence throughout both lungs. Patchy airspace opacities are noted most pronounced in the right upper lobe and left base. There are probable small bilateral effusions. Heart is normal size.,Worsening bilateral airspace disease. Probable interstitial edema. Cannot exclude pneumonia.,1.2.826.0.1.3680043.8.498.97494478821852257560163421634149601804
Right arm PICC line is seen with the tip in the proximal right atrium. Low lung volumes are noted. Both lungs are clear. Heart size is normal.,1. Low lung volumes. No acute findings. 2. Right arm PICC line tip in proximal right atrium.,1.2.826.0.1.3680043.8.498.67642196763060209633138224670737245319
The heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. Review of the visualized osseous structures is unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.96015154228307117055760997612628235909
Lung volumes at the upper limits of normal. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. Evidence of central peribronchial thickening. No confluent pulmonary opacity. Negative for age visible bowel gas and osseous structures.,Hyperinflation and central peribronchial thickening most compatible with viral airway disease in this setting.,1.2.826.0.1.3680043.8.498.34316637285664280699122377296267047426
Cardiomegaly is present as seen on the previous study of 11/4/4. There is no definite interstitial edema. No effusion is present. Vertebroplasty changes are noted.,1. Stable cardiomegaly. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52489145977415138343300551077651078135
There is scarring in the right upper lobe and left base which is stable. No acute infiltrate or pleural effusion. Heart size is normal. No edema.,Stable scarring bilaterally. No acute findings.,1.2.826.0.1.3680043.8.498.65654681330323824200926164212889180032
Right chest tube has been removed. There is no pneumothorax. Linear atelectasis in the right mid and lower lung is present. There is also atelectasis at the left lung base. No significant pleural effusion.,Removal of right chest tube. No pneumothorax. Bilateral atelectasis.,1.2.826.0.1.3680043.8.498.30192767375622093121637395800414975869
"Portable semi upright AP view 6609 hours. Extubated. Enteric tube removed. Swan-Ganz catheter remains in place, tip at the level of the main pulmonary artery. Left chest tube and mediastinal drain remain in place. No pneumothorax. Stable cardiac size and mediastinal contours. Mild atelectasis at the lung bases. No pulmonary edema or pleural effusion.","1. Extubated and enteric tube removed. Otherwise, stable lines and tubes. 2. Mild basilar atelectasis.",1.2.826.0.1.3680043.8.498.13766127030677841449620513574146647453
The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No bullet fragment.,No acute disease.,1.2.826.0.1.3680043.8.498.84400934157149784489776984123870107046
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. An endotracheal tube is noted in satisfactory position. A nasogastric catheter is noted extending into the stomach. The visualized upper abdomen is otherwise within normal limits. No bony abnormality is seen.,Tubes and lines as described above. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.73914665732056521605936101165664893026
Endotracheal tube is 2.5 cm above the carina. Right central venous catheter is unchanged in position. Shallow inspiration. Heart size and pulmonary vascularity are normal. Increasing consolidation in the right lung since previous study. This is likely due to atelectasis. No pneumothorax. No blunting of costophrenic angles.,Increasing consolidation in the right lung since previous study likely due to atelectasis.,1.2.826.0.1.3680043.8.498.39835627922466433152944556400853271369
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97886763683045106306019837157604815198
"The umbilical venous catheter tip is in the inferior vena cava. The umbilical arterial catheter tip is at the T7 level. The orogastric tube has been removed. The interstitium is mildly prominent, but appears stable. No consolidation or volume loss. The cardiothymic silhouette is normal. No pneumothorax. No adenopathy. No bone lesions.",Suspect mild RDS. No consolidation. No pneumothorax. No change in catheter positions.,1.2.826.0.1.3680043.8.498.42518712889192747804711621545785874391
PA and lateral chest radiographs are provided. There is a small right pleural effusion. There is no pneumothorax. There is right lower lobe airspace disease which may represent atelectasis versus infiltrate. The left lung is clear. There is a left-sided Port-A-Cath in unchanged position. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,No right pneumothorax status post right thoracentesis.,1.2.826.0.1.3680043.8.498.95114215553586766779632291061953588850
UVC tip is at the IVC right atrial junction. Normal bowel gas pattern. No pneumatosis or portal venous gas.,UVC at the IVC right atrial junction.,1.2.826.0.1.3680043.8.498.67899423199445934963893432710689523270
Tracheostomy appears appropriately positioned in the mid trachea. Left upper extremity PICC tip terminates in the mid SVC. Heart size is normal. Patchy airspace opacities are present in the right lung base. Small right pleural effusion is suspected. No pneumothorax.,1. Tracheostomy appears appropriately positioned. 2. Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.40281501171139945925813408206365343785
Artifact overlies the chest. The heart is enlarged. There is calcification of the aorta. There appears to be emphysema. There is abnormal density in both lung bases that could be due to atelectasis and/or pneumonia. The upper lungs are clear. No evidence of heart failure.,Cardiomegaly. Atelectasis and/or pneumonia in the lower lungs.,1.2.826.0.1.3680043.8.498.64805469776928443929078236729114023195
"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.87675260079571461815788021640817892666
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35659705555891189987944271831715360058
Right jugular CVP catheter tip is in the SVC. No pneumothorax. Query mild to moderate vascular congestion.,"Specifically, the CVP catheter is in the SVC.",1.2.826.0.1.3680043.8.498.10908832807990871091492898400744986618
There is increased density at the left base compatible with pneumonia or atelectasis. There is blunting of both costophrenic angles compatible with small bibasilar pleural effusions. The heart is mildly enlarged. No pulmonary edema is seen. A cardiac pacemaker is present. Postoperative changes of prior CABG are noted.,1. There is increased density at the left base compatible with atelectasis or pneumonia. 2. There are small bibasilar pleural effusions. 3. No pulmonary edema is seen. 4. The heart is mildly enlarged. 5. A cardiac pacemaker is present.,1.2.826.0.1.3680043.8.498.99761781363265700999972820958128911805
"Normal heart size, mediastinal contours, and pulmonary vascularity. Mild peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.88354184437926007463781431535748527229
There are small to moderate bilateral pleural effusions. The interstitial edema seen on the prior exam has improved. There is no pneumothorax. Hazy airspace opacities at both lung bases likely reflect atelectasis. There is no acute osseous abnormality. The heart size is normal.,1. Persistent small to moderate bilateral pleural effusions with adjacent atelectasis. 2. Decreasing pulmonary edema since prior exam.,1.2.826.0.1.3680043.8.498.21585497187346725671894445303368939931
The lungs are hyperinflated but clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There is mild hyperinflation consistent with COPD. I do not see evidence of CHF nor of pneumonia.,1.2.826.0.1.3680043.8.498.45953479062477953058799145406667862810
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.93758269812559089289069685963375028587
"The umbilical venous catheter tip is at the T7-8 level, approximately 1.5 cm above the inferior cavoatrial junction. The orogastric tube is stable. The heart and lungs are unchanged.",1. UVC position as above. 2. Stable heart and lungs.,1.2.826.0.1.3680043.8.498.98562285471396177745464404270275745781
There is linear atelectasis or scarring at the right lung base. The lungs are otherwise clear. Heart size is normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.51765641684698167778516520061103769145
There is thickening of the interstitial markings as well as peribronchial cuffing. An area of increased density projects within the LEFT lung base. The cardiac silhouette is enlarged indicative of cardiomegaly. The visualized bony skeleton is unremarkable.,"1. Findings consistent with pulmonary edema. 2. Atelectasis versus infiltrate, LEFT lung base. 3. Repeat surveillance evaluation is recommended if clinically warranted.",1.2.826.0.1.3680043.8.498.55527318602179294975633404855871728894
The heart is enlarged. There is a left pleural effusion and left lower lobe opacity which may represent atelectasis or infiltrate. The right lung is relatively clear. There is a possible 1 cm nodule at the right lung base. I would recommend a follow-up 2-view chest when possible.,"1. Cardiomegaly. 2. Left lower lobe process likely a combination of effusion, atelectasis and infiltrate. 3. Possible right lower lobe nodule. Recommend follow-up 2-view chest when possible.",1.2.826.0.1.3680043.8.498.66889198710608147118080303289234363083
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58577030149736389363964143191715255638
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69613226067284446491252155018838527244
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.33884694559198174166270216269574120410
The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.22205025904289807320753384033800097876
Patchy airspace disease is seen in the right upper lobe and left lower lobe. No evidence of pleural effusion. Heart size is normal.,"Bilateral airspace disease, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.76539185478648532033401095745154039776
Two views of the chest demonstrate small bilateral pleural effusions. No evidence for pulmonary edema. Heart size is stable. Prior CABG changes. No evidence for a pneumothorax. Degenerative changes in the thoracic spine.,Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.17776388832901145351694011965396916857
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28984253437156041973527981143742864203
Trachea is midline. Heart size normal. There is mild interstitial prominence with slight improvement from 9/11/2017. No pleural fluid.,"Improving mixed interstitial and airspace disease, likely representing a viral process.",1.2.826.0.1.3680043.8.498.17986217945554418500195777712104047921
No pneumothorax post thoracentesis. Right pleural effusion has improved. Small left effusion persists. There is left upper lobe atelectasis. There is also some atelectasis in the right upper lobe.,1. No pneumothorax post thoracentesis. 2. Improved right effusion.,1.2.826.0.1.3680043.8.498.39513135437430325829006196016537686496
The cardiac silhouette remains mildly enlarged. Small bilateral pleural effusions are present with associated bibasilar airspace opacities. No pneumothorax is evident. No acute osseous abnormality is seen.,1. Small bilateral pleural effusions with associated bibasilar atelectasis. 2. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.38855217639635175997924542398515124562
Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.48513300101075371387240751796795699199
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84275163729166082604740965154277149613
"Umbilical vein catheter is seen with tip overlying the intrahepatic IVC, approximately 1.5 cm below the inferior cavoatrial junction. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal. The bowel gas pattern is normal. Orogastric tube is seen with tip in the mid stomach.",Umbilical vein catheter and orogastric tube in appropriate position. No active lung disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.85387755497765803065587972955693353590
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61752538832506480872290028719531149773
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48175678569459235644928088168520306150
There is cardiomegaly. The pulmonary vascularity is normal. There is a focal density in the right midzone which probably represents a focal infiltrate. There is no pleural effusion. No significant bony abnormality.,"Cardiomegaly. Small focal density in the right midzone, probably a focal infiltrate. Follow-up chest x-ray is recommended to ensure clearing.",1.2.826.0.1.3680043.8.498.23789593860615300706539201543933932998
There is cardiomegaly. Bilateral pleural effusions are noted. There is vascular congestion with mild interstitial edema. Atelectasis is noted in the lung bases. There is no acute bony abnormality. Multiple surgical clips are seen in the right axilla.,Cardiomegaly with bilateral effusions and bibasilar atelectasis. Findings are most consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.36334963901599301738486520145126485404
Left-sided pacemaker overlies normal cardiac silhouette. Aorta is ectatic and calcified. Moderate cardiomegaly is unchanged. Lungs are clear. No pneumothorax. No evidence of fracture.,1. No acute cardiopulmonary process. 2. Stable cardiomegaly. 3. No acute findings.,1.2.826.0.1.3680043.8.498.12828966024565300798996471710139629232
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. No bony abnormality is seen.",No acute process.,1.2.826.0.1.3680043.8.498.29790920716082079227658845492242895711
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Degenerative changes of the visualized thoracolumbar spine.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37275492972956012345891951837432475881
Heart and mediastinal contours are within normal limits. There is mild hyperinflation. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17355629869560454782852731429663566980
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81352811874821856216852872451209139537
The lungs are well-aerated. Mild right basilar atelectasis is noted. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.,Mild right basilar atelectasis noted; lungs otherwise clear.,1.2.826.0.1.3680043.8.498.77222611534662873109264203965470245118
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38647853755974050357364523169362746866
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.63719590681268999828345924020197990487
There is dense airspace disease in the left lower lobe consistent with pneumonia. The right lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.93907098502048828524580260805753634744
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.77334918552297083058275210614184444742
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30282534902081267691905585877646663722
Cardiac shadow is at the upper limits of normal in size. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active disease.,1.2.826.0.1.3680043.8.498.48404376424714641293865081394218825577
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56521005179595136483659058234366672915
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart size is enlarged. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.50989596046743376098468080801043577287
There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.41321630414697723450248003947928788007
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.44464637600888974351978583564318029036
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50454913776891686894315896448957170646
"Endotracheal tube, OG tube, UVC, and UAC are unchanged. Lungs are clear. No effusions. Cardiothymic silhouette is within normal limits.",No change. No focal opacities.,1.2.826.0.1.3680043.8.498.52362211988420742048722249070414570074
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusions.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53074292160209933229163368493594185190
There is subsegmental atelectasis at both lung bases. No evidence of pulmonary edema or consolidation. No evidence of pleural effusion. Heart size is within normal limits.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.84356310983413201767814825335010459802
There is opacity within the right middle lobe consistent with pneumonia. The remainder of the lungs is clear. No effusion is seen. The heart is within normal limits in size. No bony abnormality is noted.,Right middle lobe pneumonia. Recommend follow-up chest x-ray.,1.2.826.0.1.3680043.8.498.15945856456473221216470384413629492158
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88113641306730624300759168397791538485
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94155028350718025246034598944656762172
"The lungs are adequately inflated and clear. There is no pneumothorax, pneumomediastinum, or pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.",There is no active cardiopulmonary disease. The observed portions of the manubrium and bony thorax are normal.,1.2.826.0.1.3680043.8.498.87419806897921107177789631888283753723
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45765150094408404363489484142517245877
There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.81013381741439995424223437859538299107
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No definite pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.68925949285917322458332414144249952401
There is a small right pleural effusion with associated partial compressive atelectasis of the right lower lobe. Pneumonia is not excluded. Clinical correlation is recommended. The left lung is clear. There is no pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,Small right pleural effusion with right lung base atelectasis versus infiltrate.,1.2.826.0.1.3680043.8.498.23707632251150319550745577990528705806
The heart is enlarged. The lungs are underexpanded. There is linear atelectasis at the right base. There is a small right effusion. No pneumothorax is seen. Right subclavian portacatheter is new.,1. Cardiomegaly. 2. Under expanded lungs. 3. Small right effusion with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.33383494877774307883043624743999219609
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.92049969095473203888322843798611699986
The patient is on a trauma backboard. The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No fracture.,No acute finding.,1.2.826.0.1.3680043.8.498.70373132380084049166089345013378164013
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88623863225174343058434417501954795467
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.26937542621177550749055737354941394128
Heart size is normal. There is no pleural fluid or pulmonary edema. Left lung is clear. There is scar at the right lung apex. No cavitary lesions are identified.,Scar at right lung apex. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27747643274283460905315749455107466194
Tracheostomy tube and feeding tube are unchanged. Stable cardiomegaly. Low lung volumes. No pneumothorax. Mild right basilar atelectasis.,Stable support apparatus. Low lung volumes with mild right basilar atelectasis.,1.2.826.0.1.3680043.8.498.13178022033530200313395487144560314720
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35723681492026341537291738115547985073
Cardiothymic silhouette is within normal limits. There is central airway thickening. No focal opacities or effusions. No acute bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.88653234986473854495377174248121649030
Heart is upper limits of normal in size. Mediastinal contours are within normal limits. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.99349399215890943391081936674892328429
Right subclavian Port-A-Cath is in place with the tip in the SVC. No pneumothorax. Lungs are clear. Heart is normal size. No effusions.,Right Port-A-Cath in place with the tip in the SVC. No pneumothorax. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35420815886330148780859400070637241728
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.41773772851564422865609273379357773096
Large left upper lobe mass again noted. Left lung atelectasis/consolidation. Right lung is clear. No pleural effusion or pneumothorax. Heart is normal size.,Continued large left upper lobe mass with left lung atelectasis/consolidation. No significant change.,1.2.826.0.1.3680043.8.498.39069967866998442051814720533779689043
Heart size is normal. The mediastinum is unremarkable. Lungs are clear. No effusions. No bony abnormalities.,No active disease,1.2.826.0.1.3680043.8.498.71844054697713610308248272224631709857
Endotracheal tube is 2.5 cm above the carina. There are 2 left-sided pacemakers. Left internal jugular central venous catheter is in place. The lungs are clear. No pleural abnormality is seen. The heart is enlarged.,Endotracheal tube in place. Clear lungs.,1.2.826.0.1.3680043.8.498.38785043869099089923028669933246880075
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusion. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47161090319634728704192002178188792969
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.26440791675925397507107399431068447583
PA and lateral chest radiographs are provided. There is bilateral interstitial thickening with prominence of the central pulmonary vasculature. There bilateral small pleural effusions. There is no pneumothorax. The heart and mediastinum are stable. The osseous structures are unremarkable.,Overall findings are most consistent with pulmonary edema.,1.2.826.0.1.3680043.8.498.50496227346137564874461519158867525243
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Mild degenerative changes of the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37043108677555889988355424541493898963
"Extensive bilateral interstitial opacities, compatible with interstitial lung disease. No definite superimposed focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.","Extensive bilateral interstitial opacities, compatible with interstitial lung disease.",1.2.826.0.1.3680043.8.498.87117040070606503656565057865943876124
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92634943632274203337033807785757945628
There is atelectatic change in the left base. The lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,Atelectasis left base. Lungs elsewhere clear. Cardiac silhouette within normal limits.,1.2.826.0.1.3680043.8.498.81811347506699795386972081884908939077
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.73267886551426683275595785104616955950
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87690335422004899474189735761489883909
"Right-sided central venous port tip over the SVC. Emphysematous disease. Small right pleural effusion. Patchy opacity in the right upper lobe, suspicious for pneumonia. No pneumothorax. Normal heart size. Atherosclerotic aortic arch.",Patchy right upper lobe opacity suspicious for pneumonia. Small right pleural effusion. Emphysematous disease.,1.2.826.0.1.3680043.8.498.36805853151645356487180269932740247764
The right-sided chest tube has been removed. There is a small right apical pneumothorax. Atelectasis at the right base has worsened. A small right effusion is suspected. Multiple right-sided rib fractures are again noted. The left lung remains clear. The heart is normal in size.,1. Small right apical pneumothorax after removal of the chest tube. 2. Increased atelectasis at the right base. 3. Small right effusion.,1.2.826.0.1.3680043.8.498.76852154268304075813541813188876007451
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98677333340965608661604088242264417136
"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size; calcification is noted within the aortic arch. No acute osseous abnormalities are seen. A left upper lobe calcified granuloma is stable in appearance.",Mild vascular congestion noted; lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.22008292986194559098594289341284186449
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64290949436187895369571935008841680313
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61864141227570960533043232870010582665
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65992686660091119948435535264538433111
The lungs are clear without infiltrate or edema. There is no pleural effusion. Heart size is normal. The patient is status post CABG.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53127576653720363976481097568485122575
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28149595768301219264159060371429173649
Cardiothymic silhouette is within normal limits. Patent airway. No pneumothorax. No pleural effusion. No consolidation.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40102407778080519524243995914876300121
Decreasing right effusion following thoracentesis. No pneumothorax. Right lower lobe atelectasis or infiltrate remains. Mild cardiomegaly.,Decreasing right effusion following thoracentesis. No pneumothorax.,1.2.826.0.1.3680043.8.498.59192575417864415250536180631211255280
Lungs are adequately inflated without consolidation or effusion. Cardiomediastinal silhouette and remainder of the exam is unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94608932877654436983754958994091740820
Mediastinum and hilar structures normal. Minimal left base subsegmental atelectasis and/or scarring. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23228966829930262650625581388970329228
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.70259923913561766945748935793726028313
"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60585954550525775682154229289924476198
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74906258434597429164706435532036491714
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.15428920821245090721161681707568602093
Right Port-A-Cath is in place with tip in superior vena cava. Left subclavian central venous catheter is in place with tip in superior vena cava. No pneumothorax is evident. The cardiac silhouette is normal size and shape. The lungs are free of infiltrates. There is a rounded mass in the right upper lobe laterally. This measures 3 x 3.5 cm. This appears larger than on previous study. No pleural effusion is seen. Bones appear average for age.,The left PICC terminates in the superior vena cava. No pneumothorax is evident. Right upper lobe mass appears larger than on previous study.,1.2.826.0.1.3680043.8.498.24077553409205162348960575873152900430
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.16387584941396194763237416811292759857
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63737956839775112525494295027767109607
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65867033875955515675184249152088997376
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15681084478414690114293089918446124138
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.52227457557172106801306303691771609427
The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.46822597801577071289306807214689815525
There is central airway thickening. No focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.41780378063890364292083196259446687416
The heart size and mediastinal contours are stable status post CABG. There is a persistent left pleural effusion with associated left basilar airspace disease. The right lung is clear. There is no edema or pneumothorax.,No significant change in left lower lobe pneumonia and left pleural effusion compared with recent prior studies.,1.2.826.0.1.3680043.8.498.62193907413792554107425427242837431006
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15246334704662265767553388543955981234
Linear atelectasis or scarring in the right base. No consolidation or pleural effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25348556285960996845302716076216497233
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80553964375634067753235633965050072009
The lungs are hyperinflated consistent with COPD. There is no acute infiltrate or effusion. There is no heart failure. The aorta is tortuous. The bones are osteopenic. There is a lower anterior cervical spine fusion plate.,COPD. No acute abnormality.,1.2.826.0.1.3680043.8.498.75861707983897952370837193840097001008
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62839250340727728848226700396765800635
Stable cardiomediastinal silhouette. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.11175574777394514820213554565549473511
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20715879538458673558651332092187892762
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance. There is a right PICC line with the tip in the right subclavian vein.",No acute process. Right PICC line is normal in appearance.,1.2.826.0.1.3680043.8.498.15156469585675717403819465458453180196
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84259509148612135408293086543212008473
PA and lateral views of the chest are made and are compared to previous studies of 11/18/11 and show diffuse peribronchial thickening with an area of atelectasis and/or scarring in the region of the left lingula. The heart is not significantly enlarged. The aorta and mediastinum are normal. The bony thorax is within the limits of normal.,Diffuse peribronchial thickening and atelectasis or scarring stable in the region of the left lingula. No evidence of acute consolidation.,1.2.826.0.1.3680043.8.498.73657464655904880893079708400297851303
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29286801038548833786250756435241912111
The lungs are significant for central peribronchial thickening. No consolidative changes are seen. No pleural abnormality is noted. The heart size is normal. The mediastinum appears intact.,No evidence of focal consolidation.,1.2.826.0.1.3680043.8.498.74888641713627447131767899979365859613
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42145518170474836163915386793995373972
Endotracheal tube is 3.5 cm above the carina. Large hiatal hernia. Heart is normal size. Lungs are clear. No effusions or pneumothorax. No acute bony abnormality.,Endotracheal tube 3.5 cm above the carina. No acute cardiopulmonary disease. Large hiatal hernia.,1.2.826.0.1.3680043.8.498.14322048871387693804038535115237435189
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.63108569646006391721048797065054781068
Heart size is normal. No pleural effusion or pulmonary edema. The lung volumes are low. No airspace consolidation.,1. No acute cardiopulmonary abnormalities. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.51667687756305959086081656188682128179
"Single frontal view of the chest demonstrates a stable cardiac silhouette. Persistent bibasilar consolidation and effusion, right greater than left, unchanged. No pneumothorax. No acute bony abnormalities.",Stable bibasilar consolidation and bilateral effusions.,1.2.826.0.1.3680043.8.498.27040578148075780848965557805885836493
"Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Negative visible bowel gas and osseous structures. No rib fracture identified.",Negative. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.35495715395990792805503216391052833908
Lung volumes are low. The heart size is at the upper limits of normal. Mild bibasilar atelectasis is present. No consolidation is evident. The visualized soft tissues and bony thorax are unremarkable.,1. Low lung volumes. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25638571462930210279317866545634250992
The heart is mildly enlarged. The aorta is tortuous. The lungs are clear. Osseous structures intact.,Mild cardiomegaly and tortuous aorta. No active disease.,1.2.826.0.1.3680043.8.498.16966475801975550915919249203392254470
Tracheostomy tube noted in good anatomic position. Right subclavian line noted with tip over SVC. Heart size normal. Low lung volumes with bibasilar atelectasis and/or infiltrates. No pleural effusion or pneumothorax.,1. Tracheostomy tube and right subclavian line in good anatomic position. 2. Low lung volumes with mild bibasilar atelectasis and/or infiltrates.,1.2.826.0.1.3680043.8.498.83631164629528566276917992506306722098
There is a persistent large mass in the left upper lobe. There is a new moderate-sized left pleural effusion. The right lung is clear. There is no pneumothorax. There is stable cardiomegaly. There is evidence of prior CABG. The osseous structures are unremarkable.,1. Persistent large left upper lobe mass. 2. New moderate left pleural effusion.,1.2.826.0.1.3680043.8.498.40007596493699708933170003671683156592
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63600340158282368607187951601128336146
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86417169330341343029436739668804862061
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.68701610024141819956048452820137095831
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12338604871373009217529891657647371171
Endotracheal tube is in good position. No pneumothorax is noted. Right lung is clear. Mild left basilar subsegmental atelectasis is noted. The heart size and mediastinal contours are within normal limits. The visualized skeletal structures are unremarkable.,Endotracheal tube in good position. Mild left basilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.30600268248479801837163580412481881123
There is plate-like atelectasis at the left lung base. Mild atelectasis also noted at the right lung base. No definite pneumonia or heart failure. The lungs are hyperaerated consistent with COPD. The heart is enlarged. The stomach is distended with air.,Bibasilar atelectasis. COPD. Cardiomegaly.,1.2.826.0.1.3680043.8.498.37418610314428612734924520095026347001
PA and lateral views. Lung volumes and mediastinal contours remain normal. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.49890927619267135383674211254308203037
"Cardiac silhouette moderately enlarged but stable. Thoracic aorta tortuous and atherosclerotic, unchanged. Hilar and mediastinal contours otherwise unremarkable. Emphysematous changes in the upper lobes. Lungs clear. No pleural effusions. Elevation of the right hemidiaphragm.",Stable cardiomegaly. COPD/emphysema. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68782221600003361539937254727490787353
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44284978095839715559546593001231003962
Supine portable chest exam demonstrates normal heart size and mediastinal contours. No pneumothorax or effusion. Lungs clear. No displaced fractures identified.,No acute findings.,1.2.826.0.1.3680043.8.498.59555390844384400852091498114241350089
Endotracheal tube and nasogastric tube remain in appropriate position. New right jugular center venous catheter is seen with tip overlying the distal SVC. No evidence of pneumothorax. Mild atelectasis again seen in the left lower lobe. No evidence of pulmonary consolidation or edema. No evidence of pleural effusion. Heart size is normal.,New right jugular center venous catheter in appropriate position. No evidence of pneumothorax. Mild left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.73439376336035522692230535165828640032
Lung volumes are at the upper limits of normal. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. No confluent pulmonary opacity. Mild central peribronchial thickening. Negative for age visible bowel gas and osseous structures.,Central peribronchial thickening compatible with viral airway disease in this setting. No focal pneumonia.,1.2.826.0.1.3680043.8.498.25758808939010864756555765326817976171
There is airspace consolidation in the right middle lobe with volume loss. There is patchy infiltrate in the right lower lobe as well. Left lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Right middle lobe and right lower lobe airspace consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.71098687325531221213957218919894082657
"There is peribronchial thickening with hyperinflation consistent with reactive airway disease. Normal heart size. No acute consolidation, pneumonia, effusion, or pneumothorax.",1. Stable hyperinflation and peribronchial thickening. 2. No acute airspace disease.,1.2.826.0.1.3680043.8.498.98050781660472861557855692408201521437
The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.21618522697028432326204315966114861799
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36261497010036123532439352568570045103
Low lung volumes. Hazy atelectasis at the left base. No pleural effusion. Stable cardiomediastinal silhouette. No pneumothorax.,Low lung volumes with probable atelectasis at the left base.,1.2.826.0.1.3680043.8.498.24021018054721959293028208327997348280
The lungs are mildly hyperinflated. There is no focal infiltrate. I see no pleural effusion. The cardiac silhouette is normal in size. There is a permanent pacemaker in place. I see no pneumothorax.,There are findings consistent with COPD. I do not see evidence of pneumonia nor of CHF.,1.2.826.0.1.3680043.8.498.53453590460401710819355597687298553985
"There is central airway thickening. No consolidative process, pneumothorax or effusion. Lung volumes are normal. Heart size is normal. No acute or focal bony abnormality.",Findings compatible with a viral process reactive airways disease.,1.2.826.0.1.3680043.8.498.19211817700517986842280605485994769650
Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.44645109392267721832561041185780289753
There is thickening and indistinctness of the pulmonary vascular and interstitial markings as well as peribronchial cuffing. Areas of increased density project within the lung bases left greater than right. There is blunting of the left costophrenic angle. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Findings consistent with pulmonary edema. 2. Asymmetric edema versus infiltrate left lung base as well as possibly a small left effusion. Continued surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.23016506190356951228110940102175013342
The cardiac silhouette is within normal limits. The lungs are clear. The pulmonary vasculature is normal in caliber.,No acute cardiopulmonary process. Normal chest 2 views.,1.2.826.0.1.3680043.8.498.74910352032809627507356826757796527264
Right power port in place. Normal cardiac silhouette. There is a moderate left pleural effusion. Left lower lobe atelectasis. No pulmonary edema. No pneumothorax.,1. No acute cardiopulmonary process. 2. Left pleural effusion and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.88549364756852716565809343040206104627
"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85931648631724426866196694462402720122
There are small bilateral pleural effusions with associated bibasilar atelectasis. Pneumonia is not excluded. Clinical correlation is recommended. No focal consolidation or pneumothorax. Stable cardiac silhouette. Atherosclerotic calcification of the aorta. No acute osseous pathology. Partially visualized VP shunt.,Small bilateral pleural effusions and bibasilar atelectasis. Pneumonia not excluded.,1.2.826.0.1.3680043.8.498.20034266947717845079681813511394593616
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs minimally hyperinflated but clear. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.36551868321502646929705787631864998510
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Thoracolumbar spinal fusion hardware noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37458161367092400480044886711453987722
The lungs are adequately inflated. There is no focal infiltrate. The interstitial markings are coarse though stable. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14671790300897417486219562927423141806
"Cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. Mild scattered peribronchial thickening. No consolidative airspace disease. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures and soft tissues within normal limits.","Mild scattered peribronchial thickening,, which can be seen with reactive airways disease and/or viral pneumonitis. No focal infiltrates to suggest pneumonia.",1.2.826.0.1.3680043.8.498.55662329175881781558425346603424515136
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.53071016076397189157146717045530838678
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47809634414334824345640206819561142716
The lungs are well-expanded. There is no pneumothorax. Small bilateral pleural effusions are present. The retrocardiac region on the left is dense. The cardiac silhouette is top-normal in size. The pulmonary vascularity is not engorged. The sternal wires are intact. The mediastinal drain tip projects at the T5 level. The right internal jugular venous catheter tip projects over the proximal SVC.,Postoperative appearance of the chest with small bilateral pleural effusions and left lower lobe atelectasis. No pulmonary edema. No pneumothorax.,1.2.826.0.1.3680043.8.498.65405756865500393595092104630564098862
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38056094549070735785598778877565374995
Cardiomediastinal silhouette unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pneumothorax. No pleural effusions. Visualized bony thorax intact.,Normal examination.,1.2.826.0.1.3680043.8.498.45733694821168001526746956935912595083
"Endotracheal tube and orogastric tube remain in appropriate position. Left arm PICC line is also in appropriate position. Mild diffuse granular pulmonary opacity is again seen bilaterally, consistent with RDS. No evidence of focal consolidation or pleural effusion. Heart size is normal. The bowel gas pattern is normal.",No significant change in mild RDS pattern. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.84649330700041085654617515036145204528
"The cardiac silhouette, mediastinum, pulmonary vasculature are within normal limits. Both lungs are clear. There is no acute bony abnormality.",There is no evidence of acute cardiac or pulmonary process.,1.2.826.0.1.3680043.8.498.55060035309197240630204994185139737321
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Diffuse osteopenia. No displaced rib fracture identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27639639455035478097539311950397527088
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.79324381618492478832031609309838938186
The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69205059448344932854638409937139354488
"Normal heart size, mediastinal contours, and pulmonary vascularity. Postsurgical changes in the left hemithorax with blunting of the left lateral costophrenic angle and pleural thickening identified. Remaining lungs clear. No pneumothorax. No acute osseous findings.",Postsurgical changes in the left hemithorax. Small left pleural effusion and pleural thickening.,1.2.826.0.1.3680043.8.498.30445377453230242641690199567277088029
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.68103850628651526918508367351860960230
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The chest appears mildly hyperexpanded suspicious for reactive airway disease.",1. The lung fields are clear. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.14311739923498285213081286899918720155
"There is opacity at the lung bases, left greater than right. Although some of this opacity may be due to atelectasis, pneumonia particularly at the left lung base is a consideration. The heart is within normal limits in size. No bony abnormality is seen.","Basilar opacities, left greater than right. Atelectasis versus pneumonia.",1.2.826.0.1.3680043.8.498.23161090671632897606181685798297484129
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27978345089338189581960621886603347941
There is a mid inspiration. There is mild-to-moderate dextroscoliosis of the dorsal spine. There is a posterior fusion of the upper thoracic spine. There is mild prominence of the central bronchovascular markings without thickening of softening on the AP view. There is a mild pectus excavatum. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.13617725415361270714110630832597269480
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93629696404750962804795420605393375898
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98526399583591527375378831552440326020
Mediastinum and hilar structures normal. Heart size normal. Left lower lobe atelectasis. Left pleural effusion. No pneumothorax. Old left rib fractures again noted.,1. Left lower lobe atelectasis. Left pleural effusion again noted. No pneumothorax. 2. No pulmonary venous congestion.,1.2.826.0.1.3680043.8.498.58597841981498022947004055862537412058
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.40064588157598985597317864290413206573
Elevation of the right hemidiaphragm. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact. Calcification of the aorta.,No active disease.,1.2.826.0.1.3680043.8.498.83823291498592862094597112491865756836
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92129601983635315452202837257103997616
Endotracheal tube with tip approximately 3 cm above the carina. Enteric tube extends below the diaphragm with tip beyond the inferior margin of the image. Interval placement of a right IJ central venous line with tip over central SVC. No pneumothorax. There is shallow inspiration with bibasilar atelectasis. No focal consolidation or pleural effusion. Stable cardiomegaly. No acute osseous pathology.,1. Interval placement of a right IJ central venous line with tip over central SVC. No pneumothorax. 2. Shallow inspiration with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.71405119918687194219292124033938834704
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53809729835264456250292953670665216460
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47733348281465028700985093572696263228
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47271695270024020228861633480762703510
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.96742541623135951858001449377042676253
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95697871693905507478876015592212160525
Cardiomegaly and pulmonary edema again noted. There has been no significant interval change since the prior study. Bilateral airspace opacities are again noted and may have slightly increased in the right upper lung. Small bilateral pleural effusions are again noted. There is no evidence of pneumothorax.,Slightly increased pulmonary edema and airspace disease/edema.,1.2.826.0.1.3680043.8.498.11995250899562455140373855946590797242
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74074693744600990984416290963477121731
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64411664209312622049323909706720464271
"Linear opacity is seen in the right mid lung, which may be due to scarring or atelectasis. No evidence of pulmonary air space disease or edema. No evidence of pleural effusion. Heart size is within normal limits. No mass or lymphadenopathy identified.",Mild scarring versus atelectasis in right mid lung. No evidence of pulmonary consolidation or edema.,1.2.826.0.1.3680043.8.498.64932585875446622986928023862747285383
Central catheter tip is in the superior vena cava. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aortic arch. Tracheostomy catheter is no longer appreciable.,Central catheter tip in superior vena cava. No pneumothorax. Left base atelectasis. Lungs elsewhere clear. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.85830677925093579043380311063389682258
The heart and mediastinum are stable. The lung volumes are low. There are bilateral interstitial opacities which are similar to prior. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71754432307005565860957718141426609769
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34116997841000265179104541547559165742
No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.54520109338694286596812359903730449903
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.65975151122064687721950743471316649961
Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Right anterior chest wall sequential pacemaker is well positioned. The lungs are clear. No pleural effusion or pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.26533370964495147340175742614481615114
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69087990158259219827546628507436400407
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76657735898588903010698862903688504305
Portable AP semi upright view at 9EF0F-10 hours. Tracheostomy tube remains in place. Right chest Port-A-Cath is stable. Lower lung volumes. Patchy and indistinct bilateral pulmonary opacity appears increased in the right lung. No pneumothorax or pleural effusion. Stable cardiomegaly and mediastinal contours. Negative visible bowel gas pattern.,1. Lower lung volumes with bilateral patchy and indistinct pulmonary opacity compatible with COVID-19 pneumonia. 2. No pneumothorax or pleural effusion.,1.2.826.0.1.3680043.8.498.63227713754304642280698530392188399024
Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. No pneumothorax. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41575591462509737422136076282787994425
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56465456809928853150765190219415528904
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23624668210164204379585072494310798801
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65455853499562598625572553674917766188
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75251560608290461316863735346953416656
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49572850667778874786014181552358597192
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.94072564093470194757721272888962513834
"The cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. Right-sided chest tube has been removed. A possible small right pleural effusion is suspected, unchanged. Right lung atelectasis has improved. No residual pneumothorax identified. Left lung remains clear. No pulmonary edema. Osseous structures are unchanged.","1. Interval removal of right-sided chest tube. No residual pneumothorax identified. 2. Suspected small right pleural effusion, unchanged. 3. Decreasing right lung atelectasis.",1.2.826.0.1.3680043.8.498.32239295766438911993703145416260719774
Heart: Normal. Lungs: There is persistent appearance of mild hyperinflated lungs. The lung fields are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Stable. Visualized upper abdomen: Normal.,"1. No acute cardiopulmonary process. 2. Stable appearance of mild hyperinflated lungs, which can be seen with obstructive small airway disease.",1.2.826.0.1.3680043.8.498.42850577776433259398706766379926471009
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.43538360973308345853462584608762554833
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.70891851362210730833181459264502611217
Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Mild biconvex thoracolumbar scoliosis. No definite rib abnormalities identified.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.56867283475800768160636150850124521994
Heart: Normal. Lungs: Normal. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,Unremarkable two-view chest.,1.2.826.0.1.3680043.8.498.55652137479471775503360141909554808649
"AP portable semi upright view 7917 hours. Low lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. Allowing for portable technique, the lungs are clear.","Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.87208027453574972393528340687715358946
The heart size and mediastinal contours are within normal limits. Right internal jugular dialysis catheter is unchanged. Stable bilateral patchy airspace opacities are noted. The visualized skeletal structures are unremarkable.,Stable bilateral patchy airspace opacities consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.14474640975714120367211198658305922020
Cardiac silhouette is mildly enlarged. There is vascular congestion with patchy bilateral airspace disease consistent with pulmonary edema. This is increased in the interval. Small left effusion is present. No pneumothorax.,Findings consistent with pulmonary edema. This is increased in the interval.,1.2.826.0.1.3680043.8.498.90547876202361099027233152964750107399
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93766279957077763781083857037804583032
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.42592230463241539727477217846774049434
The heart is moderately enlarged. There is vascular congestion without overt pulmonary edema. No pleural effusions are identified. No focal airspace opacities are seen. No pneumothorax. The visualized osseous structures are unremarkable.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.86179349741937115594827650011876764758
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No radiopaque foreign body.,No active disease.,1.2.826.0.1.3680043.8.498.25162053617937327378748975428899737912
The heart is upper limits of normal. The lungs are clear. No pneumothorax or pleural effusion.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32761775532332632260836432731951478890
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.91478786865803530006225869055903193262
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59868914059883486745051557664763694783
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31888389696878819492006558152556564382
The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.65421774899884751861821768544712014626
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96895181932357479635372680004207319655
Both lungs are well aerated and are clear. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits.,Negative. No active disease.,1.2.826.0.1.3680043.8.498.71621737691354214413439042855313638622
Endotracheal tube has been removed. Swan-Ganz catheter remains in place with the tip in the right main pulmonary artery. Bibasilar atelectasis is again seen and has worsened. No pneumothorax.,Worsening bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.50502175845961508313630261286446758375
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52991018000014315472971063989260215327
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60084216648861368945455885880653967695
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27253249864590464817022518635485567889
Right PICC line noted with tip over cavoatrial junction. Heart size normal. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,1. Right PICC line noted with tip over cavoatrial junction. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47802631830195817017278400132478138610
Mediastinum and hilar structures are normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality. Surgical clips right upper quadrant.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17221698680367866275093715885593029143
"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.16245545657544526335301307296140064824
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43124892072170452441525721439840668960
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67972659697546080104037591271095428768
"The heart size and mediastinal contours are within normal limits. Both lungs are clear. Pulmonary hyperinflation again seen, consistent with COPD. Prior CABG again noted. No evidence of pleural effusion. No mass or adenopathy identified.",COPD. No active disease.,1.2.826.0.1.3680043.8.498.15935858768163397657779455532718412896
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.17310346609722126812541986529269938042
Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.18925139826674282712746945366527818625
There is prominence of the interstitial markings. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable.,"Interstitial prominence, mild. This may represent a component of pulmonary vascular congestion. A component of the patient's shallow inspiration also of diagnostic consideration. Repeat evaluation is recommended.",1.2.826.0.1.3680043.8.498.74528215365899048683174080229274044066
The tip of the PICC line appears to lie in the region of the midportion of the SVC. I do not see evidence of a post procedure complication. The lungs are clear. The cardiopericardial silhouette is top normal in size.,I do not see evidence of a post procedure complication following PICC line placement.,1.2.826.0.1.3680043.8.498.62694176086169919388723979544023826257
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54201012295870781364092665343598202597
The lungs are clear. There is no pleural effusion. Heart size is upper normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.52720304544125342248906373330126413023
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.85429836643943801002581318919315188663
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20812112993889313172218177765606569926
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23974870752324216334104215287739517367
"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48000022458122691249995931680084886503
Tracheostomy tube is in place. The heart is enlarged. Lung volumes are low. There is mild pulmonary vascular congestion. Streaky opacities at the lung bases likely reflect atelectasis. No pneumothorax is present. No significant pleural effusion is present.,1. Cardiomegaly and mild pulmonary vascular congestion. 2. Low lung volumes and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.23460380738779660114975256227977928152
"The cardiac silhouette is enlarged. The lungs appear to be clear without edema, infiltrate, effusion or mass. There is no pneumothorax. Degenerative changes are present in the spine.",Cardiomegaly. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.19140372646078325631830767395469639578
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62196725409760698336318487092156653700
The heart size and mediastinal contours are within normal limits. The lungs are hyperinflated but clear. Biapical scarring is stable. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60944181339725239908445104011868828966
"There are extensive bilateral airspace opacities, increased since prior study. There are moderate to large bilateral pleural effusions. Heart is normal size. No acute bony abnormality.",Worsening bilateral airspace disease and bilateral effusions. This could reflect worsening edema or infection.,1.2.826.0.1.3680043.8.498.82869393667536305416614676211036341764
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64282800205831397674224406767269283088
Lung volumes are low. The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.16676888626980803029959635613326343036
Eventration of the right hemidiaphragm. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Degenerative changes of the spine. Left shoulder arthroplasty.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73925671205218441795521191459195981776
There is no fracture or dislocation. There are no significant arthritic changes. The soft tissues appear normal.,Normal right shoulder.,1.2.826.0.1.3680043.8.498.22466294797365929333039786768579137255
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56365047596582928605422718960020459535
The heart size is normal. Atherosclerotic changes are noted at the aortic arch. Tracheostomy tube is in place. The lungs are hyperinflated. New right lower lobe airspace disease is present. The left lung is clear. There is no edema or effusion. The visualized soft tissues and bony thorax are unremarkable.,1. New right lower lobe airspace disease concerning for infection. 2. Emphysema. 3. Tracheostomy tube is in place.,1.2.826.0.1.3680043.8.498.45742518566026384851471403081521761878
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69828728111988979408466794767413608107
Endotracheal tube tip is 3.5 cm above the carina. Right internal jugular central venous catheter is in place with tip at the level of the right atrium. The heart is enlarged. There is pulmonary vascular congestion. Aeration at the right lung base has improved. No pneumothorax.,1. Improved aeration. 2. Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.15388894748445041262712679568908253562
"The lungs are hyperexpanded and there is mild interstitial prominence. No confluent airspace opacities are identified. The heart is normal in size. The upper extremity PICC is in place. The tip is in the mid SVC, well above the cavoatrial junction. The upper abdomen and osseous structures are normal.",Emphysematous changes without interval change. No acute findings.,1.2.826.0.1.3680043.8.498.58163989331286408562160001822072461478
The heart size and mediastinal contours are within normal limits. Both lungs are clear. There is no pneumothorax. There is no pleural effusion. There is a moderate S-shaped thoracolumbar scoliosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49637253216882007969793407900174808092
The heart is normal in size. Aorta is mildly tortuous. The lung volumes are slightly diminished. There is elevation of the right hemidiaphragm. Mild linear opacities at the right lung likely represent atelectasis. No pneumothorax. No pulmonary edema.,1. Mild right basilar opacities likely represent atelectasis. Early infection is not excluded. Followup PA and lateral chest radiograph is recommended. 2. Mild elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.35493162211949592531615832417536063579
Low lung volumes. Cardiac silhouette is enlarged. Aorta is tortuous and ectatic containing atherosclerotic calcifications. The lungs are clear. Mild degenerative changes within the thoracic spine. No acute osseous abnormalities.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73317489288187505565438483541546851420
"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active disease.,1.2.826.0.1.3680043.8.498.99507173730648211172509112268899835348
The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Left lung is clear. Mild ill-defined opacity is seen in the right lung base which may represent early pneumonia. The visualized skeletal structures are unremarkable.,Possible early pneumonia in right lung base. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.92233790282487726785761627117928494246
The patient has now been intubated. The endotracheal tube terminates in the right mainstem bronchus. Diffuse interstitial and airspace disease is again seen. The lung volumes are low.,1. Endotracheal tube in the right mainstem bronchus. 2. No change in diffuse pulmonary edema.,1.2.826.0.1.3680043.8.498.91482808039613025748772283053877300923
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21628208509125919521034044467946796258
Heart size is normal. No pleural effusion or edema. Lung volumes are low. Plate-like atelectasis is noted in the right base. No airspace consolidation.,1. Low lung volumes and right base atelectasis.,1.2.826.0.1.3680043.8.498.55444330303585933072581464523390891772
"The heart size and mediastinal contours are within normal limits. New opacity at the left lung base, suspicious for pneumonia. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.",Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.44411427757166935885813946817690749489
The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal.,No acute disease.,1.2.826.0.1.3680043.8.498.75461284783009120451328869466031633436
The heart is enlarged. Pulmonary vascular congestion is present. Interstitial coarsening is likely chronic. There may be superimposed interstitial edema. Small bilateral pleural effusions are suspected. There is no pneumothorax. No acute osseous abnormalities are seen.,Cardiomegaly with vascular congestion and possible mild interstitial edema. Suspect small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.78437632405760138438071300981465613127
The lungs are adequately inflated. The interstitial markings are increased. The retrocardiac region on the left is dense. The pulmonary vascularity is engorged. The cardiac silhouette is enlarged. There is likely pleural fluid at both lung bases.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. There is likely left lower lobe atelectasis and possibly developing infiltrate. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.93771416529193711289797056892333998002
"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Mild central peribronchial thickening. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",Airway thickening suggests viral process or reactive airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.31455665946630752801955823825060034113
The heart is enlarged. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are seen.,Cardiomegaly. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.87085146189234061518199405650358998284
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73417909554148109732950933798734292912
Cardiothymic silhouette is within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.67572000921908290011440934659320407753
The heart size and mediastinal contours are unchanged. No focal consolidation. No pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.49191242377708640080779089938361084078
Lung volumes at the upper limits of normal. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. The lungs are clear. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.90176000961255730144199671526610809830
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart size is enlarged. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.60370938828241706597325846598286312188
Left arm PICC line tip is in the SVC. Heart size is normal. There is a small left pleural effusion. No airspace consolidation identified.,1. No change in the appearance of the lungs. 2. Small left effusion.,1.2.826.0.1.3680043.8.498.35100876014222517263230659288874924753
Right lower lobe airspace disease unchanged. This may be atelectasis or pneumonia. Negative for pleural effusion. Left lung is clear.,No significant interval change.,1.2.826.0.1.3680043.8.498.89705594547821587737729900158715343033
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.36920717389760420569527501664321798210
There is moderate improvement in pulmonary edema. There remains some right upper lobe and right lower lobe airspace disease which may be due to asymmetric edema or atelectasis. There is a small right effusion. There is mild left lower lobe atelectasis.,Moderate improvement in pulmonary edema.,1.2.826.0.1.3680043.8.498.35059690604619857941825266901581801655
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70942012639707821592761843221587030706
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84009919282820482933908292133024159377
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17055782296315876910096265994966085649
"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84827796470234312182623878289561982755
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16735675570404752511294361362253350227
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No acute osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.65711363012279733869048363640719361126
The lungs are clear. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.86437445897551174010653012728671543360
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86789148408041952944335921848056865643
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25166136621071759342356780325980940028
Tracheostomy tube and NG tube in good anatomic position. Right PICC line noted with tip over SVC. Heart size normal. Low lung volumes. Diffuse bilateral pulmonary infiltrates and atelectasis. Small right pleural effusion. No pneumothorax.,1. Tracheostomy tube NG tube and right PICC line in good anatomic position. 2. Low lung volumes with diffuse bilateral pulmonary infiltrates and atelectasis. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.94660880877188350012750920122953789055
Endotracheal tube tip is 5.6 cm above the carina. Nasogastric tube tip and side port are below the diaphragm. No pneumothorax. There is underlying emphysematous change. There is no edema or consolidation. The heart size is normal. The pulmonary vascularity reflects underlying emphysema. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Underlying emphysema. No edema or consolidation.,1.2.826.0.1.3680043.8.498.83771682916457640334921432659113346217
The heart is enlarged. There is vascular congestion and mild edema. Small pleural effusions are present. There is bibasilar atelectasis.,Mild CHF with small effusions and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.63592907992534330547775813826671498830
Cardiac and mediastinal contours appear normal. The lungs appear clear. No pleural effusion is identified.,No significant abnormality identified.,1.2.826.0.1.3680043.8.498.48172720601417986131828845472295194842
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17608553826366978936495914077128676108
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.55045520630286490548549984503786218332
"Multiple bilateral pulmonary nodules/masses as seen on the prior CT. No new consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. Atherosclerotic calcification of the aorta. No acute osseous pathology.",1. No acute cardiopulmonary process. 2. Multiple pulmonary metastatic lesions.,1.2.826.0.1.3680043.8.498.59515670411571645890965467842401037427
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.71649447132057611446184395194584675369
The left subclavian Port-A-Cath is stable. The tip is in the SVC. No pneumothorax is seen. The heart is normal in size. The lungs are under inflated with stable areas of linear atelectasis.,1. Stable Port-A-Cath. 2. Underlying emphysematous changes with stable areas of linear atelectasis.,1.2.826.0.1.3680043.8.498.63986134824404222786659236017586006329
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60478262910720475564727280401899394530
"The heart is normal in size. The aorta is tortuous. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.64039134840343480281716285951648243840
The lungs are clear. There is no pleural effusion. Heart size is upper normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.49720017400095138101043622474153785785
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90034314697142436027414390257608542729
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The bony thorax is intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73674388220122333409957916499232170177
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10091998372113738361149414092185011127
"The lungs are symmetrically well expanded. There are superimposed diffuse interstitial pulmonary infiltrates, which may reflect changes of atypical infection or asymmetric pulmonary edema. Small bilateral pleural effusions are present. No pneumothorax. Cardiac size within normal limits. No acute bone abnormality.","1. Diffuse pulmonary infiltrates, possibly infectious in the appropriate clinical setting, or asymmetric pulmonary edema. 2. Small bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.28395847743936261606016337103013666318
Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease,1.2.826.0.1.3680043.8.498.98636706690252950544478509419051193291
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.98294240461950507472803925628043525628
The heart is enlarged. There is mild vascular congestion. There are bilateral lower lobe infiltrates. There is no pneumothorax.,Findings most consistent with congestive heart failure superimposed on underlying chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.84042507485855199225115620474406997411
Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.77530642551098359275064427862501285288
"Lungs are symmetrically inflated. Normal cardiothymic silhouette. Normal pulmonary vasculature. No focal consolidation, pleural effusion, or pneumothorax. No osseous abnormalities. Normal bowel gas pattern in the included upper abdomen.",Clear lungs.,1.2.826.0.1.3680043.8.498.67889372731295027738784620997710416308
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64339586217224852537035988263018095930
Shallow inspiration. The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34382722652373306777795767675198221373
The heart size is normal. The lung fields are clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures demonstrate degenerative osteophytosis of the mid and lower thoracic spine and are otherwise intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.57250842875170888702512548134999925184
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18962415440898501694932330954415471088
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42041304299354836922579706435111193459
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97954977930374446593139673690552262568
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.86813860441182509726491672028940768802
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.27789981984312339587087578930082198993
Stable heart size that is normal for technique. Stable aortic tortuosity. Small left pleural effusion with stable mild left base opacity. No pneumothorax. Diminished volume of the right lung with mild hazy density at the base.,1. No pneumothorax. 2. Stable small left effusion with left base opacity. 3. Decreased right lung volume.,1.2.826.0.1.3680043.8.498.75872111056315047002562869199494787104
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22701459668472484248594759114534130636
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52102237961942430411229438346492177652
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.35482495934583994559804557375736482501
The left PICC tip is in the right atrium. The heart is mildly enlarged. The lung volumes are low. Diffuse interstitial pattern is again noted compatible with pulmonary edema. Bilateral pleural effusions are again noted and appear stable. No pneumothorax is evident.,1. Left PICC tip in right atrium. 2. Stable pulmonary edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.37952947198574587118265170037808251627
There is hazy airspace disease in the left upper lobe most consistent with pneumonia. The right lung is clear. No pleural effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is noted.,Left upper lobe airspace disease most consistent with pneumonia. Recommend follow-up chest x-ray.,1.2.826.0.1.3680043.8.498.84194160026916908939973286872546862938
Tracheostomy tube is noted in satisfactory position. The overall inspiratory effort is poor. The cardiac shadow is stable. Increasing right-sided infiltrate is noted with persistent left basilar atelectasis. No bony abnormality is seen.,Increasing right basilar infiltrate.,1.2.826.0.1.3680043.8.498.48946926473990057736588248031738188815
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Thoracic spine posterior fixation rods are noted.,No active disease.,1.2.826.0.1.3680043.8.498.45406191328652780944351176551363962646
There is stable enlargement of the cardiac silhouette. Interstitial edema pattern is again noted throughout both lungs. No significant change. No evidence of pneumothorax.,Stable interstitial edema pattern.,1.2.826.0.1.3680043.8.498.41356878004239284635269840427303861774
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.45893878562641189359600000667660813354
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20540561637422980255120514977944203770
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77260671526521990163999773461041889887
The heart is mildly enlarged. There is no heart failure. The lungs are clear without infiltrate or edema.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64172785058647278864959507523150445059
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57640499218046509678749496683769553505
"There is increased density at the right base compatible with pneumonia or atelectasis. In the lateral view, there is blunting of the posterior gutters compatible with small bibasilar pleural effusions. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",1. There is increased density at the right base compatible with pneumonia or atelectasis. 2. There are small bibasilar pleural effusions. 3. The heart size is normal.,1.2.826.0.1.3680043.8.498.92084547549334035573268605525811754793
The heart size and mediastinal contours are stable. There is aortic atherosclerosis. There are increasing bilateral interstitial opacities with associated Kerley B-lines. Small bilateral pleural effusions are suspected. There is no pneumothorax. The bones appear unchanged. Telemetry leads overlie the chest.,Worsening pulmonary edema and probable small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.55095060321454590410099050405448402279
The right upper extremity PICC has been retracted with the tip at the cavoatrial junction. Bibasilar atelectasis is stable. The lungs are otherwise clear. The heart is enlarged.,Right upper extremity PICC retracted. Tip is at the cavoatrial junction.,1.2.826.0.1.3680043.8.498.23189829953976727953002766050513811342
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37524978908169880587907349735139278282
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78594325308635110694326561184453385229
Lung volumes and mediastinal contours remain normal. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. Mild basilar atelectasis. No other confluent pulmonary opacity. Negative visible bowel gas and osseous structures.,"Mild basilar atelectasis, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.18405904968301994682442249312121355668
"There is no consolidative airspace evidence, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is not enlarged.",No acute cardiopulmonary pathology.,1.2.826.0.1.3680043.8.498.78817817805137764735071792399863615346
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.40825944644274104556227686577881413419
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10142389528885677999192415828044776621
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32827020461926550327828743356420795628
"Endotracheal tube is in satisfactory position. Nasogastric tube is followed into the stomach. Heart size is grossly stable. Thoracic aorta is calcified. There is bilateral air space disease, with interval worsening in the right lung base. Small bilateral pleural effusions.",Worsening congestive heart failure.,1.2.826.0.1.3680043.8.498.12230090662545075493040266799107847559
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94720251179495204312399781703810469683
There is irregular interstitial thickening and hazy airspace opacity in the right upper lobe. The left lung is clear. No pleural effusion or pneumothorax. Cardiac silhouette is normal in size. No mediastinal or hilar masses. No convincing hilar masses. Status post vertebroplasty of a mid thoracic vertebral body.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.51058674560989740862975604265351320301
The patient is rotated to the right. The heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. The lung volumes are low.,Low lung volumes. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.90840026340848145986725504799345634399
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.54414504320920659210765557547638665489
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21272655867463650196933747369100718162
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70638372439279291805783308998860422697
There is central airway thickening. Lung volumes are low. No consolidative process. No effusion. No focal bony abnormality.,Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.60098782224017689366197796157458220687
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.39163314764012902548779275144569903079
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.60479256781102633973679176629120027754
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10059694044686582081081922703474703983
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.41255307973029834441375272804450067641
The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.44120267121179898205357631967316293921
Endotracheal tube is 3.5 cm above the carina. Nasogastric tube enters the stomach. The lungs are clear. No CHF or pneumonia. No effusion or pneumothorax.,1. Support apparatus satisfactory. 2. No acute airspace process.,1.2.826.0.1.3680043.8.498.57092938591527163344048494690903429646
There is plate and screw fixation of the right mid clavicular fracture. There is increased atelectasis at the right lung base. No pneumothorax is seen. There is minimal atelectasis at the left base. The heart is within normal limits in size.,1. Post ORIF of right clavicular fracture. 2. Increased right basilar atelectasis.,1.2.826.0.1.3680043.8.498.55589975228134580272770471503949905915
The heart is mildly enlarged. There is tortuosity and calcification of the thoracic aorta. The pulmonary hila are prominent. This is unchanged from the prior chest x-ray. There are chronic lung changes with areas of pulmonary fibrosis. No definite acute overlying pulmonary process. No pleural effusion.,Chronic lung changes. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.66165103873451356787661816646018623778
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.81055565953751340701249999371285832227
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99733161238555471504905972294006080554
Stable cardiomediastinal contours with enlarged heart size. The lungs are clear. No pneumothorax or pleural effusion. No acute finding in the visualized skeleton.,Cardiomegaly. No evidence of active disease or edema.,1.2.826.0.1.3680043.8.498.39326808596170786465016851765893642427
The patient was shielded for the examination. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55041740400696399265683102083401356640
"Heart size is normal. There is patchy infiltrate in the right lower lobe, consistent with infectious process. No pulmonary edema. No pleural effusions.",Right lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.43683145400713705963330441510892125987
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90216023490260525141660133331108990438
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen. There is a fracture of the distal right clavicle which was described on the prior CT. No other fractures are seen.,No acute chest findings.,1.2.826.0.1.3680043.8.498.57953178893515123252567718312370302848
Cardiothymic silhouette is within normal limits. There is peribronchial thickening and abnormal perihilar aeration suggesting viral bronchiolitis. No focal infiltrates. No effusions. Bony structures are intact.,Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.29012167752069570189590955160645520538
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The cardiothymic shadow is normal in size.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.64033169308055168294885110083009907080
"Semi upright AP and lateral views of the chest. Cardiac size at the upper limits of normal. Other mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.44119017301742571567304433198632561607
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52842800209451335648582551635672482541
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99701619929859534278773162545236652389
Heart size is mildly enlarged. There is no pleural effusion or edema. Coarsened interstitial markings are noted bilaterally. No airspace consolidation. The bones are osteopenic. There are surgical clips in the right axilla.,1. No acute cardiopulmonary abnormalities. 2. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.47451349283474858160098586344815611739
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47227517933951894268002596205516346203
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96645861376590913768941197054674831090
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61121735032740920397887217718738589998
There is increased density in the RIGHT upper lobe compatible with pneumonia. The LEFT lung field is clear. Heart size is normal.,There is increased density in the RIGHT upper lobe compatible with pneumonia and located in the RIGHT apical posterior segment.,1.2.826.0.1.3680043.8.498.32835947481813991903366042102689055240
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82176007779576718566187371683503136794
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40056985756438716412323790597276579218
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.37272410945580303730799572364708381462
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65861605369034435334576650971353144191
The lungs are adequately inflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19393968029505567596199242816929230615
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.30032934093972734782324884357819202948
Cardiomegaly with vascular congestion and mild pulmonary edema. Small bilateral pleural effusions with bibasilar atelectasis versus infiltrate. No pneumothorax. Atherosclerotic calcification of the aorta. No acute osseous pathology. Old left rib fractures.,Cardiomegaly with findings of CHF and small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.11191978727213010208292751126761948160
Trachea is midline. Heart size stable. There is a background pattern of interstitial lung disease. No pleural fluid.,Pulmonary fibrosis without acute finding.,1.2.826.0.1.3680043.8.498.59873446283885941131428008446412118656
There is a moderate cardiac enlargement. Aortic atherosclerosis is noted. The left pleural effusion is identified. The right lung appears clear. The left lower lobe airspace consolidation is unchanged from previous exam.,1. No change and left effusion. 2. Stable aeration to the left base.,1.2.826.0.1.3680043.8.498.53894626406065146305165205081339042155
The heart is normal in size. There are heterogeneous opacities in the lungs involving the upper and lower lobes. There is no evidence of pneumothorax. There may be small bilateral pleural effusions.,Bilateral airspace disease. This may represent pneumonia or asymmetric edema.,1.2.826.0.1.3680043.8.498.77363611672128518835291556298222487249
There is persistent interstitial and patchy alveolar edema throughout the lungs. There is cardiomegaly with pulmonary venous hypertension. There is a small left pleural effusion. No adenopathy is appreciable by radiography. No bone lesions.,Findings indicative of a degree of congestive heart failure. Superimposed pneumonia in the bases cannot be excluded radiographically. Both entities may exist concurrently.,1.2.826.0.1.3680043.8.498.37215444642010291831591530560923665779
"Portable AP upright view at 1360 hours. Large lung volumes, architectural distortion, and cystic change in the right upper lobe. Superimposed 17 mm right upper lung mass suspected. No superimposed pneumothorax, pulmonary edema, pleural effusion or other confluent pulmonary opacity. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. Negative visible bowel gas pattern.",1. Right upper lobe lung mass suspected. Chest CT (IV contrast preferred). 2. Chronic lung disease with architectural distortion and suspected superimposed right upper lobe bronchiectasis.,1.2.826.0.1.3680043.8.498.28577818914447846696870867666156549333
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89697260748532943064249893864541045260
"Tip of endotracheal tube projects 2.2 cm above carina. Nasogastric tube extends into stomach. LEFT jugular central venous catheter with tip projecting over SVC. External pacing leads present. Normal heart size, mediastinal contours, and pulmonary vascularity. Bibasilar atelectasis with small RIGHT pleural effusion. Upper lungs clear. No pneumothorax.",No interval change.,1.2.826.0.1.3680043.8.498.75245694915306507292912319795045467007
"AP view at 0336 hours. Endotracheal tube tip in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, tip not included. UVC catheter tip is at the level of the diaphragm. UAC catheter tip is at the T7-T8 level. Normal bowel gas pattern. No bowel pneumatosis. No portal venous gas identified. Stable lung volumes. Confluent bilateral perihilar opacity. No pneumothorax or pleural effusion. Mediastinal contours remain normal. No osseous abnormality identified.",1. UVC tip at the level of the diaphragm. UAC tip at T7-T8. 2. Enteric tube and endotracheal tube in good position. 3. Normal bowel gas pattern. 4. Bilateral confluent perihilar opacity. Favor bilateral pneumonia.,1.2.826.0.1.3680043.8.498.28205484354727181631088255668398562442
"Interval extubation and removal of NG tube. Swan-Ganz catheter and left chest tube remain in place, unchanged. No pneumothorax. Cardiomegaly with vascular congestion. Low lung volumes with bibasilar atelectasis. Small left effusion.",Interval extubation. Low lung volumes with vascular congestion and bibasilar atelectasis. Small left effusion.,1.2.826.0.1.3680043.8.498.10850366938060333960268964933740219911
Real-time imaging shows normal appearing veins with normal compressibility. Doppler evaluation shows normal venous flow with respiratory variation and augmentation with distal compression.,No evidence for deep venous thrombosis in the visualized veins.,1.2.826.0.1.3680043.8.498.25137938465551356025215725363196866888
"Single view of the chest shows a normal size cardiomediastinal silhouette. An NG tube is seen with its tip in the stomach. A left central venous catheter is seen with its tip in the superior vena cava. No consolidation, mass or pleural effusion is seen.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47980171078843354796516581035558945823
NG tube is in place with the tip in the stomach. The bowel gas pattern is unremarkable. Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,NG tube in good position.,1.2.826.0.1.3680043.8.498.45238776587040011261304087071113236925
The lungs are clear. There is no pleural effusion. Heart size is normal. Nipple shadows are noted.,No acute disease.,1.2.826.0.1.3680043.8.498.33782592732222288121934308712590234508
"There is a right internal jugular venous catheter present with the distal tip in the cavoatrial junction. There are multiple bilateral pulmonary nodules and airspace disease. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",Extensive metastatic disease to the chest. Central venous catheter present.,1.2.826.0.1.3680043.8.498.12741897265768925087686424470603551167
Lungs are clear. The cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.58754892819541983643649188244707962034
"Endotracheal tube terminates 3.5 cm above the carina. Enteric tube courses into the stomach. Left subclavian pacemaker with leads terminating over the right atrium and right ventricle. The heart is enlarged. There is atherosclerosis of the aortic arch. Bilateral pleural effusions are again seen, right greater than left, not significantly changed. There is pulmonary vascular congestion and mild pulmonary edema, also similar. No pneumothorax is identified. No displaced rib fracture is seen.",1. Unchanged findings of CHF and bilateral pleural effusions. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.32304228197212509333672908103715628554
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.88351982664561797013275954705782708178
There is mild thickening of the interstitial markings. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is enlarged indicative of cardiomegaly. The patient is status post median sternotomy and coronary artery bypass grafting. The visualized bony skeleton is unremarkable.,1) COPD with likely superimposed pulmonary fibrosis. 2) Cardiomegaly. 3) No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59602486972635863931185541876064236844
"PA and lateral chest radiographs are provided. The lungs are hyperinflated likely secondary to COPD. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.56271209405592255770673253607845533831
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The cardiothymic shadow is normal in size. The chest appears mildly hyperexpanded suspicious for reactive airway disease.",1. The lung fields are clear. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.84883889383441098760673224276852239528
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. Calcification is noted at the aortic arch. A pacemaker/AICD is noted overlying the left chest wall, with leads ending overlying the right atrium and right ventricle. No acute osseous abnormalities are seen. Scattered clips are noted overlying the right chest wall.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.45416197635320304641550662824187014908
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54140588332794166955261276094936181424
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27035397426005074915230740351266651292
Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,Normal one view chest,1.2.826.0.1.3680043.8.498.16118563527935420548985926123848695872
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is aortic atherosclerosis. No pneumothorax. No bone lesions.,Lungs clear. Heart size normal. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.26298020616974243713340468716418570544
Cardiac shadow is within normal limits. Right-sided PICC line is noted with the catheter tip at the cavoatrial junction. The lungs are clear. No bony abnormality is noted.,No active disease. Right-sided PICC line in satisfactory position.,1.2.826.0.1.3680043.8.498.86296230914255590154813579927574731419
Normal heart size and mediastinal contours. Extensive BILATERAL pulmonary infiltrates increased since previous exam consistent with multifocal pneumonia. No pleural effusion or pneumothorax. Osseous structures unremarkable.,Increased multifocal pulmonary infiltrates consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.76862149675926991491768498593719857874
The heart size is normal. The thoracic aorta is tortuous. The hilar and mediastinal contours are otherwise unremarkable. The lungs are clear. Degenerative changes are present throughout the thoracic spine. There is no evidence of pleural effusion or pneumothorax. No acute fractures are identified.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61100474409312088017944193008120876431
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24144419515344410339275692122225686072
There is airspace consolidation in the right upper lobe. There is patchy infiltrate in the right base. Left lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Extensive airspace consolidation on the right, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.69917586346963688443188991329333915261
There is a focal area of consolidation in the right perihilar region consistent with pneumonia. There is no pleural effusion. The left lung is clear. Lung volume is normal.,Right perihilar pneumonia.,1.2.826.0.1.3680043.8.498.28139943706906120022722830407169572399
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96441892463621443906902854654016014464
There is patchy infiltrate in the posterior lung bases. Lungs are otherwise clear. No pleural effusion. Heart size is normal. The patient is status post CABG.,"Patchy basilar infiltrates, likely due to pneumonia.",1.2.826.0.1.3680043.8.498.80992910025793929018574572895947780349
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60126897262489860895480477552338462680
There is a mid inspiration. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.79806299742341817838434343211124023581
"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",Negative chest x-ray.,1.2.826.0.1.3680043.8.498.72478051509951151840040628533972827158
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64117095467562863866415865023335943260
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59836707817941919690950638980159893095
Endotracheal tube is in place with the tip 2.5 cm above the carina. The lungs are free of a pneumothorax. No pleural effusions are seen. No displaced rib fractures are identified. The heart size is normal.,1. No acute cardiopulmonary abnormality. 2. Endotracheal tube in good position.,1.2.826.0.1.3680043.8.498.66194243578382487499612065602339285538
Mediastinum and hilar structures normal. Heart size normal. Low lung volumes. Interim clearing of left lung infiltrate. Mild residual right base infiltrate. No pleural effusion or pneumothorax. Prior thoracic spine fusion. Thoracic spine scoliosis.,1. Interim clearing of left lung infiltrate. Mild residual right base infiltrate. 2. Prior thoracic spine fusion.,1.2.826.0.1.3680043.8.498.61454496913607450530990294002357749338
Cardiac shadow remains enlarged. Aortic calcifications are again seen. Small bilateral pleural effusions are noted as well as some patchy infiltrative changes in the right lung base. This is increased from the prior exam. No pneumothorax is seen. Chronic compression deformities are noted throughout the thoracic spine.,Increasing right basilar infiltrate with bilateral effusions.,1.2.826.0.1.3680043.8.498.13809190875049764788309688677242167556
Normal sized heart. Clear lungs. Mild diffuse peribronchial thickening. Unremarkable bones.,Mild changes of bronchiolitis.,1.2.826.0.1.3680043.8.498.15519439790307227790254280434995656168
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.40957476786473634936475170426842909663
Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion. Emphysema is present. Bilateral pleural apical scarring. Aortic arch atherosclerosis. Bilateral basilar atelectasis.,Emphysema without acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72929214887630671809188363572071967473
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.57624841259297546197599673821836588008
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16276683892974431277174846992846797426
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53811401252040139578049044985934593542
"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96202304385383601238499902321205846704
"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Mild scoliosis of the thoracic spine is evident.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.83196363588683889437785694693364859806
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.41894289851340646894363378110766579051
The cardiomediastinal silhouette is within normal limits. The lungs are well inflated and clear. There is no evidence of pleural effusion or pneumothorax. No acute osseous abnormality is identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56557391418656916758639332955207760887
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84626081007089744564182453043811077333
Trachea is midline. Heart is enlarged. Thoracic aorta is tortuous and calcified. Biapical pleural thickening. Lungs are clear. Small bilateral pleural effusions.,Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.10956098857619491305002196118756814837
Swan-Ganz catheter has been removed. Right internal jugular central venous catheter remains in place. There has been interval worsening of diffuse bilateral airspace disease consistent with worsening edema. Small bilateral pleural effusions are noted. Heart size is stable.,Worsening pulmonary edema.,1.2.826.0.1.3680043.8.498.93711542740070924599626936562817699446
Patchy bilateral airspace opacities are present predominantly in the periphery of the lungs consistent with multifocal pneumonia. No pneumothorax or effusion. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.,Patchy bilateral airspace opacities consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.63160101273974005045952566816795681573
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83653850808576193896755024841853772853
Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion. Thoracic spondylosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48564095631633554702281139310853884319
The lungs are well-aerated. Mild vascular congestion is noted. Mild left basilar atelectasis is seen. There is no evidence of pleural effusion or pneumothorax. The heart is mildly enlarged. The patient is status post median sternotomy. No acute osseous abnormalities are seen.,Mild vascular congestion and mild cardiomegaly. Mild left basilar atelectasis noted.,1.2.826.0.1.3680043.8.498.43023249344910699818921341731505741080
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10981485129851701974364999242384785878
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29189645026176977513745817537421207034
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16323037112778561736455018088114674483
The endotracheal tube has been removed. Aeration of the lungs has improved particularly at the lung bases. There is still opacity at the right lung base and to a lesser degree at the left lung base. A Swan-Ganz catheter is unchanged in position and heart size is stable. A left chest tube remains and no pneumothorax is seen.,Improved aeration with persistent basilar opacities right greater than left. Endotracheal tube has been removed.,1.2.826.0.1.3680043.8.498.29277860010463266493936701463553917548
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.85888930309445171014499396812061759948
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99686207602095808051144740107438119409
The lungs are well-aerated. Minimal left basilar atelectasis is noted. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Minimal left basilar atelectasis noted; lungs otherwise clear.,1.2.826.0.1.3680043.8.498.92828876044086736214352815716738528249
The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.54579933417319368663804085825133908946
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13224030248903451114527430205853194032
No active infiltrate or effusion is seen. There are prominent perihilar markings with peribronchial thickening most consistent with bronchitis. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Probable bronchitis.,1.2.826.0.1.3680043.8.498.95457478638641766664949363519280311949
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",Negative chest. No rib fracture.,1.2.826.0.1.3680043.8.498.76922818012148348824438447693019606060
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67527412657949681757055498442148360532
"The heart size and mediastinal contours are within normal limits. There is no focal infiltrate, pulmonary edema, or pleural effusion. The visualized skeletal structures are unremarkable. There is scarring in the right upper lobe unchanged from prior exam.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38197517848662181394540298377248642222
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62870295451643216577549341209794354340
The lungs are clear. The cardiothymic silhouette is normal. No adenopathy. No bone lesions. Stomach is moderately distended with air.,Lungs clear. Cardiac silhouette normal.,1.2.826.0.1.3680043.8.498.95685615300193548328500434189632169700
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.33121283893962891941205208816904430326
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85301623747684669745764440078140261337
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15925089326113652345307150534072413371
The heart is enlarged. The pacemaker is in good position. The lungs are clear. No pneumothorax. No pleural effusion.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55797062438341994924461309321407523667
The heart size and mediastinal contours are within normal limits. Pulmonary hyperinflation noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92860971157988704217854565676069942821
Cardiothymic silhouette is normal. There is no pleural effusion or pneumothorax. Mild bilateral hazy lung opacities are identified. No consolidation or atelectasis. The visualized osseous structures are unremarkable.,Bilateral hazy lung opacities consistent with RDS.,1.2.826.0.1.3680043.8.498.95431101992808487118631232995180782202
Portable exam is performed at [DATE] a.m. showing right greater than left pleural effusions with right lower lobe atelectasis and infiltrate. No additional lung infiltrates nor edema is seen with stable cardiomegaly.,1. Right lower lobe atelectasis and infiltrate. 2. Right greater than left pleural effusions. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.13506181639407461804733435178671605652
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.74710168944744278234698871980964762318
The cardiac silhouette is normal size and shape. There is elevation of right hemidiaphragm with minimal atelectasis right base. There is coarsening of the reticular interstitial markings with central peribronchial thickening. No consolidation or pleural effusion is seen. Bones appear average for age.,"There is elevation of right hemidiaphragm with minimal atelectasis right base. There is coarsening of the reticular interstitial markings with central peribronchial thickening. This most commonly is associated with bronchitis, reactive airway disease, or peribronchial pneumonitis.",1.2.826.0.1.3680043.8.498.84001445550744053735585986856479773538
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42635611667868709495456623798036420460
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59074611709848486725907818833627553541
"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96626551735721924344011001795395662730
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83717525741927333879608796550689635278
There is mild cardiomegaly. Both lungs are clear. No effusions. Thoracolumbar scoliosis.,Mild cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.90141599620816902774708183649689700797
Heart size is difficult to evaluate on the AP projection. Congestion is improved compared to prior study. The costophrenic angles appear sharp. Hilar structures are grossly unremarkable. Trachea is midline.,Interval improvement in congestive changes.,1.2.826.0.1.3680043.8.498.77937258735251294333322290306247327889
Elevation of the right hemidiaphragm with right basilar atelectasis. Heart is normal size. Left lung is clear. No effusions. No acute bony abnormality.,Right basilar atelectasis.,1.2.826.0.1.3680043.8.498.43499827294971823829941866974060975013
"Cardiomegaly, stable. Mediastinal silhouette within normal limits. Aortic atherosclerosis. Lungs hypoinflated. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.",1. No active cardiopulmonary disease. 2. Stable cardiomegaly without pulmonary edema.,1.2.826.0.1.3680043.8.498.51566550722952370811745828546444009057
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67325320125256877828333433415138886558
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45422087521079980492247989151631888234
The lungs are adequately inflated. The interstitial markings are increased. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion. The bones are osteopenic.,There are findings consistent with interstitial edema of cardiac or noncardiac cause. This is likely superimposed upon COPD. I see no focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.36588366543107137645576391098953473413
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28157775258708706762889706246332046939
The cardiopericardial silhouette is within normal limits for size. No focal airspace disease is seen. The visualized soft tissues and bony thorax are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66924158178647283091871569299419881152
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55199334658585263462378679037840058751
Patchy airspace disease in the upper lobes is mildly improved. No new or worsening areas of pulmonary infiltrate are seen. There is no evidence of pleural effusion. Heart size and mediastinal contours are normal.,"Mild improvement in bilateral upper lobe airspace disease, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.60576788160237141315919397364016911158
"Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No bronchial thickening. No infiltrate, mass, effusion or collapse. Pulmonary vascularity is normal. No bony abnormality.",Normal chest,1.2.826.0.1.3680043.8.498.96015606218495323769596035115107146654
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86136581798745752239981023326610994058
There is increased density at both lung bases consistent with pneumonia. There is also a density in the right midlung zone consistent with pneumonia. There is no evidence for heart failure. The heart is mildly enlarged. A prominent gas shadow is again identified in the region of the right apex. This is unchanged.,Bibasilar pneumonia. Right midlung zone pneumonia.,1.2.826.0.1.3680043.8.498.44568541477893380345829360218638237267
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60416833952302492407885263931825635510
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21241861393696561147605140539164411430
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.59208382814104711174837867196918151204
"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69357834411999686288011703786593290244
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49170112825359265608232210488531800686
The lungs are clear. The cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.22123065784250459469507481836774528338
Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Peribronchial thickening question bronchiolitis or reactive airway disease. Retrocardiac left lower lobe infiltrate. Remaining lungs clear. No pleural effusion or pneumothorax.,Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. Left lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.14236614709484346285332725581947231556
"Tip of endotracheal tube 2.2 cm above carina. Nasogastric tube coiled in stomach. Right subclavian central venous catheter, tip SVC. Stable heart size. Bibasilar atelectasis. No gross effusion or pneumothorax.",Persistent bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.97685815489879010275783167863211034577
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.25708698932654327016227356814856856418
The heart size and mediastinal contours are within normal limits. Stable tortuosity of the thoracic aorta. Small bilateral pleural effusions. No pulmonary edema. No consolidation. The visualized skeletal structures are unremarkable.,Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.56583995035047824498517297529184109404
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is calcification in the wall of the aortic arch. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease. Thoracic aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.72250534690642958389500938600482106477
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.26742401912249535056330256087748968523
"The lungs are poorly expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",Low lung volumes with no radiographic evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.85986716993117032824722149990687013038
"Normal heart size, mediastinal contours, and pulmonary vascularity. Atherosclerotic calcification aorta. Lungs clear. No pulmonary infiltrate, pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.30976912999645845302131906916584907588
The heart size and mediastinal contours are within normal limits. ASD repair closure device noted within the heart. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92358163165647904562405596539434319470
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pneumothorax. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.71266906942160961631217752964624472533
"Normal heart size, mediastinal contours, and pulmonary vascularity. Mild peribronchial thickening. Subtle opacity LEFT lower lobe suspicious for pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Bronchitic changes with LEFT lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.74882209291862550269462885765141281048
The lungs are clear. Mediastinal contours appear normal. The heart is within upper limits of normal. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.52805300846250198231207865691047338494
Patchy opacities in the left lower lobe and right middle lobe are suspicious for pneumonia. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,Patchy left lower lobe and right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.95278199092387166996390359576529070299
OG tube is in place with the side port in the stomach in good position. The lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. The bowel gas pattern is unremarkable. No evidence of free air. No bony abnormality.,OG tube in good position. No acute disease.,1.2.826.0.1.3680043.8.498.41167647715445289452407650557036824740
The lungs are mildly hyperinflated but clear. The heart and mediastinal structures are normal. There is no pleural effusion. The bony thorax is grossly intact.,I do not see evidence of acute abnormality of the thorax. There is mild hyperinflation which may be voluntary or could reflect underlying COPD.,1.2.826.0.1.3680043.8.498.80472514595677433792255232525043904177
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41340957374264893869611524330085550965
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.98183987884397653697442732902051466202
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.66778120599351957690757037213169835369
Patchy basilar infiltrate is noted on the left but significantly improved when compared with the prior exam. No significant infiltrate is noted on the right. Heart size is normal. No pulmonary vascular prominence.,Partial clearing of left lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.76907427643114639493819651819368241719
Endotracheal tube is 2.5 cm above the carina. There is mild perihilar atelectasis. Heart is normal size. No effusions.,Endotracheal tube 2.5 cm above the carina. Mild perihilar atelectasis.,1.2.826.0.1.3680043.8.498.35637702182686950370316303644993034089
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48521266020041795824799184668670906858
Post CABG. The cardiomediastinal silhouette is unchanged. Small left pleural effusion with adjacent atelectasis. The right lung is clear. No pneumothorax. Thoracic spine fixation hardware is unchanged.,Small left pleural effusion with adjacent atelectasis.,1.2.826.0.1.3680043.8.498.34458754653486216621941395202325646582
"Endotracheal tube terminates 1.5 cm above the carina. Cardiothymic silhouette is within normal limits. Coarse patchy airspace opacities are again seen throughout both lungs, not significantly changed. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen.",Endotracheal tube as above. Stable bilateral airspace disease.,1.2.826.0.1.3680043.8.498.76640539846507189362027322839838989887
"Cardiothymic silhouette is within normal limits. No confluent airspace opacities, effusions or pneumothorax. No bony abnormality. No bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.42906846649381675077368465456651015424
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.59010358992934909935256646137923396614
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18496236041300017223103785528361832033
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.64150449884368507213037745238816262443
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15918435250363917999411306842759261736
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63628733260025549362307917407646047993
"Heart is normal size. Linear densities in the lung bases, likely atelectasis. No effusions. No acute bony abnormality. Aortic atherosclerosis. Old bilateral rib fractures.",Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.24165346630978228434674138068447883940
"Endotracheal tube, NG tube, left subclavian line in stable position. Cardiomegaly with pulmonary venous congestion bilateral interstitial prominence with bilateral pleural effusions. Findings consistent with congestive heart failure. No pneumothorax.",1. Lines and tubes in stable position. 2. Persistent changes of congestive heart failure with pulmonary interstitial edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.54638247476026597523990708320007149923
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10977830715873064937794881433024084595
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71953334051735559848771625640000100978
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.93956101125147644174696819000393570493
There is a mid inspiration. There is mild chronic-appearing prominence of the left basilar bronchovascular markings. The lung fields reveal no active process. The heart and mediastinum are physiologic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.64537623159366701928745796527975507383
There is increased airspace disease in the right upper lobe consistent with pneumonia. Stable airspace disease also present at the left lung base. No overt edema or pleural fluid identified. Stable heart size. Nasogastric tube extends into the stomach.,Increased right upper lobe airspace disease consistent with pneumonia. Stable left lower lobe airspace disease.,1.2.826.0.1.3680043.8.498.19194608471533131563714495551344247865
An endotracheal tube is in place with tip 3.6 cm above the carina. Left-sided pacemaker/AICD in position with lead tip projecting over the expected location of the right ventricle. Lung volumes are low. No consolidative airspace disease. No pleural effusions. No pneumothorax. No evidence of pulmonary edema. Heart size is mildly enlarged. Upper mediastinal contours are within normal limits. Aortic atherosclerosis. Status post median sternotomy.,"1. Support apparatus, as above. 2. Low lung volumes without radiographic evidence of acute cardiopulmonary disease. 3. Mild cardiomegaly. 4. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.82710337026633963167870381986670394598
"There is a large right pneumothorax, increased in size from earlier abdominal film. There is collapse of the right lung. There is no mediastinal shift. The heart size is normal. The left lung is clear. No significant pleural effusion is seen.","Large right pneumothorax, increased in size compared with earlier abdominal film. No evidence of tension.",1.2.826.0.1.3680043.8.498.51304154404562222854827655607275266671
"Single portable AP chest radiograph is provided. The lungs are hyperinflated likely secondary to COPD. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.76907129258685919782309215015666156961
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86123377978873337549481314384450971135
The lungs are clear and somewhat hyperaerated. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen. Endotracheal tube and NG tube have been removed.,No active lung disease.,1.2.826.0.1.3680043.8.498.11484744498025482307616951678996967710
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,Negative. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76818104650529653435505678515142264463
"Endotracheal tube with tip approximately 3 cm above the carina. Shallow inspiration. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",1. Endotracheal tube above the carina. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.73287104173248258990816348084862666209
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40657288679160387000984666531450222455
PA and lateral views of the chest show underlying COPD with interstitial changes and old scarring in the RIGHT upper lobe. Airspace opacification is seen in the RIGHT upper lobe consistent with superimposed pneumonia. No associated pleural effusion is seen. The LEFT lung field is clear. No acute changes of the heart or pulmonary vasculature are identified. The osseous structures show no acute changes.,1. RIGHT upper lobe pneumonia superimposed on COPD. 2. LEFT lung field is clear. 3. Follow-up examination is recommended.,1.2.826.0.1.3680043.8.498.90671802014294814017032246242545844785
Right Port-A-Cath is in place. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.58483822478621784303821439407712679609
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.37407872780256214485054220744241926479
"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.31942366245260925870303150145693329757
Mediastinum and hilar structures normal. Left base infiltrate consistent pneumonia. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Left lower lobe infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.63277902945189596930240275174370618637
"Normal heart size and vascularity. No focal pneumonia, edema, effusion or pneumothorax. Left upper lobe 5 mm nodular density noted versus overlapping shadows. Consider short-term follow-up 3 months versus non emergent noncontrast CT chest for further evaluation. Remaining lungs are clear. Trachea is midline.",Possible left upper lobe 5 mm nodular density. See above comment.,1.2.826.0.1.3680043.8.498.54936265127121971644663513807129638606
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. There are small bilateral pleural effusions. The lungs are hyperinflated. No focal consolidation. Degenerative changes in the spine.,1. Small bilateral pleural effusions. 2. Hyperinflation of the lungs consistent with COPD.,1.2.826.0.1.3680043.8.498.53005910362178095906781892274549650767
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.65817288460327879884749062815682430798
The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.35454402312363096437957218996689169376
The cardiopericardial silhouette is within normal limits for size. The lungs are clear. The visualized soft tissues and bony thorax are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12921710294804710954515921280186003622
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91734867222476247546986727847971667531
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.67313826329633194718030348022607928898
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30487361293534152832092176722310566410
Endotracheal tube is well positioned with tip approximately 4 cm above the carina. Central line is unchanged in position. Heart size and pulmonary vascularity are normal. Perihilar edema has improved. Small right pleural effusion is stable. No acute bone abnormality.,"1. Endotracheal tube in place, well positioned with tip approximately 4 cm above the carina. 2. Improving perihilar pulmonary edema.",1.2.826.0.1.3680043.8.498.37173061456737309692205341418105164963
Right jugular central venous catheter tip in the SVC. No evidence of mediastinal hematoma or pneumothorax. Cardiomediastinal silhouette unremarkable and unchanged. Lungs clear. No pleural effusions.,1. Right jugular central venous catheter tip in the SVC. No acute complicating features. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17133646195931845156360059143356021303
There is flattening of the hemidiaphragms. Linear areas of increased density project within the lung bases. No focal regions of consolidation are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,1. COPD with likely underlying component of pulmonary fibrosis. 2. Discoid atelectasis versus scarring within the lung bases. 3. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87291347117625137097516599219916574488
"Unchanged endotracheal and enteric tubes. New right internal jugular central venous catheter with the tip in the proximal SVC. The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Unchanged atelectasis in the right mid lung. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",1. New right internal jugular central venous catheter with the tip in the proximal SVC. 2. Unchanged endotracheal and enteric tubes.,1.2.826.0.1.3680043.8.498.81790819642336716888113513735747744259
Single view of the chest shows an enlarged cardiomediastinal silhouette. Bilateral pulmonary vascular congestion is seen as well as a small right pleural effusion. No focal consolidation is present. No pneumothorax is seen. The osseous structures are unremarkable.,Findings suggestive of congestive heart failure.,1.2.826.0.1.3680043.8.498.39823777340439485959614289988282963893
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29509841032131553783326309975835915528
Endotracheal tube is 5.6 cm above the carina. Nasogastric tube extends into the stomach. The lungs are clear. No pneumothorax. No pleural effusion. Normal cardiomediastinal contours.,Support equipment appears satisfactorily positioned.,1.2.826.0.1.3680043.8.498.47535512522828971255732128029573139685
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.68340866183252104861782912483884651979
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80463063400202547326682803927236313064
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77219278454698942561743357778940057481
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62524156610373432935074044807212392718
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18430203138149319793456031286706290870
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits. Elevation of right hemidiaphragm is unchanged.,Negative.,1.2.826.0.1.3680043.8.498.90132585054847021682336724491245927653
"Heart size is normal. The mediastinum is unremarkable. There is bronchial thickening but no infiltrate, collapse or effusion. No significant bony finding.",Bronchitis without consolidation or collapse.,1.2.826.0.1.3680043.8.498.29161439387333894883388478621738008514
There is mild bibasilar atelectasis. The lungs are otherwise clear. Pulmonary vasculature is normal. There is a small left pleural effusion. No pneumothorax. Heart size is normal. No acute osseous abnormalities.,Small left pleural effusion with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.86075715046720732572161296983875151312
Sternotomy wires are present. The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55160163773418110024306451976945047616
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45394508368819635396029875813526682557
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.76068750529814992141010511515550920536
The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61421135847865158892034197102623357424
There has been interval increase in bilateral pleural effusions and airspace disease. Cardiomegaly again noted.,Increasing edema/effusions.,1.2.826.0.1.3680043.8.498.35187762218750723164981426264243399840
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.95199786710221259524031011900433002993
An enteric tube is again identified extending to the LEFT upper abdomen with tip overlying the mid stomach. LEFT lung opacification is unchanged. Increased opacity within the RIGHT LOWER lung is noted. There is no evidence of pneumothorax. No acute bony abnormalities are identified.,Unchanged appearance of the LEFT lung with LEFT lung collapse. Increased opacity within the RIGHT LOWER lung. Question atelectasis or airspace disease.,1.2.826.0.1.3680043.8.498.16351452681629461622027199192639043070
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44947212909325331189510117897406292034
"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30798874624222628148814208163463005074
The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.88548914429042150042443026520968805890
"Stable cardiomegaly and mediastinal contour with tortuous thoracic aorta. Stable biapical pleural scarring. Stable pulmonary vascular congestion without overt edema. No pneumothorax, pleural effusion, consolidation, or acute airspace opacity. Stable visualized osseous structures.",Stable cardiomegaly and mild vascular congestion. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.28129098561516687056580736862619345168
"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62902302449206901027227343888928393116
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22426732315541199646183161363208859312
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95930342870846033695444985323069318306
"Cardiac and mediastinal silhouettes are stable, and remain within normal limits. Lungs are hypoinflated. Secondary mild bronchovascular crowding. No pulmonary edema or pleural effusion. No focal infiltrates. No pneumothorax. No acute osseous abnormality.",Shallow lung inflation with secondary mild bronchovascular crowding. No other active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38975876808418296703874770300235004191
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88426249696832898508157648736752064608
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43068417232656982683774091056887452853
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59812462350715162809742226231827191909
The heart and vascularity are unremarkable. No pneumothorax is visualized. Healed left rib fractures are present. Volume loss is present in the lung bases.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.69495297320467680935220955519197862551
Normal sized heart. Clear lungs. Mild diffuse peribronchial thickening. Minimal thoracic spine degenerative changes.,Mild bronchitic changes.,1.2.826.0.1.3680043.8.498.33780562776358996726340900019578787948
There is a patchy infiltrate in the RIGHT upper lobe compatible with pneumonia. The lung fields otherwise are clear. No pneumonia is seen on the LEFT. No acute changes of the heart or pulmonary vasculature are identified. A cardiac pacemaker is present.,There is a patchy infiltrate in the RIGHT upper lobe compatible with pneumonia.,1.2.826.0.1.3680043.8.498.88930539243825501958464058453095225791
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.54774231042996558369392916171035675903
There is cardiomegaly and pulmonary vascular congestion. No overt pulmonary edema. Nasogastric tube is in place with its tip in the stomach.,Cardiomegaly and pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.86392812657872156633832103896828872431
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.36683684634588562553371650840773485026
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.45097445420229184817983524630130511827
The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions. No acute bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.87714604173189910668046205530867667291
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85618603121431937588737149258103346977
There is central airway thickening. No focal airspace disease or effusion. Heart size normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.54608776061583273409920428594652801353
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.12830795226575271958111396144415104297
The heart size and mediastinal contours are stable. Endotracheal tube is identified distal tip 5.5 cm from carina. Nasogastric tube is identified distal tip not included on film but is at least in the stomach. A right central venous line is identified with distal tip in the superior vena cava. There is no pneumothorax. There is consolidation of the right lung base. The left lung is clear. The visualized skeletal structures are stable.,"Right central venous line distal tip in the superior vena cava. There is no pneumothorax. Consolidation of right lung base, unchanged.",1.2.826.0.1.3680043.8.498.30571911758155803720736891907285335803
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.50294524145393927089264375910873990526
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69758021461890599405364133589629581920
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25916794215399907153375569889180566465
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.64519873816591855579203121380301302759
Cardiomediastinal silhouette is normal. Calcified aortic knob. No pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious. Faint calcifications projecting in neck are likely vascular.,Stable examination: Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.41273103838855648755742859299820999587
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusion or infiltrate. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31203560130831934643894443032037214546
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. Thoracic spine degenerative changes.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29226770292969045287148095052209676477
There is scarring in the left base region. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Scarring left base. No edema or consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.55322445291935892166889209108954016583
Endotracheal tube is in good position. There is diffuse bilateral airspace disease which is most likely due to pulmonary edema. There is no effusion. There is COPD.,Endotracheal tube in good position. Development of bilateral airspace disease which is probably due to pulmonary edema.,1.2.826.0.1.3680043.8.498.25496273943955575577185531240154189748
There is focal airspace disease in the left lower lobe consistent with pneumonia. Central airway thickening is noted. The heart size is normal. No pleural effusion.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.12891694581360382189825741416179743450
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27345036702509538206509569233529834976
There is consolidation in the right upper lobe compatible with pneumonia. The left lung is clear. No effusion is seen. The heart is within normal limits in size. No bony abnormality is noted.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.95891426364470359082182478895167674918
"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73218872320224671040226030471375614355
Cardiac silhouette is mildly enlarged. No mediastinal or hilar masses. No evidence of adenopathy. Mild prominence of the bronchovascular markings diffusely. Mild linear opacity is noted in the left lung base consistent with atelectasis. No evidence of pneumonia or pulmonary edema. No pleural effusion or pneumothorax. Skeletal structures are demineralized but grossly intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68561309419810759999340491702257813336
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42307958150667090535015088726605178957
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32217732918409357084641852426458956544
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27331742650541630325848911054760305428
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.73476843693971396284100248089977784486
The lungs are hyperinflated likely secondary to COPD. There is no focal consolidation. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43134865397125888629880818416137865242
The lungs are clear. Heart size is normal. There is no pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.85413563934373975921977031483554398614
Low lung volumes are seen. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is within normal limits.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35073834085779006888735872838822958944
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits. Thoracolumbar scoliosis.,Negative.,1.2.826.0.1.3680043.8.498.67531545233595855195311183511178475672
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99221130707227801242218653370226766162
The lungs are adequately inflated. The interstitial markings are coarse though stable. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11649854648886458137872240301375697255
There is a focal area of consolidation in the right upper lobe compatible with pneumonia. The left lung is clear. Heart size and vascularity are normal. No osseous abnormality.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.31817165005674112798323232982687504096
Lungs are clear. The cardiothymic silhouette is normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.13492725522220884787984270710297698002
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20841741962834767311244110257046397062
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.55997433643157111440500418211010771210
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79653558638399846078429396509822813998
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.60201812819344910998934311683295730791
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97017035847064316969782127607369056420
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98187123864017453800254276541902478913
"The lungs remain severely under inflated. The endotracheal tube, left PICC, and nasogastric tube are stable. Bibasilar atelectasis is again seen. The heart is normal in size. A moderate sized left pleural effusion is again noted. No pneumothorax is seen.",No significant change.,1.2.826.0.1.3680043.8.498.58397750893389912821584674750669118378
Mediastinum and hilar structures are stable. Prior CABG. Stable cardiomegaly. Diffuse bilateral pulmonary infiltrates/edema again noted. Similar findings noted on prior exam. Small bilateral pleural effusions again noted. Pleural calcification on the right again noted. No pneumothorax.,1. Prior CABG. Stable cardiomegaly. 2. Diffuse bilateral pulmonary infiltrates/edema again noted. Similar findings noted on prior exam. Small bilateral pleural effusions again noted. Findings suggest chronic interstitial lung disease with superimposed bilateral pneumonia.,1.2.826.0.1.3680043.8.498.92171976852509904720737381874164201950
Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable. There are moderate degenerative changes of the thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.96595581651252037132309351118752260525
The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Ventriculostomy shunt catheter is on the left.,No acute or active cardiopulmonary process is identified.,1.2.826.0.1.3680043.8.498.11781222813895092939434502321328227318
"The heart size and mediastinal contours are within normal limits. Pulmonary hyperinflation again seen, consistent with COPD. Both lungs are clear. No evidence of pleural effusion. No mass or lymphadenopathy identified.",COPD. No active disease.,1.2.826.0.1.3680043.8.498.49375718396912301147825660222177919359
"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67197204428723462345233905345117092225
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73579552080160184031529268231399661237
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.39998698513491709644711555567214488039
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions.,No active disease.,1.2.826.0.1.3680043.8.498.93222022590776398327169000229105235644
There is peribronchial thickening consistent with bronchitis. Heart size and vascularity are normal. Lungs are clear. No osseous abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.42297326139080434604617731667580302199
The heart size is normal. There are no effusions or edema. Scar vs atelectasis is identified at the left lung base. No acute air space opacities are identified.,Scar vs atelectasis at left lung base.,1.2.826.0.1.3680043.8.498.24635264093323815434394732742105718062
"There is cardiomegaly. Patchy bilateral airspace opacities are again noted, with slight improvement since prior study. Low lung volumes. Small bilateral effusions.",Slight improvement in bilateral airspace disease.,1.2.826.0.1.3680043.8.498.50085322486277819389027788587533686939
The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.79373206949650763546290498445365128879
An orogastric tube is in place with the tip located in the region of the mid body of the stomach. An endotracheal tube is in place with the tip located in the right mainstem bronchus. This needs to be pulled back approximately 1 cm for positioning of the tip above the level of the carina. The cardiothymic silhouette is within normal limits. The lung fields demonstrate some mild volume loss in the right upper lobe with increased density in the right upper lung zone. No pleural effusions or pneumothorax are seen. The visualized portion of the bowel gas pattern is unremarkable. Bony structures appear intact.,Endotracheal tube tip in the right mainstem bronchus. This needs to be pulled back approximately 1 cm. Right upper lobe volume loss with mild atelectasis.,1.2.826.0.1.3680043.8.498.74866273473383210924483156393359122871
Stable cardiomediastinal silhouette. Feeding tube is unchanged in position. No pneumothorax is noted. Stable bibasilar atelectasis or edema is noted with associated pleural effusions. Bony thorax is unremarkable.,Stable bibasilar atelectasis or edema with associated pleural effusions.,1.2.826.0.1.3680043.8.498.95179065325533175005398318552708367143
The heart size and mediastinal contours are within normal limits. Previously seen lingular pneumonia has resolved since previous study. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56839141524761097965049224632037771222
"Left central line remains in place, unchanged. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality. Old bilateral clavicle fractures.",No active disease.,1.2.826.0.1.3680043.8.498.98080654871066169823430937237670396973
"Stable obscuration of the right heart border on the frontal view. This is less pronounced than on the prior exam. No consolidation on the lateral view. Lung volumes are within normal limits. No pneumothorax, pulmonary edema, pleural effusion or new airspace opacity. Stable mild scoliosis. Other visualized osseous structures appear normal for age. Cardiac size and mediastinal contours are within normal limits.","Stable obscuration of the right heart border on the frontal view, improved since 10/21/2003. No acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.22360706980164481566346589844803342398
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52913332273647739039799912111150177692
"PA and lateral chest radiographs are provided. There is left basilar atelectasis. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.35354860409218806122608982650094430746
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Surgical clips in the right axilla.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73755173153758847876432563206155376905
There is peribronchial thickening consistent with asthma. There is a small area of round infiltrate in the right perihilar region which is improved from the prior study. Heart size and vascularity are normal. No bony abnormality.,Improved appearance of the right perihilar pneumonia.,1.2.826.0.1.3680043.8.498.81063596455177190768640753541600715908
"Single frontal portable radiograph of the chest is submitted. The patient is rotated to the left. Cardiomediastinal silhouette is stable. No airspace consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are noted.",No acute cardiopulmonary process is identified.,1.2.826.0.1.3680043.8.498.98591999020384891320905518255235132352
"Stable cardiomegaly. Mild pulmonary vascular congestion without frank edema. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",Stable cardiomegaly with mild pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.67171018745024970069655389230834471517
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20129689945424362794472473431060252541
Limited exam because of patient positioning. Cardiomegaly. Suspect mild vascular congestion. No confluent airspace opacities or effusions. No acute bony abnormality.,"Limited study due to patient positioning. Cardiomegaly, vascular congestion.",1.2.826.0.1.3680043.8.498.75809076488304136330237232145943097903
There is no pacemaker on the left. Pacemaker electrodes are attached to the right atrium and right ventricle. One of the pacemaker leads is attached to the posterior aspect of the right atrium. One of the pacemaker leads appears attached to the posterior aspect of the right heart. The cardiac silhouette is enlarged. The pulmonary vascularity is normal. There is no pneumothorax or pleural effusion. There is no edema. There is mild degenerative disc disease at multiple thoracic levels.,No evidence of pneumothorax following pacemaker placement. Cardiomegaly. No evidence of edema.,1.2.826.0.1.3680043.8.498.46980990917115526716573795080345664268
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable. No radiopaque foreign bodies.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81163685920072772374044209173340605989
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.81796178177380008603364515308729807132
"Small left apical pneumothorax again noted, unchanged. Heart is normal size. Right lung clear. Minimal left base atelectasis. No effusions.",Stable small left apical pneumothorax.,1.2.826.0.1.3680043.8.498.71664488757863986198831448361992799126
The heart is mildly enlarged. The pulmonary vasculature is within normal limits. The lungs are clear. No pneumothoraces or effusions are seen.,Cardiomegaly without congestive heart failure.,1.2.826.0.1.3680043.8.498.95677660835383805785657136529621598452
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.45058708274371215775842919579013055961
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.50390416737492489289559611455549873887
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No pneumothorax is seen. No acute rib fracture is noted.,No acute abnormality seen.,1.2.826.0.1.3680043.8.498.53034833776594761666733842936374074303
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33596160154231850404437242270359852091
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.12328845376749880629743760794463846198
Both lungs are clear. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits.,No active disease.,1.2.826.0.1.3680043.8.498.64633605136530638637096210345978787389
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No pleural effusion. No pneumothorax. Degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45945712050407655131274361829786494258
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.82290402139522156060245844600370843089
"Stable mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.29656659893198860158554443444296243830
"A frontal radiograph of the chest shows that the lungs are grossly clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. The catheter tip of a right venous access port resides in the superior vena cava.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.74547077294918477735588202413560777538
The lungs are adequately inflated and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is not widened. The bony thorax exhibits no acute abnormality.,There is no evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.80115404499504228275352330640636403781
"The lungs are clear and hyperaerated consistent with COPD. The hila are somewhat prominent, particularly on the right, which may indicate adenopathy. The heart is within normal limits in size. No bony abnormality is seen.",COPD. Question of mediastinal adenopathy. No active lung disease.,1.2.826.0.1.3680043.8.498.82041931435508845871952273468619420927
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33370176872281568279290504080465827946
There is a right chest wall dialysis catheter with tips in the right atrium. The heart size appears normal. There are low lung volumes. Diffuse pulmonary venous congestion is identified. A left pleural effusion and interstitial edema is again noted. There is no pneumothorax.,1. Pulmonary edema. 2. Left effusion and edema to the lung base.,1.2.826.0.1.3680043.8.498.14270824472730437527680589471707203867
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37868404120282525905349307078482526631
There is a left chest wall pacer with leads in the right atrial appendage and right ventricle. The heart size is enlarged. There is no pleural fluid or pulmonary edema. No airspace opacities are identified.,1. Cardiac enlargement without heart failure. 2. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.11960031770493816154350002401188884302
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67170204657302014913187765686889960242
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21414805214424191866413193124888061432
There is COPD. There is increased density at both lung bases which is probably due to atelectasis. Early pneumonia cannot be excluded and follow-up chest x-ray is recommended. The heart is mildly enlarged and stable.,COPD. Increasing basilar opacity probably due to atelectasis. Recommend follow-up.,1.2.826.0.1.3680043.8.498.15880225267279895916397095420661116647
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37568102132006569408406001004888726708
Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.15289047715523486092455662078727378214
There is peribronchial thickening. The lungs are clear. The pulmonary vasculature is normal. There is no pleural effusion. Hilar and mediastinal contours are unremarkable.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.47078108664595260838917935625851765350
Trachea is midline. Heart size normal. Right subclavian Port-A-Cath tip projects over the SVC. A mass at the right lung apex is again seen. Moderate right pleural effusion and right basilar airspace disease persist. Left lung is clear. No pneumothorax.,1. Moderate right pleural effusion with right basilar airspace disease. 2. Right upper lobe mass.,1.2.826.0.1.3680043.8.498.93538588503717797678040576024309663586
"Cardiomediastinal silhouette unchanged in size and contour. Low lung volumes with coarsened interstitial markings, similar to the prior. No pneumothorax. Blunting of the right costophrenic angle. No confluent airspace disease. Left upper extremity PICC with the tip appearing to terminate superior cavoatrial junction.",Low lung volumes with likely atelectasis and small right pleural effusion. Left upper extremity PICC appears to terminate superior cavoatrial junction.,1.2.826.0.1.3680043.8.498.42866911160434029989761403495080722649
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26150270630373023074759645071834730776
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26056628192169632944128327131298968320
There is increased density in the lingula compatible with pneumonia. The right lung field is clear. No pleural effusion or pneumothorax is seen. The heart is mildly enlarged. The chest appears hyperexpanded compatible with COPD.,1. There is increased density in the lingula compatible with pneumonia. 2. COPD.,1.2.826.0.1.3680043.8.498.70749082077246144255561575126203550661
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76017073145774795616830089818406574035
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94891297541673341065668172917352060101
Cardiomediastinal silhouette unchanged in size and contour. Calcifications of the aortic arch. Opacity at the left base obscuring the left hemidiaphragm and the left heart border. No pneumothorax. No displaced fracture. Surgical changes of the right axilla.,Persisting left-sided pleural effusion with associated atelectasis/consolidation.,1.2.826.0.1.3680043.8.498.26263183788392096756278895201433975855
There is hyperinflation of the lungs compatible with COPD. Heart is upper limits normal in size. Lungs are clear. No effusions. Multiple old left rib fractures. No acute bony abnormality. No pneumothorax.,COPD. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87943881966993787571892534797529951304
Stable normal cardiac silhouette given projection and technique. Tracheostomy tube noted. Aortic atherosclerosis with calcification. Linear opacity at the right lung base is probably atelectasis. No consolidation. No pneumothorax. No acute osseous abnormality is evident.,Right basilar atelectasis. No acute pulmonary process identified. Tracheostomy tube noted.,1.2.826.0.1.3680043.8.498.71957191674116462400431639770747867065
"There is hyperinflation of the lungs compatible with COPD. Heart is upper limits normal in size. Nodular density again noted in the left lower lung, unchanged. Increasing density in the right upper lobe adjacent to the minor fissure. No effusions.",COPD/chronic changes. Stable left lower lobe nodule. Increasing density in the right upper lobe which could represent infiltrate or atelectasis.,1.2.826.0.1.3680043.8.498.10885955072187591481427118843343621963
"Linear densities at the lung bases, likely atelectasis. Heart is normal size. No effusions. No acute bony abnormality. No pneumothorax.",Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.32847695626273371110198685687649703908
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59122936633781954019926457116291297916
"The lungs are well-aerated. Mildly increased central lung markings may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mildly increased central lung markings may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.87324896056443955420898805538602941975
The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.51512513617770862618224583503234746755
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.63925455538903593900634017798838098663
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84167604939009134834714117806091615820
There is central peribronchial thickening. There is no consolidation or volume loss. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Central bronchiolitis. No consolidation.,1.2.826.0.1.3680043.8.498.16849689462165137759159971555955912145
There is airspace consolidation in the right upper lobe. There is atelectatic change in the left base. Lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,New airspace consolidation right upper lobe consistent with pneumonia. Left base atelectasis. Stable cardiac silhouette. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.20900309303181134878794097298715651210
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67589124420236699169713199222180062660
"Interval removal of the apical right chest tube. Stable configuration of subclavian central venous catheter. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. Stable small right pleural effusion. No left pleural effusion. No pulmonary edema. Stable right basilar consolidation, which could represent atelectasis or pneumonia.","1. No pneumothorax status post right chest tube removal. 2. Stable small right pleural effusion. 3. Stable right basilar consolidation, which could represent atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.21161207628447351095376815335287764980
"Endotracheal tube has been placed, with tip positioned 2.2 cm above the carina. Enteric tube courses into the abdomen. There is diffuse left-sided volume loss with shift of the mediastinal structures to the left, consistent with atelectasis. The right lung is clear. The cardiac silhouette is largely obscured. No acute osseous abnormality.",1. Tip of the endotracheal tube 2.2 cm above the carina. 2. Diffuse left-sided atelectasis.,1.2.826.0.1.3680043.8.498.63684226568986190335790625050378878982
The heart is mildly enlarged. The lungs are clear. No edema. No infiltrates or failure. No effusion or pneumothorax. Bones are unremarkable.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.33283570728473502551232094933756242530
"The heart size and mediastinal contours are within normal limits. Lung volumes are normal. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42502008967650352378682675685213973588
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90208010905788472147778721203314222109
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.74563517173206320716000601211151265928
"There is increased airspace disease in the right lower lobe. Small bilateral pleural effusions are present. Interstitial prominence is seen bilaterally, similar to prior exam. The heart is mildly enlarged. The upper lungs are clear.",1. Increased right lower lobe airspace disease. This may represent pneumonia or atelectasis. 2. Small bilateral pleural effusions. 3. Mild interstitial prominence. Question mild interstitial edema.,1.2.826.0.1.3680043.8.498.98521041551514110840310093984044519294
"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.28372519694093177236635437703257095257
Extensive subcutaneous emphysema is seen at the left chest wall and bilateral supraclavicular regions. No pneumothorax is seen. Lungs are emphysematous with right upper lobe mass and superior hilar mass/adenopathy again noted. Lungs are otherwise clear. Heart size is normal.,1. Extensive subcutaneous emphysema. 2. Right upper lobe and superior hilar mass/adenopathy. 3. Emphysema. 4. Otherwise no active disease.,1.2.826.0.1.3680043.8.498.47659540466531121854365362332023468831
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52339764737102486618812459348502250188
"The heart size and pulmonary vasculature are within normal limits. No pleural effusion, pneumothorax, or focal consolidation.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.73237311266316402474481676335791059713
"The lungs are clear. Mild hyperinflation is again noted. There is no evidence of focal airspace disease, pleural effusions, or pneumothorax. The bony thorax and visualized upper abdomen are unremarkable.",Stable chest without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33411924005072838438193761654654487950
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90325951404903528824206598128733620791
"Normal heart size and mediastinal contours. Minimal peribronchial thickening. No pulmonary infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.92910237071758645586639072297869430480
"There is a large hiatal hernia. There is no focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The osseous structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25673837765619258783575253634687658611
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.21379617337018151884027606860406929934
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24307245044574178352579338128632921768
Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.25729743607576330313858724900469722330
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.75216378277236885906661192517871855990
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20819652481722599462331556704081540340
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusion. Previously described nodular density in the right lower lung is not visualized on the current radiographs. The nipple marker corresponds to the nodular density seen on the prior radiographs.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22391061388195514131500749367188967130
The lungs are clear. Mediastinal contours appear normal. The heart is within upper limits of normal. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.41123626510264792507464086634549318270
There is cardiomegaly. Bilateral pleural effusions are present. There is interstitial pulmonary edema. Bilateral basilar airspace disease is noted. A left subclavian dual lead pacemaker is stable in position. There is no evidence for pneumothorax.,1. Cardiomegaly and bilateral basilar airspace disease/edema and bilateral effusions. 2. Overall the appearance of the chest is stable.,1.2.826.0.1.3680043.8.498.18383105459437910500527176943876910754
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.72399551763396910190196338688347016268
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45753906053291458438174009357775203559
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11106513449230058219938382763159727927
Interim extubation and removal of NG tube. Bilateral chest tubes and mediastinal drainage catheter in stable position. Similar findings noted on prior exam. Prior CABG. Cardiomegaly with normal pulmonary vascularity. Mild basilar atelectasis. No pleural effusion or pneumothorax.,1. Interim extubation and removal of NG tube. Remaining lines and tubes including bilateral chest tubes in stable position. No pneumothorax. 2. Prior CABG. Stable cardiomegaly. No pulmonary venous congestion. Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.25132394699107204339095092314023464974
The lungs are well-aerated. Mild left basilar atelectasis is noted. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Mild left basilar atelectasis noted. Lungs otherwise clear.,1.2.826.0.1.3680043.8.498.14682976986245305540471569957120780958
There is a focal opacity at the right lung base which is new from the prior study. This is concerning for pneumonia. There is no evidence of pneumothorax or pleural effusion. The left lung is clear. The heart size is stable.,New opacity at the right lung base which is concerning for pneumonia.,1.2.826.0.1.3680043.8.498.71823606503633728560735676041720973118
"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.33250732799179349565848762205416898579
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41839247956316079935154484674624636514
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29517360197244712761934014582831260484
The lungs remain hypoinflated. There is increased density at the left lung base consistent with atelectasis. There is likely a small amount of pleural fluid on the left as well. The cardiac silhouette is not enlarged. The pulmonary vascularity is not engorged. The Port-A-Cath appliance appears unchanged in position.,There is increased density at the lung bases consistent with atelectasis. I cannot exclude basilar pneumonia. There is likely a small pleural effusion on the left. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.67620589350944624935234720097970058706
Stable endotracheal tube and NG tube. Stable right central venous catheter. Low lung volumes with basilar atelectasis. No enlarging effusion or pneumothorax.,Stable portable chest exam.,1.2.826.0.1.3680043.8.498.41213485372744595239614457856657200834
No focal lytic lesions are identified within the skeleton. The scapulae and visualized portions of the right and left proximal humerus are not identified.,No focal lytic lesions identified.,1.2.826.0.1.3680043.8.498.48424987209091078057525051648569609535
Lungs are clear. Cardiothymic silhouette is normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.35305271642734564324134615210188145401
There is central airway thickening. No consolidative process. No pneumothorax or pleural effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.35602759010381493752344392976169274095
The heart is mildly enlarged. The mediastinal and hilar contours are grossly normal. The lungs are clear. No pleural effusion. The bony thorax is intact.,No acute cardiopulmonary findings. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.21839778191771630212614553124958496634
There is central airway thickening but no focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.45247402592420039475411860725766083729
The lungs are not well aerated with mild basilar volume loss. No pneumonia or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.55016806068335728441628708754137163958
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94798063582297782921138400418774862284
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.82268896335247312624931631084701187615
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26742425386372958592284836122391138241
Tracheostomy tube is in place. There is a right upper extremity PICC with tip in the expected location of the right atrium. The heart size is enlarged. There is a probable left pleural effusion. Airspace consolidation is not excluded. There is no pneumothorax.,1. Cardiomegaly. 2. Left lung base airspace consolidation. 3. Probable small left pleural effusion.,1.2.826.0.1.3680043.8.498.55056325463301309588604485332199492067
"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. The patient is status post CABG. Bones are diffusely demineralized.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.92247290097367534534744957830384016552
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99768762712091685012517680378163942873
The heart is normal in size. The aorta is tortuous and calcified. The lungs are clear. No pneumothoraces or effusions are seen. A mid thoracic spine compression deformity is stable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24629507878208829883954955009706924544
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96485546017923975216890832747601653482
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36208039079910028034221178937161054664
Endotracheal tube terminates at the thoracic inlet. Umbilical catheter terminates at T7. Cardiothymic silhouette is normal. Lungs are mildly hyperinflated. There are mild streaky perihilar opacities. Bowel gas pattern is nonobstructive.,1. Support apparatus as above. 2. Findings suggestive of retained fetal fluid.,1.2.826.0.1.3680043.8.498.75690478252146134756798751180209870993
The heart is enlarged. Lung volumes are low. No consolidation or edema. No pleural effusion or pneumothorax. No acute osseous abnormalities are seen.,Stable cardiomegaly. No acute pulmonary process.,1.2.826.0.1.3680043.8.498.55180801105030271578943413336824961458
There is central airway thickening but no focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.33916672893735032657654745556620141254
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90250615995515148136505300779983487955
Portable semi upright AP view 6061 hours. Moderate to large right pleural effusion with veiling opacity in the right lung compatible with pleural effusion and underlying right lung consolidation. Stable cardiac size and mediastinal contours. The left lung is clear. No pneumothorax. Stable visualized osseous structures.,Moderate to large right pleural effusion with underlying consolidation/atelectasis in the right lung.,1.2.826.0.1.3680043.8.498.82712561909640986124414225455538705589
"Tip of orogastric tube projects over stomach. Normal cardiac and mediastinal silhouettes. Mild hazy infiltrates of respiratory distress syndrome, unchanged. No gross effusion or pneumothorax.",No interval change.,1.2.826.0.1.3680043.8.498.19279833077163553069914604193932748391
Moderate to large left pleural effusion. Small right pleural effusion. Left lower lobe atelectasis and/or consolidation. Left upper lobe atelectasis. No pulmonary edema. Bony thorax intact.,Moderate to large left pleural effusion and small right pleural effusion. Left lower lobe atelectasis and/or consolidation.,1.2.826.0.1.3680043.8.498.63122310555431511079148980041852714292
"OG tube remains in the stomach. Cardiothymic silhouette is within normal limits. Improved aeration in the lungs. Mild hazy opacities in the lungs, likely RDS. No effusions or pneumothorax.","Improving aeration in the lungs. Continued mild hazy opacities, likely RDS.",1.2.826.0.1.3680043.8.498.63969291865249614614559853089164515677
Multiple displaced rib fractures are again noted on the left. No pneumothorax. Bibasilar atelectasis slightly increased. No effusion. Heart size and vascularity normal.,No pneumothorax. Multiple left rib fractures. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.63092270097081245452915090369951296823
Cardiothymic silhouette is normal. There is no definite infiltrate. I wonder if there could be mild patchy density in the left lower lobe but this may simply represent vascular shadowing. No effusions. Bony structures unremarkable.,No active disease versus minimal left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.43494773240527059999340610351109314448
There is increased density at the right lung base consistent with right basilar pneumonia. There is likely some right pleural effusion present as well. The interstitial markings are mildly increased. The heart is not enlarged. A Port-A-Cath appliance is present with the tip of the catheter in the superior vena cava.,1. Developing right basilar infiltrate is a concern. 2. There are findings consistent with pulmonary edema.,1.2.826.0.1.3680043.8.498.13645547681760172998484196839025209295
"Upper normal heart size. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. LEFT basilar atelectasis. Lungs otherwise clear. No infiltrate, pleural effusion or pneumothorax. Bones demineralized.",LEFT basilar atelectasis. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.60566221818232508926116677283758694056
Endotracheal tube is in place with the tip approximately 3.5 cm above the carina. There is right upper lobe airspace disease compatible with pneumonia. The left lung is clear. No effusion. Heart size normal.,1. Endotracheal tube in good position. 2. Right upper lobe airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.81536698724342032824948980708281119084
"There is a moderate-sized right pleural effusion and small left pleural effusion. The heart is enlarged. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Cardiomegaly. Bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.77869919634904716330304005949821701017
No pneumothorax post left thoracentesis. Right-sided PICC line with tip in the distal SVC. Small residual left pleural effusion with left basilar atelectasis. Stable cardiomediastinal silhouette.,No pneumothorax post left thoracentesis.,1.2.826.0.1.3680043.8.498.86134790068526363822737845945513605664
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12053862991191804502325207276210977634
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63736129246074454643069831754440260780
The heart size and mediastinal contours are stable. There is aortic atherosclerosis. The left lower lobe pneumonia has not significantly changed. Patchy airspace opacities at the right lung base are stable. There is no significant pleural effusion. The osseous structures appear unchanged.,Stable left-greater-than-right basilar airspace opacities consistent with pneumonia.,1.2.826.0.1.3680043.8.498.34616322051518056164481240815351325244
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.92692975069282540618217109703471947227
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.33817321072731968354732980853282804915
"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90943484417610207454167644851749160330
Cardiac shadow is at the upper limits of normal in size. A moderate-sized hiatal hernia is noted. The lungs are clear bilaterally. No bony abnormality is seen.,Hiatal hernia. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.66341848953169351985468232177913766406
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.47665038052244843493438776801167191008
Chronic interstitial markings. No focal consolidation. No pleural effusion or pneumothorax. Heart is top normal in size. No right rib fracture is seen.,No evidence of acute cardiopulmonary disease. No right rib fracture is seen.,1.2.826.0.1.3680043.8.498.43119251458731651730684804990626410661
There is new airspace disease at the right lung base. Left lung is clear. No effusion. Heart size normal.,New right basilar airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.24871905114266100806660965431245509277
"Multifocal airspace opacities in the upper lobes and left mid lung, compatible with pneumonia. Overall appearance is similar to prior. No pleural effusion or pneumothorax. Heart is normal in size. Thoracolumbar spinal stimulator.",Stable multifocal pneumonia.,1.2.826.0.1.3680043.8.498.33027963378712163395189323116811139153
The left PICC terminates in the SVC. The endotracheal tube is stable. The nasogastric tube terminates below today's film. No pneumothorax. Mild atelectasis at the right lung base is stable.,1. Left PICC placement without complication. 2. Stable right basilar atelectasis.,1.2.826.0.1.3680043.8.498.27828300050719959147552431780553471416
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.93081118341699444660508318488645233198
Cardiomediastinal silhouette is stable and unchanged. Scattered granulomas are seen throughout the lungs unchanged from prior exam. No acute infiltrates are seen. Osseous structures are stable. Left-sided Port-A-Cath is unchanged.,No evidence for active disease in the chest.,1.2.826.0.1.3680043.8.498.94367639620195516145485732163542230932
Heart size and vascularity are normal and the lungs are clear. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.70087882064380261229025347939296200636
"Endotracheal tube is seen 6.6 cm above the carina. Nasogastric tube extends into the upper abdomen beyond the margin of examination. Right upper extremity PICC tip noted within the right atrium. The lungs are symmetrically well expanded. Small right pleural effusion is present, with associated right basilar atelectasis or infiltrate. Left lung is clear. No pneumothorax. Cardiac size within normal limits. Pulmonary vascularity is normal.",1. Small right pleural effusion with associated right basilar atelectasis or infiltrate. 2. Endotracheal tube in appropriate position.,1.2.826.0.1.3680043.8.498.36605656871297726802510605075754889374
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.85302885925874851982294938643107873125
"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37401003295023304126070033910779427828
Cardiac shadow is enlarged. A right-sided PICC line is noted in satisfactory position. The right lung is clear. Complete opacification of the left hemithorax is noted consistent with a combination of pleural effusion and atelectasis. No acute bony abnormality is noted.,Left-sided pleural effusion and left lung atelectasis.,1.2.826.0.1.3680043.8.498.18006753455305484456331429777983794617
Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.90278130454100306856605933882825605737
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96856718085611795786173532751727276620
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56620063927496850962577380713870322719
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83591686382852541502120336730496883346
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61799907145911968780641804445014078967
"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.69713296754306029646555511138946037940
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.93520253648422643824188944465081747496
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14771977382466345177309372693689613327
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92830792620975685066041524736322831064
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86702465010544566470108020156379315725
The heart size and mediastinal contours are within normal limits. Tortuous thoracic aorta. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15606891147157450636195398565038647859
"Portable AP supine view at 5968 hours today. Endotracheal tube tip is 1 cm above the carina. UAC tip at T7-T8. UVC tip at the level of the diaphragm. Enteric tube in the abdomen, side hole at the level of the gastric body. Larger lung volumes. Normal cardiac size and mediastinal contours. No pneumothorax, pleural effusion or confluent pulmonary opacity. Bowel gas pattern remains normal. No osseous abnormality identified.",1. UAC tip at T7-T8. UVC tip at the diaphragm. 2. Larger lung volumes. 3. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.83328425806032862526204010027440451871
Lung volumes are low. Lungs are clear. No pneumothorax or pleural effusion. Heart size normal.,No acute disease.,1.2.826.0.1.3680043.8.498.31030164429215712906713787372982387925
Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.40603331661523847532363979444000238445
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Cardiac monitoring lines project over chest. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.56280116745438306889337820333283204777
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.12657968204622291680385392075616023181
There is patchy airspace disease in the left lower lobe consistent with pneumonia. The right lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Left lower lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.87335766434228393469024943394350459201
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54645335300199220572653542184487687512
The cardiac silhouette is within normal limits. The lungs are free of focal consolidations. There is airspace opacity in the right upper lobe suspicious for pneumonia. The pulmonary vasculature is normal in caliber. The aortic arch is calcified. The costophrenic angles are sharp. The bony structures are adequately mineralized. There is thoracic spondylosis.,Right upper lobe infiltrate is suspicious for pneumonia.,1.2.826.0.1.3680043.8.498.16594299994789167467660726319585453561
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Skeletal structures are demineralized but grossly intact. Atherosclerotic changes noted at the aortic arch.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35932250757118470969134081626197979978
Cardiac shadow is within normal limits. A new pacing device is noted. The lungs are clear bilaterally. No pneumothorax is noted. No bony abnormality is seen.,No pneumothorax following pacemaker placement.,1.2.826.0.1.3680043.8.498.71699566425317173324702845930654887219
The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact. Again noted is a left-sided cardiac pacing device in place.,No evidence of acute pulmonary disease. Stable cardiomegaly. No significant change compared to prior study done on 05/03/2008.,1.2.826.0.1.3680043.8.498.43015596333538955174084378143333508224
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75192731244615860703442238397625518739
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36617701606224955965832616159183232807
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65302814067586067545522066763375279467
The heart is mildly enlarged. The lungs are clear. The right upper extremity PICC is stable.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30296973279874085571720260411465963764
Cardiomediastinal silhouette unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pneumothorax. No pleural effusions. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40481110865172905250467034774072883258
Two views of the chest show considerable improvement in the right basilar pneumonia although some infiltrate remains. Changes of COPD are again noted. The heart is within normal limits in size.,1. Some improvement in right basilar pneumonia. 2. COPD.,1.2.826.0.1.3680043.8.498.26309083437191035991969534334662683670
The heart appears normal in size. Mild bilateral hilar prominence. Mild peribronchial thickening. No gross pneumothorax or dense consolidation. No acute fracture.,Mild peribronchial thickening. No dense consolidation.,1.2.826.0.1.3680043.8.498.48114608049678146042157918731673627982
Heart size is normal. There is no pleural effusion or pulmonary edema. No airspace opacities are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26010558719064271637243326962470867141
"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.78862254432585171658019149982784255894
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14703470935449766850122534368729879135
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.15766804226852137914915721535876270296
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38259502070240887123160182564610154653
"Portable AP upright view at 7892 hrs. Mildly low lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. Allowing for portable technique, the lungs are clear. No pneumothorax or pleural effusion.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.81421312971126517801687653642334032636
"Endotracheal tube in place with tip positioned 2.2 cm above the carina. Enteric tube courses into the abdomen. Right IJ approach central venous catheter in place with tip overlying the distal SVC. Stable cardiomegaly. The mediastinal silhouette is stable. Lung volumes are reduced. Diffuse bilateral pulmonary infiltrates are present, which may reflect pulmonary edema with or without infiltrates. Small bilateral pleural effusions present. No pneumothorax. No acute osseous abnormality.","1. Support apparatus as above. 2. Cardiomegaly with bilateral pulmonary infiltrates, which may reflect pulmonary edema with or without infiltrates. 3. Small bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.33820301374898034068169619275115457664
Previously seen lingular infiltrate has resolved. Lungs are now clear. No pleural effusion or pneumothorax. Heart size and mediastinal contours are within normal limits. Postsurgical changes in the right clavicle.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13686921662921438935459252632566723159
"Right internal jugular central venous catheter with tip in the region of the mid SVC. No pneumothorax. Shallow inspiration. Bibasilar opacities, likely atelectasis, with additional patchy opacity in the right lung base. Small left pleural effusion suspected. Stable heart size and mediastinal contours. No pulmonary edema. Surgical clips in the right upper quadrant.","1. Right internal jugular central venous catheter with tip in the mid SVC. No pneumothorax. 2. Bibasilar opacities, likely atelectasis, with additional patchy right basilar opacity. Small left pleural effusion suspected.",1.2.826.0.1.3680043.8.498.82240349148558733321152563406706843769
Left-sided single chamber ICD/pacer lead overlies the right ventricle. No pneumothorax. Lungs are clear. No pleural effusion. Heart size is mildly enlarged. Pulmonary vascularity is normal. No adenopathy. No bone lesions.,Single chamber ICD/pacer lead overlies the right ventricle. No pneumothorax. Lungs clear. Heart mildly enlarged.,1.2.826.0.1.3680043.8.498.49562049442190015999219592752445508177
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13728713408491979742717915102741550045
Small left pleural effusion and left lower lobe airspace disease noted. The right lung is clear. Heart size is normal. No pneumothorax.,Small left effusion and left lower lobe airspace disease which could represent atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.45429282614273106459309370674552707424
Heart is normal size. There is peribronchial thickening and interstitial prominence. No confluent opacities or effusions. No acute bony abnormality.,Stable chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.14456842544664422163788918637577837133
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.21446570731612791863579577983201112179
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18288468681653653690949268136628356714
The cardiomediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Osseous structures appear unremarkable.,No active cardiopulmonary process demonstrated.,1.2.826.0.1.3680043.8.498.33823731707006775184203205924700182661
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.59618348841096095808515336978278753176
Upper normal heart size. Tortuous aorta. Pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.14171869867750811559605621594727964268
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43468495954804410219101503896926314879
Interim removal of right IJ sheath. Mediastinal drainage catheter and left chest tube in stable position. Prior CABG. Stable cardiomegaly. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small bilateral pleural effusions. No pneumothorax.,1. Interim removal of right IJ sheath. Mediastinal drainage catheter and left chest tube in stable position. No pneumothorax. 2. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small bilateral pleural effusions. 3. Prior CABG. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.22279634901651291623940951348770064511
A metallic object consistent with a flat watch type watch type of flat watch on the flat watch film appears to be present at the level of the distal thoracic esophagus. The lungs are mildly hyperinflated. The cardiac silhouette is normal in size. The mediastinum is normal in width. There is no pleural effusion. The bowel gas pattern in the upper abdomen is normal.,The metallic density consistent with a flat watch type watch type of flat watch film can be demonstrated in the distal thoracic esophagus. I do not see evidence of aspiration of this flat watch within the stomach.,1.2.826.0.1.3680043.8.498.83156928842544601735151996909299350838
The heart is upper normal in size. The lungs are clear. A small left pleural effusion is suspected.,Small left pleural effusion. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.22829851162957900771909868103626542603
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77309481565660087630758971010217472324
A left upper extremity PICC has been placed. The tip is in the right atrium. Bibasilar atelectasis is stable. The lungs are under-inflated and otherwise clear. No pneumothoraces are seen. The heart is normal in size.,1. Left upper extremity PICC placement. 2. Stable bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.91107901552925109283004552673425896495
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Degenerative changes of the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14539541445361676448278499280383395052
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.45519117835915051395422686752507103949
There is again noted increased density in the right upper lobe compatible with pneumonia. There is also observed increased density at both lung bases consistent with atelectasis or pneumonia. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. There is blunting of both costophrenic angles compatible with small bibasilar pleural effusions. The heart is enlarged. The general appearance of the chest is consistent with CHF superimposed on COPD. No pneumothorax is seen.,1. Persistent right upper lobe infiltrate compatible with pneumonia. 2. There is increased density at both lung bases consistent with atelectasis or pneumonia. 3. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. 4. Cardiomegaly. 5. There are small bibasilar pleural effusions.,1.2.826.0.1.3680043.8.498.25394041706630301671068162551450517805
"No radiographically apparent pleural effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal in size. The osseous structures are without an acute osseous abnormality.",No radiographic evidence of an acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.84627835895131762932530369443564267718
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.38321338834441069175652576672982492457
Right IJ dialysis catheter is present with the tip in the right atrium. Linear atelectasis is present in the left lower lobe. The lungs are otherwise clear. No pleural effusion. Heart size is normal. No pneumothorax.,1. Right IJ dialysis catheter tip in the right atrium. 2. Linear atelectasis in the left lung base.,1.2.826.0.1.3680043.8.498.81629142347693716206077816669495906259
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78287621535734607771976155548811111066
Expiratory technique on the frontal view. Hyperinflation of the lungs on the lateral view. Normal cardiothymic silhouette. No consolidation or pleural effusion. Central peribronchial thickening. Negative visualized bowel gas and osseous structures.,Hyperinflation with central peribronchial thickening compatible with viral or reactive airway disease.,1.2.826.0.1.3680043.8.498.67892548509269251776441290714041822546
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.17297337540731316807377045592607025658
Low lung volumes. Lungs are essentially clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43604494410252349730271359255672502721
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.15738478220909299197717190848704159294
Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.70842617423103058701947304445051813979
An orogastric tube projects over the stomach. The cardiothymic silhouette is normal. Lung volumes are low. There are persistent diffuse hazy opacities throughout both lungs. No areas of atelectasis or significant pleural effusion are seen. There is no pneumothorax.,Stable appearance of the chest with findings of RDS.,1.2.826.0.1.3680043.8.498.40463678126335637415233289458373298497
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.29632989947313121178119777898266628886
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.14819310125705385404303119095651650656
There is some central airway thickening but no focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.52138742594491369189569119484984034379
Endotracheal tube tip is 3.2 cm above the carina. Nasogastric tube tip and side port are in the stomach. There is a chest drain on the left as well as a mediastinal drain. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Left base atelectasis. Lungs elsewhere clear. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.24712688175272629626366770877334756495
The heart is normal in size. The left lower lobe infiltrate is again seen. There is a moderate-sized left pleural effusion which has increased in size. The right lung infiltrate in right lower lobe is clear.,Left lower lobe infiltrate with increase in left pleural effusion.,1.2.826.0.1.3680043.8.498.77220240122380277693297685300695952993
"Cardiac silhouette appears moderately enlarged, similar. Mediastinal silhouette is not suspicious. Similar scarring in left lung base. No pleural effusions or focal consolidations. Elevated left hemidiaphragm. No pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious. Multiple EKG lines overlie the patient and may obscure subtle underlying pathology.",Stable cardiomegaly and left lung base scarring.,1.2.826.0.1.3680043.8.498.40449473259323356270878990563302128287
"Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.59749438574174553775862290713617571487
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.80651205519620424014535975089616987952
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusions.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56772827199528362949787447195657195743
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98373176749067337598382284767331482096
The cardiomediastinal silhouette is stable. There is persistent infiltrate in the right lower lobe. Left lung grossly clear. No pneumothorax appreciated on this portable examination. There are no acute bony findings.,No significant interval change. Persistent right lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.54425828461864088516908559654947938855
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56866325884771003534009788412749491677
Cardiac shadow is at the upper limits of normal in size. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. Degenerative changes of the thoracic spine are noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75627411628862805799042058573931042031
"PA and lateral chest radiographs are provided. There is bilateral diffuse interstitial thickening likely representing chronic interstitial disease, but superimposed mild interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology cannot be excluded. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.59849999903559376675923888658420983449
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22816898403370099564865781596093283512
Cardiac shadow is stable. Right upper lobe mass lesion is again identified and stable. No new focal infiltrate is seen. No sizable effusion is noted. No bony abnormality is noted. Right jugular central line is noted in satisfactory position. No pneumothorax is noted.,Stable right upper lobe mass. No acute abnormality is noted.,1.2.826.0.1.3680043.8.498.32329918875980197278713821294795405062
The cardiopericardial silhouette is enlarged. The lung volumes are low. Moderate bilateral pleural effusions are again noted with bibasilar atelectasis. There is pulmonary vascular congestion without overt pulmonary edema.,Stable exam. Cardiomegaly with bilateral pleural effusions and basilar atelectasis.,1.2.826.0.1.3680043.8.498.14764473664070218452575075839701446706
Endotracheal tube is 3.5 cm from the carina. Tip and side port of the enteric tube below the diaphragm in the stomach. Volume loss in the left lung with elevation of left hemidiaphragm. Left basilar opacity may represent atelectasis. Right lung is clear. Heart is normal in size. No pneumothorax.,"1. Endotracheal tube in place, 3.5 cm from the carina. Enteric tube in place, tip and side-port below the diaphragm in the stomach. 2. Persistent volume loss in the left lung with elevation of left hemidiaphragm. Left basilar opacity may represent atelectasis.",1.2.826.0.1.3680043.8.498.58043768485539269990385168576609316310
"The heart is enlarged. There has been prior open heart surgery. There is no heart failure, infiltrate or effusion.",Cardiac enlargement. No acute abnormality.,1.2.826.0.1.3680043.8.498.61119827556878666079273702436739226390
No focal opacity or pleural effusion. Normal cardiomediastinal silhouette. Aortic atherosclerosis. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.18191562534479969137857838454264462996
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.68596152339756569847862183436265572157
Patchy opacities in the left lower lobe and lingula. No pleural effusion. Normal heart size. No pneumothorax.,Patchy left basilar pneumonia.,1.2.826.0.1.3680043.8.498.29393502177223714639947431809833177078
The patient has a new endotracheal tube in place with the tip in good position at the level of the clavicular heads. NG tube is also seen with the tip in the stomach in good position. Lungs are clear. No effusion. Heart size normal.,Tubes in good position. No acute disease.,1.2.826.0.1.3680043.8.498.73988582042672337895976309619041186826
Patchy opacity in the left mid and lower lung. Right lung is clear. No pleural effusion or pneumothorax. The heart is normal in size.,Left mid and lower lung pneumonia.,1.2.826.0.1.3680043.8.498.21304764723410626286442659698642831516
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86991171408537754567071103902087843289
Endotracheal tube is seen in appropriate position. Nasogastric tube is seen entering the stomach. The intra-aortic balloon pump is seen with the tip approximately 1.5 cm below the aortic knob. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is within normal limits.,Tubes and lines in appropriate position. No acute findings.,1.2.826.0.1.3680043.8.498.42041824846286741628721302865971815723
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.84005261104957787417276205106409382722
Heart size is mildly enlarged. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. No acute findings.,1.2.826.0.1.3680043.8.498.26238698917595907656498033486954684911
PA and lateral chest radiographs are provided. There is bilateral interstitial thickening with prominence of the central pulmonary vasculature. There is no focal consolidation. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,Overall findings are most consistent with pulmonary edema.,1.2.826.0.1.3680043.8.498.18226912814645477639335253177253886627
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51926271632543268883643238830375558634
The lungs are mildly hyperinflated. There is no focal infiltrate. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of pneumonia nor of CHF.,1.2.826.0.1.3680043.8.498.55192979146610199115531369314383844247
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38777549020917797691097447033848238235
The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.15299376463791801689783889550138702961
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19913488543582642011018566154533502256
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70543415698087328247144972571488287148
No definite rib fractures are identified. The lungs appear clear. The visualized bowel gas pattern is unremarkable.,Negative exam.,1.2.826.0.1.3680043.8.498.75550472504985466878121808097755256475
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68539977812223965868853114134612793327
Endotracheal tube has been repositioned with tip 2.3 cm above carina. Umbilical venous catheter tip is at the level of the inferior vena cava-right atrium junction. Umbilical artery catheter tip is at the level of T7. The lungs are clear. Heart size is normal. Bowel gas pattern is normal. Orogastric tube tip is in the stomach.,Umbilical artery and venous catheter positions as described.,1.2.826.0.1.3680043.8.498.91944667134657964526918288883429935754
Right PICC line is in place. The tip is at the cavoatrial junction. Left central line has been removed. No pneumothorax. Left lower lobe atelectasis or infiltrate present. Small left effusion.,Right PICC line tip cavoatrial junction. Left lower lobe atelectasis or infiltrate with small left effusion.,1.2.826.0.1.3680043.8.498.28901091343375793855825677217226102752
The right arm PICC line tip is in the SVC. The heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. No acute cardiopulmonary abnormalities. 2. PICC line tip in SVC.,1.2.826.0.1.3680043.8.498.18119737560868612448215655046270404873
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.35559057321834304559710350646958305944
The lungs are not well aerated but no infiltrate or effusion is seen. The heart is mildly enlarged. The left hemidiaphragm remains elevated. The left humeral head prosthesis is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.77637764558755294638391405777794078971
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67989699248222104408990584076648969570
"Right Port-A-Cath remains in place, unchanged. There is cardiomegaly with vascular congestion. Bibasilar atelectasis and airspace disease present, slightly increased since prior study. Small bilateral effusions.","Cardiomegaly, vascular congestion. Increasing bibasilar atelectasis and airspace disease. Small effusions.",1.2.826.0.1.3680043.8.498.69803983485849280096624469730779557693
"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42358094738565696490833688754213453196
Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. Negative visible bowel gas and osseous structures.,Negative. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.66636204281850900743253394810193113967
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Review of the visualized osseous structures is unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.91572265505007911312912196945576178515
Cardiac and mediastinal silhouettes are within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. Mild scattered peribronchial thickening. No consolidative airspace disease. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures within normal limits.,"Mild scattered peribronchial thickening, which can be seen with viral pneumonitis and/or reactive airways disease. No focal infiltrates to suggest pneumonia.",1.2.826.0.1.3680043.8.498.19218562660400211342962801598947313437
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.43653233784697406703542335265833165291
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No acute bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.44411521706378703003111672282177110926
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.71850972736228409816031849438174917119
The heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.63746982531677030980781009418430049687
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17388135045568407879462288716687177982
There is hyperinflation of the lungs compatible with COPD. Heart is normal size. No confluent airspace opacities or effusions. There is mild peribronchial thickening. No acute bony abnormality.,COPD/chronic changes. No active disease.,1.2.826.0.1.3680043.8.498.49647441177000560863653911283142962552
Cardiac shadow is enlarged. Right-sided chest wall port is again seen and stable. The lungs are well aerated with evidence of mild vascular congestion. No focal infiltrate or effusion is seen. No bony abnormality is noted. Postsurgical changes in the left axilla are noted.,Mild vascular congestion.,1.2.826.0.1.3680043.8.498.92184588272119077647786538358641192748
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39017144339490529064068746693209359745
The lungs are well-expanded. There are bilateral pleural effusions. The retrocardiac region on the left is dense and the left hemidiaphragm is obscured. The pulmonary interstitial markings are mildly prominent. The cardiopericardial silhouette is enlarged.,There are findings consistent with congestive heart failure with bilateral pleural effusions. There has not been dramatic change since yesterday's study though there may have been very slight improvement.,1.2.826.0.1.3680043.8.498.65832039233868368236306470742131235637
"There is stable elevation of the right hemidiaphragm. The cardiac silhouette, mediastinum, pulmonary vasculature are within normal limits. Both lungs are clear. There is no acute bony abnormality.",Stable chest x-ray with no evidence of acute cardiac or pulmonary process.,1.2.826.0.1.3680043.8.498.66531008102893642375464297669267830633
Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.37524693182554996700502683753320766674
The heart is enlarged. Aortic atherosclerosis is noted. The lungs are clear. No pneumothorax or pleural effusion. No acute finding in the visualized skeleton.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94512364752098316576639582051022049728
Post sternotomy changes. No focal opacity or pleural effusion. Stable cardiomediastinal silhouette. Aortic atherosclerosis. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.36475864565628117536399528458643798852
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63105572320844051736296656545265222365
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.67797295027062891403070860869983736955
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85032987410133039026848050184697941499
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.43799947263714741716685845802179007693
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98906374301431196805486227317455559951
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.83862396837112139697062984887221194933
The tip of the endotracheal tube is 2.5 cm above the carina. Left IJ central venous catheter remains in unchanged position with the tip in the mid SVC. Right upper lobe cavitary lesion is again noted. There are persistent patchy airspace opacities in the right upper and lower lobes. The right lower lobe opacity appears slightly increased compared to the prior chest x-ray. The cardiac and mediastinal contours remain within normal limits. No pneumothorax. No pleural effusion.,1. Stable and satisfactory support apparatus. 2. Persistent right upper and lower lobe patchy airspace opacities concerning for a multifocal pneumonia. 3. Stable right upper lobe cavitary lesion.,1.2.826.0.1.3680043.8.498.89396814147635879173715131200330676267
"Lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",Negative chest x-ray.,1.2.826.0.1.3680043.8.498.51719992472415075785678274337944104180
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11801440884467728136831034277278262119
The lungs are well-aerated. Right upper lobe airspace opacity is compatible with pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Right upper lobe pneumonia noted. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.57488823193945846899894142610660899820
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38028185758089496622564774281021761328
"Left PICC line is in place. The tip is in the mid SVC. No pneumothorax. Bilateral airspace disease again noted, unchanged. There are small bilateral effusions.",Left PICC line tip mid SVC. No pneumothorax. No change in appearance of the lungs.,1.2.826.0.1.3680043.8.498.25459837741014052503656435773659887208
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88946850549248843315304113274264735555
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.50192230679681764706524243381064945873
There is interstitial prominence throughout the lungs bilaterally. No airspace consolidation or volume loss. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,"Diffuse interstitial prominence, likely due to a degree of underlying fibrosis. No edema or consolidation.",1.2.826.0.1.3680043.8.498.26863582624656492006041448163840473762
The lungs are hypoinflated. There is no focal infiltrate. The lung markings are coarse at the lung bases greatest on the left. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. The endotracheal tube tip lies 2.5 cm above the carina. The esophagogastric tube tip projects below the inferior margin of the image. The observed bony thorax is unremarkable.,Bibasilar subsegmental atelectasis. No CHF. The support tubes are in reasonable position.,1.2.826.0.1.3680043.8.498.20462668912887507962405609136913376769
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77820815931893747945884924177389320934
An endotracheal tube is now present with the tip approximately 2.9 cm above the carina. A venous catheter is now present with the tip projected over the upper portion of the superior vena cava. No pneumothorax is seen. The chest is hyperexpanded compatible with COPD. No pneumonia is identified. Heart size is normal.,Please see above.,1.2.826.0.1.3680043.8.498.62236570191131012232393299511637004216
There is little change in the left upper lobe mass with mediastinal and hilar adenopathy. No pneumothorax is seen. The right lung is clear. Heart size is stable. No bony abnormality is noted.,1. No change in left upper lobe mass with left hilar adenopathy. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.22321578580414167124325859346325402900
"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.52539862084262896981393494547404268148
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42891017903018844571489066841486721640
Single portable AP chest radiograph is provided. There is a right-sided chest tube in unchanged position. There is no significant pleural effusion. There is no pneumothorax. There is no focal consolidation. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,No acute disease of the chest.,1.2.826.0.1.3680043.8.498.47137707876269237676609718908796178169
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.46170966500411646840032951137975222452
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80236923397432982029597689967444737445
Patchy airspace opacities are seen in the left mid and lower lung suggesting pneumonia. Right lung is clear. No pneumothorax or pleural effusion. Heart size is normal. No acute or focal bony abnormality.,Patchy airspace disease in the left mid and lower lung suggesting pneumonia.,1.2.826.0.1.3680043.8.498.13056372116100595607360388901224961806
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Hypoinflation of the lungs is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.47399507558626482204470949046667597722
Enlarged cardiac silhouette. Aortic atherosclerosis with calcification. Reticular opacities and peripheral lines compatible with interstitial pulmonary edema. Small right pleural effusion. Bibasilar opacities probably represent associated atelectasis. No acute osseous abnormality is evident.,Cardiomegaly and interstitial pulmonary edema. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.24454096668179320239880544191969596220
The endotracheal tube is approximately 2.2 cm above the carina. There is little change in volume of the left hemithorax with opacity at the left lung base consistent with mass and effusion. There is opacity in the right mid lung which may represent pneumonia or possibly atelectasis. Mild opacity is present at the right lung base. An NG tube is present. The heart is difficult to assess. There may be mild pulmonary vascular congestion present.,1. Endotracheal tube 2.2 cm above the carina. 2. Opacity at the left lung base consistent with mass and left effusion. 3. Opacity in the right mid lung and right lung base may represent pneumonia or atelectasis.,1.2.826.0.1.3680043.8.498.70467965957795852206364159971977987902
Left IJ central venous catheter tip overlies the SVC. Heart and mediastinum are stable. The lung volumes are slightly diminished. No focal pulmonary opacities.,1. Left IJ central venous catheter tip in the SVC. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.38353769890923116146208840518478782500
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.93878821867372085011410785954155313087
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50938879319638723747483187792569469158
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.29640271695206324709030623214747283258
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.65554139870842011482046214736957983204
Right internal jugular temporary venous pacer is present with the tip in the right ventricle. No pneumothorax is seen. There is cardiomegaly present with pulmonary vascular congestion and probable mild interstitial edema. No effusion is seen.,Right internal jugular temporary venous pacer tip in right ventricle. No pneumothorax. Cardiomegaly with probable mild interstitial edema.,1.2.826.0.1.3680043.8.498.21696571005331823414199941599172161518
Heart size is mildly enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. Right subclavian Port-A-Cath is identified with tip in the projection of the SVC.,1. Mild cardiac enlargement. 2. No evidence for heart failure.,1.2.826.0.1.3680043.8.498.35449431184780390099007849344376054568
Endotracheal tube and nasogastric tube have been removed. The heart size is stable. There is a small left pleural effusion. Increased opacity at both lung bases is probably due to atelectasis. There is no evidence for pulmonary edema. No pneumothorax.,1. Increased bibasilar atelectasis. 2. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.58878371032432951150238925587780065815
There is little change in the volume of the tiny right apical pneumothorax with the right chest tube remaining. Left basilar atelectasis remains. A left central venous line is unchanged in position. Heart size is stable.,No significant change in tiny right apical pneumothorax with right chest tube remaining.,1.2.826.0.1.3680043.8.498.69385792986872626570151131187886101286
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62442946239521844364886151364241484777
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73440236251652088540059338785214467629
Cardiac shadow is enlarged. A new right-sided jugular dialysis catheter is noted with the tip in the right atrium. No pneumothorax is noted. The lungs are clear bilaterally. No bony abnormality is seen.,No pneumothorax following dialysis catheter placement.,1.2.826.0.1.3680043.8.498.19601891415876015028057503907868613721
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54653970681147717988214216833776653647
The heart size and mediastinal contours are within normal limits. Subtle airspace opacities in the right upper lobe. No pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,Right upper lobe airspace opacities could be due to pneumonia given clinical history.,1.2.826.0.1.3680043.8.498.27405977167264908423056212544382991177
Patchy bilateral airspace disease is again seen and grossly unchanged. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,"Patchy bilateral airspace disease consistent with pneumonia, unchanged.",1.2.826.0.1.3680043.8.498.57354409512236932116877338048328545281
Endotracheal tube is noted in satisfactory position. Gastric catheter extends into the stomach. Bilateral jugular central lines are noted and stable. The lungs are again well aerated with elevation of the right hemidiaphragm. No focal confluent infiltrate is seen. No bony abnormality is noted.,Tubes and lines as described above. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.58945677878465897230681137732092090706
"No rib fracture is identified. No pleural fluid or pneumothorax is seen. No focal rib lesion is seen. The heart is normal in size. The aorta is calcific. The lungs are under expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No rib fracture.,1.2.826.0.1.3680043.8.498.76417514363290749953874606842417877563
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22044232552516715558322651875083119990
"AP portable semi upright view 7916 hours. Stable right chest dual lead cardiac pacemaker. Stable enteric tube which courses to the abdomen, tip not included. Stable cardiac size and mediastinal contours. Stable lung volumes. No pneumothorax, pulmonary edema, pleural effusion or consolidation. Mild basilar atelectasis.",Stable chest.,1.2.826.0.1.3680043.8.498.62170686990630396216514130467297464776
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.14760003177440297976827867692513498462
"The heart is normal. Similar prominent interstitial lung markings. No focal consolidation, pleural effusion or pneumothorax. No aggressive osseous lesions.",No acute pulmonary findings. Similar interstitial prominence.,1.2.826.0.1.3680043.8.498.37712894088272989314172494959260733711
The current exam shows increased density at the right base compatible with a right pleural effusion. The etiology for this effusion is not identified. No definite pneumonia is seen. No pulmonary edema is noted. The heart size is normal. The left shoulder prosthesis is again observed.,1. There is increased density at the right base compatible with a right pleural effusion. 2. The lung fields otherwise are clear. 3. No pulmonary edema is seen.,1.2.826.0.1.3680043.8.498.59019354846745980966573238937413253435
"There is chronic elevation of the right diaphragm. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96245059975673128069999973329443522485
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30485318669622191884880920514387190413
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12484418499149257155482546327357646205
Mediastinum and hilar structures normal. Right mid lung field infiltrate noted consistent with pneumonia. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Right mid lung field infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.88060566695827164057328880984806170392
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60834136745580576159820068914418320543
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable. No mass or lymphadenopathy identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75578624448122343123222515979150809722
"Normal heart size, mediastinal contours, and pulmonary vascularity. Chronic interstitial infiltrates in right upper lobe. No gross infiltrate or effusion. Bones demineralized. No pneumothorax.",Chronic interstitial infiltrate in right upper lobe.,1.2.826.0.1.3680043.8.498.46814652451412151184517135964796159676
The heart size and mediastinal contours are within normal limits. Calcified granuloma noted within the right lower lobe. No airspace consolidation. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24009828950203343793047906748562466450
Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No acute findings.,1.2.826.0.1.3680043.8.498.41665834618298722458296717623109864224
The heart size and mediastinal contours are within normal limits. Both lungs are clear. Scoliosis of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29462704955995659761389547662954448952
Endotracheal tube tip is 2.2 cm above the carina. No pneumothorax. There is mild atelectasis in the lung bases. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Endotracheal tube as described without pneumothorax. Bibasilar atelectasis. No edema or consolidation.,1.2.826.0.1.3680043.8.498.78053286408225065709349386685461327108
There is mild cardiac enlargement. The vascular pattern is normal. The lungs are clear. There is no pleural effusion. There is thoracic kyphosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30580474930080800477402440182351355066
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.84096891029990122298202479681725656376
"Mildly lower lung volumes. Stable cardiomegaly and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Calcified atherosclerosis of the aorta. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality. Calcified aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.85551618496286857890379751440924071503
There is scarring in the left upper lobe. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Scarring left upper lobe. No edema or consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.32807691568432301166390386178056874320
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable. Oblique views of the left ribs show no acute or healing rib fractures.,No active cardiopulmonary disease. No evidence of left rib fracture.,1.2.826.0.1.3680043.8.498.62320279171151986734466722866610145939
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17690149628092710330357333662262096005
Endotracheal tube has been removed. Right jugular catheter remains in place with tip in the SVC. No pneumothorax. Mild left base atelectasis. The right lung is clear. Heart size and vascularity are normal.,Mild left base atelectasis after extubation.,1.2.826.0.1.3680043.8.498.16639111180773561129689570651201397955
An orogastric tube is in place with the tip located in the region of the mid body of the stomach. The patient is rotated to the left and taking this into consideration the cardiothymic silhouette is within normal limits. The lung fields demonstrate some mild increased density of both lung bases and are otherwise clear. No pleural effusions are seen. Bony structures appear intact. The visualized portion of the bowel gas pattern is unremarkable.,Mild bibasilar volume loss.,1.2.826.0.1.3680043.8.498.76223728477840628766790663954434593666
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13529377008423007359789886359312113240
The lungs are well-expanded and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion or pneumothorax. The mediastinum is normal in width.,I do not see evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.11933259527510931109102614380592678992
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63520736369557305356489777305553999126
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91865796295368072427772694442816644519
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77633205431191772302205915707396630756
Mild cardiac enlargement. Vascular congestion. No consolidation or edema. No pleural effusion or pneumothorax. Cardiac silhouette is enlarged.,Cardiomegaly with vascular congestion. No evidence of pulmonary edema.,1.2.826.0.1.3680043.8.498.36826129593590845847151447328497357186
Single portable AP view of the chest demonstrates cardiomegaly. The aorta is tortuous and calcified. There is mild pulmonary vascular congestion. Lung volumes are diminished. No focal consolidation or pneumothorax. There is a small left pleural effusion.,"Cardiomegaly, small left pleural effusion, and mild pulmonary vascular congestion.",1.2.826.0.1.3680043.8.498.15462325638932249899027142393736593110
The heart is mildly enlarged. The aorta is tortuous. Inspiration is suboptimal with mild bibasilar atelectasis. The lungs are otherwise clear. There are no pleural effusions. Degenerative changes are noted in the thoracic spine.,Mild cardiomegaly. Suboptimal inspiration with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.34123756785238833974609260523092101161
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51037910716722123639937662448513998654
"The lungs are hyperexpanded, with flattening of the hemidiaphragms, compatible with COPD. Chronic peribronchial thickening is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Findings of COPD; lungs otherwise grossly clear.,1.2.826.0.1.3680043.8.498.14185841209468104240920917365173085424
A right upper extremity PICC line is present with the tip seen to the lower SVC. No pneumothorax is noted. The lungs are clear. The heart is within upper limits of normal.,Right upper extremity PICC line tip in lower SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.94940361997099573034437724569013486205
Cardiothymic silhouette is normal. The lungs are clear. No pneumothorax. No bone abnormality. Normal bowel gas pattern.,Normal one view chest.,1.2.826.0.1.3680043.8.498.93439021032734590531930525260220600185
"There is extensive bilateral airspace disease, with patchy airspace disease in both lower lobes and in the right middle lobe. The appearance is consistent with pneumonia. No pleural effusion identified. Heart size is normal.",Bilateral airspace disease consistent with pneumonia.,1.2.826.0.1.3680043.8.498.83877257881782294630015795297723789514
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.95823144343429155430553575181764899578
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90097618727682608247570596308089236578
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.45080376818091851343371306860195018724
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57072706869613368071714643099833690869
"Single view of the chest shows a normal size cardiomediastinal silhouette. There is no evidence of consolidation, mass or pleural effusion. The bones are unremarkable.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38052566036295238035172871468440250283
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.61118084714356697223192017664855666409
Endotracheal tube is in place with the tip approximately 2.5 cm above the carina. There is patchy airspace disease in the right upper lobe. Left lung is clear. No pleural effusion. Heart size normal.,1. Endotracheal tube in good position. 2. Right upper lobe airspace disease could represent asymmetric edema or aspiration.,1.2.826.0.1.3680043.8.498.89859315347513357863778949735165339634
There is a 2.2 cm masslike opacity in the right lower lobe. Lungs are hyperexpanded. Lungs are otherwise clear. No pleural effusion or pneumothorax. Cardiac silhouette is normal in size. Aorta is tortuous and atherosclerotic. No mediastinal or hilar masses. No convincing hilar adenopathy. Bony thorax is demineralized but grossly intact.,1. Masslike opacity in the right lower lobe worrisome for neoplasm. Recommend follow-up CT chest with contrast for further assessment. 2. Hyperexpanded lungs suggests COPD.,1.2.826.0.1.3680043.8.498.33287967106287060435775732966047339649
The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Osteophytes are seen in the spine. There is osteopenic appearance of bones.,No acute or active cardiopulmonary process is identified.,1.2.826.0.1.3680043.8.498.52742656725851428890920962645957340958
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45881582354047508853783280050642326323
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.55857328104700626664181376846661593837
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96186585816987806354912769621784197980
"The major veins of the lower extremities are imaged from the popliteal fossa to the popliteal vein, with imaging of the distal tibial veins antegrade to the level of the common femoral vein. There is normal compressibility of these structures and normal augmented response, based on the appearance of the venous wave forms, on Doppler evaluation.",Patency of the major veins of both lower extremities. No evidence of deep venous thrombosis.,1.2.826.0.1.3680043.8.498.38632569615095153874134396179571651557
Heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.53261892568579936588964815320812817273
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.63576412172906953438302242436604912930
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.62538746535577290402362022200583271121
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74264400381879390452640964607652928999
"There is vascular engorgement the hilum with vascular redistribution to the upper lung fields. There is no pneumothorax. Heart is enlarged, there is no pleural effusion. Visualized osseous structures are without fracture.",Findings consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.62604711153446453299111751527584011660
The heart size and mediastinal contours are within normal limits. No pneumothorax after right-sided thoracentesis. A small right pleural effusion remains. Patchy consolidations are seen in the right upper lobe and throughout both lungs. The visualized skeletal structures are unremarkable.,"1. No pneumothorax after right-sided thoracentesis. 2. Small right pleural effusion. 3. Patchy consolidations in the right upper lobe and throughout both lungs, suspicious for multifocal pneumonia.",1.2.826.0.1.3680043.8.498.63585322426530867559171072818102189999
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No pneumothorax is seen. No acute rib fracture is noted.,No acute abnormality seen.,1.2.826.0.1.3680043.8.498.21216214718833070976271072418413758860
There is a large mass-like opacity occupying much of the right upper lobe. This is most consistent with lung cancer. CT of the chest is recommended to assess further. The left lung is clear. No effusion is seen. The heart is within normal limits in size. No bony abnormality is noted.,Large mass-like opacity in the right upper lobe most consistent with lung cancer. Recommend CT of the chest with IV contrast media.,1.2.826.0.1.3680043.8.498.56706704036491216857725967698046268860
Cardiomediastinal silhouette within normal limits. No evidence of central vascular congestion. No pneumothorax or pleural effusion. No confluent airspace disease. No displaced fracture.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.76698047593962806445586823787744922636
"Mild hazy pulmonary opacity is again seen bilaterally, without significant change. No evidence of pneumothorax or pleural effusion. Heart size is normal. UAC and UVC are unchanged in position.",Stable mild RDS pattern.,1.2.826.0.1.3680043.8.498.51184338692686810828414800924499626722
Mediastinum and hilar structures normal. Heart size normal. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23028933859285777005277794978846036850
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.92588211998424639194514216696617170016
The bony thorax is grossly intact. The heart and pulmonary vascularity are within normal limits. No focal pulmonary infiltrate is present. No pleural effusion is seen.,No acute cardiopulmonary abnormality is identified.,1.2.826.0.1.3680043.8.498.71631697924622000937726920740762461815
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. A metallic device is noted at the right chest wall, with a lead extending into the right side of the neck.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.98595143429124699333615063419071609570
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44044348134205783644488351740363843248
"There is a fracture through the periphery of the right femur, with significant displacement of the fracture components. No additional fractures are seen. The right femur otherwise appears grossly intact. No knee joint effusion is identified.","Significantly displaced fracture through the periphery of the right femur, without significant displacement of fracture components.",1.2.826.0.1.3680043.8.498.18444310991532760752481739374192559017
NG tube is in place with the side port and tip in the stomach. Patient is rotated. Heart size is normal. There is patchy airspace disease in the right mid and lower lung zones which may be due to pneumonia or atelectasis. Left lung is clear. No evidence of pleural effusion.,Right mid and lower lung zone airspace disease may be due to atelectasis or pneumonia. NG tube in place with tip and side-port in the stomach.,1.2.826.0.1.3680043.8.498.18565843953533578699577196617308506017
The current exam shows increased density at the RIGHT base compatible with a RIGHT pleural effusion. The etiology for this effusion is not identified. No pulmonary edema is seen. The heart is enlarged. No pneumonia is identified. An endotracheal tube is present with the tip approximately 5.5 cm above the carina.,Please see above.,1.2.826.0.1.3680043.8.498.55560332913350830288895204116768825569
"Interval removal of the left chest tube. No pneumothorax. There is a small left pleural effusion and bibasilar atelectasis, similar to prior study. Stable heart size.",Interval removal of left chest tube without pneumothorax. Small left effusion and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.22012894748793285057005555449351190011
"Esophageal probe has been repositioned, now over the mid to lower esophagus. OG tube tip is in the stomach. Cardiothymic silhouette is within normal limits. No confluent airspace opacities, effusions or pneumothorax. Diffuse gaseous distention of bowel without pneumatosis or free air.",Esophageal probe tip overlies the mid to lower esophagus.,1.2.826.0.1.3680043.8.498.89443573921485083949848622012249252342
"Right PICC line remains in place, unchanged. Cardiomegaly. Layering left effusion with left lower lobe atelectasis. Small right effusion. No confluent opacity on the right. No acute bony abnormality.",Cardiomegaly. Stable layering left effusion with left lower lobe atelectasis. Small right effusion.,1.2.826.0.1.3680043.8.498.56937336125530082377352536099432395230
There is a new right pleural effusion. There is also atelectasis at the right lung base. Mild atelectasis at the left lung base has developed. The heart size is normal. There is no evidence for pulmonary edema.,New right lower lobe atelectasis and right effusion.,1.2.826.0.1.3680043.8.498.14120816800886065033760003224149291750
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14543945940526325659101399274653288451
Feeding tube noted with tip below left hemidiaphragm. Prior CABG. Cardiomegaly with pulmonary venous congestion bilateral interstitial prominence. Small left pleural effusion. Findings consistent with CHF. Low lung volumes. No pneumothorax.,1. Feeding tube noted with tip below left hemidiaphragm. 2. Prior CABG. Stable cardiomegaly. Pulmonary venous congestion and bilateral interstitial prominence with small left pleural effusion. Findings suggest CHF.,1.2.826.0.1.3680043.8.498.97230016152755277105216648012525558966
Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65422063235698770393115400558583150517
There is a dual lead pacemaker in place. The heart size is enlarged. There are findings of pulmonary edema. There are small bilateral pleural effusions. There is no pneumothorax. There is no acute osseous abnormality.,Cardiomegaly with findings of congestive heart failure including small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.95284315323990544198342723351072796657
"The left PICC line is stable. Persistent bilateral airspace process, likely a combination of edema and atelectasis. There are also bilateral pleural effusions, which are probably stable. Low lung volumes.",Stable chest x-ray.,1.2.826.0.1.3680043.8.498.78739913025252887253785432003835644760
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79209079792910553900842613413959334045
Prior CABG. Small bilateral pleural effusions. Patchy bilateral airspace disease most pronounced in the right mid and lower lung. Findings are concerning for pneumonia. No pneumothorax. Heart is normal size. Degenerative changes in the shoulders.,Patchy bilateral airspace disease most pronounced in the right mid and lower lung concerning for pneumonia. Small bilateral effusions.,1.2.826.0.1.3680043.8.498.37665284962940022204905979195999347986
Mild pulmonary vascular congestion is again noted. There is no frank edema. Endotracheal tube tip is 3.5 cm above the carina. Nasogastric tube enters the stomach.,Mild pulmonary vascular congestion persists.,1.2.826.0.1.3680043.8.498.69401922221640673320383921913878462901
"Single frontal view of the chest demonstrates stable right internal jugular catheter. Postsurgical changes from median sternotomy. Cardiac silhouette is stable. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.","Stable chest, no acute process.",1.2.826.0.1.3680043.8.498.25040427059027120188239901170516681223
Cardiac enlargement. No pleural effusion or edema. No airspace consolidation. The bones are diffusely osteopenic.,Cardiac enlargement.,1.2.826.0.1.3680043.8.498.68606962841040959016807607778063027738
Cardiac shadow is mildly enlarged. Aortic calcifications are again seen. The lungs are well aerated bilaterally. Mild left basilar atelectasis is seen. No sizable effusion is noted. Old rib fractures are noted on the left.,Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.97541535073399840660150150733841867693
Cardiac silhouette is unchanged. No acute infiltrates are seen. Osseous structures are stable.,No evidence for active disease in the chest.,1.2.826.0.1.3680043.8.498.44648734101038405385800127325422801183
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41769673725785596520046450222738917843
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.12909253134128153666563151301398370076
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42457636888265262198063016959192435301
"The major veins of the right lower extremity are imaged from the popliteal fossa to the popliteal vein, with imaging of the distal tibial veins antegrade to the level of the common femoral vein. There is normal compressibility of these structures and normal augmented response, based on the appearance of the venous wave forms, on Doppler evaluation. The veins of the right lower extremity appear patent.",Patency of the right lower extremity. No evidence of deep venous thrombosis.,1.2.826.0.1.3680043.8.498.78893712463462713609718660389089408487
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55348266897274773945627232582476678181
Prior CABG. Small bilateral pleural effusions with adjacent atelectasis. Lower lobe pneumonia not excluded. No pneumothorax. Mild cardiomegaly.,Lower lobe pneumonia and small pleural effusions.,1.2.826.0.1.3680043.8.498.68098866923633833741725288567299565228
The heart is normal sized. There has been prior midline sternotomy. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. There is a right pleural effusion with right mid and lower lung infiltrate without significant change from prior study. The left lung appears clear.,1. Right mid and lower lung infiltrate with right effusion appears similar. 2. No new findings.,1.2.826.0.1.3680043.8.498.30385910682419293630009379163003421949
There is a left upper lobe mass measuring approximately 5.5 cm in size. There is COPD. No effusions are seen. The right lung is clear. The bony structures are intact.,1. COPD. 2. Left upper lobe lung lesion.,1.2.826.0.1.3680043.8.498.66934941538786513058598174441789041844
"Normal heart, mediastinum and hila. Clear lungs. No pleural effusion or pneumothorax. No evidence of pneumomediastinum. Skeletal structures are unremarkable.",Normal chest radiographs.,1.2.826.0.1.3680043.8.498.93076408890805695506000514155049176421
ET tube is in good position. NG tube tip is in the stomach. The heart is normal in size. The lungs are well expanded. There is infiltrate in the left lower lobe. The right lung is clear. There is no effusion or pneumothorax.,Infiltrate in the left lower lobe.,1.2.826.0.1.3680043.8.498.54365276533233991548639352970803067193
"There is increased density at the lung bases, particularly on the right. Although this may represent atelectasis, aspiration pneumonia is not excluded. No edema. Stable cardiomegaly.","Increasing basilar densities, particularly on the right. Atelectasis versus aspiration.",1.2.826.0.1.3680043.8.498.39753672413604710932933632964925474635
Cardiomediastinal silhouette is stable. There is infiltrate/pneumonia in right upper lobe. Follow-up to resolution after appropriate treatment is recommended. Left lung is clear. No pulmonary edema.,Infiltrate/pneumonia in right upper lobe. Follow-up to resolution after appropriate treatment is recommended.,1.2.826.0.1.3680043.8.498.44924694612085771600746174930535638689
The heart is enlarged. There are bilateral pleural effusions. There is diffuse interstitial edema. Atelectasis and/or infiltrate is noted at the lung bases.,1. Findings consistent with congestive heart failure. 2. Atelectasis and/or mild infiltrate at the lung bases.,1.2.826.0.1.3680043.8.498.26587165771625185610608924865823217155
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.47877103357908125762482543649935160660
"Umbilical venous catheter tip is in the right atrium, approximately 1.5 cm from the inferior vena cava-right atrium junction. The lungs are clear. The cardiothymic silhouette is normal. No adenopathy. Bowel gas pattern is unremarkable. No free air or portal venous air. No pneumothorax.",Umbilical venous catheter tip is in the right atrium. Bowel gas pattern unremarkable. Lungs clear.,1.2.826.0.1.3680043.8.498.52235340007598269858066706352087182545
"Normal heart size, mediastinal contours, and pulmonary vascularity. Minimal peribronchial thickening. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Minimal bronchitic changes.,1.2.826.0.1.3680043.8.498.34399531390002370517751822708014596579
The heart size and mediastinal contours are within normal limits. Diffuse increased interstitial markings seen throughout both lungs. No pleural effusion. No acute osseous abnormality.,Diffuse increased interstitial markings throughout both lungs which could be due to interstitial edema and/or infectious etiology.,1.2.826.0.1.3680043.8.498.70814525337588643096154787331482733434
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96894659879372961864947275750846417014
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.24806852813084491403352930994580257310
The heart size and mediastinal contours are within normal limits. The right central venous line is unchanged in position with the tip at the superior vena cava. Both lungs are clear. There is no pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease. Right central venous line is unchanged in position.,1.2.826.0.1.3680043.8.498.23776609919024113195449280426387443591
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.16418365616596584619877669395107909036
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. There is an ill-defined airspace opacity in the right upper lobe consistent with pneumonia. The left lung is clear. No pleural effusion. The bony thorax is intact.",Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.60588952395898660002048766516493323387
There is a mass in the right upper lobe measuring 5.6 x 5.2 cm. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Right upper lobe mass measuring 5.6 x 5.2 cm. No edema or consolidation. No adenopathy evident.,1.2.826.0.1.3680043.8.498.49929307088752419689060799945025174707
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89717017725784411013606477953943284098
"The cardiomediastinal silhouette appears to be stable. Again noted are diffuse bilateral infiltrates, without significant change. The bilateral costophrenic angles appear sharp. The visualized bony thoracic cage appears intact. Again noted is a right-sided central line catheter in place.","Stable diffuse bilateral infiltrates, without significant change. Stable right-sided central line catheter in place. No significant change compared to prior study done on 10/18/2008.",1.2.826.0.1.3680043.8.498.79731908018787380442237022765695306766
The cardiomediastinal silhouette is unchanged. Aortic atherosclerosis is noted. Widespread airspace opacities throughout both lungs have increased from the prior study. There is no evidence of pneumothorax or large pleural effusion. No acute osseous abnormality is seen.,Worsening bilateral airspace disease consistent with pneumonia.,1.2.826.0.1.3680043.8.498.97594609540966938085287010551157511086
The lungs are hypoinflated. There is density at the left lung base consistent with atelectasis. There is no evidence of a pleural effusion. The cardiac silhouette is not enlarged. The pulmonary vascularity is not engorged.,There is bilateral pulmonary hypoinflation. There is likely atelectasis at the left lung base. I do not see evidence of CHF. Followup films with deep inspiration would be of value.,1.2.826.0.1.3680043.8.498.67326644000077264763263537176175148077
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98513605323580804556396423242219359480
Endotracheal tube terminates 3.5 cm from the carina. Transesophageal tube tip and side port distal to the GE junction. Telemetry leads overlie the chest. Some persistent mild opacity remains in the right hilar and suprahilar region with overall slight clearing likely related to improved lung volumes. No pneumothorax or effusion. Stable cardiomediastinal contours. No acute osseous or soft tissue abnormality.,"Slight clearing of opacity in the right lung, could reflect improving atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.91185590479725504030122296337555800275
"Enlargement of cardiac silhouette post CABG. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Emphysematous changes with minimal central peribronchial thickening. No acute infiltrate, pleural effusion or pneumothorax. Bones demineralized.",Enlargement of cardiac silhouette post CABG and coronary artery stenting. COPD changes with minimal central peribronchial thickening which could reflect bronchitis or asthma. No acute abnormalities.,1.2.826.0.1.3680043.8.498.48663421606390557551191042912378592093
"The heart is enlarged, stable. The mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings. Stable mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.59724199035753219255305743323863424791
Two views of the chest show a moderate sized left pleural effusion with left lower lobe atelectasis. The right lung is clear. Cardiomegaly is again noted. The patient is status post midline sternotomy. Degenerative changes are seen in the spine.,Moderate left pleural effusion.,1.2.826.0.1.3680043.8.498.27371725690722754020658261043689883953
Patchy airspace disease in the right upper lobe has improved. The left lung is clear. Heart is normal size. No effusions. No acute bony abnormality.,Improving patchy right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.26368607666115138522150569363089126841
Mild cardiomegaly. Large hiatal hernia. Perihilar congestion. No pleural effusion or pneumothorax. No lobar consolidation.,1. Cardiomegaly with large hiatal hernia. 2. Perihilar congestion. No overt evidence of edema.,1.2.826.0.1.3680043.8.498.54555741272393643761153074842118019421
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.20204828591131501944192541689098842282
There is a mid inspiration. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.45368639341175172130187453188856191057
"The heart is normal in size. There are postsurgical changes of median sternotomy and CABG. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.45098271205166930233373500186741830919
"The right Port-A-Cath is stable. The cardiomediastinal silhouette is stable. Bilateral pulmonary opacities, left greater than right, are stable. Small bilateral pleural effusions are suspected. No pneumothorax.",Stable bilateral pulmonary infiltrates consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.78189148778533218166473182937860491365
"Cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. Tracheal air column midline and patent. Lungs normally inflated. Patchy parenchymal infiltrates within the left upper and lower lobes, suspicious for pneumonia. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures and soft tissues within normal limits.","Patchy left upper and lower lobe infiltrates, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.61760683201408689594621192363352064075
The endotracheal tube is in good position. A feeding tube has been placed. The tip is in the stomach. Diffuse bilateral airspace disease is unchanged. No pneumothorax is seen.,1. Feeding tube placed into the stomach. 2. Endotracheal tube in good position. 3. No change in diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.99351644837787794984241430013945233581
There is central airway thickening. No consolidative process. No pleural effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.31314541799915341999234221659429222702
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20915780463192091262863134431314860297
The lungs are mildly hyperinflated. The endotracheal tube tip lies approximately 1.5 cm below the inferior margin of the clavicular heads. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The esophagogastric tube tip projects off the film.,There are findings consistent with COPD. I do not see evidence of CHF nor of pneumonia.,1.2.826.0.1.3680043.8.498.11076559121656947667962936319077751818
Normal cardiothymic silhouette. Mild hazy opacities in both lungs. Normal appearing bones.,Mild retained fetal lung fluid.,1.2.826.0.1.3680043.8.498.83923671124726505786986118768696825918
"There is a large gauge double lumen right jugular venous catheter noted with the tip in the right atrium. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.11648643872135575594357307810941549455
Enlargement of cardiac silhouette with pulmonary vascular congestion. Atherosclerotic calcification aorta. Bibasilar pleural effusions and atelectasis. Upper lungs clear. No pneumothorax. Bones demineralized.,"Enlargement of cardiac silhouette with pulmonary vascular congestion. Bibasilar pleural effusions and atelectasis, increased from previous exam.",1.2.826.0.1.3680043.8.498.83909579693340729887799926102017559999
Stable right chest tube. Stable small right apical pneumothorax. Slight improved lung volumes. Residual right lower lobe atelectasis and small right effusion. The left lung is clear. Stable cardiac size and mediastinal contours. No pulmonary edema. Stable visualized osseous structures.,1. Stable small right apical pneumothorax. 2. Residual right lower lobe atelectasis and small right effusion.,1.2.826.0.1.3680043.8.498.45968851432668329216506089705792045572
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73191189964424945430994617333845203730
"Swan-Ganz catheter has been removed as have mediastinal drains. Right IJ sheath remains. Changes of CABG. Low lung volumes with bibasilar atelectasis, slightly increased. Suspect small effusions. No pneumothorax.",Interval removal of support devices. Increasing bibasilar atelectasis. Suspect small effusions.,1.2.826.0.1.3680043.8.498.84112707478432051046553071229896436824
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74606632078377153451110447751491912265
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30006622496616585743197450394821777041
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64167557907637217182909646463578476281
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48982816024642096273087587145633733531
There is a nasogastric tube with side port below GE junction. Heart size is normal. No pleural effusion or pulmonary edema. Plate-like atelectasis is noted in both lung bases. No airspace consolidation.,1. Bibasilar atelectasis. 2. No evidence for pneumonia.,1.2.826.0.1.3680043.8.498.12968462645033803041122868643324494048
"Patchy bilateral pulmonary infiltrate which has mildly worsened. Low lung volumes. No edema, effusion, or pneumothorax. Normal heart size.",Patchy bilateral pneumonia which has mildly worsened from 6 days ago.,1.2.826.0.1.3680043.8.498.27823215857670863208309215745364743004
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56623528699912440872422750830328413575
There is cardiomegaly. Diffuse bilateral airspace disease has developed since prior study. Suspect small bilateral pleural effusions.,Cardiomegaly with development of diffuse bilateral airspace disease and small effusions most compatible with congestive heart failure. Pneumonia cannot be completely excluded.,1.2.826.0.1.3680043.8.498.99622514433548447891904516795054437352
"Resolution of left apical pneumothorax. There is no edema, consolidation, effusion, or pneumothorax. Normal heart size and mediastinal contours. Spondylosis.",1. Resolved left pneumothorax. 2. No evidence of active disease.,1.2.826.0.1.3680043.8.498.46317562937230893685214035707224201616
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.88979122552018679070493820996738742403
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15282881050522058516188337131764470432
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.82623251393958874748666045286691136149
Heart is enlarged. Calcification of the aorta at the arch. No focal infiltrates or signs of acute congestive heart failure. Prominent interstitial markings. Degenerative changes of the spine. No pleural effusion.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68227385216766986506819427387012867528
There is a small right pleural effusion. There is right basilar atelectasis. There is no pneumothorax. The left lung is clear. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,Right basilar atelectasis with a small right pleural effusion.,1.2.826.0.1.3680043.8.498.33776105510192583153200068485473479519
Right upper extremity PICC has been placed. The tip is in the right atrium. I would recommend it be pulled back 3 cm. Left lower lobe scarring is again noted. There is no acute infiltrate or edema.,"PICC placement into the right atrium, 3 cm below the cavoatrial junction.",1.2.826.0.1.3680043.8.498.58576084947390659203853315953789681897
Heart size is normal. The mediastinum is unremarkable. There is linear atelectasis at both lung bases. The lungs are otherwise clear. No effusions. No significant bony finding.,Linear atelectasis at the lung bases.,1.2.826.0.1.3680043.8.498.46503379668094074786334813473824000026
"Endotracheal tube is 2.5 cm from the carina. Lung volumes are low. The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax on portable supine view. Endotracheal tube in place.,1.2.826.0.1.3680043.8.498.54675622379031018911014923897048834895
Lungs are essentially clear. No pleural effusion or pneumothorax. Mild elevation of the right hemidiaphragm. The heart is normal in size. No displaced right rib fracture is seen.,No evidence of acute cardiopulmonary disease. No displaced right rib fracture is seen.,1.2.826.0.1.3680043.8.498.38154022008042937254334393500550362597
There has been some improvement in aeration in the right lung. Cardiomegaly and pulmonary vascular congestion persist. Small bilateral pleural effusions are noted.,Some improvement in right side airspace disease compatible with decreased edema or pneumonia. Small bilateral effusions and marked cardiomegaly noted.,1.2.826.0.1.3680043.8.498.52672399980912651549420024107906366206
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.74573764788360609099225780304605840721
Low lung volumes are noted. Both lungs are clear. There is no evidence of pleural effusion. Heart size is within normal limits allowing for low lung volumes.,Low lung volumes. No acute findings.,1.2.826.0.1.3680043.8.498.60707815864906227751204504879481072008
A cardiac pacemaker lead wire is seen from the LEFT with its tip in the RIGHT ventricle. The lung fields appear clear. No effusions are noted. No pneumothorax is seen.,1. Cardiac pacemaker lead wire is seen. 2. The lung fields are clear.,1.2.826.0.1.3680043.8.498.84064466627540750320941405207392327969
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31288915049773839931390085509709949521
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.59811212105791601566106917446301162090
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.65099795481482824548819594745915213525
"No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.99683336160372262858039228485687065118
Small left apical pneumothorax is stable. Stable cardiomegaly. Stable pacemaker. Mild atelectasis at the left base. Right lung is clear.,Stable small left apical pneumothorax.,1.2.826.0.1.3680043.8.498.97080046283679914974697799832126023160
A right upper extremity PICC line has been placed. The tip is in the mid SVC. The lungs are clear. No pneumothoraces or effusions are seen. The heart is normal in size.,Right upper extremity PICC line. Tip in the mid SVC.,1.2.826.0.1.3680043.8.498.46705063490313821551190247747339702936
There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aorta. There is a hiatal type hernia. There is upper thoracic levoscoliosis. Bones are osteoporotic. There is stable postoperative change in the right.,No edema or consolidation. Stable cardiac silhouette. There is aortic atherosclerosis. Bones osteoporotic.,1.2.826.0.1.3680043.8.498.27394476716265168446629232211079766203
There is little change in opacity primarily anteriorly in the right upper lobe and in the lingula of the left lung consistent with multifocal pneumonia. No pleural effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,1. No significant change in multifocal pneumonia. 2. Recommend followup chest x-ray in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.74813011912679346916132398442023498702
Endotracheal tube is 3.5 cm above the carina. Nasogastric tube enters the stomach. There is worsening of consolidative infiltrate in both lower lobes consistent with pneumonia. No evidence of effusion. No worsening.,Worsening of bibasilar pneumonia.,1.2.826.0.1.3680043.8.498.63880981691508229049528130545965461739
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45960612642145450508131751438926693406
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59316032819780560801730892515685150502
The left IJ dialysis catheter is stable. The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. New consolidation in the right upper lobe. No pleural effusion or pneumothorax. No acute osseous abnormality.,New right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.59328155955495399371324126921018544409
The lungs are adequately inflated. There is no focal infiltrate. The heart is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66087094903513023936798212886891826401
"Lung volumes are normal. Diffuse interstitial prominence throughout the lungs bilaterally, similar to prior studies. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Atherosclerosis in the thoracic aorta.","1. Diffuse interstitial prominence throughout the lungs bilaterally, similar to prior studies, likely chronic. 2. No evidence of acute cardiopulmonary disease. 3. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.93522097770284211187381925048754202313
Tracheostomy tube noted in stable position. Heart size stable. Bibasilar atelectasis/infiltrates. Small bilateral pleural effusions. No pneumothorax.,1. Tracheostomy tube in stable position. 2. Bibasilar atelectasis/infiltrates. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.20214141679650090141990149636066609068
Portable AP semi upright view at 9EF0F-10 hours. Confluent opacity at the left lung base appears to be largely related to the left lower lobe. No associated pleural effusion. Elsewhere lung markings appear normal. Mediastinal contours remain normal. Visualized tracheal air column is within normal limits. No acute osseous abnormality identified.,Left lower lobe pneumonia suspected. No pleural effusion.,1.2.826.0.1.3680043.8.498.42696081216393265074556263896680186266
Cardiomegaly. No pleural effusion or pneumothorax. Mild vascular congestion. No evidence of edema. No consolidation or mass. No displaced fracture identified.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.65677776359318720365833009167834746411
"The lungs are well-aerated. Mild peribronchial thickening is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild peribronchial thickening noted; lungs otherwise clear.,1.2.826.0.1.3680043.8.498.43483972242298480885125907269846614451
Endotracheal tube 3.5 cm above the carina. NG tube in the stomach. Lungs remain clear. No effusion or pneumothorax. Heart size normal. Regional bones unremarkable.,Stable appearance since previous day's exam,1.2.826.0.1.3680043.8.498.46732261129372098206964917214398560158
The lungs are clear. There is no pleural effusion. Heart size is normal.,No acute disease.,1.2.826.0.1.3680043.8.498.20839986093882398591387060873905342738
"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. The aorta is slightly calcified. The leads of a left-sided pacemaker terminate in the right atrium and ventricle. Mild spondylosis affects the thoracic spine.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.46142917300611734824847524427901337841
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45580472769003364136448234880630456365
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88302484272036586259284733094727679640
"Again noted is a large hiatal hernia. The cardiac silhouette, mediastinal and hilar contours are stable. The lungs are hyperinflated consistent with COPD. Persistent ill-defined airspace opacity at the right lung base. The left lung is clear. No pleural effusion.",1. Persistent ill-defined airspace opacity at the right lung base. Recommend follow-up chest x-ray in 4-6 weeks to document resolution. 2. Stable COPD and large hiatal hernia.,1.2.826.0.1.3680043.8.498.53244236423338962066195336879112292022
The heart is enlarged. There is a dual lead pacemaker in place. The lungs are hyperinflated consistent with COPD. There is chronic interstitial lung disease and scarring. Superimposed basilar airspace disease on the right is noted. A small left effusion is suspected. There is no edema.,1. Cardiomegaly and COPD. 2. Suspect left lower lobe pneumonia. 3. Small left effusion.,1.2.826.0.1.3680043.8.498.10715067678987146067011286462768324482
"Lung volumes are stable and within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.","Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.37617920102450560951156794293525300203
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66487447046376019080719943668737187327
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease. No evidence of pulmonary nodules.,1.2.826.0.1.3680043.8.498.33053645094130963758855737301663667830
The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.38336224234402821010315077720557937817
"Low lung volumes. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. Stable small right pleural effusion. No left pleural effusion. Hazy bibasilar lung opacities, slightly increased on the right and similar on the left.","1. Low lung volumes with slightly increased hazy right lung base opacity, which could represent atelectasis or pneumonia. 2. Stable small right pleural effusion.",1.2.826.0.1.3680043.8.498.80547729397684964622415842299484507275
Portable semi upright AP view 6061 hours. Worsening bibasilar airspace opacity. Stable cardiomegaly and mediastinal contours. Prior CABG. No pneumothorax. Small pleural effusions suspected.,Increasing basilar airspace disease could reflect atelectasis or pneumonia. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.19199767676134744372157513523397111174
"Right Port-A-Cath remains in place, unchanged. Heart is normal size. No confluent airspace opacities or effusions. No acute bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.28595778628645057961906291502608464205
"Minimal patchy density in the right upper lung field may represent atelectasis or developing infiltrate. Clinical correlation is recommended. No focal consolidation, pleural effusion, pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.41075286087913552941721908213450435152
Monitoring leads overlie the patient. Stable cardiac and mediastinal contours. Aortic atherosclerosis. Interval development of bilateral interstitial pulmonary opacities. Left basilar heterogeneous pulmonary opacities. Probable small left pleural effusion. No pneumothorax.,Left basilar heterogeneous opacities may represent atelectasis. Developing infection not excluded. Interstitial opacities may represent edema or atypical infection.,1.2.826.0.1.3680043.8.498.39443586924764188003258989915571868795
The cardiomediastinal contours are within normal limits. The lungs are clear. No pneumothorax or pleural effusion. Multilevel degenerative changes in the thoracic spine. Cervical fusion hardware is partially visualized.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.78251506915867402972171787389615663868
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.25610253588660548597252088856544031709
Left chest tube removed. No pneumothorax. Tiny left pleural effusion with bibasilar atelectasis. Negative for edema. The heart is enlarged.,No pneumothorax post chest tube removal.,1.2.826.0.1.3680043.8.498.15639826060207187106150657854030956903
There is mild peribronchial thickening and hyperinflation. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.71553765789051432213157363193516931186
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Mild thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22841104113100284238440122481863586890
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.97720082480796669806382532582006649060
The heart size and mediastinal contours are within normal limits. Both lungs are clear.,No active disease.,1.2.826.0.1.3680043.8.498.64625542454661439922159710450224085426
"Lung volumes are stable and within normal limits. Right IJ approach dual lumen dialysis type catheter in place. No pneumothorax. Catheter tips project at the mid to distal superior vena cava. Sequelae of median sternotomy. Stable cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pulmonary edema, pleural effusion or confluent pulmonary opacity.","1. Right IJ dual lumen catheter placed, no pneumothorax. 2. No acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.20715391251853560116336666640881753483
"Portable AP semi upright view at 3650 hrs. Endotracheal tube tip in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, tip not included. Pacer or resuscitation pads continue to project over the chest. Dense consolidation in the right mid and lower lung appears mildly progressed. Suspect superimposed right pleural effusion tracking into the minor fissure. Left lung base ventilation not significantly changed. No pneumothorax. Stable cardiac size and mediastinal contours.","1. ET tube and NG tube in good position. 2. Multilobar right lung pneumonia, mildly progressed. Small right pleural effusion.",1.2.826.0.1.3680043.8.498.50685670931636788694034569500695741830
The current exam shows a few densities at the lung bases compatible with mild bibasilar atelectasis. No definite pneumonia is seen. No pulmonary edema is noted. The heart is upper limits for normal in size or slightly enlarged but stable as compared to the prior exam.,1. No acute changes are identified. 2. There is slight atelectasis at the lung bases.,1.2.826.0.1.3680043.8.498.83557872929723753019819669379487189758
The lungs are hypoinflated. The hemidiaphragms are obscured. The cardiac silhouette is enlarged. The pulmonary vascularity is indistinct.,The findings are consistent with congestive heart failure and pulmonary interstitial edema. I cannot exclude basilar atelectasis or infiltrate. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.64907303095595297270848877010986447808
Rotated to the left. Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Pulmonary vascularity normal. Emphysematous changes with bilateral pleural effusions and basilar atelectasis greater on right. Upper lungs clear. No pneumothorax. Bones demineralized.,COPD changes with bilateral pleural effusions and basilar atelectasis. Enlargement of cardiac silhouette.,1.2.826.0.1.3680043.8.498.66325277372110725439881801648294908134
"The lungs are symmetrically well expanded. There is mild left basilar focal pulmonary infiltrate, possibly infectious in the appropriate clinical setting. Tiny left pleural effusion is present. No pneumothorax. Cardiac size is mildly enlarged. Pulmonary vascularity is normal. No acute bone abnormality.","1. Left basilar infiltrate, possibly infectious in the appropriate clinical setting. 2. Tiny left pleural effusion. 3. Cardiomegaly.",1.2.826.0.1.3680043.8.498.44024444393307391011773471675189900024
AP view of the chest shows increased density at both lung bases. Pneumonia and atelectasis would be the primary consideration. Some of the density seen may be due to fibrosis. Follow-up examination is suggested. The heart size is normal. No pulmonary edema is seen.,There are increased densities at both lung bases consistent with pneumonia and atelectasis. Follow-up examination is recommended.,1.2.826.0.1.3680043.8.498.11388843336843629675292206913473381043
Lung volumes are low. There is left lower lobe airspace disease consistent with pneumonia. The lungs are otherwise clear. Heart size is normal. No pneumothorax or pleural effusion.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.58752260314668975376153123222901184070
There is minimal scarring in the left base. The lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.65324916954045837583579373746314088494
Lung volumes are low. The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.33237941745102690570064458136966900384
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.27024591023367137379694320722732913876
There is near complete opacification of the right hemithorax with some improvement in aeration of the right lung since the prior chest x-ray. There is shift of the mediastinum to the right. The left lung is clear. There is no evidence of pneumothorax.,Improved aeration of the right lung since the prior chest x-ray. No pneumothorax.,1.2.826.0.1.3680043.8.498.81931693349526190119384573049401794965
"Tracheostomy tube, feeding tube, and pacemaker are unchanged. There is increasing left basilar airspace disease with a probable left effusion. Right basilar atelectasis is unchanged. No other changes are identified.",1. Stable support tubes. 2. Increasing left lower lobe airspace disease.,1.2.826.0.1.3680043.8.498.90175241672205205647389100879627342840
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.86384573440265316376240845474095855540
"Left IJ Mediport is present with the tip in the superior vena cava. The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",Left IJ Mediport appears in good position.,1.2.826.0.1.3680043.8.498.41137195311730554777716448864134222323
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88461627096105225380721650972196962341
Left arm PICC line is noted with tip in the projection of the cavoatrial junction. The heart size is moderately enlarged. There is pulmonary vascular congestion. The lung volumes are low.,1. PICC line tip in the cavoatrial junction. 2. Cardiac enlargement and low lung volumes.,1.2.826.0.1.3680043.8.498.32020614480212244586753332816175152357
The patient has a new right chest tube. The patient has a right pneumothorax seen at the apex and in the base. The right lung is largely re-expanded. Opacity in the right base is compatible with contusion. The left lung is clear. The patient has multiple right rib fractures. Heart size is normal.,1. New right chest tube in place with a small right pneumothorax. 2. Multiple right rib fractures and right lower lobe contusion noted.,1.2.826.0.1.3680043.8.498.27742008675060148696511323357665381938
"Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.37169779989660609878417988339276481505
Ventriculoperitoneal shunt projects over the right side of the chest. Heart size is normal. There is no evidence of congestive heart failure or acute infiltrates. The costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. Platelike atelectasis seen at both lung bases.,Bilateral platelike atelectasis.,1.2.826.0.1.3680043.8.498.39819388258102866380368832725970775738
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18650748529097386754600299922327539081
No pneumothorax. Stable calcified granuloma at the left lung base. The heart is normal in size. Stable mediastinal contours. No consolidation or edema. No pleural effusion.,No pneumothorax.,1.2.826.0.1.3680043.8.498.49604455304110922179252303678821307050
Endotracheal tube has been removed. Swan-Ganz catheter remains in place with the tip in the right pulmonary artery. Left chest tube is in place. There is no pneumothorax. Bibasilar atelectasis is unchanged. There is no edema.,Status post extubation. Bibasilar atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.44201644324459088450543256772480301596
"Right lower lobe opacity, suspicious for pneumonia, grossly unchanged. Left lung is essentially clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.",No significant change in right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.92494003058138610071958309920812158120
Heart size is normal. The vascularity is normal the lungs are clear. There is no infiltrate or effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77738524144180855998362677657693209023
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89851884380726819846224609098379724956
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.73966995406981668173293826721663628147
Endotracheal tube in satisfactory position. Nasogastric tube extending into the stomach. Normal sized heart. Clear lungs. No pneumothorax. Unremarkable bones.,No acute abnormality.,1.2.826.0.1.3680043.8.498.34762989502535077585622402606883152024
Frontal view of the chest is performed. There has been interval placement of a left sided pectoralis pacing unit. Leads appear to project in the region of the right atrium and right ventricle. The patient has taken a shallow inspiration. There is no evidence of pneumothorax. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27498833294658948391746261080919314976
Endotracheal tube is 2.5 cm from the carina. The heart size and mediastinal contours are stable. There are low lung volumes with mild increase in bibasilar atelectasis. There is vascular congestion. No pneumothorax or significant pleural effusion. The bones appear unchanged.,1. Endotracheal tube in place. 2. Low lung volumes with mild increase in basilar atelectasis. 3. Vascular congestion.,1.2.826.0.1.3680043.8.498.72733629543230251677310585421713526550
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19986319154519363063606481499797906424
A right arm PICC line is seen with the tip in the distal SVC. Feeding tube is also seen extending into the stomach. There is mild atelectasis at the left lung base. The lungs are otherwise clear. There is no evidence of pleural effusion. The heart size is normal.,1. Right arm PICC line tip in distal SVC. 2. Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.23672894981975636486541931601028888795
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58432338854552830271813289507967438579
Endotracheal tube tip is 5.6 cm above the carina. Nasogastric tube tip and side port are in the stomach. No pneumothorax. There are pleural effusions bilaterally with interstitial edema and patchy airspace consolidation in the right mid and lower lung zones. There is atelectatic change in the left base. Heart size is normal. Pulmonary vascularity is within normal limits. No adenopathy.,Tube positions as described without pneumothorax. Evidence a degree of congestive heart failure. There may be superimposed pneumonia in the right mid and lower lung zones. Both alveolar edema and pneumonia may present concurrently.,1.2.826.0.1.3680043.8.498.55509953059824512314658342036440063900
PA and lateral films. The heart and mediastinum are within normal limits for the film technique. The pulmonary vessels are within normal limits. The lungs are clear. No pneumothorax or pleural effusion. Mild degenerative changes in the thoracic spine.,No acute chest disease.,1.2.826.0.1.3680043.8.498.27816761770863776200454367446158474672
There are bilateral pleural effusions with improved interstitial edema. There is bilateral lower lobe consolidation which is also improved. No pneumothorax. Stable cardiomegaly.,Improved bilateral effusions and bilateral airspace disease.,1.2.826.0.1.3680043.8.498.34971876496839044620356962716485224646
The cardiac silhouette is normal. Hilum are unremarkable. Lungs are well aerated. Trachea is midline. Diaphragms are well visualized. Osseous structures unremarkable. No pleural thickening. No pleural effusions.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.94078873446821697374063645888109894468
The cardiopericardial silhouette is within normal limits for size. Lungs are clear. There is slight elevation of the right hemidiaphragm. Atherosclerotic calcifications are noted in the aorta.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76084299075033183592096933097287547304
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.97963492983566199681230083709224157565
The support apparatus is stable. The heart is normal in size. The lungs are stable. Persistent left lower lobe process. No pneumothorax.,Stable chest x-ray.,1.2.826.0.1.3680043.8.498.54002847380102400110980626338453142696
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78597147903476828698642767321064840686
The lungs are clear. The heart and mediastinal contours are normal. No pleural effusions.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86186695835343210180542236532754305446
There are low lung volumes with associated bibasilar atelectasis. There are bilateral pleural effusions. There is mild interstitial edema.,1. Stable appearance of the heart and lungs. 2. Low lung volumes with associated atelectasis and effusions.,1.2.826.0.1.3680043.8.498.75490472857577260411530288271831498323
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68173632889609194103635641557549876194
Heart is normal size. Aortic atherosclerosis. No confluent airspace opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.73556493063128114130072575683099608551
Cardiomegaly with vascular congestion. Bibasilar atelectasis. No effusions. No acute bony abnormality.,"Cardiomegaly, vascular congestion. Bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.70061596877497690249517064260505047693
"Normal heart, mediastinum and hila. Clear lungs. No evidence of pneumomediastinum. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.",Normal frontal chest radiograph.,1.2.826.0.1.3680043.8.498.21058614400092180335998295909549293314
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58500988934144630876390509241689995097
The heart is mildly enlarged. Lung volumes are low. Minimal left basilar atelectasis is present. The lungs are otherwise clear. There is no evidence of pneumothorax. No definite pleural effusions are seen. The visualized soft tissues and bony thorax are unremarkable.,1. Borderline cardiomegaly without failure. 2. Low lung volumes and minimal left basilar atelectasis.,1.2.826.0.1.3680043.8.498.99734974501138931081741309318949387589
Right internal jugular Swan-Ganz catheter is present with tip in the right pulmonary artery. Nasogastric tube extends into the stomach. The nasogastric tube tip is in the stomach. The heart is mildly enlarged. The lungs are clear. There is no pneumothorax. No pleural effusion.,Swan-Ganz catheter within the right pulmonary artery. No pneumothorax. Cardiomegaly.,1.2.826.0.1.3680043.8.498.18598361579784981410809895166239630700
Lungs are clear. No pleural effusion or pneumothorax. The heart is top-normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51857519240462752837595744887148672199
New left subclavian Port-A-Cath with tip projecting over SVC. Enlargement of cardiac silhouette. Left upper lobe mass unchanged. Remaining lungs clear. No gross pleural effusion or pneumothorax.,No pneumothorax following Port-A-Cath placement. Enlargement of cardiac silhouette. Stable left upper lobe mass.,1.2.826.0.1.3680043.8.498.71302197186506020609399189991476359866
"Endotracheal tube tip is at the level of the carina. Umbilical arterial catheter tip is at T7. Umbilical venous catheter tip is at T9, over the right atrium. Orogastric tube tip is in the stomach. Normal heart size. No pleural effusion or pneumothorax. Diffuse hazy lung opacities are identified throughout both lungs. No pneumatosis or free intraperitoneal air.",1. Tubes and catheters as described. 2. No change in aeration to the lungs.,1.2.826.0.1.3680043.8.498.10180117535324985899972815242268329906
The heart size and mediastinal contours are normal. The lungs are clear. There is no evidence of pleural effusion.,No active cardiopulmonary process. No radiographic evidence for tuberculosis.,1.2.826.0.1.3680043.8.498.26403377412017365243966642331153516932
Heart size is normal. No pleural effusion or edema. No airspace consolidation.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.55863343469512195996994082042182005939
"The lungs are hyperinflated. Mild, stable chronic appearing increased lung markings are seen. Mild areas of atelectasis and/or early infiltrate are noted within the mid lung fields, bilaterally. There is no evidence of a pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. There is mild calcification of the aortic arch. The visualized skeletal structures are unremarkable.",COPD with mild bilateral mid lung field atelectasis and/or early infiltrate.,1.2.826.0.1.3680043.8.498.40848817184122077623196828082662718677
Heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Lungs are clear. No pleural effusion or pneumothorax seen. No acute or suspicious osseous finding.,No active cardiopulmonary disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.23664137018228030666132415573051926847
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",No acute process.,1.2.826.0.1.3680043.8.498.64165947799309995984641405160010168546
The lung volumes are low. Bibasilar airspace opacities likely reflect atelectasis. Infiltrate is not excluded. Small effusions are suspected. The heart size is exaggerated by low lung volumes.,1. Low lung volumes. 2. Bibasilar airspace disease likely reflects atelectasis. Infiltrate is not excluded. 3. Small bilateral pleural effusions suspected.,1.2.826.0.1.3680043.8.498.73063922254061050614672560411219700075
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62188792372738288818965758608084097303
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The sternal plating is intact. Multiple known rib fractures are not well observed on this study.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46765519772797994482321482103963280052
Cardiomediastinal silhouette is normal. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,Normal chest.,1.2.826.0.1.3680043.8.498.24774543787137431538576310426766533172
Umbilical artery catheter tip remains in the descending thoracic aorta at the T6-7 level. OG tube tip remains in the fundus of the stomach. Improved aeration of both lungs is seen. Mild granular opacity of both lungs persists. No new abnormalities seen.,Support apparatus satisfactory. Improved aeration with mild RDS persisting.,1.2.826.0.1.3680043.8.498.75213766045386884707961895786849919991
The left upper extremity PICC is stable. Diffuse airspace disease has worsened. No pneumothoraces are seen. The heart is mildly enlarged.,Worsening diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.39406796157643559299706465047585688933
MediPort catheter noted with tip over the right atrium. Heart size normal. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. MediPort catheter noted with tip over the right atrium. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46220988637085315659938041002697160262
The cardiothymic silhouette is within normal limits. The pulmonary vasculature is normal in caliber. Peribronchial the costophrenic angles are sharp. The aortic arch is left-sided. The bony structures appear unremarkable.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.56999838460121529948857308393329125146
Cardiothymic silhouette is normal. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.56323498600436774409783643351494432294
No pneumothorax following right thoracentesis. Opacities at the right base. Stable appearance of the left. Pacemaker.,No pneumothorax.,1.2.826.0.1.3680043.8.498.82371545134841209181117802661934913211
There is airspace consolidation in the posterior right base. There is a lesser degree of airspace consolidation in the left lower lobe. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Extensive airspace consolidation in the right lower lobe and to a lesser extent in the left lower lobe consistent with pneumonia. Followup advised to document clearing.,1.2.826.0.1.3680043.8.498.43446551786343070941583690365832343346
"The previously seen left apical pneumothorax has resolved. Small bilateral pleural effusions are identified, left greater than right. Mild atelectasis is seen in the left base. The right lung is clear. The heart size and mediastinal contours are stable status post CABG.",1. Resolution of left apical pneumothorax. 2. Small bilateral pleural effusions and left basilar atelectasis.,1.2.826.0.1.3680043.8.498.89853115827048492829199618432107993759
There is patchy airspace opacity in the mid and lower lung regions bilaterally. No consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.,"Patchy airspace opacity bilaterally consistent with multifocal pneumonia, likely of atypical organism etiology. No consolidation. Stable cardiac silhouette. No adenopathy evident. Stable appearance compared to recent study.",1.2.826.0.1.3680043.8.498.31017985124456634017900324990215778299
Evaluation is limited secondary to patient positioning. The lung volumes are low. The heart size appears enlarged. Aortic calcifications are noted. There is no pneumothorax. No definite pleural effusion or focal infiltrate. No acute osseous abnormality.,1. Limited study secondary to patient positioning. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.41312777730717478828101557051798122247
The heart size and mediastinal contours are stable with mild tortuosity of the thoracic aorta. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.32123623859061665261503672581810089165
The endotracheal tube has been retracted and now terminates 2.5 cm above the carina. Enteric tube terminates in the gastric fundus. The heart size and mediastinal contours are within normal limits. Hazy opacity in the left lung is unchanged. The right lung is clear. No pleural effusion or pneumothorax.,Interval retraction of the endotracheal tube with the tip now 2.5 cm above the carina. Otherwise unchanged appearance of the chest.,1.2.826.0.1.3680043.8.498.56927979079114987346472142495527608120
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.75456571138574970869253424048664722406
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.72015764033915514233395335034770501845
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The chest appears mildly hyperexpanded consistent with reactive airway disease.",1. The lung fields are clear. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.62528747120079828107459295452918394563
The heart is mildly enlarged. Aortic atherosclerosis is noted. There is no pneumothorax. There is no large pleural effusion. There is a new opacity at the lung base posteriorly which may represent atelectasis or pneumonia. There is no acute osseous abnormality.,1. New left lower lobe opacity which may represent atelectasis or pneumonia. 2. Stable cardiomegaly. 3. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.99953417622985936623027174712636560445
There is cardiomegaly. Small left pleural effusion and airspace disease have worsened since the most recent examination. Patchy airspace disease in the right base is noted. Severe scoliosis is seen. Remote left rib fractures are noted.,Increased left effusion and basilar airspace disease. Airspace disease could be due to atelectasis or infection. Cardiomegaly.,1.2.826.0.1.3680043.8.498.89316333034816879123809151194727191613
The nodular density seen in the right lower lung zone does correspond to the patient’s nipple. There is no pulmonary nodule. The lungs are clear. Heart size is normal.,No pulmonary nodule. No acute disease.,1.2.826.0.1.3680043.8.498.18593340981706625431432789153762178570
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58607277243447564802814001678266398715
There is chronic elevation of the right hemidiaphragm. There is linear density at the right lung base consistent with atelectasis or scarring. The left lung is adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is calcification in the wall of the aortic arch. The bony thorax exhibits no acute abnormality.,"Chronic elevation of the right hemidiaphragm. Right basilar atelectasis or scarring. No pneumonia, CHF, nor other acute cardiopulmonary abnormality. Thoracic aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.53866420308124373395575290914413528998
Endotracheal tube and nasogastric tube have been removed. Swan-Ganz catheter tip is in the main pulmonary outflow tract. There is a mediastinal drain and a right chest tube. No pneumothorax. There is atelectatic change in the right base. Lungs elsewhere clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Right base atelectasis. No edema or consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.56050985636297532798191738605932432168
No active infiltrate or effusion is seen. Cardiomegaly is stable. Median sternotomy sutures are noted. There are degenerative changes throughout the thoracic spine.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.46523227066890816124599543117077192928
"There is a feeding tube with tip in the stomach. The heart size is normal. There are no pleural effusions. Lung volumes are low. Diffuse, reticular interstitial disease is identified throughout both lungs. A more focal area of opacity is identified within the right upper lobe.","1. Diffuse, chronic interstitial lung disease. 2. Focal right upper lobe opacity which may represent atelectasis or developing consolidation.",1.2.826.0.1.3680043.8.498.87886354908722795250349876526193643559
Cardiomediastinal silhouette is unremarkable. Patchy alveolar airspace opacities in the mid and lower lungs. No pleural effusions. No pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.,Patchy airspace opacities concerning for multifocal pneumonia.,1.2.826.0.1.3680043.8.498.46005341546828893433446630975126554491
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.17152646820524171373789186249555463089
"Normal heart size, mediastinal contours, and pulmonary vascularity. Mild peribronchial thickening. RIGHT upper lobe infiltrate consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. RIGHT upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.38175391464148345688338553947755336129
NG tube has tip in the stomach. Heart is normal in size. The aorta is calcific. Lungs are under expanded. There is left basilar infiltrate or atelectasis. The right lung is clear. There is no pneumothorax. No definite effusion is seen.,1. NG tube has tip in the stomach. 2. Underexpanded lungs with left basilar infiltrate or atelectasis.,1.2.826.0.1.3680043.8.498.22513904361680291688438399799564983521
The heart is mildly enlarged. The aorta is tortuous. Pulmonary vascularity is within normal limits. Scarring in the right upper lobe and left base is stable. No pneumothoraces or effusions are seen. No focal consolidation is seen.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77064269915653073146475710365185102929
Mediastinum and hilar structures normal. Heart size normal. No pulmonary venous congestion. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73789652463739138935668699298560761310
"Lungs are currently clear with resolution of previous tiny left pleural effusion. Heart size is normal with stable post CABG changes. Mediastinum, hila, remaining pleura and osseous structures are stable and unremarkable.",1. Post CABG. 2. Resolution of previous tiny left pleural effusion. 3. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37324313795460193517913043709340452591
Bullet fragments are again noted in the right chest. The lungs are clear. Heart and bony structures are unremarkable.,No acute chest findings.,1.2.826.0.1.3680043.8.498.39017517568555504066325362583321767024
Endotracheal tube is 1.2 cm above the carina. Orogastric tube extends into the stomach. There are coarse granular opacities throughout both lungs. No pneumothorax. No large effusion.,Support equipment appears satisfactorily positioned. Mildly increased hazy granular opacities in both lungs.,1.2.826.0.1.3680043.8.498.68505525845778552294557951372220890507
Shallow inspiration. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59408406407128335361941315765782217706
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.55173336896669560680091823214623696249
The endotracheal tube is in satisfactory position. There is increased left lower lobe atelectasis. Right lower lobe atelectasis is about the same. Small bilateral pleural effusions are noted. The heart size is stable.,1. Satisfactory endotracheal tube position. 2. Increased left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.29126055711718605464959160650743617407
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23954171862513330297159169011363852248
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41123687819427669942230995779103186363
Tracheostomy tube and left PICC line in stable position. Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small left pleural effusion. No pneumothorax.,1. Lines and tubes in stable position. 2. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.69313602112494628635757749952672133019
There is COPD. There is hyperinflation of the lungs. Patchy airspace disease is seen in the right upper lobe which is similar to prior study and may be due to scarring. No acute infiltrate is identified. There is no pleural effusion. The heart is mildly enlarged.,COPD. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34376929837642753223110037061408348832
There is a left-sided chest tube noted in place. There is no definite pneumothorax noted. There is a dual lead left-sided cardiac pacemaker noted in place. The cardiomediastinal silhouette appears to be enlarged. The pulmonary vasculature is within normal limits. There is mild left basilar subsegmental atelectasis noted.,"Left-sided chest tube in place, no pneumothorax. Cardiomegaly. Mild left basilar subsegmental atelectasis.",1.2.826.0.1.3680043.8.498.24308494797230841332770353994661485996
There is a calcified granuloma in the left base region. The lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.36982454019383742740138597252598375173
Endotracheal tube is 2.5 cm above the carina. Swan-Ganz catheter tip is in the right pulmonary artery. There is interval increase in a left pleural effusion which may be creating some mass effect as there is some shift of the mediastinum to the right and there is decreased volume of the right lung. Left chest tube is in place. No pneumothorax. Nasogastric tube enters the stomach.,1. Support tubes and lines appear in satisfactory position. 2. Interval increase in left pleural effusion.,1.2.826.0.1.3680043.8.498.40217439211345811614814010867299752531
The lungs are mildly hyperinflated. There is blunting of the lateral and posterior costophrenic angles bilaterally. The cardiac silhouette is top normal in size. The patient has undergone prior CABG. There is a permanent pacemaker in place. The bones are osteopenic.,There are findings consistent with small bilateral pleural effusions. There is likely basilar atelectasis as well. I see no discrete focal infiltrate. There is no evidence of a pneumothorax. There is mild hyperinflation consistent with COPD.,1.2.826.0.1.3680043.8.498.12820103487326594257360382915905317697
Endotracheal tube is 5.5 cm above the carina. Swan-Ganz catheter tip is in the main pulmonary artery. Left chest tube is in place. No pneumothorax. Nasogastric tube enters the stomach. There is mild basilar atelectasis. No edema. No effusion.,Tube and catheter positions as described without pneumothorax. Mild postoperative atelectasis.,1.2.826.0.1.3680043.8.498.29629870501443139274535272079744019616
"There are large bilateral pleural effusions, increased since prior study. There is vascular congestion. Diffuse interstitial prominence likely reflects interstitial edema. Bibasilar atelectasis. Heart is enlarged. No acute bony abnormality.",Cardiomegaly with edema and large bilateral effusions. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.29601843310219003681502359240781512073
Lung volumes are normal. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. No confluent pulmonary opacity. Negative for age visible bowel gas and osseous structures.,No abnormal pulmonary opacity or other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.32718320874460737934252125698556586620
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21015116687092822377168420973791351429
Cardiothymic silhouette unremarkable. Lungs clear. Bronchovascular markings normal. No confluent consolidation. No pleural effusions. No pneumothorax. Gas throughout normal caliber small bowel and the stomach.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26744100239590246338390644898454693914
Sternotomy wires overlie stable enlarged cardiac silhouette. There is interval increase in bibasilar atelectasis and effusions. No evidence of pulmonary edema. No pneumothorax.,1. Increasing atelectasis and effusions. 2. No evidence of pulmonary edema.,1.2.826.0.1.3680043.8.498.37049793400096971690844582464943961925
The lungs are mildly hypoinflated. The interstitial markings are increased. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. I see no pleural effusion.,There are findings consistent with interstitial edema of both lungs. This is likely of cardiac cause. I see no focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.13370906982507503859253278878533135192
There are moderate to large bilateral pleural effusions with compressive atelectasis in the lower lobes. The heart is enlarged. There is vascular congestion. No pneumothorax.,Cardiomegaly with congestive heart failure and bilateral effusions. There is compressive atelectasis in the lower lobes.,1.2.826.0.1.3680043.8.498.33816529738510124670999641210656948753
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19304079327579255482574569022581225734
"Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.72584401658071092522613559920519532746
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94756987107994745102212073301305487448
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45394802900658356272586254016069827613
Persistent right upper lobe consolidation. There is also patchy infiltrate in the anterior segment of the left upper lobe. No pleural effusions are evident.,Bilateral pneumonia.,1.2.826.0.1.3680043.8.498.80070320838391386121296564227454530938
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.29176339245142112795285246106836285886
No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.83231173738438171639829922832509721222
Normal cardiac silhouette and mediastinal contours. No focal parenchymal opacities. No pleural effusion or pneumothorax. Degenerative change of the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26500645872530294638872928978396651817
"The heart is at the upper limits of normal in size, mediastinal contours are normal. Atherosclerosis of the aortic arch. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54202163296455577424721111009223972960
"The cardiomediastinal silhouette is within normal limits. Aortic atherosclerosis. There are small bilateral pleural effusions, right greater than left, decreased in size compared to prior exam. Minimal bibasilar opacities are present, favored to represent atelectasis. No focal consolidation. No evidence of edema. Surgical clips are seen in the upper abdomen. No acute osseous abnormality.","1. Small bilateral pleural effusions, right greater than left. 2. Bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.57617905268416916717081271854425911637
The heart size and mediastinal contours are within normal limits. There is a large hiatal hernia. Both lungs are clear. The visualized skeletal structures are unremarkable.,1. No acute cardiopulmonary abnormalities. 2. Hiatal hernia.,1.2.826.0.1.3680043.8.498.32414128152983998481097572095171075407
"Shallow inspiration. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71062316278175275123786801780331347971
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69318641605091989117808176343462701617
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64333262349186016433523611565722066604
Trachea is midline. Heart size normal. Lungs are clear. No pneumothorax. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.66144390023932437851646705355079580711
The heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.99431768101479230244256887728917337584
Cardiomegaly with vascular congestion and mild interstitial prominence consistent with interstitial edema again noted. Similar findings noted on prior study. Small bilateral pleural effusions with bibasilar atelectasis. Prior vertebroplasty lower thoracic spine. No pneumothorax.,1. Cardiomegaly with vascular congestion and mild bilateral interstitial prominence consistent with interstitial edema again noted. Similar findings noted on prior study. Small bilateral pleural effusions with bibasilar atelectasis. 2. Prior vertebroplasty lower thoracic spine.,1.2.826.0.1.3680043.8.498.86135086372190647425032716142456934589
The heart is enlarged. There is a left-sided pacemaker. The aorta is tortuous and calcified. There is no pneumothorax. Small bilateral pleural effusions are noted. There is mild atelectasis at the lung bases.,No evidence of pneumothorax status post right-sided thoracentesis.,1.2.826.0.1.3680043.8.498.19525866841330841229366814510411765968
Frontal chest as well as oblique and cone-down rib images were obtained. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax or pleural effusion. No rib fracture evident.,No demonstrable rib fracture. Lungs clear.,1.2.826.0.1.3680043.8.498.96410571444476605878138385871859594015
The patient is status post median sternotomy and CABG. The heart is mildly enlarged. The aorta is tortuous and atherosclerotic. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process. Cardiomegaly.,1.2.826.0.1.3680043.8.498.66178013435073529093316164118218998055
"Loop recorder projects over the left chest. Stable cardiomegaly. Unchanged aortic atherosclerosis. No pulmonary edema. No focal airspace disease, pleural effusion, or pneumothorax. Remote right proximal humerus fracture. No acute osseous abnormalities are seen.",1. No acute chest findings. 2. Stable cardiomegaly. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.43257285923708824857087750638396462346
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81540848013236437395260782545406001921
Grossly unchanged cardiac silhouette and mediastinal contours. Improved aeration of the lungs with persistent minimal bibasilar opacities favored to represent atelectasis. No new focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. No acute osseus abnormalities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86583546886017311041174104473010395282
The heart is moderately enlarged. The thoracic aorta is calcified and tortuous. The lungs are low in volume with mild prominence of interstitial markings. No pleural fluid. Degenerative changes are seen in the spine.,Cardiomegaly and mild interstitial lung disease.,1.2.826.0.1.3680043.8.498.20885916282090302979521634674357376872
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.29356474976165644321061990047760703725
"Since the prior study, left lower lobe pneumonia has cleared. Mild bronchiolitis findings are seen with lungs otherwise clear. Cardiothymic image appears normal with no other significant abnormality noted.",1. Resolution of left lower lobe pneumonia. 2. Mild bronchiolitis. 3. Otherwise no active disease.,1.2.826.0.1.3680043.8.498.27189568700798434917601778206845676059
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24379165091445687826266354317564592115
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85931374331720023706548860289990997788
"There is a focal opacity in the anterior left upper lobe, which is likely a mass. The heart, hila, mediastinum, lungs, and pleura are otherwise unremarkable.",Probable left upper lobe mass. Recommend CT imaging.,1.2.826.0.1.3680043.8.498.31741345596167839142731112974398160744
"Low lung volumes. Normal heart size and mediastinal contours. Peribronchial thickening. No definite infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.39801560611566009515227729044601724951
The lungs are reasonably well inflated. The interstitial markings are increased bilaterally. There is no pleural effusion. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,There are increased interstitial densities in both lungs. This may reflect subsegmental atelectasis or early interstitial pneumonia. I do not see pulmonary vascular congestion. Followup films following therapy would be useful to assure clearing.,1.2.826.0.1.3680043.8.498.79897873825006533150475974107347203074
Right PICC is in place with tip in superior vena cava. No pneumothorax is evident. The patient has undergone previous median sternotomy and coronary artery bypass grafting. There is stable moderate enlargement of the cardiac silhouette. There is atelectasis in the right lung with infiltrative density and atelectasis and infiltrative densities seen in the left lung base. There is a small amount of right pleural effusion.,Right PICC in place with tip in superior vena cava. No pneumothorax is evident. Previous median sternotomy and CABG has been performed. Stable enlargement of the cardiac silhouette. Atelectasis and infiltrative densities are seen in the left lung base. There is a small amount of right pleural effusion.,1.2.826.0.1.3680043.8.498.14418224056438957866303331509777986750
The heart size and mediastinal contours are within normal limits. Mild central airway thickening without focal consolidation. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,Central airway thickening consistent with reactive airways disease. No focal consolidation.,1.2.826.0.1.3680043.8.498.65399750973463549938248799922969303127
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68127578780572527782144394062236154320
Extensive bilateral interstitial and airspace opacities throughout both lungs are increased from comparison radiograph. No pneumothorax. Cardiomegaly. Postsurgical changes related to prior CABG including intact and aligned sternotomy wires and multiple surgical clips projecting over the mediastinum. No acute osseous or soft tissue abnormality. Telemetry leads overlie the chest.,1. Increasing bilateral interstitial and airspace opacities compatible with multifocal pneumonia. 2. Stable cardiomegaly. 3. Prior CABG.,1.2.826.0.1.3680043.8.498.93548016343392562446629363466816433182
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no evidence of acute or old tuberculous infection. There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22210213254334923985674937565244703326
Cardiomediastinal silhouette unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pneumothorax. No pleural effusions. Visualized bony thorax intact.,Normal examination.,1.2.826.0.1.3680043.8.498.48294702482458685201744539104205543063
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32290823931827110920227345019297170611
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94170965332870094923048476905583499509
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.66900235944970297200608314577869747833
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23400478729500991661029723693669234831
Normal sized heart. Diffuse peribronchial thickening. No airspace consolidation. Unremarkable bones.,Mild to moderate changes of bronchiolitis.,1.2.826.0.1.3680043.8.498.67459954241490856030588454238389563291
There is a large left pleural effusion with associated atelectasis. The right lung is clear. Heart size is normal. No pneumothorax is identified.,Large left pleural effusion with associated atelectasis. Underlying mass is not excluded.,1.2.826.0.1.3680043.8.498.85414232772826525216286541316319141978
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.69858176959523529423900625740962060701
There is little change in the volume of the right pleural effusion with mild right basilar atelectasis remaining. The left lung is clear. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,Little change in right pleural effusion with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.97212345307565277246485671037779835905
"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.49057378004854990073277785405855762315
"There are patchy bilateral pulmonary infiltrates, new since the prior study consistent with the patient's history of COVID-19 infection. No pneumothorax or pleural effusion. Heart size and vascularity are normal. No acute bone abnormality.",Patchy bilateral pulmonary infiltrates consistent with COVID pneumonia.,1.2.826.0.1.3680043.8.498.68707637090249369543443368632321905493
The lungs are clear. No pneumothorax is seen. The right IJ central venous catheter tip is in the SVC. The heart is within normal limits in size.,No active lung disease. Right IJ central venous catheter tip in SVC.,1.2.826.0.1.3680043.8.498.74665364351153202679338897730069930083
There is peribronchial thickening. Heart is normal size. No confluent opacities or effusions. No acute bony abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.69654915890010530363180763353836908543
There is cardiomegaly. No confluent airspace opacities or effusions. No acute bony abnormality. Degenerative changes in the thoracic spine.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.96365929098855614642204277216548783910
The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Right lung is clear. New ill-defined opacity is seen laterally in left upper lobe concerning for pneumonia. The visualized skeletal structures are unremarkable.,New left upper lobe opacity is noted concerning for pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.13796594050412963687733400106788727586
Trachea is midline. Heart is enlarged. Left upper lobe mass and left perihilar airspace opacification are again seen. Lungs are otherwise clear. No definite pleural fluid.,"Left upper lobe mass and left lung air space opacification, consistent with known pneumonia.",1.2.826.0.1.3680043.8.498.91582765124365046874616829877878509002
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39183184831097649410110208219263460459
ET tube terminates in the mid trachea. Monitoring leads overlie the patient. Stable cardiomegaly. Pulmonary vascular redistribution and bilateral perihilar interstitial pulmonary opacities. No pleural effusion or pneumothorax.,ET tube terminates in the mid trachea. Cardiomegaly. Pulmonary vascular redistribution and mild interstitial edema.,1.2.826.0.1.3680043.8.498.22285307627507552093058909063735728040
Heart and mediastinal contours are within normal limits. Lungs are clear. No pleural effusion. No acute bony deformity.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66036727745620537600756415753420830756
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53278062629414147034213012518132058508
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.12636206621462737747049663235530432262
Patchy areas of airspace opacity noted in the right upper lobe and left lower lobe concerning for pneumonia. Heart is normal size. No effusions or acute bony abnormality. No pneumothorax.,Patchy areas of airspace opacity in the right upper lobe and left lower lobe concerning for pneumonia.,1.2.826.0.1.3680043.8.498.63077681260573375032858815258297815510
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.42357863075234916155482635030461928742
"Endotracheal tube is 5 cm above the carina. Left-sided AICD is unchanged in position. Left IJ central line is unchanged. The cardiac silhouette is mildly enlarged. The mediastinal contour and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.31154208316789215181370751117407384882
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12029898572966938667289869156350475130
The lungs are clear. The heart is within upper limits of normal. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.30109204198169858432320411996423884804
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23627321368709206659898475695305879085
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74717296342565709770861843353765087255
Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease,1.2.826.0.1.3680043.8.498.56490811457258980413772992067643951006
Cardiac shadow is enlarged. A pacing device is again seen. The lungs are well aerated bilaterally. Mild left basilar atelectasis is noted. No sizable effusion is seen. No bony abnormality is noted.,Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.39431191893645867954980286888503721984
Small left pleural effusion. Mild atelectasis at the left base. No focal consolidation. Normal heart size. No pneumothorax.,Small left pleural effusion with basilar atelectasis.,1.2.826.0.1.3680043.8.498.25166354281977443090491335541579308891
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25983935595908106311389642031160677879
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.38194476425044718704309647387220789555
Right Port-A-Cath is stable. Cardiac silhouette is normal in size. There are numerous nodular opacities throughout the lungs bilaterally consistent with known pulmonary metastases. There are small bilateral pleural effusions. No consolidations. No pneumothorax. Stable rightward tracheal deviation due to large intrathoracic thyroid nodule.,1. Small bilateral pleural effusions. 2. Extensive pulmonary metastatic disease.,1.2.826.0.1.3680043.8.498.30920495116520899331962629627981712059
Left-sided central venous catheter tip over the right atrium. Cardiomegaly. Aortic atherosclerosis. Left basilar atelectasis or pneumonia. Probable small left effusion. Patchy opacity in the right lung base. No acute bony abnormality.,Cardiomegaly. Left basilar atelectasis or pneumonia with probable small left effusion. Patchy right basilar atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.38384397259065756256428022346659211703
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22693838842061961587380761084993268241
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35626183177733158591223681784532506310
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.88915026154260020432838262764753437291
Cardiothymic silhouette is unremarkable. Bilateral perihilar peribronchial cuffing without pleural effusions or focal consolidations. Normal lung volumes. No pneumothorax. Soft tissue planes and included osseous structures are normal. Growth plates are open.,"Perihilar peribronchial cuffing may reflect bronchitis, less likely reactive airway disease without focal consolidation.",1.2.826.0.1.3680043.8.498.87269842303834523404001910814451772357
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.28954641743757182958400636594531024555
The central airway thickening. No pleural effusion or pulmonary edema. No airspace consolidation identified. The visualized osseous structures are unremarkable.,Central airway thickening which may reflect lower respiratory tract viral infection or reactive airways disease.,1.2.826.0.1.3680043.8.498.60259996773181499283315222209142336205
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are demonstrated.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.93224202817121706235962611913357340248
No pneumonia is seen. There are prominent perihilar markings with some peribronchial cuffing which can be seen with central airway process such as bronchiolitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect central airway process.,1.2.826.0.1.3680043.8.498.16096017883256155953332229853407109737
Enlargement of cardiac silhouette. Mediastinal contours and pulmonary vascularity normal. Persistent RIGHT pleural effusion with atelectasis and consolidation of lower RIGHT lung. LEFT lung clear. No pneumothorax following thoracentesis. Osseous structures unremarkable.,No pneumothorax following RIGHT thoracentesis.,1.2.826.0.1.3680043.8.498.65537619661638787253895153467812378061
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.23104037095988668655061221291939493409
The heart size and mediastinal contours are within normal limits. Hypoinflation of the lungs is noted with mild bibasilar subsegmental atelectasis. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,Hypoinflation of the lungs with mild bibasilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.73743660534452364345874903356587517378
The lungs are under-inflated with bibasilar atelectasis. The heart is normal in size. No pneumothoraces or effusions are seen.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.41541832576900987960289091254261549298
No pneumonia is seen. There are prominent perihilar markings with some peribronchial cuffing which can be seen with central airway process such as bronchitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect central airway process.,1.2.826.0.1.3680043.8.498.64406153996846459515240525906273381129
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62652564129935082533400933216310688796
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20386507234414638264013977844323778063
"The patient's right-sided chest port is noted ending at the mid SVC. A left-sided PICC line is noted ending about the mid SVC. The lungs are hypoexpanded; mild right basilar atelectasis is noted. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.","1. Left-sided PICC line noted ending about the mid SVC. 2. Hypoexpanded lungs, with mild right basilar atelectasis.",1.2.826.0.1.3680043.8.498.97168256491516726350459989852827136253
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.57374490799745683187729524151363974167
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24178240695269643062328997099866162083
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61847135103921149563441250197962091841
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.70879753282258158066482575493245008814
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68466836309881851701355929087790868053
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58316170218260820217469889292560389276
PA and lateral views of the chest are made and are compared to previous studies of 5/2/1 and show worsening of the peribronchial thickening with a new area of atelectasis and/or infiltrate in the region of the right middle lobe. No definite effusion or pneumothorax is seen. The heart and mediastinum are normal. The bony thorax is normal.,"Worsening bronchitic change with new area of atelectasis and/or infiltrate, right middle lobe.",1.2.826.0.1.3680043.8.498.29812709961783139089578031196117958726
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37108132625006728028104166639124012237
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68280151521930909456803651177536786795
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79729317021083450797208701135585442424
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54350245321540234506064257787694968404
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93637828267771026888530117362235848484
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.84508761094312223860358329525758264442
Endotracheal tube tip 4.5 cm from the carina. Tip and side port of the enteric tube below the diaphragm in the stomach. Cardiomediastinal contours are unchanged. Hilar structures are normal. Stable streaky left lung base opacity. No new focal airspace disease. No pneumothorax.,"1. Endotracheal tube tip 4.5 cm from the carina. Enteric tube in place, tip below the diaphragm not included in the field of view. 2. Stable streaky left lung base opacity, nonspecific.",1.2.826.0.1.3680043.8.498.45858700641199806535961276272462106378
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.52897400762898287955089145828196160957
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28023151415785278649190809318245687093
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80147985953884500997458077593019068682
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76587025775995893644091504805786329169
Heart size is normal. The mediastinum is unremarkable. There is mild linear atelectasis at both lung bases. The upper lungs are clear. No effusions. No bony abnormalities.,Mild linear atelectasis at the lung bases.,1.2.826.0.1.3680043.8.498.98463229392831747395663270672693806944
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36340186643218732738271858274111446971
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91357320450639818657392837538847196308
There is no pneumothorax after left thoracentesis. Left upper lobe mass is again seen. There is some linear scarring or subsegmental atelectasis in the left lower lobe. Right lung is clear. Heart size is normal.,1. No evidence of pneumothorax after left thoracentesis. 2. Left upper lobe mass.,1.2.826.0.1.3680043.8.498.28882056987433425143162632033030627741
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.33032684644134189290844764789234381185
"The cardiomediastinal silhouette is unremarkable. Mild airway thickening is present. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Mild airway thickening without focal airspace disease - question viral process or reactive airway disease.,1.2.826.0.1.3680043.8.498.77046343538653867533153169254908772222
There is a small right pleural effusion with ill-defined airspace opacity in the right base. There is mild left base atelectasis. Lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. There is aortic atherosclerosis. There is arthropathy in the right shoulder with apparent avascular necrosis in the right humeral head.,"Small right pleural effusion with ill-defined airspace opacity in the right base, likely due to pneumonia. Mild left base atelectasis. Stable cardiac silhouette. Aortic Atherosclerosis (ICD10-I70.0). Apparent avascular necrosis in the right humeral head.",1.2.826.0.1.3680043.8.498.21283092703216148505462945421977490571
Heart: Normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.94987163823934241095552194221343750594
Right PICC line is in place. The tip is in the right atrium. This can be retracted by approximately 5 cm to be within the superior vena cava. No pneumothorax. Heart size top normal. Mild central pulmonary vascular prominence. No segmental region of consolidation.,Right PICC line tip right atrium. This can be retracted by 5 cm to be within the superior vena cava. Please see above.,1.2.826.0.1.3680043.8.498.85403928913858896434630989174272614595
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60599787835840658930338108028830822138
Right PICC is in place with the tip projecting in the lower superior vena cava. Tracheostomy tube is in place. Lung volumes are low. There is bibasilar atelectasis. No pneumothorax. Ventricular peritoneal shunt is noted.,"Right PICC projects in good position, unchanged. No other interval change.",1.2.826.0.1.3680043.8.498.27691322618784946662549077496822355890
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83884451164514100070764130620167982974
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.16249498056763440213705353509770612056
There are low lung volumes with bibasilar atelectasis. The heart size is normal. No pleural effusion.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.83540948900741866438578847884625688786
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30525663826745728261326341993593964406
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.90490304998019709031220244724064008057
"Cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. No pneumothorax is seen. No definite rib fractures are seen.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.23358528009692079204301805962085878443
Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pneumothorax or pleural effusion. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation identified.,1.2.826.0.1.3680043.8.498.82446992848388828519536891723663689065
The heart is enlarged. There has been prior open heart surgery. The mediastinal and hilar contours are within normal limits. There is mild vascular congestion but no edema or effusions. No focal infiltrates. The bony thorax is intact.,Cardiac enlargement and vascular congestion. No edema or effusions.,1.2.826.0.1.3680043.8.498.76547219777270456290816201669478329520
Right chest tube remains in place. No pneumothorax. Multiple right rib fractures are noted. Mild basilar atelectasis. Mild cardiomegaly.,No pneumothorax with right chest tube remaining in place.,1.2.826.0.1.3680043.8.498.65236687488367085906548305351598143809
Tracheostomy tube is in place. The patient has had median sternotomy and CABG. The heart is normal in size. There is atherosclerotic calcification of the aortic arch. There is patchy density at the right lung base which could represent atelectasis or infiltrate. The left lung is clear. No evidence for pulmonary edema.,Right lower lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.23022201561301974838953301824983257416
The mediastinal and hilar structures are normal. The lungs are clear. The cardiovascular structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33982846193009342259775056183725449794
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.71632205901855761308774614330857261427
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87296633021736057364800807125010313523
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.32685457252275068334001045551456394151
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32275735884739840761765929042219013817
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59658932048632774825179504950990381810
"The heart appears normal in size. There is mild bilateral hilar prominence. No focal consolidation, pleural effusion or pneumothorax. No acute fracture.","No acute consolidation, congestion, or pleural effusions.",1.2.826.0.1.3680043.8.498.93683422650929415482171690515233187470
The cardiomediastinal silhouette is within normal limits. Lung volumes are low. The right lung base airspace consolidation has slightly improved. There is persistent left basilar atelectasis. No sizable pleural effusion or pneumothorax is identified.,Slight improvement of right basilar airspace disease.,1.2.826.0.1.3680043.8.498.87364073793143401848301396873502279776
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34134727605445849572035800933664687070
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41074322010738701426859803150743345469
Grossly unchanged cardiac silhouette and mediastinal contours. No focal parenchymal opacities. No pleural effusion or pneumothorax. No evidence of edema or shunt vascularity. No acute osseus abnormalities.,"No acute cardiopulmonary disease. Specifically, no evidence of pneumonia.",1.2.826.0.1.3680043.8.498.59191950675934135538932851106694268129
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Moderate size hiatal hernia is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53564640751992876109178803093713737976
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21479959017699166113293713897906516646
Endotracheal tube is 6 cm above the carina. Right Port-A-Cath is unchanged. Continued layering left effusion with left lower lobe atelectasis. No confluent opacity on the right. Heart is normal size. No acute bony abnormality.,Endotracheal tube 6 cm above the carina. Continued layering left effusion and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.26580676876341425206506306432870619385
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78433177800566652317402888850665770981
The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable. A right sided Port-A-Cath is appreciated with tip projecting in the region of the superior vena cava. There is no evidence of focal infiltrates effusions or edema.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37208002467284739896862016424828185252
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22110726276900064751045253698058362689
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16381634616870420587076891882525289029
"The cardiomediastinal contours are normal. Mild interstitial coarsening is similar to prior exam. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.","Stable mild interstitial prominence, can be seen with bronchitis. No evidence of pneumonia.",1.2.826.0.1.3680043.8.498.64647242985692045228722227358892411284
Cardiothymic silhouette is within normal limits. Central airway thickening. No confluent opacities or effusions. No acute bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.40136600294839873247463645357568302545
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.26434909532610281078495364306439734437
Heart size within normal limits. Lungs clear. No pleural fluid or osseous lesions.,No active disease.,1.2.826.0.1.3680043.8.498.14736765095096788314399229340243450060
The lungs are well-expanded and clear. The pleural effusions have resolved. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The sternal wires are intact. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82833619241309437442591276652966602110
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93538097083080070752502625647827340845
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31693138194706358814000605093541474811
"Normal heart size, mediastinal contours, and pulmonary vascularity. Bronchitic changes with questionable RIGHT upper lobe infiltrate. Remaining lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.",Bronchitic changes with questionable RIGHT upper lobe infiltrate.,1.2.826.0.1.3680043.8.498.90035204519634261965009755287190007527
The cardiomediastinal contours are normal. Patchy opacities are present at both lung bases. There is no consolidation or pleural effusion. No pneumothorax is seen.,Patchy bibasilar opacities may reflect atelectasis or pneumonia. Correlate clinically.,1.2.826.0.1.3680043.8.498.80241053304957028351626749637195995067
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62522518304399913116560956973805946703
"The heart size is normal. Linear opacities at the lung bases, left greater than right, likely represent atelectasis. No significant airspace consolidation is evident. The visualized soft tissues and bony thorax are unremarkable.",1. Bibasilar linear atelectasis. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89553622225510460046612876827035025465
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15280436991709466072770159391810663159
Heart size within normal limits. Lungs clear. No pleural fluid or osseous lesions.,No active disease.,1.2.826.0.1.3680043.8.498.26156381627411366538009249997126574792
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62389338958369399472763438881154082850
"The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. Incidental note is made of an azygos lobe on the right, an anatomic variant.",No edema or consolidation.,1.2.826.0.1.3680043.8.498.47752483161497403959295224277186226181
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.73604807389680602086955555154372531730
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85972272215282721652317890523268920483
There is mid inspiration. There is mild respiratory motion. There is mild pectus excavatum. There is stable thoracic spine hardware. The heart and mediastinum is physiogic in size and contour. There is no active process.,No active process,1.2.826.0.1.3680043.8.498.22998957144892928978044765548880455455
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11957409014254132065882148987955166885
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44212907943494846487746990469692304229
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97829137865545543202840016804683530034
"The heart is enlarged. There is aortic atherosclerosis. Widespread chronic interstitial lung markings are again seen with areas of interstitial fibrosis. Patchy areas of airspace opacity are seen in the right mid and lower lung, suspicious for superimposed pneumonia. No pleural effusion or pneumothorax.",1. Patchy right lung airspace opacities suspicious for pneumonia. 2. Chronic interstitial lung disease with areas of interstitial fibrosis.,1.2.826.0.1.3680043.8.498.53236638142248706919892496841444248275
Portable AP semi upright view at 6065 hours. Continued elevation of the right hemidiaphragm. New patchy and confluent opacity at the right lung base. Increased retrocardiac opacity at the left lung base. Mediastinal contours remain normal. No pneumothorax. No pleural effusion. No pulmonary edema. Visualized tracheal air column is within normal limits. Calcified atherosclerosis of the aorta. Negative visible bowel gas pattern. No acute osseous abnormality identified.,"1. New right lung base opacity suspicious for pneumonia. Suspect superimposed atelectasis. 2. Increased left lung base opacity, favor atelectasis. 3. No pleural effusion.",1.2.826.0.1.3680043.8.498.55028207460868351124596484931252590273
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.44858465958168495454247166365402967171
"Endotracheal tube, NG tube, right central venous catheter are unchanged. Stable cardiomegaly. No acute airspace disease, pleural effusion, or pneumothorax.",Stable support apparatus. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20098013303829669193882719521999861662
"Sternotomy wires overlie normal cardiac silhouette. Aortic valve replacement noted. Lungs are clear. No effusion, infiltrate, or pneumothorax. No acute bony findings.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.39706053537192856371832998271352774457
The heart size and mediastinal contours are within normal limits. Atherosclerosis of the aortic arch. No pneumothorax or pleural effusion is noted. Mild bibasilar subsegmental atelectasis or infiltrates are noted. The visualized skeletal structures are unremarkable.,Mild bibasilar subsegmental atelectasis or infiltrates. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.65390635899218210147312282503193779623
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59835020719046541637748670333925273655
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82131472083605024563177743779513613017
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76886434176027745263197396842963546944
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14165590258843194155808359491059250748
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60543646324043519036562034413047659562
Right-sided PICC line with tip over the SVC. Lungs are adequately inflated without focal consolidation or effusion. Cardiomediastinal silhouette and remainder of the exam is unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69222140369579959741299682151646760890
A left internal jugular central venous catheter is present with the tip in the superior vena cava. There is no pneumothorax. The lungs appear clear. The heart is normal in size. The aorta is tortuous and ectatic.,Please see above.,1.2.826.0.1.3680043.8.498.62407231075392861989517777688512368840
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44942589817983830980091589233069240671
"Cardiothymic silhouette is within normal limits. No confluent airspace opacities, effusions or edema. No bony abnormality. No pneumothorax.",No active disease.,1.2.826.0.1.3680043.8.498.82263186812448132141159018263897506224
Lung volumes are within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pleural effusion or consolidation. No confluent pulmonary opacity. No definite peribronchial thickening. Negative visualized bowel gas and osseous structures.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.99199238677034138291255114043522823240
There is patchy airspace opacity in the right upper lobe as well as in both mid and lower lung regions. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Patchy airspace opacity bilaterally consistent with multifocal pneumonia. Appearance consistent with atypical organism pneumonia, particularly given the clinical history. Heart size normal. No adenopathy.",1.2.826.0.1.3680043.8.498.90033821145074259165417538668772789446
"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68023504097658300156835660995421398879
"Normal heart size, mediastinal contours, and pulmonary vascularity. Mild peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchitis or asthma.,1.2.826.0.1.3680043.8.498.26728520389554351284069698696341960350
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.64565036701022437923996098442348478153
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.29374643322262754452886157957946151459
Portable semi upright AP view 6609 hours. Extubated. Enteric tube removed. Swan-Ganz catheter tip at the level of the right main pulmonary artery. Mediastinal drain and left chest tube remain. Stable lung volumes. No pneumothorax. Stable mild atelectasis. Stable cardiac size and mediastinal contours.,"1. Extubated and enteric tube removed. Otherwise, stable lines and tubes. 2. No pneumothorax or pulmonary edema. 3. Mild atelectasis.",1.2.826.0.1.3680043.8.498.43943022113134772515774885599109744832
The heart is normal in size. The aortic arch is calcified. The lungs are under inflated. There is no consolidation or pleural effusion. No pneumothorax is seen. Degenerative changes are seen in the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59020557179336160384484440411658440500
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62688537975202007095543975714535642647
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. Mild scoliosis of the thoracic spine.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.45185601151192932576372003472869466511
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.81920657455586155737707998046411828066
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26956667048234136034702324515945457847
There is parenchymal opacity within the right lower lobe consistent with right lower lobe pneumonia. The remainder of the lungs are clear. No pleural effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.62502883994161632767344648585881091078
"Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Multiple right rib deformities and right clavicle ORIF. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.32760468467766119672574050454431297473
Mediastinum and hilar structures normal. Heart size normal. No focal infiltrate. No pleural effusion. Small right apical pneumothorax again noted. No interim change.,1. Small right apical pneumothorax again noted. No interim change.,1.2.826.0.1.3680043.8.498.64543413439470451687406123585213790680
There is mild peribronchial thickening. No consolidation. The lungs are symmetrically inflated. Trachea is midline. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.85869539157488493351615073980617917106
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56312121670477957706444007929438901994
Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.20645914439578720531790320144157365473
Right internal jugular Vas-Cath with tip terminating at the superior cavoatrial junction. Lung volumes are low. There is cephalization of the pulmonary vasculature and slight indistinctness of the interstitial markings suggestive of mild pulmonary edema. Small left pleural effusion. Left basilar airspace opacity may reflect atelectasis and/or consolidation. Mild cardiomegaly. Upper mediastinal contours are within normal limits. Aortic atherosclerosis.,"1. The appearance of the chest suggests mild congestive heart failure, as above. 2. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.56293713147391213982568954383811695641
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.57603230453979359420648183267967203452
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87446496344889335707141099160464570670
"The heart is enlarged. There are postsurgical changes of median sternotomy. There is a cardiac pacemaker. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process. Cardiomegaly.,1.2.826.0.1.3680043.8.498.56846040702468474777464591666138954430
Left-sided pacing device with 2 leads over the right ventricle. Sternotomy wires are present. No focal airspace disease or pleural effusion. Mild cardiomegaly. No pneumothorax.,No active cardiopulmonary disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.67840347232259051933316450619891490906
The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,There is no evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.82166273029137176341439298813640335913
"Normal heart size, mediastinal contours, and pulmonary vascularity. Minimal peribronchial thickening. No pulmonary infiltrate or pleural effusion. Bones unremarkable. No pneumothorax.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.11420070835386092050960273416664905143
"There is hyperinflation of the lungs compatible with COPD. Heart is normal size. There is tortuosity and ectasia of the thoracic aorta. Linear densities noted at the lung bases, likely atelectasis. No effusions. No acute bony abnormality. No pneumothorax.",COPD. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.71030387691201732216748923961053995754
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84493244830110223255522344546353136745
"No displaced rib fractures are seen. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fractures seen; no acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.42600641935261973959299930763647888489
"There is peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.",Peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease.,1.2.826.0.1.3680043.8.498.66288203162230422095917592756025018251
Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,Normal one view chest,1.2.826.0.1.3680043.8.498.71766934134057449971958606907245350612
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.50353315341430175337394322685493957832
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.34198234466160316420389799291117915683
Cardiac silhouette normal in size. Thoracic aorta minimally tortuous. Hilar and mediastinal contours otherwise unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82320936444278867566587879892262526326
"The urinary bladder is normal in size and appearance. There was not visualized vesicoureteral reflux, either during bladder filling or voiding phases of the exam. The urethra is normal in appearance. There is no posterior vesicoureteral reflux.",Normal exam. No vesicoureteral reflux.,1.2.826.0.1.3680043.8.498.54530075492329302050188903445128456838
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.65990898563036712266931609056279260928
"Normal heart size, mediastinal contours, and pulmonary vascularity. RIGHT upper lobe infiltrate consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",RIGHT upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.34146889383880910401463481484117065359
The left pneumothorax is not significantly changed since the previous study. It amounts to approximately 1-2% of the lung volume. There is no pleural effusion. The right lung is clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,Stable approximately 5% left apical pneumothorax.,1.2.826.0.1.3680043.8.498.75583479824491615727646394792746537441
"The cardiac silhouette is borderline enlarged. The lungs appear clear. There is no edema, infiltrate, effusion or pneumothorax. The bony and mediastinal structures appear unremarkable.",Borderline cardiomegaly. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.81374470973908002209995261710119651870
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67434158690014440873350905469500287130
The lungs are mildly hypoinflated. There is atelectasis at the right lung base. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with atelectasis at the right lung base. I do not see evidence of pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.87541833240063488087144656611461380315
The cardiac silhouette is within normal limits for size. The mediastinum is not widened or deviated. The lungs are clear with mild chronic interstitial changes.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.47818664557229514644964272135551604031
Mediastinum and hilar structures normal. Heart size normal. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70226856316451278875354689027839215017
Heart size within normal limits. The lungs are hyperaerated consistent with COPD. Multiple calcified pleural plaques are again noted. No acute process.,1. Chronic lung changes with no acute process. 2. Multiple calcified pleural plaques.,1.2.826.0.1.3680043.8.498.80172243279070447977297277355422292135
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Patient status post CABG. COPD changes again noted. Biapical pleural thickening is stable.,COPD. No active disease.,1.2.826.0.1.3680043.8.498.72779761091418170937590383245948821724
No displaced rib fracture is seen. No pneumothorax is present. No abnormal pleural fluid collection is recognized.,No evidence of displaced rib fracture or pneumothorax.,1.2.826.0.1.3680043.8.498.68966747254750334948141887742463189474
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.85548699768304830557199360589759365216
The lungs are mildly hyperinflated. There is no focal infiltrate. There is prominence of the hilar structures bilaterally. The cardiac silhouette is normal in size. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of pneumonia. There is prominence of the hilar structures bilaterally. This is consistent with the patient's known lymphadenopathy.,1.2.826.0.1.3680043.8.498.93695256988717372944023148027295650170
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.34945792133382428884654260921098484470
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23287794536809543113418041144211459677
"There is eventration of the right hemidiaphragm. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42937321328065774662938564097241456769
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80865468616773659888733709666954889807
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22557609778492055080253134741633541237
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18161575581796783330312932897446619149
"Hyperinflation is noted with central airway thickening consistent with reactive airway disease or viral process. Normal heart size and vascularity. No definite focal pneumonia, collapse, consolidation, effusion or pneumothorax. Trachea is midline.",Hyperinflation and airway thickening.,1.2.826.0.1.3680043.8.498.46702655861908806630980555835817550132
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87164036274533515802186163258964332196
Interval placement of left subclavian dual lead pacemaker with leads terminating over the right atrium and right ventricle. No pneumothorax. Heart size is normal. Lungs are clear. No pleural fluid. Degenerative changes of the thoracic spine.,Interval placement of pacemaker without complicating feature.,1.2.826.0.1.3680043.8.498.47345900543148099248924588890969368925
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25066320073821905621076421720933280198
Mediastinum and hilar structures normal. Heart size normal. Mild right base atelectasis. No pleural effusion or pneumothorax. No evidence of pneumomediastinum. No acute bony abnormality.,Mild right base atelectasis. No acute cardiopulmonary disease otherwise noted.,1.2.826.0.1.3680043.8.498.20328131587964829093279525441938227971
Cardiac shadow is stable. Diffuse bilateral infiltrative changes are again identified and stable. Bilateral pleural effusions are again seen and stable. No pneumothorax is noted. No bony abnormality is noted.,Stable appearance of the chest when compared with the prior day.,1.2.826.0.1.3680043.8.498.23236784967674228019242778728380508219
Endotracheal tube terminates 5.5 cm above the carina. Left IJ venous catheter terminates in the mid SVC. No pneumothorax. Right IJ venous catheter terminates in the mid SVC. Enteric tube terminates in the proximal stomach. The lungs are clear. The heart is normal in size.,Endotracheal tube terminates 5.5 cm above the carina. Left IJ venous catheter terminates in the mid SVC.,1.2.826.0.1.3680043.8.498.71792133771215972377473915409232994902
The cardiomediastinal silhouette is within normal limits. The lungs are well inflated and clear. There is no evidence of pleural effusion or pneumothorax. Multilevel degenerative changes are noted throughout the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97691812323251526189070478709306662468
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68980334548737282316786168155439535376
The is anterior dislocation of the glenoid and humeral head. The glenoid is located within the anterior aspect of the shoulder joint. The humeral head is in a somewhat medially position. The AC joint is intact. No fracture is seen. No dislocation is identified.,Dislocation of the glenoid and humeral head.,1.2.826.0.1.3680043.8.498.48776731378511084803817712984624167378
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.58156720071407638106240937242108639099
Portable AP upright view at 2590 hours. Tracheostomy tube appears stable. Stable patchy opacity at the right lung base. Elsewhere the lungs appear stable and clear. Stable cardiac size and mediastinal contours. Calcified aortic atherosclerosis. Negative visible bowel gas pattern. No acute osseous abnormality identified.,Stable radiographic appearance of the chest. Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.31192417469366238246912378026872340895
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49112769402256468855481593627822223959
Heart: Cardiac size is enlarged. There is a CRTD in place. Lungs: There is vascular congestion. There is a probable left pleural effusion. No dense consolidation is seen. Mediastinum: CRTD wires. Calcified atherosclerotic changes in the aorta. Pleural effusions: See above. Bones: Spondylosis is noted in the spine. There are degenerative changes in the shoulders. Visualized upper abdomen: Not well visualized.,Overall findings most consistent with congestive heart failure. Advise clinical correlation.,1.2.826.0.1.3680043.8.498.19326238949333544845118018335465000860
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22286365871830653615189968375898429137
The small right apical pneumothorax noted previously has resolved. The lungs are clear. The heart is within normal limits in size. There is a mild thoracolumbar scoliosis present.,No active lung disease. No residual right pneumothorax is seen.,1.2.826.0.1.3680043.8.498.37999942905809021762090309828793359703
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen. No displaced rib fractures identified.,1.2.826.0.1.3680043.8.498.93609172007935297680450182067378958173
PA and lateral chest radiographs are provided. There is left lower lobe airspace disease concerning for pneumonia. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,"Left lower lobe pneumonia. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.82723478372071132697878459352127665449
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.33772352028436941332028447163808436192
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66236280432320538826697080808708576703
Endotracheal tube is unchanged in position. Diffuse interstitial and airspace disease is again noted and unchanged. No significant change.,No change in the appearance of the lungs.,1.2.826.0.1.3680043.8.498.73118665496917742088804608719970138670
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87479606558870843780317194170311263556
Cardiac shadow is stable. The lungs are well aerated bilaterally. Mild interstitial changes are again seen and stable. No focal confluent infiltrate is seen. No sizable effusion is noted.,No acute abnormality noted.,1.2.826.0.1.3680043.8.498.53660297001010034040778525489079706867
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59484460094037807774106618026614607102
Endotracheal tube tip is about 2.9 cm superior to the carina. Esophageal tube tip is below the diaphragm but incompletely visualized. Worsening extensive bilateral pulmonary consolidations. No pleural effusion. Normal heart size. No pneumothorax.,1. Endotracheal tube tip about 2.9 cm superior to the carina 2. Worsening extensive bilateral pulmonary consolidations.,1.2.826.0.1.3680043.8.498.12051052686265549651055011839671904278
There is cardiomegaly with pulmonary venous hypertension. There is slight interstitial edema. No airspace consolidation. No adenopathy. No bone lesions.,"Pulmonary vascular congestion with slight interstitial edema, stable. No new opacity.",1.2.826.0.1.3680043.8.498.33615938286127054474429580032476459580
The lungs are hyperinflated consistent with COPD. There is no infiltrate. There is no effusion. There is no pneumothorax. The bones are osteopenic. The heart is mildly enlarged. The lung markings are coarse.,COPD. Cardiomegaly. Mitral valve annular calcification appears present.,1.2.826.0.1.3680043.8.498.62259961441318975316839741470833596506
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17504961244480274687935746695675505178
Lung volumes are low. There is some mild atelectasis at the lung bases. Lungs are otherwise clear. No effusion. Heart size is normal.,No acute disease with mild bibasilar atelectasis noted.,1.2.826.0.1.3680043.8.498.29397919972661244326635985888014913077
Lung volumes within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. No confluent pulmonary opacity. Mild central peribronchial thickening. Negative visualized bowel gas and osseous structures.,Central peribronchial thickening could reflect viral or reactive airway disease.,1.2.826.0.1.3680043.8.498.43305410761818908525837098402122734450
"Cardiomediastinal silhouette unremarkable. Improved aeration in both lungs, with only minimal haziness of the lung fields at this time. OG tube tip in the fundus of the stomach.",Support apparatus satisfactory. Improved atelectasis in both lungs.,1.2.826.0.1.3680043.8.498.27996427254378987813733573719419189927
OG tube is in place with the side port in the stomach in good position. The lungs are clear. No pneumothorax or pleural effusion. Cardiac silhouette appears normal. No bony abnormality.,No acute disease. OG tube in good position.,1.2.826.0.1.3680043.8.498.63622386759966146482594636370246879832
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36755264465919457249261243673384881261
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40225275687890691972010565392894585575
The left-sided PICC line is stable. The heart is mildly enlarged. There is no evidence of pulmonary edema. Small bilateral pleural effusions are present. No focal airspace disease is seen. The patient has had right mastectomy and right axillary node dissection.,1. Small bilateral pleural effusions. 2. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.88840004401403366528941325990650541132
"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",Mild vascular congestion noted. Lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.57452830307424027305100626251215396931
"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is borderline normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild vascular congestion noted; lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.96686658922730962417106756902261715693
"The right PICC line tip is in the distal SVC near the cavoatrial junction. The heart is enlarged. There is persistent diffuse asymmetric airspace process in the lungs, right greater than left. No pleural effusions. No pneumothorax.",1. Right PICC line tip in distal SVC. 2. Persistent asymmetric airspace process.,1.2.826.0.1.3680043.8.498.24003810719962785949320747736399904338
The heart is mildly enlarged. The mediastinal contours are normal. The lungs appear clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,No active cardiopulmonary process. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.30895019556816855760373999579826767972
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.87712627896097677145389157825519993708
"Shallow inspiration. Normal heart size and pulmonary vascularity. Calcified and tortuous aorta. There is a 2.2 cm nodular opacity in the left mid lung, new since previous study. This is suspicious for neoplasm. CT suggested for further evaluation. No blunting of costophrenic angles. No pneumothorax. Degenerative changes in the spine and shoulders.",Nodular opacity in the left mid lung suggesting neoplasm. CT of the chest is suggested for further evaluation.,1.2.826.0.1.3680043.8.498.46052536014466231954234437983263557461
"Heart size and pulmonary vessels were normal. No evidence of pneumonia, pneumothorax or pleural effusion was present.",Normal chest x-ray.,1.2.826.0.1.3680043.8.498.55369554624671812892809593641096005766
"The cardiac silhouette is enlarged. There is pulmonary vascular congestion. There is no edema, infiltrate, effusion or pneumothorax. The bony and mediastinal structures appear unremarkable.",Cardiomegaly. Pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.85309884952797417190945765284197408228
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91190962618413468481367730778050789217
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.82573873868221202740880867107978631362
Heart size is mildly enlarged. Vascular pattern is normal. No consolidation or effusion. Mild bilateral interstitial opacities likely due to pulmonary edema.,Mild pulmonary edema,1.2.826.0.1.3680043.8.498.21622436952961036416522264717820486494
"The heart is upper limits of normal. Low lung volumes with vascular crowding and atelectasis. No infiltrates, edema or effusions. No pneumothorax. The bony thorax is intact.",Low lung volumes with vascular crowding and atelectasis.,1.2.826.0.1.3680043.8.498.37664698491357653133375215158030767058
Tracheostomy tube and NG tube in stable position. Right PICC line in stable position. Stable cardiomegaly. Persistent bibasilar atelectasis and/or infiltrates. Small right pleural effusion. No pneumothorax.,1. Lines and tubes in stable position. 2. Persistent bibasilar atelectasis and/or infiltrates. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.24780930049510566443834859485468409809
"Endotracheal tube is 5.5 cm above the carina. Diffuse bilateral airspace disease again noted, unchanged. Heart is normal size. No effusions. No acute bony abnormality. No pneumothorax.",Endotracheal tube 5.5 cm above the carina. Stable diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.78513098461059095573046884963862149254
There is cardiomegaly. There is improved aeration of the lung bases with mild residual atelectasis. Small bilateral pleural effusions are noted. There is no evidence for pulmonary edema.,1. Improved aeration of the lung bases. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.41267160221589515020723420000976378989
"Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Swan-Ganz catheter has its tip in the right main pulmonary artery. Left chest tube is in place. There is no pneumothorax. Diffuse bilateral airspace disease is present, most likely due to pulmonary edema. There may be some basilar atelectasis.",Postoperative changes. Probable pulmonary edema.,1.2.826.0.1.3680043.8.498.54133098238813763378026525264577752742
The heart is enlarged. The lungs are hyperinflated. The bony structures are unremarkable. No infiltrate is identified.,Cardiomegaly. Hyperinflation. No acute process.,1.2.826.0.1.3680043.8.498.45126880702448299872281508158433743339
"Frontal and lateral views of the chest demonstrate an unremarkable cardiac silhouette. No airspace disease, effusion, or pneumothorax. Lungs are hyperinflated. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.67970727700215305832707275587039782628
The heart size and mediastinal contours are within normal limits. Diffuse interstitial prominence is identified throughout both lungs. No focal consolidations. The visualized skeletal structures are unremarkable.,1. No acute cardiopulmonary disease. 2. Diffuse interstitial infiltrates suggestive of chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.44983532460486279833203629485595131324
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.85213364048949561486972347080020972094
Lung volumes and mediastinal contours remain normal. Visualized tracheal air column is within normal limits. Both lungs appear stable and clear. No pneumothorax or pleural effusion. Stable lumbar spine hardware. Negative visible bowel gas pattern. No acute osseous abnormality identified.,Stable. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.73002616714946594203768278211926975305
"Lung volumes are stable and within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.69284426630930917891782360521207609927
Endotracheal tube is present with the distal tip at the level of the aortic knob. This appears to be in satisfactory position. Cardiopericardial silhouette is moderately enlarged. Lungs are clear of acute infiltrate or congestion. There is elevation of the right hemidiaphragm.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62747928538555186475248453734189618180
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19258793712715786991024670105990748083
"The current exam shows increased density at both lung bases, most compatible with atelectasis or pneumonia. The upper lobes are clear. No pleural effusion is seen. The heart size is normal.","There are increased densities at both lung bases, most compatible with pneumonia or atelectasis.",1.2.826.0.1.3680043.8.498.40099907808214110560665961595149567171
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47912311580347173577518449750318207727
There is dense consolidation of the left upper lobe. The heart size is normal. The right lung is clear. There is no pleural effusion or pneumothorax. The osseous structures are intact.,Left upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.15189276186607680887010978197924644425
There is hyperinflation of the lungs compatible with COPD. Diffuse interstitial prominence throughout the lungs compatible with chronic interstitial lung disease. Scarring at the lung bases. No acute airspace opacities or effusions. Heart is normal size. Aortic atherosclerosis. No acute bony abnormality.,COPD/chronic interstitial lung disease. Bibasilar scarring. No active disease.,1.2.826.0.1.3680043.8.498.46228334065587399946345024469155521635
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58316522749176450762005925702149187933
The heart size and mediastinal contours are within normal limits. A feeding tube is seen with its distal tip overlying the expected region of the body of the stomach. Moderate layering right pleural effusion is noted. Mild central pulmonary vascular congestion is seen. No evidence of pneumothorax. The visualized skeletal structures are unremarkable.,Moderate layering right pleural effusion and mild central pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.37986956704120635140957578757135350226
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97733593927211215398995232736275283508
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65123695722191532638956246531811835905
The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. Again noted is a left-sided cardiac pacing device in place.,No evidence of acute pulmonary disease. Stable cardiomegaly. Stable left-sided cardiac pacing device in place. No significant change compared to prior study done on 01/20/2020.,1.2.826.0.1.3680043.8.498.25208387998355386155275974961722446368
The lungs are well-aerated. Vascular congestion is noted. Increased interstitial markings raise concern for pulmonary edema. There is no evidence of pleural effusion or pneumothorax. The heart is borderline normal in size. No acute osseous abnormalities are seen.,Vascular congestion and borderline cardiomegaly. Increased interstitial markings raise concern for pulmonary edema.,1.2.826.0.1.3680043.8.498.44655148356668874910835923119774693675
Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39088232812332179922334852541570449096
Left internal jugular catheter is in place with the tip in the upper superior vena cava. No pneumothorax. There is mild basilar atelectasis. Cardiomegaly.,1. Left IJ catheter in good position. No pneumothorax. 2. Cardiomegaly and mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.47622598798738740133715362653698145822
"There is hyperinflation of the lungs compatible with COPD. There is cardiomegaly. Patchy opacities are noted in the lung bases, particularly on the right. This could represent pneumonia. There are small bilateral pleural effusions. No acute bony abnormality.","COPD. Patchy bibasilar airspace opacities, particularly on the right which could reflect pneumonia. Small effusions.",1.2.826.0.1.3680043.8.498.77929359280606640064437087108678150200
"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",Trace parahilar peribronchial interstitial opacities without dense consolidation.,1.2.826.0.1.3680043.8.498.14038352807359581223644731489822137902
There is a comminuted fracture of the left clavicle. There are nondisplaced fractures of the left second and third ribs. There is a fracture of the left scapula. There is no evidence of dislocation. The glenohumeral joint appears normal. No other significant bone abnormalities are identified.,"Fractures of the left clavicle, left second and third ribs, left scapula.",1.2.826.0.1.3680043.8.498.58876876428709925861224087122308430080
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59305312226208588781492643790614970113
There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.67211342318872988197670698315655013657
The heart is mildly enlarged. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,Mild cardiomegaly. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.76403212747782165173165443010574310489
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17617993783652478033727042617638831098
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs emphysematous but clear. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Emphysematous changes. No acute abnormalities.,1.2.826.0.1.3680043.8.498.73399776798994812212264926897856962443
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24357493288372973963012623923412076642
Normal sized heart. Tortuous and calcified thoracic aorta. Clear lungs. No fracture or pneumothorax seen. Diffuse osteopenia.,No acute abnormality.,1.2.826.0.1.3680043.8.498.71191517061307284154369835401268758375
Endotracheal tube is in place with the tip 3.5 cm from the carina. Defibrillator pads overlie the chest. The lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,ETT in good position. Lungs clear.,1.2.826.0.1.3680043.8.498.59107645814304272957797129979057802124
"Portable semi upright AP view 7269 hours. Continued low lung volumes. Stable tracheostomy tube. Patchy bibasilar opacity, increased on the right. No pneumothorax or pulmonary edema. Small pleural effusions suspected. Stable cardiac size and mediastinal contours.",Low lung volumes with small pleural effusions and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.99055654406585429054953995258388537383
Heart size is normal. Mediastinal shadows are normal. The lungs are clear. The vascularity is normal. No effusions. No abnormal bone finding.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52168337819355122490503675611191722252
There is chronic interstitial lung disease with diffuse reticular scarring. No pleural effusion or pneumothorax. Heart and mediastinal contours are unremarkable. No acute osseous abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32257712024766577855434805716458260410
Cardiac silhouette is normal in size and configuration. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96977405676406360977646413434067243659
There is central airway thickening and perihilar infiltrates. No consolidations are seen. Heart size is normal. No pleural effusions are seen.,Findings compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.76388623796654306700464110744928301422
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52888370487176165716606429432102336094
Trachea is midline. Heart is at the upper limits of normal in size. Thoracic aorta is calcified. There are new patchy opacities in the left lower lobe. Tiny bilateral pleural effusions.,New left lower lobe airspace disease may represent pneumonia.,1.2.826.0.1.3680043.8.498.13791646413152230975863469569897018473
The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65461723483691444075233004619681989891
"The heart is at the upper limits of normal in size. The mediastinal contours are normal. Subsegmental atelectasis or scarring at the left lung base. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74845409346396804355228529825525865333
Bibasilar airspace disease is unchanged. Small left effusion. Heart size mildly enlarged. Vascularity normal.,Stable bibasilar airspace disease. Findings most consistent with pneumonia.,1.2.826.0.1.3680043.8.498.42039911859714942055784399223133003624
Right-sided PICC line is unchanged. There are small bilateral pleural effusions with bibasilar atelectasis. Lung volumes are low. No focal airspace disease is seen. The heart size is normal.,Small bilateral pleural effusions and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.56248109249076413811419365795042101152
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15299787271692309260995912513252684617
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.97945344730278775780695096357120996774
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33896130170648950229992878431009893011
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46159815924442687011110925689967181812
Cardiothymic silhouette is unremarkable. Bilateral perihilar peribronchial cuffing without pleural effusions or focal consolidations. Normal lung volumes. No pneumothorax. Soft tissue planes and included osseous structures are normal. Growth plates are open.,"Perihilar peribronchial cuffing may reflect bronchitis, less likely reactive airway disease without focal consolidation.",1.2.826.0.1.3680043.8.498.47173608410355441092880212512806501959
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13608690898320039694886283877226282921
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58859349712274230412094249902988838809
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78760113891864183558407927858589122230
No displaced rib fracture seen.,No displaced rib fracture seen.,1.2.826.0.1.3680043.8.498.99938748522371083290778662019605862832
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82162625842515151798804560371260021914
No pneumonia is seen. There are prominent perihilar markings with some peribronchial thickening which can be seen with central airway process such as bronchitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect central airway process.,1.2.826.0.1.3680043.8.498.83693927220227205078629939605573338928
The lungs are clear. The pulmonary vasculature is normal. Heart size is normal. Hilar and mediastinal contours are unremarkable. There is no pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28577673470829275158671909131731562861
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47381742849204740890858613281372109921
There is patchy infiltrate in the anterior segment of the left upper lobe. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Infiltrate left upper lobe, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.95471460310198428224192841832555894001
There is central airway thickening consistent with a viral process or reactive airways disease. No airspace opacity is identified. The heart and mediastinum appear unremarkable.,Central airway thickening consistent with reactive airways disease versus lower respiratory tract viral infection.,1.2.826.0.1.3680043.8.498.23486298983252028880375000928403824390
AP and lateral views of the chest. Lower lung volumes. Mediastinal contours remain normal. Visualized tracheal air column is within normal limits. Coarse bilateral pulmonary interstitial opacity is increased. No pneumothorax. No pleural effusion. No consolidation. Negative visible bowel gas pattern. No acute osseous abnormality identified.,Low lung volumes with bilateral pulmonary interstitial opacity. Favor acute viral/atypical respiratory infection. No pleural effusion.,1.2.826.0.1.3680043.8.498.92781452720816959116321122665431435636
The heart size is at the upper limits of normal. The mediastinal contours are normal. There is blunting of the right costophrenic angle with pleural thickening. The lungs are clear. There is no edema or pneumothorax. No osseous abnormalities are seen.,1. Small right pleural effusion vs pleural thickening. 2. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.10184810398130705080381623166870361829
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.59136484203519225920007767699800747737
There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.95257466842390460358465896490512754757
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38996788815620503174606306403620813436
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.23396532431584749615889415152256665028
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68937972001843300668155091098664864613
"There is complete opacification of the left hemithorax. This is new since prior study. There is shift of the mediastinal contents into the left hemithorax, likely reflecting left lung collapse. Right lung is clear. No effusions.","New complete opacification of the left hemithorax with shift of the mediastinal contents into the left hemithorax, likely related to collapse. Consider mucous plugging or other central obstructing process.",1.2.826.0.1.3680043.8.498.88937295929797681982962565808576475864
The cardiopericardial silhouette is within normal limits for size. The lungs are clear. The visualized soft tissues and bony thorax are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25697381001880759319885803861184551632
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30947742241709334638220958992853132009
"Normal heart size and vascularity. Mild hyperinflation and basilar atelectasis versus scarring. No focal pneumonia, edema, effusion or pneumothorax. Trachea is midline.",Hyperinflation and basilar atelectasis versus scarring. No acute airspace process.,1.2.826.0.1.3680043.8.498.68092458014488163312729387690684493447
"An endotracheal tube is in place with tip 4.6 cm above the carina. A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. Lung volumes are low. Ill-defined opacities in the lungs bilaterally, most evident in the left mid lung. No definite pleural effusions. No evidence of pulmonary edema. Heart size is mildly enlarged. Upper mediastinal contours are distorted by patient positioning.","1. Support apparatus, as above. 2. Multilobar pneumonia.",1.2.826.0.1.3680043.8.498.32297870147660562920015999313254073440
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23581910483805200416099635188786652612
The heart is normal in size. The lungs are well expanded. There is infiltrate in the right middle lobe. The left lung is clear. There is no effusion or pneumothorax.,Right middle lobe infiltrate.,1.2.826.0.1.3680043.8.498.33471344393420853799076880428828904883
"Multiple right-sided rib fractures are again noted. The cardiac silhouette, mediastinal and hilar contours are stable. Streaky areas of atelectasis are noted. No pneumothorax is seen. The right clavicle and multiple right-sided rib fractures are again noted.",1. Stable right-sided rib fractures. 2. Streaky areas of atelectasis but no pneumothorax.,1.2.826.0.1.3680043.8.498.51082184009817556558702685202885960231
The lungs are clear. There is no infiltrate or effusion. Lung volume is normal.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37044804625903170026543011416903275165
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87083653609490164793662480238919467582
Lungs are clear. Heart size is upper normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.17155578303289965495709566818116952115
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50522170789997998006674797632014169575
The lungs are clear. The heart is mildly enlarged. No bony abnormality is seen.,No active lung disease. Borderline cardiomegaly.,1.2.826.0.1.3680043.8.498.64814187531941015594695402586512739689
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.30518681954004256956217531493527525565
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.93473663141268255211495468927522789023
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78604829631638943346281315432447620925
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98189876971384425058356598750318384284
The lungs are reasonably well inflated. There is increased density in the right upper lobe which is not entirely new. The interstitial markings are mildly increased. The cardiac silhouette is not enlarged. The pulmonary vascularity is not engorged. A Port-A-Cath appliance is in place. I see no pleural effusion.,There is no evidence of a pleural effusion. There is increased density in the right upper lobe which is not entirely new. This may reflect subsegmental atelectasis or developing infiltrate.,1.2.826.0.1.3680043.8.498.34060472786099885658312408166013564426
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94494940348250278559298539024281804341
Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.78701624522092856279514511166031555011
Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.56106445391240732752493127789536468395
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89827649829036163748598957271999729721
The lungs are reasonably well inflated. The interstitial markings are increased. There are bilateral pleural effusions. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. The patient has undergone previous CABG. There is calcification in the wall of the aortic arch.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. There are bilateral pleural effusions. There is no focal pneumonia. Followup films following therapy would be useful.,1.2.826.0.1.3680043.8.498.25195947084978426526437038655583747968
"Two views of the chest show multiple healed right rib fractures. No focal parenchymal consolidation, pulmonary edema, or pleural effusion is identified. The heart size is normal. Mild spondylosis is characterized by end plate sclerosis and endplate spurs.",1. No acute cardiopulmonary abnormality or significant change since 8/2/2009. 2. Multiple healed right rib fractures.,1.2.826.0.1.3680043.8.498.49838855114041591338674387406197721089
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50902238938334398664569040898131016173
Trachea is midline. Heart size stable. Diffuse interstitial and airspace disease and severe pulmonary fibrosis appear grossly similar to the prior exams. No definite pleural fluid.,Pulmonary fibrosis without acute finding.,1.2.826.0.1.3680043.8.498.45855983081269761834491524300654355262
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41528879078715358617376453757441836112
"Endotracheal tube, NG tube, left subclavian line in stable position. Heart size stable. Diffuse bilateral pulmonary infiltrates/edema again noted without interim change. Small left pleural effusion. No pneumothorax.",1. Lines and tubes in stable position. 2. Diffuse bilateral pulmonary infiltrates/edema again noted without interim change. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.96484854955378110697871302733001271469
"The heart is enlarged. There has been improvement in the previously seen pulmonary edema, and the pulmonary edema has nearly resolved. Mild atelectasis is identified at the lung bases. There are no focal consolidations or definite pleural effusions. There is no evidence for pneumothorax.",1. Improved appearance of the chest with improved pulmonary edema. 2. Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.95717970429146643179194147203720628218
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs demonstrate hyperinflation and emphysematous changes. No infiltrates, edema or effusions. The bony thorax is intact.",Emphysematous changes but no acute pulmonary findings.,1.2.826.0.1.3680043.8.498.34548629375579302581124933402773951618
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91109979012370680954095374110800529825
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. There is consolidation in the left upper lobe. The right lung appears free of infiltrate. No pneumothorax or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Left upper lobe pneumonia. Follow-up radiographs suggested.,1.2.826.0.1.3680043.8.498.95845085942911872849549112555042782345
"Lower lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Crowding of lung markings. No acute osseous abnormality identified.","Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.42895863419475842382866532947120776595
"Single portable AP chest radiograph is provided. There is a right-sided central venous catheter with the tip projecting over the cavoatrial junction. There is left basilar atelectasis. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.29310295111639760255690267999342217465
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.11496001311608940421838751110491292344
Cardiothymic silhouette is normal. There is bronchial thickening. There is mild pulmonary hyperinflation. No consolidation or collapse. No effusions. Bony structures are unremarkable.,Bronchitis and bronchiolitis.,1.2.826.0.1.3680043.8.498.62362190685589492623739745086656467381
"Left arm PICC line tip is in the right atrium, approximately 1.5 cm below the cavoatrial junction. OG tube tip is in the stomach. Cardiothymic silhouette is within normal limits. Low lung volumes. Patchy bilateral airspace disease again noted, similar to prior study. No effusions or pneumothorax.",Left PICC line tip in the right atrium. Recommend pulling back 1.5 cm for optimal placement. Patchy bilateral airspace disease.,1.2.826.0.1.3680043.8.498.47784643125547420343833159728300668491
Normal sized heart. Diffuse peribronchial thickening. Mild diffuse interstitial changes. No airspace consolidation. Unremarkable bones.,Mild to moderate bronchitic changes and mild chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.84746118711971504816424759008484257099
EKG leads project over the patient's chest. Right-sided Port-A-Cath in place. Heart size is normal. Calcification of the aortic knob is seen. Bilateral infiltrates present in the mid to lower lung fields. Nodular density seen in the right midlung field. A small right pleural effusion is present. Hilar structures are obscured by peri-inflammatory changes. Trachea is midline.,Bilateral infiltrates mid to lower lung fields. Nodular density right midlung field. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.13874448128515025951661734374948059653
Trachea is midline. Heart size stable. There is left lower lobe air space consolidation and left pleural effusion. Right basilar atelectasis.,Left lower lobe pneumonia and left parapneumonic effusion.,1.2.826.0.1.3680043.8.498.54712223328151329165246665404496847821
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30036285908117002689453321496739844244
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.32593630806499348454998529151983913348
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart is enlarged but stable as compared to the prior exam. Postoperative changes of prior CABG are noted. There is no interstitial or pulmonary edema.",1. No acute changes are identified. 2. Stable cardiomegaly. 3. The patient is status post CABG.,1.2.826.0.1.3680043.8.498.71904099891367811010140306340302711083
Single portable AP chest radiograph is provided. There is a focal area of airspace disease in the right upper lobe. The remainder of the lung fields are clear. There is no pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,"Right upper lobe pneumonia. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.97866166736759758230916224727863295857
The lungs are mildly hyperinflated. The perihilar lung markings are increased. The cardiothymic silhouette is normal. There is no pleural effusion. The trachea is midline. The gas pattern in the upper abdomen is normal.,There are findings consistent with reactive airway disease and acute bronchitis. I do not see evidence of pneumonia.,1.2.826.0.1.3680043.8.498.30631830833671420641588461083329271822
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27572471300880019054684784986523800917
"Normal heart size, mediastinal contours, and pulmonary vascularity. LEFT lower lobe infiltrate consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",LEFT lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.61836667776800845173476126981398014801
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61614392288192251578042695372322307728
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73965772968754251167560699418102517767
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64980331082746767427549452809861509820
The lungs are mildly hyperinflated but clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,Mild hyperinflation may be voluntary or may reflect underlying reactive airway disease. There is no pneumonia nor other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.62630627698857733918303342130815083279
The heart size is normal. There is no pleural effusion or pulmonary edema. Plate-like atelectasis is noted at both lung bases. No airspace consolidation.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.18045128553724382386574594157270214646
"There are old left-sided rib fractures. There is no evidence of an acute rib fracture. The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Old left rib fractures. No acute process.,1.2.826.0.1.3680043.8.498.24891547989200146703150314582315957689
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. There are mild degenerative changes of the thoracic spine.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.21940668971198519688328686661932301968
Lungs clear. Cardiopericardial silhouette within normal limits. No airspace disease or effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28480079859664641636065727603017671294
"The cardiothymic silhouette is within normal limits. There is peribronchial thickening, abnormal perihilar aeration and areas of atelectasis suggesting viral bronchiolitis. No focal airspace consolidation to suggest pneumonia. No pleural effusion. The bony thorax is intact.",Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.12274949641195018338638904470683595349
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.34259738925704016034347588385164054712
"Patchy airspace disease is seen at both lung bases, suspicious for pneumonia. No evidence of heart failure or effusion. The patient has had prior CABG.","Mild bibasilar airspace disease, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.39581387798335566208142853638714862259
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49806445500675329517265006297937412168
"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84735935566644823842314230674407895478
The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 09/02/2005.,1.2.826.0.1.3680043.8.498.37781125732730166077638921190256736614
"The heart size and mediastinal contours are within normal limits. Patchy airspace opacities are seen at the periphery of the mid and lower lungs, suspicious for multifocal pneumonia. No pleural effusion. No acute osseous abnormality.",Patchy bilateral airspace opacities suspicious for multifocal pneumonia.,1.2.826.0.1.3680043.8.498.17979403341574776366752293221841562842
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76110743832668581766125929324202195893
Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73156660520410462769659645461884778106
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33395109895832682292409914588517617479
Lungs are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.17350459548385184433985692461711921611
The heart size and mediastinal contours are stable. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.33862263606831534774381638192686013900
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49205892087943636459168624644895806503
Low lung volumes are noted. Both lungs are clear. There is no evidence of pleural effusion. Cardiothymic silhouette is within normal limits.,Low lung volumes. No acute findings.,1.2.826.0.1.3680043.8.498.53035750778683710477855857493460762059
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57782870046181678890364894327526718394
Cardiomediastinal silhouette unremarkable and unchanged. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59966398482302367184662346492529840128
The heart size and mediastinal contours are normal. There is dense right lower lobe airspace disease with an associated right pleural effusion. The left lung appears clear. There is no pneumothorax. No osseous abnormalities are identified.,Right lower lobe pneumonia with associated parapneumonic effusion. This should be followed to radiographic clearing.,1.2.826.0.1.3680043.8.498.42616863772592774986897822897718771229
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.21473728864653082781524598205916079164
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.94351931388869848810705659362356634276
"The lungs are well-aerated. Increased central lung markings may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Increased central lung markings may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.33661811011428759022013179886079083473
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.98901533195125154836605135795902790068
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42992501177988769781037607893656888605
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57136713907640608855742551259793484057
OG tube is in place with the side port in the stomach in good position. There is diffuse hazy opacities throughout the lungs. No pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,1. OG tube in good position. 2. Diffuse hazy opacities throughout the lungs which could reflect atelectasis or edema.,1.2.826.0.1.3680043.8.498.69270262124301619217198657500143701661
"Stable cardiomediastinal contours. Patchy airspace opacities throughout both lungs, similar to prior study. No pleural effusion or pneumothorax.","Stable bilateral patchy airspace opacities, consistent with multifocal pneumonia.",1.2.826.0.1.3680043.8.498.92155152279575082679258195562195359010
Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pleural effusion or pneumothorax. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation identified.,1.2.826.0.1.3680043.8.498.42524284742588007163498625138706700356
Heart and mediastinal contours are within normal limits. Lung fields appear clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures appear intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.25735663501704017596578145816248043650
"Prior CABG. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax. No visible rib fracture. Mild compression fracture in the mid thoracic spine, stable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91750096942349959647631769438143819016
The heart size is enlarged. A transcatheter aortic valve replacement is noted. There is no pneumothorax. No large pleural effusion. No focal infiltrate. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28566773293752983902695105737039625812
Cardiothymic silhouette is within normal limits. Both lungs are clear. No evidence of pulmonary opacity or pleural effusion. No evidence of pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52268396946124320818111085433514916429
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.77088688001795480154730003553010806239
"Two right chest tubes have been removed. There is a tiny right apical pneumothorax, smaller than on the prior exam. Opacity at the right lung base is again noted, slightly improved. There is a small right pleural effusion. The left lung is clear. Heart is normal size.",Interval removal of two right chest tubes. Tiny right apical pneumothorax. Improving aeration in the right lower lobe.,1.2.826.0.1.3680043.8.498.38552521699037838084514803631412323170
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14459684990153445101287797147649636607
The lungs are adequately inflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. There is tortuosity of the descending thoracic aorta. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84369258933306793220941357649877888123
The cardiomediastinal silhouette is within normal limits. The lungs are well inflated and clear. There is no evidence of pleural effusion or pneumothorax. No acute osseous abnormality is identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46260899912679109307703699958138816224
Endotracheal tube tip is 2.5 cm above the carina. Nasogastric tube tip and side port are in the stomach. No pneumothorax. There is no edema or consolidation. Heart is enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. Cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.81608531198384941138042190441374691922
Low lung volumes. The heart is normal in size. The mediastinal contours are within normal limits. The pulmonary hila appear normal. The lungs are clear. No pneumothorax is identified. No acute fractures seen.,Low lung volumes. No acute findings.,1.2.826.0.1.3680043.8.498.43760463884479484257693111079567898770
There is central airway thickening. No focal airspace opacities or effusions. Heart is normal size. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.49719023202279331610578017169493789614
Low lung volumes. Bibasilar atelectasis. Heart is normal size. No effusions or acute bony abnormality. No pneumothorax.,"Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.92098420311629396544932299830911144153
The heart is mildly enlarged. There is vascular congestion with mild pulmonary edema and small bilateral pleural effusions. No focal consolidation or pneumothorax. Degenerative changes of the spine.,Mild cardiomegaly and vascular congestion with mild interstitial edema and small effusions. Findings suggest mild CHF.,1.2.826.0.1.3680043.8.498.90066892022796206782722555912596476068
The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. Atherosclerotic calcification of the aorta. No acute osseous pathology.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83930188432194915317261459968277656214
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.17311119481803998280597269169893031007
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Calcified granuloma right mid lung. Lungs otherwise clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.27307401315722715276738405215248551661
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14968822236077952670540126683809468784
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49922683614574016774284811992185388886
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93500693879257725199107460939152348121
Left-sided AICD is unchanged. Moderate cardiomegaly persists without evidence of edema. The lungs are hyperinflated. No focal pulmonary opacity is identified. No pleural effusion. No acute osseous finding.,Cardiomegaly with COPD but no focal acute finding.,1.2.826.0.1.3680043.8.498.57218466159202486513516840944947000923
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.84572853344097138726765149391684430728
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40260609555455282312310255859166390732
The large mediastinal mass is again demonstrated. The large right pleural effusion with associated atelectasis in the right lung is unchanged. The small left pleural effusion is also unchanged. There is no evidence of pulmonary edema. No new abnormalities are detected.,"Stable large mediastinal mass, right pleural effusion, and atelectasis in the right lung since earlier CT. Stable small left pleural effusion.",1.2.826.0.1.3680043.8.498.46978090392863817646309848074994215737
"The right IJ central venous catheter is unchanged in position. Compared to a chest x-ray from yesterday, no definite pneumothorax is seen. There is no evidence of tension. The lungs are clear. The heart size is normal.",No definite pneumothorax. No active lung disease.,1.2.826.0.1.3680043.8.498.29328497245011962872279115148632247303
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89866716290415097659506065907945650071
"Heart size and pulmonary vessels were normal. No evidence of pneumonia, pneumothorax or pleural effusion was present.",Normal chest x-ray.,1.2.826.0.1.3680043.8.498.75314056732381621608655381950149785955
"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.84522230331659448272154721599290186096
Patient is rotated. Heart is normal size. Aortic atherosclerosis. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.89546773197210822989119318709825761543
Heart and mediastinal contours are within normal limits. Lung fields are clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures demonstrate degenerative osteophytosis of the mid and lower thoracic spine and are otherwise intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.93780443376135124305233682022664113269
Heart size is normal. There are no effusions or edema. No focal airspace opacities are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63843715450961325935973947507860483223
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.63008036868494753254622559263042523026
Elevation of the right hemidiaphragm relative to the left is unchanged. Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.29386688725155098477401249746015167104
"The cardiomediastinal contours are normal. Aortic atherosclerosis. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45050722902755225968984092171785318367
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No pneumothorax is seen. No acute rib fracture is noted.,No acute abnormality noted.,1.2.826.0.1.3680043.8.498.72793562580067641096685695725690406802
There is stable cardiomegaly. There is no evidence of pulmonary infiltrate or edema. There is no evidence of pleural effusion. No mass or adenopathy identified.,Stable cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.10971505857773961162023010153828212407
There is some patchy increased density at the LEFT lung base which could represent atelectasis or infiltrate. The lungs otherwise appear to be relatively clear. There is no pneumothorax. The heart is normal in size. Atherosclerotic calcification is present.,LEFT basilar pneumonia versus atelectasis. Follow-up PA and lateral views are recommended.,1.2.826.0.1.3680043.8.498.37248953044072751676434009307449112284
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25055904923059776322506591399432799763
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88044500114739292193135976145075478764
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.93301041953421340997731710225374580614
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59158824578500861121359405199169402788
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.73950781407822932108728503369610632691
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.56614704415106288712069273207851198054
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Mild thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58457852887648936206275757092647907321
Cardiomediastinal silhouette within normal limits. No evidence of central vascular congestion. No pneumothorax or pleural effusion. No confluent airspace disease. No acute displaced fracture.,Negative for acute cardiopulmonary disease. No evidence of acute displaced rib fracture.,1.2.826.0.1.3680043.8.498.37610995685948770802577141044818044740
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48549273621690055738822198332732080841
The lungs are underinflated. There is bilateral perihilar peribronchial thickening. No focal consolidations or pleural effusions are identified. Heart size is normal. No pneumothorax. No evidence for steepling of the airway.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.58345263520749781979943699627292632193
There is central peribronchial thickening. Patchy airspace infiltrate or consolidation in the right lower lobe. No effusion. Heart size normal. Visualized bones unremarkable.,"1. Central peribronchial thickening suggesting asthma, bronchitis, or viral syndrome. 2. Right lower lobe infiltrate suggesting pneumonia.",1.2.826.0.1.3680043.8.498.27006546099233800389419836885005374494
"The cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44592433016071333871000170775547660131
Cardiothymic silhouette is unremarkable. Mild bilateral perihilar peribronchial cuffing without pleural effusions or focal consolidations. Normal lung volumes. No pneumothorax. Soft tissue planes and included osseous structures are normal. Growth plates are open.,Peribronchial cuffing can be seen with reactive airway disease or bronchiolitis without focal consolidation.,1.2.826.0.1.3680043.8.498.52871131436502632470893468357229369514
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.29812547238479159161827593066212548263
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.98254621009533209384938129085623859228
Heart is upper limits normal in size. There is tortuosity of the thoracic aorta. There are no focal consolidations or pleural effusions. No pulmonary edema. Degenerative changes are seen in the spine.,No evidence for acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57479773918252241097963826052981686950
Heart size is normal. Aortic atherosclerosis again seen. Patient is partially rotated to the right. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.37195524752000009479954488802049300545
Cardiac shadow is stable. A pacing device is again noted. The lungs are well aerated bilaterally. Calcified pleural plaques are again seen. No pneumothorax is noted. No bony abnormality is seen.,No evidence of pneumothorax following pacer placement.,1.2.826.0.1.3680043.8.498.36925879478419470077339821227006125621
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No pneumothorax is seen. No acute rib fracture is noted.,No acute abnormality noted.,1.2.826.0.1.3680043.8.498.79088738511954151670936563984339708995
The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. Again noted is an old left humeral neck fracture.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 06/07/2012.,1.2.826.0.1.3680043.8.498.87180875378362843129300010163867795087
There is parenchymal opacity within the right lower lobe consistent with right lower lobe pneumonia. The remainder of the lungs are clear. No pleural effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.89187279157858081233509037827940819098
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.23511625936815422523313107439626858078
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.32613680777226005935188278817276056770
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.73761409314870523482730425177845846904
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.96749959321817190373208751084054304498
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Central airway thickening is noted. The visualized osseous structures are unremarkable.,Central airway inflammation. No pneumonia.,1.2.826.0.1.3680043.8.498.34998879866067937226647224504230477268
"AP view at 5400 hrs. Enteric tube in place, side hole at the level of the gastric body. Normal cardiac size and mediastinal contours. Mildly increased reticular granular opacity throughout both lungs. No pneumothorax, pleural effusion or confluent pulmonary opacity. Normal visible bowel gas pattern. No osseous abnormality identified.",1. Stable lines and tubes. 2. Normal visible bowel gas pattern. 3. Mildly increased pulmonary granular opacity. Favor RDS.,1.2.826.0.1.3680043.8.498.82293869243383133143900577530889263718
There is elevation of the LEFT hemidiaphragm. An area of increased density projects within the LEFT lung base. No further focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is within normal limits. The visualized bony skeleton is unremarkable.,"1. Atelectasis versus infiltrate, LEFT lung base, with likely a superimposed component of scarring. 2. Elevated LEFT hemidiaphragm.",1.2.826.0.1.3680043.8.498.23941956427967187003797663717267773070
"Dual lead pacemaker in place with leads in the region of the right atrium and right ventricle. Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No bronchial thickening. No infiltrate, mass, effusion or collapse. Pulmonary vascularity is normal. No bony abnormality.",Dual lead pacemaker in place. No active chest disease.,1.2.826.0.1.3680043.8.498.94447469438849529018559364155659581619
There is airspace infiltrate posteriorly in the right lower lobe consistent with pneumonia. Left lung is clear. No pleural effusion. Heart and mediastinal contours normal.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.58177575886952245468502965382462270861
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43677361870039932727073967150239693037
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.20645192098185677842907104952456583842
There is left lower lobe atelectasis and infiltrate. Small left effusion. Negative for pneumothorax. The right lung is clear.,Left lower lobe atelectasis and infiltrate with a small left effusion.,1.2.826.0.1.3680043.8.498.30209830089140510817540140120291583346
Endotracheal tube is been pulled back with tip now approximately 1.5 cm above the carina. Orogastric tube remains in appropriate position. Low lung volumes and mild diffuse granular pulmonary opacity are unchanged. No evidence of pulmonary consolidation or pleural effusion. Cardiothymic silhouette is within normal limits. The bowel gas pattern is normal.,Endotracheal tube and orogastric tube in appropriate position. No significant change in low lung volumes and mild diffuse granular pulmonary opacity. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.56084403331631773498654043199098933097
Low lung volumes. Unchanged heart size and mediastinal contours. Bronchial thickening with mild atelectasis at the lung bases. No confluent airspace disease. No pleural fluid or pneumothorax. No acute osseous abnormalities.,Low lung volumes with bronchial thickening and atelectasis. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.49726291349512801435915964606598316357
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Central airway thickening is noted. The visualized osseous structures are unremarkable.,Central airway inflammation. No evidence for pneumonia.,1.2.826.0.1.3680043.8.498.76463559936640327756498458097489884969
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31266241836118509727676495810528073309
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.57919267782159116060887210601393529870
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77530353535756986835180955724581327284
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38258412860086938486876492637374073908
The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.38286457256272147981206923247480417498
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59876982908305090708276331199854468525
"Normal cardiac silhouette. Lungs are hyperinflated. No effusion, infiltrate, pneumothorax. No acute osseous abnormality.",Hyperinflated lungs. No acute findings.,1.2.826.0.1.3680043.8.498.99861447937557861839281049850041217051
Interim removal of endotracheal tube and NG tube. Left PICC line in stable position. Mediastinum and hilar structures are normal. Heart size normal. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes both shoulders.,1. Interim extubation and removal of NG tube. Left PICC line in stable position. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22186564197917011186176122326467537983
Cardiothymic shadow is normal. There is bronchial thickening. There is no consolidation or collapse. No effusions. Bony structures are unremarkable.,Bronchitis without evidence of consolidation or collapse.,1.2.826.0.1.3680043.8.498.38655821884343983227772490042714892398
Heart size is normal. Mild tortuosity of the aorta. The lungs are clear. The vascularity is normal. No effusions. No significant bone finding.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31998864220131140200661875526047299008
The lungs are hyperinflated. There is peribronchial thickening. No focal consolidations or pleural effusions are identified. Heart size is normal. No evidence for pneumothorax.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.69556310702188042508707328560477234246
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42041850310174870631424041831030047658
Since prior study nasogastric tube is seen coursing into the abdomen with stable left internal jugular central venous catheter ending within the superior vena cava without pneumothorax. Stable patchy airspace opacities right greater than left with slight left basilar atelectasis seen. Stable slight cardiomegaly noted.,1. Stable patchy airspace opacities right greater than left consistent with pneumonia. 2. Slight left basilar atelectasis. 3. Stable slight cardiomegaly.,1.2.826.0.1.3680043.8.498.25725416706637754353707553584273897080
The lungs are mildly hypoinflated. The interstitial markings are increased bilaterally. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. The patient has undergone previous CABG. There is a permanent pacemaker in place. The endotracheal tube has been removed. The esophagogastric tube has been removed.,Congestive heart failure with pulmonary interstitial edema. No significant pleural effusion. No pneumothorax.,1.2.826.0.1.3680043.8.498.70175503151000311061981497803979241087
ET tube terminates in the mid trachea. Enteric tube courses inferior to the diaphragm. Stable cardiac and mediastinal contours. Low lung volumes. Persistent right basilar opacity. No pleural effusion or pneumothorax.,ET tube mid trachea. Persistent right basilar opacity may represent atelectasis or infection.,1.2.826.0.1.3680043.8.498.43880983831045993245327029328091932741
"An endotracheal tube is identified with tip 2.5 cm above the carina. COPD/emphysema changes again noted. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Endotracheal tube with tip 2.5 cm above the carina. COPD/emphysema.,1.2.826.0.1.3680043.8.498.53647303949704048174315964372639905463
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47670205397339063758342206816966674190
The lungs are symmetrically inflated and clear. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Clear lungs.,1.2.826.0.1.3680043.8.498.16871724877944137594428776911761892076
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.36183166503738053558563800359384984906
"Endotracheal tube, left IJ line, NG tube in stable position. Mediastinum and hilar structures are normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax.",1. Lines and tubes in stable position. 2. Low lung volumes with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.52360384133280134093642125454378968402
"The heart is at the upper limits of normal in size. The mediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary nodules, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29578980024169871077299794887719095948
There is flattening of the hemidiaphragms. Thickening of the interstitial markings is once again appreciated. No focal regions of consolidation are demonstrated. The cardiac silhouette is within normal limits. The visualized bony skeleton is unremarkable.,"COPD with interstitial changes, fibrosis and possibly a component of pulmonary fibrosis. No focal regions of consolidation or focal infiltrates are appreciated.",1.2.826.0.1.3680043.8.498.77948728354026494980162263811373450955
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31614909900405460412250756764323393392
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36772793724370538825412802710327089758
"Upper limits normal heart size noted. Bilateral airspace opacities within the mid and lower lung zones are identified and suspicious for pneumonia. There is no evidence of pleural effusion, pneumothorax or pulmonary edema. No acute bony abnormalities are identified.",Bilateral airspace opacities within the mid and lower lung zones compatible with pneumonia. Radiographic follow-up to resolution recommended.,1.2.826.0.1.3680043.8.498.88142175320049764132998757325545810622
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Chronic scarring is noted in the left lung base. No focal infiltrate or sizable effusion is seen. Degenerative changes of the thoracic spine are noted.,Chronic changes in the left base. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.20394851780563821560123572790278696856
"The heart size is normal. The mediastinum and pulmonary vascularity are within normal limits. No hilar abnormality is seen. There are no consolidating infiltrates, pleural effusions, or pneumothoraces. Lung volumes are appropriate. There are no worrisome pulmonary nodules. Osseous structures are age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.89070139596064227833695444078412761559
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.35652512573212607980569617688794203069
Low lung volumes. Streaky atelectasis at the bases. No consolidation. Heart size upper normal. No pneumothorax.,Low lung volumes with streaky bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.40894288667308771140402915200493530547
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78559623420854603120089466743049559219
There is complete opacification of the left hemithorax with shift of the mediastinal contents into the left hemithorax. There is extensive pleural calcification on the right. The right lung is hyperexpanded. There is no pneumothorax. No large pleural effusion. There is no acute osseous abnormality.,1. Complete opacification of the left hemithorax with shift of the mediastinal contents into the left hemithorax. This is consistent with prior pneumonectomy. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32465117519031783564575854701103774739
There is interstitial fibrosis throughout the lungs bilaterally. There is no frank edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Diffuse interstitial fibrosis, stable. No edema or consolidation. Stable cardiac silhouette.",1.2.826.0.1.3680043.8.498.23462485544448120034736950542944265557
No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within upper limits of normal. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.93115018868949532748947569692616290870
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.56413876546088320309993320430538807198
Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29729537407655091253431440764295994590
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51184809905693280235270925545670477915
"There is again noted increased density at the lung bases bilaterally, essentially unchanged as compared to the prior exam. The densities are most compatible with atelectasis or fibrosis. The upper lobes remain clear. No pulmonary edema is seen. The heart size is normal.",Stable appearing chest as compared to the exam of 11/3/2021. There persists increased density at the lung bases consistent with atelectasis or fibrosis.,1.2.826.0.1.3680043.8.498.14534216924631785818836870010669508826
Cardiac shadow is stable. A nasogastric catheter is again noted extending into the stomach. Right jugular sheath is again seen kinked at the skin surface. Persistent right basilar atelectasis is noted. The left lung remains clear. No pneumothorax is seen.,Stable right basilar atelectasis. Tubes and lines as described.,1.2.826.0.1.3680043.8.498.15481698132194904028429206054488370241
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions.,No acute disease.,1.2.826.0.1.3680043.8.498.22525542627778981747015582462440384481
The bony thorax is grossly intact. The heart and pulmonary vascularity are within normal limits. No focal pulmonary infiltrate is present. No pleural effusion is seen.,No acute cardiopulmonary abnormality is identified.,1.2.826.0.1.3680043.8.498.32019202024921262681321676125741203323
There is parenchymal opacity within the right lower lobe consistent with right lower lobe pneumonia. The remainder of the lungs are clear. No pleural effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,Right lower lobe pneumonia. Recommend follow-up chest x-ray.,1.2.826.0.1.3680043.8.498.43621468627652192518129531989081132872
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36066413658207539553408545462293800401
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.40604383971368618281881490339712753504
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.15903449876039263912438049126844805635
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69911578557609753638995377563110163678
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.25633689164070085743159032653403241363
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62298707182846747506582821157750600286
No pneumonia is seen. There are prominent perihilar markings with peribronchial cuffing which can be seen with central airway process such as bronchitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Prominent perihilar markings.,1.2.826.0.1.3680043.8.498.80075196961524945255125684580367200122
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65299797951339591534009608549140206763
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. There is evidence of prior CABG. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.61760033604246318491946928428934876939
"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact. Post surgical changes of the chest are appreciated.",No evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.69885385797950619112122403123180849388
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82784834998730718840227765434572147002
Heart size and mediastinal contours are stable. Median sternotomy wires appear intact and stable in alignment. Lungs are clear. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.,No active disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.61754478567742296791123700602159330923
The right IJ central venous catheter tip is unchanged at the SVC right atrial level. There is no pneumothorax. Diffuse bilateral airspace opacities have worsened. There are bilateral pleural effusions. The heart is enlarged.,"Worsening bilateral airspace opacities, likely reflecting a combination of pulmonary edema and pneumonia. Bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.69360828302727057571551789076351277661
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75311095861082800180927811105678178566
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11331690913953662860896185577879915181
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33538906420862956299125344726606085599
"Study is hypoinspiratory with crowding of the perihilar and bibasilar bronchovascular markings. Given the low lung volumes, lungs are clear. No confluent airspace opacity to suggest a developing pneumonia. No pleural effusion or pneumothorax seen. Heart size and mediastinal contours are within normal limits. Osseous structures about the chest are unremarkable.",Low lung volumes. No active cardiopulmonary disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.48794825005173498963819187621130163162
There is consolidation in the left lower lobe with associated small left pleural effusion. The right lung is clear. No pneumothorax. Heart is mildly enlarged. No mediastinal or hilar masses. Bony thorax is intact.,Left lower lobe consolidation consistent with pneumonia. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.52278260074708558247644616746486564385
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62103472615369488686808179715299665255
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process. No radiographic evidence for tuberculosis.,1.2.826.0.1.3680043.8.498.10547799901155125554517123734596877755
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80392230477925020399837608302587463971
The lungs are clear. No pleural fluid or pneumothorax identified. Cardiac silhouette is unremarkable. No focal bony abnormality.,No acute finding.,1.2.826.0.1.3680043.8.498.13252558763420437025292726989236181239
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49335249923530161658968269044196276742
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67823048002293431802588158408180579853
"The lungs are clear bilaterally. No confluent airspace opacities, pleural effusions or pneumothoracies are seen. The heart is normal in size and contour. The upper abdomen and osseous structures are normal.",No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37460277482995057992104971866033481173
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31465272717393710270791688905316210866
The heart size is mildly enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. The visualized osseous structures are unremarkable.,1. No acute cardiopulmonary abnormalities. 2. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.71377311111132816190839235641332254312
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33393318403690296752236307995568448213
The lungs are adequately inflated. There is no focal infiltrate. The interstitial markings are mildly increased. The cardiac silhouette is top normal in size. There is a permanent pacemaker in place. There is no pleural effusion.,There are findings which likely reflect an element of low-grade compensated CHF. I do not see evidence of pneumonia.,1.2.826.0.1.3680043.8.498.80025307883487573134531494050768938009
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23172080068179332475737386395170159838
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43719059960179380717837898036693144860
Cardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes mid thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27332634089991905769481810949686042402
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66638454181650632134666520758049321147
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80422655753035815003237536785199922462
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18857291483318397908442552888658232272
Trachea is midline. Heart size normal. Thoracic aorta is calcified. Lungs are emphysematous with minimal scarring at the lung bases. No airspace consolidation or pleural fluid.,Emphysema without acute finding.,1.2.826.0.1.3680043.8.498.20058887715222248298511883531426774408
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40559929351659176102358566697056161925
The patient has been extubated. The NG tube has been removed. The right IJ catheter is stable. The right hemidiaphragm remains elevated. The right lung base opacity has improved. The left lung is clear. There is no pneumothorax. The cardiomediastinal silhouette is stable.,1. Improving right lung base process. 2. No other significant change.,1.2.826.0.1.3680043.8.498.81152260516902231352515827582737946798
The heart size and mediastinal contours are within normal limits. Right lung is clear. Linear opacity is noted in left upper lobe which may represent residual pneumonia or atelectasis. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,Linear density seen in left upper lobe most consistent with residual pneumonia or atelectasis. Continued radiographic follow-up is recommended to ensure resolution.,1.2.826.0.1.3680043.8.498.74211272957019849905848329498194848029
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70327710337548323798787078685580930481
"There is no evidence of acute infiltrate, pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33336063078263869160768109828825140351
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36484347998373624197853887804264386841
"Lungs are hyperexpanded, clear. No pneumothorax or pleural effusion. Cardiac size within normal limits. Pulmonary vascularity is normal. No acute bone abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.12060157863565232469328689107329526481
"Normal heart size, mediastinal contours, and pulmonary vascularity. Minimal peribronchial thickening. No pulmonary infiltrate or pleural effusion. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No definite acute infiltrate.,1.2.826.0.1.3680043.8.498.50600509734696287572388115274459885637
Mediastinum and hilar structures normal. Heart size normal. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,Low lung volumes with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.34203718319194035667968796125531774680
Stable cardiomediastinal silhouette. Status post coronary artery bypass graft. Endotracheal and nasogastric tubes are unchanged in position. Right internal jugular Swan-Ganz catheter is unchanged. Left-sided chest tube is noted without pneumothorax. Right-sided chest tube is noted without pneumothorax. No significant pleural effusion is noted. Mild bibasilar subsegmental atelectasis is noted. Bony thorax is unremarkable.,Stable support apparatus. No pneumothorax is noted. Mild bibasilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.31904764467517189255917910707081044294
Endotracheal tube remains in satisfactory position below the thoracic inlet. Nasogastric tube courses below the diaphragm into the stomach. Heart mildly enlarged but stable. Pulmonary edema slightly improved since earlier in the day. No new abnormalities.,Slight improvement in pulmonary edema.,1.2.826.0.1.3680043.8.498.27727476749161412044805944240892869811
The right lower lobe pneumonia has cleared. The cardiomediastinal silhouette is unremarkable and is stable. The lungs are clear. There are no pleural effusions. The visualized bony thorax appears intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77046918913794171261671141036274665758
Heart size is normal. The aorta is tortuous. Negative for heart failure. Lungs are clear without infiltrate or effusion. Colonic dilatation consistent with ileus.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33877422101588539267443747707712073837
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88013434384296942012226448252764889588
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58355553167435488057694072215463293171
"Patchy consolidation at the right greater than left lung base. Upper lungs are clear. Heart is normal in size with normal mediastinal contours. No pulmonary edema, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.","Patchy right greater than left lung base consolidation, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.78740323499075774654361494851226090755
There is opacity within the left lower lobe consistent with residual pneumonia. The remainder of the lungs are clear. No pleural effusion is seen. Mediastinal contours are stable. The heart is within normal limits in size. No bony abnormality is seen.,Persistent opacity in the left lower lobe consistent with residual pneumonia.,1.2.826.0.1.3680043.8.498.40246967493781489884111796303327635302
Endotracheal tube is 2.5 cm above the carina. There is cardiomegaly. Low lung volumes. No confluent opacities or effusions. No acute bony abnormality.,"Endotracheal tube 2.5 cm above the carina. Cardiomegaly, low lung volumes.",1.2.826.0.1.3680043.8.498.96528309457202685234879510484119548497
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. No free intra-abdominal air is seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.67424844139092934462741553174710319438
The lungs are well-expanded and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion.,I do not see evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.86703420041198834691538320502782222354
There is no fracture or dislocation. Glenohumeral joint space is maintained. Soft tissues unremarkable.,Mild degenerative change without acute bony abnormality.,1.2.826.0.1.3680043.8.498.53319194297693737601324454510044613071
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99389184960240150029688344856926088991
There is extensive consolidation in the right upper lobe and right lower lobe consistent with pneumonia. The left lung is clear. No pleural effusion is seen. Mediastinal contours are normal. The heart is within normal limits in size. No bony abnormality is seen.,Extensive right upper and right lower lobe consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.62620698384168917266683726354924178077
The lungs are adequately inflated. There is no focal infiltrate. There is no pleural effusion. The heart is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is stable moderate dextrocurvature of the mid thoracic spine.,There is no acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.88133643467032116341409418106471316115
"Cardiac and mediastinal contours are within normal limits. No pneumothorax, pleural effusion, or confluent airspace opacity. No acute osseous abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15888106046415897110608588769454842982
"There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.18540214193535286534847616323951883344
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43800274094257108669927350621815142824
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36902396564842365734845635001126937852
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.83384764057555767774347268157950395819
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusion. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.70674719936502746117963058359058513461
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87048975521550920077083096191127392580
There is thickening of the interstitial markings as well as peribronchial cuffing. An area of increased density projects within the LEFT lung base. There is blunting of the LEFT costophrenic angle. The cardiac silhouette is within normal limits. The visualized bony skeleton is osteopenic.,"1. Atelectasis versus infiltrate, LEFT lung base. 2. Findings which appear to be consistent with an element of pulmonary fibrosis. 3. Scar versus small effusion, LEFT lung base.",1.2.826.0.1.3680043.8.498.30262160655404702925040566570675030905
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83379820595836826140800513372203133211
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74451985881477360591577090952564359886
There is a severe thoracolumbar scoliosis deformity. Heart size is normal. There are no effusions or edema. No focal airspace opacities are identified.,1. No active cardiopulmonary disease. 2. Scoliosis.,1.2.826.0.1.3680043.8.498.17414472046198634125388822092734167554
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59765942093406716550851875310255265822
"The heart is normal in size. The aorta is tortuous. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is elevation of the left hemidiaphragm. Degenerative changes are seen in the spine.",No acute process. Elevated left hemidiaphragm.,1.2.826.0.1.3680043.8.498.34487219293256503739316915156029860263
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60124528355377861383675311228254762882
The lung volumes are low. The heart size is stable from prior study. Aortic calcifications are again noted. There is no pneumothorax. No large pleural effusion. There is no acute osseous abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.64331796454391396993953342674328981136
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43164365616908218602058569824442493307
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32119176836951912280538587269506279795
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72727866098786575908564383651281411642
Heart is enlarged. Calcification of the aorta at the arch. Mild pulmonary vascular congestion. No focal infiltrates or signs of acute congestive heart failure. No pleural effusion. Degenerative changes of the spine.,Cardiomegaly. Status post median sternotomy. No focal infiltrates.,1.2.826.0.1.3680043.8.498.29278640852319583726303965066493871776
Upper normal heart size. Bilateral hilar enlargement compatible with adenopathy. Persistent visualization of a right upper lobe mass/nodule. No gross pneumothorax or pleural effusion. No acute bony abnormalities.,No pneumothorax following bronchoscopy. Bilateral hilar enlargement compatible with adenopathy and persistent right upper lobe mass.,1.2.826.0.1.3680043.8.498.88206756958999753682067209003896797189
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69942397001879634240419991439743964062
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32137359486207746656555557064298046101
"Heart is normal in size. The aorta is tortuous. Lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.28287061667207353041685647397742209188
Endotracheal tube is 1.5 cm above the carina. Orogastric tube enters the stomach. UVC tip is in the lower right atrium. There is improvement in the upper lobe aeration. Mild hazy pulmonary opacity persists. No consolidation or collapse. No effusions.,Improvement in upper lobe aeration.,1.2.826.0.1.3680043.8.498.35495209145207865837388334956930368841
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.53406107397098255772216089008720190161
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.98554032618993899129095836512377333246
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81081003884857152958558071571328363085
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28058676179433585732945694608861246658
Small bilateral pleural effusions. Bibasilar atelectasis. Normal heart size. No pneumothorax. No acute bony deformity.,Small bilateral pleural effusions and basilar atelectasis.,1.2.826.0.1.3680043.8.498.73237151371907237257210374918163352556
"The heart is enlarged. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Cardiomegaly. No acute process.,1.2.826.0.1.3680043.8.498.38306073400040641990375294119904476544
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25226869832669808995849477086989623448
Trachea is midline. Heart size is at the upper limits of normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.55170978145603562730366620517941701555
"Single portable AP view of the chest was obtained. The lung volumes are low. The heart is enlarged. The pulmonary vascularity is within normal limits. Consolidation is present in the left lung base, increased from the prior CT and new from the prior chest radiograph. There is a small left pleural effusion. The right lung is clear. No pneumothorax is identified. The osseous structures are age-appropriate.","1. Consolidation in the left lung base, new from the prior CT and increased from the prior chest radiograph. This may represent atelectasis or pneumonia. 2. Small left pleural effusion. 3. Cardiomegaly.",1.2.826.0.1.3680043.8.498.79627397912049506322138563446321931205
Cardiomegaly. Mild vascular congestion. Left lower lobe atelectasis. No visible effusions. No acute bony abnormality.,"Cardiomegaly, vascular congestion. Left base atelectasis.",1.2.826.0.1.3680043.8.498.64837219521780750308482126991624226267
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82074052543643291706562326592262673291
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75617116220038370123786543930330297053
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.45830484386828126156957925288652325589
The heart size and mediastinal contours are within normal limits. Patchy opacity of both lung bases are identified. There is no pulmonary edema or pleural effusion. The visualized skeletal structures are unremarkable.,Bibasilar pneumonia.,1.2.826.0.1.3680043.8.498.96223211886465739868170965023499591820
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38954098230974626456307519112508077543
Low lung volumes are present. There is bibasilar atelectasis. No overt edema. No pleural effusions. Right jugular central line is in the lower SVC. No pneumothorax.,Low lung volumes and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.32700751546307314622915058454401290495
Endotracheal tube tip is 2.2 cm above the carina. No pneumothorax. There is patchy airspace opacity in the left upper lobe. Lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,"Endotracheal tube as described without pneumothorax. Patchy infiltrate left upper lobe, suspicious for pneumonia. Lungs elsewhere clear. Heart is prominent but likely accentuated by portable technique.",1.2.826.0.1.3680043.8.498.54623816285283757112011615290437130446
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68181330791724475629161125658925092075
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.16099468805786205417126355362788201522
The lungs are adequately inflated. The interstitial markings are increased diffusely. The hemidiaphragms are obscured. The cardiopericardial silhouette is enlarged. The pulmonary vascularity is engorged.,There are findings consistent with pulmonary interstitial and alveolar edema. I see no discrete focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.17531285803485527977125000091521174595
Upper normal heart size. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. LEFT upper lobe consolidation consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Scattered endplate spur formation thoracic spine.,LEFT upper lobe consolidation consistent with pneumonia. Recommend follow-up radiographs until resolution.,1.2.826.0.1.3680043.8.498.50993317898630352968813214758578616892
Cardiomegaly. No infiltrate or edema. No effusion or pneumothorax. No osseous findings.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.64492099953346257286162518419594687907
No pneumonia is seen. There are however prominent perihilar markings with some peribronchial cuffing most consistent with central airway process such as bronchiolitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect central airway process.,1.2.826.0.1.3680043.8.498.91199070150956034437109756218685762549
Upper normal heart size post CABG. Mediastinal contours and pulmonary vascularity normal. Bibasilar atelectasis and small pleural effusions. Lungs otherwise clear. No pneumothorax.,Bibasilar atelectasis and small pleural effusions.,1.2.826.0.1.3680043.8.498.25808535149339862479674257712730580635
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No evidence of pleural effusion. Thoracic spine degenerative changes and mild scoliosis are unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93304874318726409808133436808054357643
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97312615755980001608670413867415861061
The heart size is normal. The lungs show patchy opacities in the right lower lobe that are concerning for pneumonia. No pleural effusion is identified. The left lung is grossly clear. The catheter of an implanted venous access port is located in the superior vena cava. Extensive soft tissue sclerosis around the proximal right humerus is probably due to callus formation from a healing fracture.,Stable right lower lobe pneumonia. No significant change since the prior exam.,1.2.826.0.1.3680043.8.498.17717330613544187036840001104954961767
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52653122861294019476394682098901724225
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59274829622341225940457929176882232246
Stable cardiomegaly. Patchy airspace disease throughout the right lung is similar to prior study. Left lung is clear. No visible effusions. No acute bony abnormality.,Stable patchy airspace disease throughout the right lung concerning for pneumonia.,1.2.826.0.1.3680043.8.498.65850660806129767580164746573727835206
There is consolidation in the right upper lobe compatible with pneumonia. Mild central airway thickening. Heart is normal size. No confluent opacity on the left. No effusions or acute bony abnormality.,Right upper lobe consolidation compatible with pneumonia. Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.58081920162217156778726973729385766754
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60397683570076439400019839163395876773
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85590227656081039056176897458277124889
There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.32410806037173424944826361172747263044
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.99008242598662808231759945251202832359
There has been some increase in left basilar airspace disease. Coarse interstitial opacities are again seen throughout both lungs. No other change.,Some increase in left basilar airspace disease.,1.2.826.0.1.3680043.8.498.52535892590402867947064891290745813456
The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Bones appear average for age.,No acute or active process is identified.,1.2.826.0.1.3680043.8.498.78836796657396164675192879742449052372
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. There are chronic lung changes/COPD. No acute pulmonary findings. Stable bilateral rib deformities.",Chronic lung changes/COPD. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.86350642082398728022122157182708706235
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13854263386725602571309530638778576926
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56518270511657899016180988179820975678
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30598144137189625115774288285461539985
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality. Degenerative changes in the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12137799517394133185676341150950265250
"Cardiovascular: The heart size and pulmonary vascularity are normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No non-displaced rib fractures are identified. Osseous structures are age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.27597299485175855165592260712315363863
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal pulmonary infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Cardiomegaly. No evidence of overt congestive heart failure. 2. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.62704132612130661405071327918906094772
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.52230911323640187151802518448140867649
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.51005711910278371793049772591968702383
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65643539808228677847454371481005131687
Endotracheal tube terminates 3.5 cm above the carina. Left IJ venous catheter terminates in the mid SVC. Enteric tube courses into the stomach. Defibrillator pads overlie the left hemithorax. The heart is normal in size. Atherosclerotic changes are noted. There is mild pulmonary vascular congestion. Increasing opacity at the lung bases likely reflects atelectasis. Small left pleural effusion. No pneumothorax is seen. Old bilateral rib fractures.,1. Support devices as above. 2. Mild vascular congestion and bibasilar atelectasis. 3. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.83687562140568008074093102226574632021
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.56091843926528549956684305469073145929
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.27454209887023473802411647086902676113
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49906836748715816023614720140891422656
No fracture or dislocation of the axial or appendicular skeleton. Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,Negative exam.,1.2.826.0.1.3680043.8.498.84305956453767862238025811638787432372
There is mild cardiomegaly. Both lungs are clear. No evidence of pleural effusion. No mass or adenopathy identified.,Mild cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.18424026918251948568522239879380145120
Heart is normal in size. Aorta is minimally tortuous. No focal infiltrates or signs of acute congestive heart failure. Degenerative changes of the spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94674455097107408589943590811093189973
Heart is upper limits of normal in size. Mediastinal contours are within normal limits. Lungs are clear. No effusions. Degenerative changes in the thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.79937169201250874156158427135468953116
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39051098732776471771825380752492546047
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71422729688668682302299198012363051294
Patchy bilateral lower lobe opacities suspicious for pneumonia. No pleural effusion. Normal heart size. No pneumothorax.,Patchy bilateral lower lobe opacities suspicious for pneumonia.,1.2.826.0.1.3680043.8.498.97663416398849864946430508748403561122
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Degenerative changes in the thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.78446306929236723226797336722063190431
The heart size is normal. The patient is status post right lower lobectomy. A right pleural effusion is again noted. The size of the effusion is slightly decreased. Right basilar airspace disease remains. The left lung is clear. There is no pneumothorax. The visualized soft tissues and bony thorax are unremarkable.,"1. Slight decrease in size of right pleural effusion. 2. Persistent right lower lobe airspace disease. While this likely reflects atelectasis, infection is not excluded. 3. No other significant changes.",1.2.826.0.1.3680043.8.498.36904711225641442111294526878633706013
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30541405379494063373082590237464918431
The lungs are hyperaerated consistent with COPD. Linear atelectasis is noted at the right lung base. The heart is mildly enlarged. The bones are osteopenic and there are degenerative changes throughout the thoracic spine.,COPD. Right basilar linear atelectasis. No active lung disease.,1.2.826.0.1.3680043.8.498.90757321177697910695366903477736689150
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.14959560022891980899179445001704140896
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68299780981425145056179012015020492531
Lungs are clear. No pleural effusion or pneumothorax. Stable cardiomegaly. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53462266674360756252355699209118156842
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45111603949833200871157908434974889977
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55350666142379293163647401854524161571
The heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Diffuse central airway thickening is noted. There is airspace disease within the right upper lobe compatible with pneumonia.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.67676161671206102023457698249793498310
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66080326149393841427631899962209072142
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88196472041503676080379077457340777968
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12610390176085558180489407126814196586
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90773370142642219510670154570088667859
The lungs are well-expanded. The interstitial markings have improved. The cardiac silhouette remains enlarged. The pulmonary vascularity is less engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,Ongoing cardiomegaly with mild pulmonary vascular congestion consistent with low-grade CHF. There has been some interval improvement in the appearance of the pulmonary interstitium since the earlier study.,1.2.826.0.1.3680043.8.498.20186280375087120259767333083653671631
There is central airway thickening. No consolidative process. No pneumothorax or effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.43659892340340644911270559909826713024
"The lungs are relatively well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size; pulmonary vascularity is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fractures seen; no acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.71288114306553220654528753568236053523
The lungs are clear. The pulmonary vasculature is normal. Heart size is normal. Hilar and mediastinal contours are unremarkable. There is no pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78919504009760346073261389937725467557
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60254353172682947371223334904116550688
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.89323041284685407814380172294762050821
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10160405845927543124449637508180692604
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38824271715421860673135905656336098202
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.22489604745475936501698669996340761078
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.23559403818170355211044757802639443160
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. A right-sided PICC line is again noted and appears stable.,No active disease.,1.2.826.0.1.3680043.8.498.12571571215708692185044557409467426866
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. There is a nodular density in the right base measures about 2.2 cm. Although this may represent nipple shadow I cannot exclude a lung nodule. Further evaluation with CT scan of the chest is recommended.,No active disease. Nodular density in the right base. Although may represent nipple shadow I cannot exclude a lung nodule. Further evaluation with CT scan of the chest is recommended.,1.2.826.0.1.3680043.8.498.36672213791195647649068417919769551965
Extensive bilateral upper lobe predominant airspace disease is present. The heart size is normal. There is no pneumothorax. No pleural effusion. The visualized soft tissues and bony thorax are unremarkable.,Extensive bilateral airspace disease compatible with multifocal pneumonia. Underlying chronic lung disease is not excluded.,1.2.826.0.1.3680043.8.498.89176896626103988858042231715835114978
Interim removal of left chest tube. No pneumothorax. Right IJ sheath in stable position. Prior CABG. Stable cardiomegaly. Low lung volumes with mild basilar atelectasis. Small left pleural effusion cannot be excluded. No pneumothorax.,1. Interim removal of left chest tube. No pneumothorax. 2. Low lung volumes with mild basilar atelectasis. Small left pleural effusion cannot be excluded. 3. Prior CABG. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.14479437679746843205611075086388281695
"Study is slightly hypoinspiratory. Given the low lung volumes, lungs are clear. Heart size and mediastinal contours are within normal limits. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.",No active disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.78857632369972362479439265824179445710
"Cardiac silhouette is mildly enlarged, mediastinal silhouette is nonsuspicious. Calcified aortic knob. Chronic interstitial changes. No pleural effusions or focal consolidations. No pneumothorax. Right lower lobe lung mass unchanged since prior imaging. Osteopenia. Soft tissue planes are nonsuspicious.","Stable cardiomegaly, mild chronic interstitial changes.",1.2.826.0.1.3680043.8.498.31680860941492270418819442759240729217
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15030522399594396519636085136643668716
Cardiothymic silhouette is normal. Both lungs are clear. No evidence of pleural effusion. No significant hyperinflation. No osseous abnormalities.,No active disease.,1.2.826.0.1.3680043.8.498.38848813554325337114844499402815812271
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax. No pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90070431061830288231276542682994213104
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.60930815702255166416601357259802032485
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41492131345170969389333078415242626928
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.43796459413844347731685797085847088019
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.15518481756848495236634765597017000629
The lungs are hypoinflated. There is no focal infiltrate. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of CHF nor pneumonia nor other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.28756555370683941386565350461198033351
Left internal jugular central line has its tip in the SVC 4 cm above the right atrium. No pneumothorax. Lungs are clear.,Left internal jugular central line to the SVC 4 cm above the right atrium. No pneumothorax.,1.2.826.0.1.3680043.8.498.97952720617506558217781523425925452642
"The heart is enlarged. There are bilateral pleural effusions. There are interstitial changes and Kerley B lines, consistent with mild edema. No focal consolidations. No pneumothorax.",Cardiomegaly and mild pulmonary edema.,1.2.826.0.1.3680043.8.498.85925521488517796949297238544498804901
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable. No pneumothorax.,No active disease,1.2.826.0.1.3680043.8.498.77803778160415384089745181084005875162
AP portable supine view 6556 hours. Multiple EKG leads and wires overlie the chest. No pneumothorax or pleural effusion evident on this supine view. Cardiac size and mediastinal contour are within normal limits. No pulmonary contusion. No acute displaced rib fracture identified.,No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.71111575005139953409041480068838446642
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87519619798978150266648677363406646333
The current exam shows thickening of the infrahilar lung markings on the right. The findings are compatible with atelectasis or pneumonia. The lung fields otherwise are clear. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.,There is increased density at the right base compatible with atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.85661609699765616092452110280383087336
Tracheostomy catheter tip is 2.5 cm above the carina. Central catheter tip is in the superior vena cava. No pneumothorax. There is atelectatic change in the right base. Lungs elsewhere are clear. Heart is enlarged with pulmonary vascularity normal. No adenopathy. There is severe mid thoracic dextroscoliosis with lower thoracic levoscoliosis.,Tube and catheter positions as described without pneumothorax. Right base atelectasis. Lungs elsewhere clear. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.80639550590380422702526324775951196233
"The heart is mildly enlarged. The thoracic aorta is mildly tortuous and atherosclerotic. The hilar and mediastinal contours are otherwise unremarkable. Linear scarring is present in both lungs. The lungs are otherwise clear. No pulmonary nodules, pleural effusions, or pneumothorax. Surgical clips are present in the right axilla. The bony thorax is demineralized but intact.",Mild cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27976875379719561877983096529755200004
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.64397879797052461134600339867478318840
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42941502977083199265529820606651049160
"Two views of the chest were obtained. There are multi areas of interstitial and alveolar opacity throughout both lungs, greatest in the lung bases. There is no pneumothorax. The heart size and pulmonary vascularity are normal. Endotracheal tube tip is 6.5 centimeters above the carina. NG tube tip is in the stomach.","There are multi areas of interstitial and alveolar opacity bilaterally, greatest in the lung bases. This may represent multi focal pneumonia or pulmonary edema. There is no pneumothorax. Endotracheal tube and NG tube are in satisfactory position.",1.2.826.0.1.3680043.8.498.54449642350164820172460695347170853676
"AP and lateral chest radiographs are provided. There is bilateral perihilar interstitial thickening with mild peribronchial cuffing as can be seen with lower airways disease secondary to an infectious or inflammatory etiology. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",There is bilateral perihilar interstitial thickening with mild peribronchial cuffing as can be seen with lower airways disease secondary to an infectious or inflammatory etiology.,1.2.826.0.1.3680043.8.498.37794646867826826596906265121242780071
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86716505367258905455919839831229660661
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Cardiomegaly. No pulmonary venous congestion. 2. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.11153816157880612606111563782628996005
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20528876434604773099151493447051882683
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13788437571919992866399291316229663467
Normal sized heart. Clear lungs with normal vascularity. Mild thoracic spine degenerative changes.,No acute abnormality.,1.2.826.0.1.3680043.8.498.87393021124026593524476444767811229259
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.51774213212709632359958187699638824106
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74533943118188464445229370704908347643
The ET tube tip is 1 cm above the carina. The orogastric tube tip overlies the gastric bubble. The umbilical venous catheter tip is at the IVC/right atrial junction. The umbilical artery catheter tip is at the T7 level. The cardiothymic silhouette and pulmonary vasculature are within normal limits. Both lungs are clear. The previously seen right lateral pneumothorax is not visualized.,The previously seen right pneumothorax is not visualized.,1.2.826.0.1.3680043.8.498.59106189908463275360256007821811451214
Stable cardiomediastinal silhouette. No pneumothorax is noted. Stable bibasilar subsegmental atelectasis is noted with small left pleural effusion. Multiple displaced rib fractures are again noted bilaterally. Stable proximal right humeral fracture is noted.,Stable bibasilar subsegmental atelectasis with small left pleural effusion. Multiple displaced rib fractures are again noted bilaterally.,1.2.826.0.1.3680043.8.498.84930433552241689503658949723001285341
Lung volumes are normal. No evidence of edema or focal airspace consolidation. No pleural effusions. The cardiopericardial silhouette is within normal limits for size. The visualized bony structures of the thorax are intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.85171701303347354009000308969318621492
"The cardiac silhouette, mediastinum, and pulmonary vasculature are within normal limits. Both lungs are clear. The osseous structures are unremarkable.",There is no evidence of acute cardiac or pulmonary process.,1.2.826.0.1.3680043.8.498.87188928983432492449365267491304638865
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.98059869528180686586512399498945005378
There is cardiomegaly. No focal airspace opacities or effusions. No edema. No acute bony abnormality.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.80199534416723151099609092270481214652
Heart is enlarged. Moderate right pleural effusion is similar. There is a small left pleural effusion which appears larger than prior study. No definite focal infiltrates are seen. Degenerative changes of the spine and shoulders.,Increasing left pleural effusion.,1.2.826.0.1.3680043.8.498.14073864186039634141058496126631016211
Continued small left pleural effusion with associated atelectasis. Stable right lung base atelectasis. Stable right PICC line. No pneumothorax. Stable cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No acute osseous abnormality identified.,Stable small left pleural effusion and bibasilar atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.66269221923729427901471034937754821246
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.39573937835246630257361805687359000114
The heart size and mediastinal contours are stable. Stable mild to moderate severity patchy infiltrates are seen throughout both lungs. There is no evidence of a pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,Stable bilateral infiltrates.,1.2.826.0.1.3680043.8.498.15979535042210893201894242907472717334
The lungs are well-aerated. Right basilar airspace opacification is compatible with pneumonia. Underlying right basilar lung mass is again noted. Mild left basilar opacity is also seen. There is no evidence of pleural effusion or pneumothorax. The heart is borderline normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,1. Right lower lobe pneumonia. 2. Underlying right lower lung mass again noted. 3. Mild left basilar airspace opacity also seen.,1.2.826.0.1.3680043.8.498.61349874653246533640200921798183538312
The heart size is normal. The lungs are clear. No pleural fluid or osseous lesions.,No active disease.,1.2.826.0.1.3680043.8.498.25543796434444087483169684598764569932
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54047951605371645304588869171962972267
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80588458680294812677208877301964055230
Lungs are clear. No pleural effusion or pneumothorax. Heart is top-normal in size. Stable hiatal hernia.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76020857652856599530406924795905719211
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38633326662443502578855912649155834270
"The heart is enlarged. The aorta is ectatic and unfolded. There is no evidence of pulmonary edema, focal airspace consolidation, pleural effusion or pneumothorax. The bones are demineralized. No acute findings are seen.",Stable cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85396331267705415585608281728877585575
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable. There is gaseous distention of the stomach.,No active disease.,1.2.826.0.1.3680043.8.498.19423614285887891144385713717059827717
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57326991045716126637367472882728464692
There is chronic elevation of the right hemidiaphragm. Heart size and pulmonary vascularity are normal. No infiltrates or effusions. No osseous abnormality.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.93263373727015507839368136516127171477
Lung volumes are slightly lower than on the comparison examination with mild left basilar atelectasis. The lungs are otherwise clear. Heart size is normal. Aortic atherosclerosis is noted. No pneumothorax or pleural effusion.,No acute disease. Atherosclerosis.,1.2.826.0.1.3680043.8.498.38789607405145492445163010081617130565
The heart is normal in size. The lungs are well expanded. There is right middle lobe infiltrate. The left lung is clear. There is no effusion or pneumothorax. The bones are normal in appearance.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.58265796319209928008891569805799345886
The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.35907841003768839196003835739122587098
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63146891664684489377283935508428985289
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31778042411129431343964775517609150234
Single portable AP chest radiograph is provided. There is bilateral diffuse interstitial thickening likely representing interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology. There is a small right pleural effusion and a small left pleural effusion. The heart size is enlarged. The osseous structures are unremarkable.,Please see above.,1.2.826.0.1.3680043.8.498.20573622148840070004444542515558113197
Stable cardiomegaly. Atherosclerosis of thoracic aorta is noted. No pneumothorax is noted. Right lung is clear. Mild left pleural effusion is noted with associated atelectasis or infiltrate. Interval placement of right internal jugular catheter with distal tip in expected position of the SVC. Right-sided PICC line is unchanged in position. Bony thorax is unremarkable.,Interval placement of right internal jugular catheter with distal tip in expected position of the SVC. Stable left basilar atelectasis or infiltrate is noted with associated pleural effusion.,1.2.826.0.1.3680043.8.498.50578763804626498503988902207660128606
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48768870023422260945082852503822764692
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.47563852589444073741166992084592694402
Linear scarring or atelectasis in the lingula and right middle lobe. No consolidation or pleural effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93540225003852461825720083829511182915
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42538444922052207955140554502187110809
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. Bones unremarkable. No pneumothorax.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.31401693178981486333151081035087432890
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12385912991234626243349701593145410018
No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.81475222648514800600696052062645673498
There is cardiomegaly with pulmonary venous hypertension. There is interstitial edema with small pleural effusions bilaterally. No airspace consolidation. No pneumothorax. No appreciable adenopathy. Pulmonary vascularity appears normal.,Findings consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.43679255981796589893204660649184294131
"The heart is borderline enlarged but stable. There is mild tortuosity and calcification of the thoracic aorta. Mediastinal and hilar contours are stable. Low lung volumes with vascular crowding and streaky basilar atelectasis but no infiltrates, edema or effusions.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.46071337359855692504564581386357933138
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59896273438238532705914577631848713869
Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Pulmonary vasculature is unremarkable. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.,No acute cardiopulmonary process; normal chest radiograph.,1.2.826.0.1.3680043.8.498.92754163778674235494565846839987206836
Endotracheal tube tip is at the clavicular heads. The orogastric tube reaches the stomach. UVC tip is at the right atrium. UAC tip is at the T7-T8 interspace. Mild granular appearance of the lungs correlating with history of RDS. Normal bowel gas. No air leak or effusion.,1. Stable hardware positioning. 2. Mild RDS. 3. Normal bowel gas.,1.2.826.0.1.3680043.8.498.39136358335379887006058598067710091105
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.30001188076917442812409206817356955579
"The lungs are well-aerated. Mild peribronchial thickening may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild peribronchial thickening may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.40177522684588419322511535716824022720
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38652727999057664765246035207756950934
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79652936980887032059209876537011965826
"Endotracheal tube tip projects 4.6 cm above the carina. Nasogastric tube past GE junction, distal tip out of field of view. Multiple EKG lines overlie the patient and may obscure subtle underlying pathology. Pacer pads overlie the heart. Persistent airspace opacities in the left mid and lower lung with increasing airspace opacity in the left upper lobe. No pleural effusion. No pneumothorax. Cardiomediastinal silhouette is normal. Soft tissue planes and included osseous structures are nonsuspicious.",Endotracheal tube tip projects 4.6 cm above the carina. Nasogastric tube past GE junction region. Increasing left upper lobe and persistent left mid lung airspace opacities concerning for pneumonia.,1.2.826.0.1.3680043.8.498.35498120092715325508341708148551347635
There is focal airspace consolidation in the posterior right base. Lungs elsewhere clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation consistent with pneumonia posterior right base.,1.2.826.0.1.3680043.8.498.80269768756256841271434141398540131446
The heart is normal. Persistent right upper lobe infiltrate is noted. No pleural effusion or pneumothorax. No aggressive osseous lesions.,Persistent right upper lobe infiltrate.,1.2.826.0.1.3680043.8.498.58804149769541439891149679124573029197
There is increased density in the right upper lobe consistent with pneumonia. The lungs are hyperinflated consistent with COPD. There is no significant effusion. The cardiac silhouette is normal in size. The bony structures are osteopenic.,1. Right upper lobe pneumonia. Followup films following therapy are recommended to assure complete clearing. 2. COPD.,1.2.826.0.1.3680043.8.498.43700373410012147661232813454928136103
Low lung volumes are noted. Diffuse central peribronchial thickening is seen. No evidence of pulmonary airspace disease or pleural effusion. Heart size is normal.,Central peribronchial thickening. No evidence of pulmonary hyperinflation or pneumonia.,1.2.826.0.1.3680043.8.498.65342000153284869132410745756353365945
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24720329379207971654110922656195104628
Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.85647288486189647828777733694096693432
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92763256281965649919564629642842694697
"No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.",No acute cardiopulmonary or traumatic findings in the chest.,1.2.826.0.1.3680043.8.498.52300133186772209191933473394056929381
There is infiltrate in the left lower lobe compatible with pneumonia. No pleural effusion. The right lung is clear. Heart size is normal and there is no heart failure.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.89380188812027435450731234054674230627
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79982965989706950753080261466005516969
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. Mild scoliosis of the thoracolumbar spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73501787981701645956795098402841326285
The heart is upper normal in size. The lungs are clear. No pneumothoraces or effusions are seen.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27606594705820058934442483664987979335
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80012658256857753713050700127755673952
"There is no focal consolidation, pleural effusion, or pneumothorax. There is no evidence of pulmonary edema. There is mild cardiomegaly. Atherosclerotic calcification of the aortic arch. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15112022941401344388464420197568970554
"Tip of endotracheal tube projects 4.2 cm above carina. Nasogastric tube extends into stomach. RIGHT arm PICC line tip projects over SVC. Enlargement of cardiac silhouette with pulmonary vascular congestion. BILATERAL pulmonary infiltrates likely pulmonary edema, little changed. No gross pleural effusion or pneumothorax.",No interval change.,1.2.826.0.1.3680043.8.498.27064493405469754655981010091659972978
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67816058339892769122664848125614354215
Cardiac shadow is mildly enlarged. Aortic calcifications are again seen. Vascular congestion is noted with increased interstitial changes consistent with pulmonary edema. Small bilateral pleural effusions are noted. No bony abnormality is seen.,Changes consistent with CHF and pulmonary edema.,1.2.826.0.1.3680043.8.498.39974904990209687318386063937045988809
"Cardiac and mediastinal silhouettes are stable, and remain within normal limits. There is a hazy infiltrate at the left lung base, suspicious for possible possible infiltrate/ pneumonia. No pulmonary edema. No pneumothorax. No acute osseous finding.","Hazy left basilar opacity, suspicious for possible infiltrate/ pneumonia.",1.2.826.0.1.3680043.8.498.79989176564527434629397785500687407611
"Single frontal view of the chest shows adequate inspiration. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.",No acute cardiopulmonary process on this single view.,1.2.826.0.1.3680043.8.498.55202101386108509949081488175901564049
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.62323719304427451307761664329437945745
Right central venous catheter is unchanged. Lung volumes are lower with persistent bilateral pleural effusions and basilar atelectasis. Mild vascular congestion is unchanged. No evidence of pneumothorax.,1. Persistent pleural effusions and bibasilar atelectasis. 2. Mild vascular congestion.,1.2.826.0.1.3680043.8.498.27418278392497348799941189324205603009
"Single portable AP chest radiograph is provided. There is bilateral interstitial thickening with prominence of the central pulmonary vasculature. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",Overall findings are most concerning for pulmonary edema.,1.2.826.0.1.3680043.8.498.47188235015513640977467771435362896443
An orogastric tube is seen with tip in the mid stomach. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits.,No active disease.,1.2.826.0.1.3680043.8.498.96479663472491172076768083162672985337
Cardiomediastinal silhouette unchanged in size and contour. No evidence of central vascular congestion. No pneumothorax. Improving aeration at the left base with persisting opacity at the left base with blunting of the left costophrenic angle. No displaced fracture. Osteopenia.,"Improving aeration at the left base, with persisting opacity may reflect atelectasis/consolidation and left-sided pleural effusion.",1.2.826.0.1.3680043.8.498.85595533970464258707758087866885659456
"Normal heart size and mediastinal contours. Atherosclerotic calcification aorta. Emphysematous and bronchitic changes compatible with COPD. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones demineralized.",COPD changes. No acute abnormalities.,1.2.826.0.1.3680043.8.498.41624545429771880253693464704951909285
The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. I see no pleural effusion.,There is mild enlargement of the cardiac silhouette without evidence of pulmonary vascular congestion or of pulmonary edema. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.88598758797596076758325849520615742512
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25818013878077740485615215928885370665
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72190501038036020990471972514594496444
Endotracheal tube is present with the tip 5.5 cm from the carina. The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,1. Endotracheal tube in good position. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67678169123988244615622789864394034030
"There has been no significant interval change. Fractures of the right lateral fifth, sixth, and seventh ribs are again noted. Tiny right pleural effusion. No pneumothorax. Heart size normal. Tortuous aorta.",Stable appearance since previous day's portable exam,1.2.826.0.1.3680043.8.498.44510867387015931045159921999880193407
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48877727217177172911749667031940568609
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.69413231674131644851426815868490330390
The lungs are adequately inflated. The perihilar lung markings are increased. The cardiothymic silhouette is normal in appearance. There is no pleural effusion. The trachea is midline. The gas pattern in the upper abdomen appears normal.,There are findings consistent with acute bronchiolitis and likely early subsegmental atelectasis or early infiltrate in the perihilar regions especially on the LEFT. Followup films following therapy are recommended to assure clearing.,1.2.826.0.1.3680043.8.498.39467776594098415626228763372271605316
"The heart is enlarged. There is a small left effusion. There is a possible nodule in the right mid lung. When the patient is able, PA and lateral chest x-ray is recommended.",1. Cardiomegaly. 2. Small left effusion. 3. Possible right mid lung nodule. Recommend PA and lateral chest x-ray when possible.,1.2.826.0.1.3680043.8.498.95439119383302019797208683848859314816
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10077682982370009298819857911719862941
Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No effusions. No bony abnormalities.,Normal chest,1.2.826.0.1.3680043.8.498.47799012894697813396717640406028064164
There is consolidation in the right upper lobe compatible with pneumonia. The left lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.70278249097520000765255044065953978514
The lung volumes are low. The heart is enlarged. There are small bilateral pleural effusions. Mild basilar opacities likely represent atelectasis.,1. Cardiomegaly. 2. Small bilateral pleural effusions. 3. Mild basilar opacities likely represent atelectasis given the low lung volumes. Early infection is not excluded. Followup PA and lateral chest radiograph is recommended.,1.2.826.0.1.3680043.8.498.60503055255266960380572063660996071455
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No acute bony abnormality. Degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49828689230385605719676083815878406090
Patchy peripheral airspace opacity in the left upper lobe compatible with pneumonia. Right lung clear. Heart is normal size. No effusions or acute bony abnormality.,Patchy left upper lobe airspace opacity compatible with pneumonia.,1.2.826.0.1.3680043.8.498.96328007906578050749751713815069133990
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.58455889180973009290683744410005018016
The lungs are adequately inflated. The pulmonary interstitial markings are increased. The pulmonary vascularity is engorged. The cardiac silhouette is enlarged. I see no definite pleural effusion.,The findings are consistent with congestive heart failure with pulmonary interstitial edema and small bilateral pleural effusions. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.82181091020499850461531426549359354865
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64705823740960130055462683056506125931
There is airspace consolidation in the left lower lobe. There is no evidence of pleural effusion. The cardiac and mediastinal silhouettes are unremarkable.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.10443416179020768152359416762679311908
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74983189208305669842183450752116173311
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92417104655162451716470956465281029555
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.63896698424184081228736342147489676156
Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.87851617690662680055202844205382591570
An orogastric tube is stable in position. A right femoral venous catheter is seen with the tip in the expected region of the intrahepatic IVC. Heart size is normal. Mild diffuse granular pulmonary opacity appears stable since prior exam. No evidence of pneumothorax or pleural effusion.,1. Right femoral venous catheter tip in intrahepatic IVC. 2. Stable mild RDS pattern.,1.2.826.0.1.3680043.8.498.80103092746720051170848158081827937322
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36990785721205203933952092220232676384
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.45472405355278247744438467630492991118
Mediastinum and hilar structures normal. Right base infiltrate noted consistent with pneumonia. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Right lower lobe infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.76578663112783258074214899426128287475
"LEFT thoracostomy tube removed. Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No infiltrate, pleural effusion or pneumothorax. Metallic foreign body inferior to the LEFT glenoid is unchanged.",No pneumothorax following LEFT thoracostomy tube removal.,1.2.826.0.1.3680043.8.498.90377950584731188431110879227162908231
Left-sided chest tube is in place. Left pleural effusion is smaller. There is a small left apical pneumothorax. The right lung is clear. The heart is normal in size. The mediastinal contour is normal.,Left chest tube in place. Small left apical pneumothorax. Left pleural effusion is smaller.,1.2.826.0.1.3680043.8.498.35998037590390478655638167606366740615
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39825826769895608598508389305165542717
Lungs are clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.39597630797137384138316591394987922985
The lungs are clear. There is no pleural effusion. Heart size is normal.,No acute disease.,1.2.826.0.1.3680043.8.498.90105326328083917594462608502555773571
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27689912894000290513150137483047433466
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90343838727970404212488633696008035369
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71001828675366808635488571961197367193
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.67617530746241170174523653766085343238
Shallow inspiration. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,No active disease.,1.2.826.0.1.3680043.8.498.24953000092184280069148533668562149821
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56213383934171578102214194743548288681
"Endotracheal tube is 2.6 cm from the carina. Normal cardiac silhouette given projection and technique. Linear opacity in the right mid lung zone may represent atelectasis or scarring. No consolidation, effusion, or pneumothorax identified. Bones are unremarkable.",Endotracheal tube 2.6 cm from carina. No acute pulmonary process identified.,1.2.826.0.1.3680043.8.498.58701020043422669540325620252838290509
"Trachea is midline. Heart size stable. Right IJ central line tip projects over the SVC. Lungs are somewhat low in volume with diffuse mixed interstitial and airspace opacification, similar to minimally worsened from 03/15/2014. No definite pleural fluid. No pneumothorax.","Diffuse mixed interstitial and airspace disease, similar to minimally worsened from 03/15/2014. Findings may be due to pulmonary edema or pneumonia.",1.2.826.0.1.3680043.8.498.79167687514216499957844071248215540875
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23717659604208433774522618458693089823
The heart is enlarged. There is no heart failure. The lungs are clear without infiltrate or edema.,Cardiac enlargement. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71327553921707515219705825680038656057
"The heart is enlarged. The thoracic aorta is tortuous. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen. Thoracolumbar scoliosis.",Cardiomegaly. No acute pulmonary process.,1.2.826.0.1.3680043.8.498.66586079893346011397282286539596562703
"No focal consolidation, pleural effusion, pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology. Degenerative changes of the spine.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35123163668471552411287278538740278747
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.12572693714732744105838557066190559978
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34646737879407589445000293802397871722
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20900270457876271771110891370631470549
Improved but persistent opacity in the left lung base. No new consolidation. Normal heart size and mediastinal contours. No pleural fluid or pneumothorax. No pulmonary edema. No acute osseous abnormalities are seen.,Improved left basilar pneumonia. Continued radiographic follow-up is recommended to document resolution.,1.2.826.0.1.3680043.8.498.46827654587495337667262963479740416190
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48426109252105432224399094885743820933
A right-sided PICC has been placed. The tip is in the superior vena cava. The endotracheal tube and nasogastric tube are in stable position. The lungs are clear. No pneumothorax is seen.,Right-sided PICC in place with the tip in the superior vena cava.,1.2.826.0.1.3680043.8.498.71868442027279192927014950047223124847
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76402764872951980622786846400404289490
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.67761865743258245233825309785902187687
There is increased density at the left base compatible with atelectasis or pneumonia. There is also noted increased density in the right upper lobe consistent with pneumonia or atelectasis. In the lateral view there is blunting of the posterior gutters compatible with small bibasilar pleural effusions. The heart is mildly enlarged but stable as compared to the prior exam. No pulmonary edema is seen.,1. There is increased density at the lung bases and in the right upper lobe consistent with pneumonia or atelectasis. 2. There are small bibasilar pleural effusions. 3. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.71604524544474415582314176972616494189
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93368784752137798775331062252089975885
"Tracheostomy tube is in place, tip overlying the level of the tracheal air column. The heart is enlarged. There are patchy parenchymal opacities throughout the lungs bilaterally, similar to prior study. No pneumothorax.",Interval placement of tracheostomy tube. Similar appearance of the lungs.,1.2.826.0.1.3680043.8.498.92911553482009515177887680297357319437
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.58814796014277374079769669320848666199
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97345699408594328698707771862958368820
"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72433004545809441337090914426375616121
Overlying leads noted. Heart/Mediastinum: The cardiomediastinal silhouette appears grossly unremarkable. Lungs: No visualized consolidation or acute infiltrate. No pneumothorax. Pleural effusions: No visualized effusion. Bones: No significant osseous findings. Visualized upper abdomen: Grossly unremarkable.,No definite acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.40852070927893157941427622708328592073
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.85567876599853853742022691676413025038
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24662356640238350696710733937411799922
"Umbilical vein catheter is seen with tip overlying the intrahepatic IVC, approximately 1.5 cm below the inferior cavoatrial junction. The bowel gas pattern is normal. No evidence of pneumatosis or pneumoperitoneum. Orogastric tube is seen with tip in the mid stomach.",Umbilical vein catheter and orogastric tube in appropriate position. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.48140031246878829247368415026900536977
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.23333255083476261764377144174144816855
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33836879741983481866748592630711984231
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69477149309657573940828694162749585516
A right arm PICC line is seen with the tip in the distal SVC. Low lung volumes are noted. Atelectasis is seen in the left lung base. The lungs are otherwise clear. The heart size is normal.,1. Right arm PICC line tip in distal SVC. 2. Low lung volumes and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.95016738743564976231637867923189435895
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96027608823050589048309385353393179983
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Multiple old right rib fracture deformities are seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83334903579454566278729804272494178774
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50201396346814447729693234639318767804
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98974243945386288974653249822048375523
The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.61066724874491761363133790344789653309
Heart is normal size. Tortuosity of the thoracic aorta. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86155044175557766152611790954747342220
Both lungs are clear. Cardiothymic silhouette is within normal limits. No evidence of pneumothorax or pleural effusion. Visualized upper abdomen is unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87752463920339816643262942505262473709
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.37601963466935284350329032312621912979
Patchy bilateral airspace opacities. No pleural effusion or pneumothorax. Normal cardiomediastinal contours.,Patchy bilateral airspace opacities concerning for multifocal pneumonia.,1.2.826.0.1.3680043.8.498.64665528819716682540777232009800616861
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23527569536204976763177652157413197054
The lungs are clear. Cardiovascular structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93388772113857114337070169794070624911
The heart size is normal. There is COPD. Chronic interstitial coarsening is noted. The lungs are otherwise clear. Atherosclerotic calcifications are present at the aortic arch.,1. No acute cardiopulmonary disease. 2. COPD.,1.2.826.0.1.3680043.8.498.94821464506647486984482185019385632617
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49868239614011653213070316534279239694
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44065152779311353738534266889331132820
Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74442018912001980036463997971081795516
The heart is mildly enlarged. There are bilateral pleural effusions. There is mild interstitial edema. There is COPD. There is bilateral lower lobe atelectasis. There is a wedge compression fracture of T12 which is unchanged from the CT scan of 6/15/2.,Congestive heart failure with mild edema and bilateral effusions. Bilateral lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.39178195904041339814622972002972973908
Post sternotomy changes. Hyperinflation and emphysematous change. Stable cardiomediastinal silhouette with aortic atherosclerosis. No pneumothorax.,Stable emphysematous change and hyperinflation. No acute interval changes.,1.2.826.0.1.3680043.8.498.84979983328735665483146557144598186249
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97102130973484186981071751922726475292
Post sternotomy changes. Increased moderate right pleural effusion. Probable small left pleural effusion. Associated atelectasis or consolidation. Mild cardiomegaly. Aortic atherosclerosis. No pneumothorax.,1. Increased moderate right pleural effusion with probable small left pleural effusion. 2. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.22832931507989696702339967019862979327
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10309734773863629234107623985810442109
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14644636633322173009069107504744713135
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33429303846419493277867503881890610276
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.57716204279976593352956565235654846046
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.81938684589912818721585977890263469948
The heart size and mediastinal contours are within normal limits. No residual right lower lobe airspace opacity. No evidence of pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,Resolution of right lower lobe airspace opacity consistent with resolving infarct.,1.2.826.0.1.3680043.8.498.37241006010497096896950228034545447987
"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral pneumonia. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.98452861153347695937886293927824933067
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32119695925297998842074895981324475552
"Mild enlargement of the cardiopericardial silhouette, stable. No mediastinal or hilar masses. No evidence of adenopathy. Mild interstitial thickening most evident in the lung bases, stable. Lungs otherwise clear. No pleural effusion or pneumothorax. Skeletal structures are intact.",1. No acute cardiopulmonary disease. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.31805510028784630431800473012609487517
Stable right perihilar opacity consistent with known right hilar mass. Linear atelectasis in the right mid lung zone. Suggestion of increasing streaky opacity at the left lung base. Unchanged heart size and mediastinal contours. Aortic atherosclerosis. No pulmonary edema. No pneumothorax. No large pleural effusion. No acute osseous abnormalities.,"1. Streaky left lung base opacity, may be atelectasis or pneumonia. 2. Stable right hilar mass.",1.2.826.0.1.3680043.8.498.59509167626864194972562734236315249414
"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. Normal bowel gas pattern. No dilated bowel loops to suggest obstruction. No evidence of free intraperitoneal air. Osseous structures are intact and unremarkable for age.",Negative chest x-ray and unremarkable abdominal radiograph.,1.2.826.0.1.3680043.8.498.43292908170446583607086660291335526705
Mediastinum and hilar structures normal. Heart size normal. Right base atelectasis and/or infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,Mild right base atelectasis and/or scarring.,1.2.826.0.1.3680043.8.498.78743976903729506488001670962924380835
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21968553616114597707163624141919300446
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.93495851912972625223572444655803348211
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32827923762182337313632032600767098239
The cardiothymic silhouette is within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16453863302626317376787096433532749818
"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active disease.,1.2.826.0.1.3680043.8.498.61362320078506075185779802209325041436
There is again noted increased density at the lung bases bilaterally. The findings are compatible with atelectasis or pneumonia. No definite pulmonary edema is seen. An endotracheal tube remains present with the tip approximately 3.0 cm above the carina. A venous catheter is again observed with the tip projected over the superior vena cava. No new infiltrates are seen. Monitoring electrodes are present.,1. There is increased density at the lung bases consistent with atelectasis or pneumonia. 2. No pulmonary edema or new infiltrates are seen. 3. Support lines are observed as noted above.,1.2.826.0.1.3680043.8.498.93739477204398600817357580918561649140
There is elevation of the left hemidiaphragm. An area of increased density projects within the left lung base. No further focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable.,1. Atelectasis versus infiltrate left lung base. 2. Continued elevation of the left hemidiaphragm.,1.2.826.0.1.3680043.8.498.59455904899007937773048797309476633097
Patient status post CABG. There is cardiomegaly. No focal airspace opacities or effusions.,Cardiomegaly. No acute findings.,1.2.826.0.1.3680043.8.498.66550721381165754608562140947966011582
"Tracheostomy tube and right-sided PICC line are unchanged. Diffuse interstitial and airspace disease is seen bilaterally, suspicious for pulmonary edema. Small bilateral pleural effusions are noted. Cardiomegaly is stable.",Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.39456493404357273354916313407713139278
Small right pleural effusion. No pneumothorax. Right lower lobe atelectasis. Left lung is clear. Heart is normal size.,No pneumothorax following right thoracentesis.,1.2.826.0.1.3680043.8.498.57867037359455634737390663240318300571
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.54183742419387704417624618700772866716
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72160764687888335988348654823987462960
Heart size is normal. The vascularity is normal the lungs are clear. There is no infiltrate or effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76006203687436067581489347904005164694
There is no evidence of fracture or dislocation. There is posterior and plantar calcaneal spurring.,There is no evidence of fracture or dislocation.,1.2.826.0.1.3680043.8.498.78527136865272977923749934462862416756
The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact. Again noted is biapical pleural-parenchymal scarring.,No evidence of acute pulmonary disease. Stable biapical pleural-parenchymal scarring. No significant change compared to prior study done on 8/26/1991.,1.2.826.0.1.3680043.8.498.14145437216599707731842502138801490194
No pneumonia is seen. There are prominent perihilar markings with some peribronchial thickening which can be seen with central airway process such as bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Probable bronchitis.,1.2.826.0.1.3680043.8.498.68625307398499295677747279413476777310
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.14383783409487412343221632615699242730
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61612466981473359509855595415544863191
The lungs are well-expanded. There is increased density in the left mid and lower lung and in the right infrahilar region. The cardiac silhouette is top normal in size. The pulmonary vascularity is mildly prominent. There is a small left pleural effusion and a trace of blunting of the right lateral costophrenic angle. There surgical clips in the left axillary region.,1. There are findings consistent with pneumonia of the left lower lobe and likely the lingula. 2. There is a small left pleural effusion and trace of blunting of the right lateral costophrenic angle. I cannot exclude low-grade CHF in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.65719228057860178626029212242081138888
Enlargement of cardiac silhouette with pulmonary vascular congestion. Atherosclerotic calcification aorta. Diffuse interstitial infiltrates throughout both lungs new since previous exam consistent with pulmonary edema. Small bibasilar effusions. No pneumothorax. Bones demineralized.,Enlargement of cardiac silhouette with pulmonary vascular congestion and new bilateral pulmonary infiltrates likely representing pulmonary edema though infection not excluded. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.87472442510643264348209668566483724838
The heart is enlarged. There is pulmonary vascular congestion with developing pulmonary edema. A small right pleural effusion is suspected. Patchy airspace opacities in the right greater than left lung base may reflect asymmetric edema or pneumonia. There is no pneumothorax. The bones are unremarkable.,Cardiomegaly with developing pulmonary edema and a right pleural effusion. Asymmetric right greater than left basilar airspace opacities may reflect asymmetric edema or pneumonia.,1.2.826.0.1.3680043.8.498.93407947369569593956017365753684535795
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.80328831056454351846447287981787330320
A dual lead permanent pacemaker is now present. No pneumothorax is seen. The lungs are clear. Cardiomegaly is stable. A right-sided Port-A-Cath remains with the tip overlying the mid SVC. There are degenerative changes throughout the thoracic spine.,Dual lead permanent pacemaker present. No active lung disease. Stable mild cardiomegaly.,1.2.826.0.1.3680043.8.498.48464021064923618510010241083916580933
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.84557512456479546007869073554222384500
The heart is mildly enlarged. The lungs are clear. No infiltrate or edema is identified. There is no pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44716982161097927559225342474888845542
Left-sided pacing device with leads over the right atrium and right ventricle. Cardiomegaly. Diffuse bilateral interstitial and alveolar opacities. Probable small bilateral pleural effusions. No pneumothorax.,1. Cardiomegaly with moderate pulmonary edema and small bilateral pleural effusions. 2. Probable underlying interstitial lung disease.,1.2.826.0.1.3680043.8.498.86010826352897126733546278366233921955
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55657775988814763470349006824619872983
The lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.74577128734636245166755709548716459388
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52759009887598020220577475752626721538
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12801832226450356908556061148479298288
Normal heart size. No pleural effusion or edema. Diffuse bilateral pulmonary opacities are identified which are similar to previous exam. Visualized osseous structures are unremarkable.,Similar appearance of bilateral pulmonary infiltrates.,1.2.826.0.1.3680043.8.498.14223201306520918797429752816261193540
"Endotracheal tube, NG tube, right IJ line stable position. Heart size stable. Bibasilar atelectasis and/or infiltrates. Small right pleural effusion. No pneumothorax.",1. Lines and tubes in stable position. 2. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.97404328732238961768337994084021380983
"There is cardiomegaly. No confluent airspace opacities, effusions or edema. Degenerative changes in the thoracic spine.",Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.63608608650064257785565061586922308515
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26638349887029867051564241316296460601
There is peribronchial thickening bilaterally consistent with bronchitis. There is perihilar peribronchial thickening. No consolidations or pleural effusions are identified. Heart size and mediastinal contours are normal.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.41019143844166631374862581967120592882
Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Mild degenerative changes of the visualized thoracolumbar spine. Cervical spine fixation hardware.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39664290255372101796753273893957386266
The cardiac silhouette is enlarged. The lungs are free of focal consolidations. There is central pulmonary vascular congestion and interstitial edema pattern. The costophrenic angles are sharp. The bony structures are adequately mineralized.,Cardiomegaly with central pulmonary vascular congestion and interstitial edema. Findings are consistent with CHF.,1.2.826.0.1.3680043.8.498.65281745706911261536815568142596494983
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.82735415757724311953941046910757154834
Heart size is normal. No pleural effusion or edema. Plate-like atelectasis is noted in the left base. There is no airspace consolidation.,Left base atelectasis.,1.2.826.0.1.3680043.8.498.71628431727013626058268708982730530505
"Upper normal heart size post CABG. Mediastinal contours and pulmonary vascularity normal. Atherosclerotic calcification aorta. Emphysematous changes with chronic interstitial prominence at the mid to lower lungs bilaterally. No acute infiltrate, pleural effusion or pneumothorax. Bones demineralized.",COPD changes with chronic interstitial lung disease changes at the mid to lower lungs bilaterally. No acute abnormalities.,1.2.826.0.1.3680043.8.498.55463888187854968864463185517594513217
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Dedicated views of the right ribs demonstrate no acute displaced right-sided rib fractures.,1. No radiographic evidence of acute cardiopulmonary disease. 2. No acute displaced right-sided rib fractures.,1.2.826.0.1.3680043.8.498.33456807553853769428370100688910858822
Mediastinum and hilar structures are normal. Interim near complete clearing of right lower lobe infiltrate. No pleural effusion or pneumothorax. Heart size normal. Degenerative changes thoracic spine.,Interim near complete clearing of right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.43440142378470392439730815245745108253
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.40027559682878833502673472988095176005
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34043160341503434286885047139710725659
Endotracheal tube is 5.5 cm above the carina. Nasogastric tube enters the stomach. Right internal jugular central line tip is in the SVC 4 cm above the right atrium. Patchy airspace disease in the right lung is again noted. No pneumothorax.,Tube and central line placement as described. No pneumothorax. Patchy right lung airspace disease.,1.2.826.0.1.3680043.8.498.78915480277560575406281202897710124835
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.77507476872096059231061374744943968387
"Umbilical artery catheter tip is at the T7 level. The umbilical vein catheter tip is at the T8 level, just below the right atrium. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax.",Umbilical artery and vein catheter tips as described.,1.2.826.0.1.3680043.8.498.16709231603626723239860061342193883205
"The lungs are hyperinflated consistent with COPD. There is no edema, infiltrate, effusion or pneumothorax. The cardiac silhouette is borderline enlarged. The bony and mediastinal structures appear unremarkable.",COPD. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.84451952746319591285578050197334099533
Endotracheal tube is in place with the tip approximately 2.5 cm above the carina. The lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,1. ET tube in good position. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14503400976413775294964432280717676778
"Cardiomegaly, stable. Mediastinal silhouette within normal limits. Aortic atherosclerosis. Lungs are mildly hyperinflated with elevation of the left hemidiaphragm. Streaky bibasilar opacities most consistent with atelectasis. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.",1. No active cardiopulmonary disease. 2. Chronic changes with persistent streaky bibasilar atelectasis and/or scarring.,1.2.826.0.1.3680043.8.498.36546484871886870441665053218339874831
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24249122931088802016508488058963803255
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97352123264780771356323260657592265508
Normal lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.20500704538209568691633806276963324692
The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.55283555170767649271608483023189739633
Endotracheal tube and NG tube are unchanged. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.47838212660312792386244256417285453670
Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.,No active disease.,1.2.826.0.1.3680043.8.498.29568234812315420531513647771767703224
The cardiothymic silhouette is stable. An orogastric tube has been removed. The tip is in the distal esophagus. The side port is in the mid esophagus. Lung volumes are normal. Mild hazy pulmonary opacities are seen bilaterally. No focal areas of atelectasis are noted. There is no pneumothorax or pleural effusion. The visualized bowel gas pattern is normal.,Mild hazy pulmonary opacities bilaterally. Orogastric tube tip in the distal esophagus.,1.2.826.0.1.3680043.8.498.80252481469294758948772167214370940476
"Small right pleural effusion with associated atelectasis. Mild patchy right lower lobe opacity, likely atelectasis. No frank interstitial edema. No pneumothorax. The heart is top-normal in size.",Small right pleural effusion with associated atelectasis.,1.2.826.0.1.3680043.8.498.57524570334915654786765771237512660609
There is no evidence of pneumothorax. The lungs appear to be fully inflated and clear. The cardiac silhouette is normal. Bony structures are unremarkable.,No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.32093182800878917584783000240507116311
Interval placement of RIGHT internal jugular central venous catheter with distal tip projecting in mid superior vena cava. Multiple EKG lines overlie the patient and may obscure subtle underlying pathology. Cardiomediastinal silhouette is unremarkable for this low inspiratory examination with crowded vasculature markings. Bibasilar bandlike densities. No pleural effusion. Trace biapical pleural thickening. No pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.,RIGHT internal jugular central venous catheter distal tip projects in mid superior vena cava. No pneumothorax. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.94701731532826491264950452619755165970
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50313124509126260684152496104340195885
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61862770629094756795030718291804832476
Upper normal heart size. Tortuous aorta. Pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.36088460347469758319080422519854005570
Cardiac silhouette is enlarged. The pulmonary vasculature is within normal limits. There is a small amount of pleural fluid at the right lung base. Atelectasis is also noted at the lung bases. The lungs are otherwise clear. There has been no other interval change when compared to the prior study.,Cardiomegaly. Small amount of pleural fluid at the right lung base. Osteopenia. Atelectasis at the lung bases.,1.2.826.0.1.3680043.8.498.57163569043593902281541481276802669173
Since prior study decreased lung volumes with progressive bibasilar atelectatic infiltrative change seen. Lesser patchy opacities are seen at the right mid and upper lung with the lungs otherwise clear. Heart size is normal with stable slight dextroscoliosis inferior dorsal spine.,1. Progressive bibasilar atelectatic infiltrative change. 2. Patchy opacities right mid and upper lung with submaximal inspiration. Differential diagnosis includes progressive pneumonitis and pulmonary vascular congestion. 3. Otherwise no active disease.,1.2.826.0.1.3680043.8.498.67041561403533256886533901042834247522
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.24383481079050691038544220508299740400
Low lung volumes. No focal consolidation or pleural effusion. Heart size upper normal. No pneumothorax.,No active cardiopulmonary disease. Low lung volumes.,1.2.826.0.1.3680043.8.498.50686368470152174768641721165872159662
The heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation is identified. There are mild chronic interstitial changes.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.83375122199883375435011871100695963864
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.40554274528772907972757639629631490614
"There are patchy bilateral airspace opacities, slightly worse on the left. No pleural effusion is identified. Heart size is normal. No pneumothorax.",Patchy bilateral airspace disease consistent with pneumonia. This has worsened on the left since the prior exams 3 days ago.,1.2.826.0.1.3680043.8.498.90354590967215778816761904602164245572
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.55824856063607540821278168530366546426
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.53339655304808214482378750416440501107
Left subclavian transvenous pacemaker with leads extending into the right atrium and towards the right ventricular apex. Multiple surgical clips in the mediastinum. Cardiomegaly. Atheromatous aortic arch. No effusion. Lungs are clear.,1. No acute disease,1.2.826.0.1.3680043.8.498.83503130777196776486575330236837114315
The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.40877457036266908660047260782717778216
The cardiac silhouette and pulmonary vasculature are within normal limits. The lungs are clear. There has been no interval change from the prior study.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.63619286974283988935019451952132789478
The heart size and mediastinal contours are stable. There is a small hiatal hernia. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.89277176232672654992402157283656006910
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79280116600452511390348562259919602265
The heart size and mediastinal contours are within normal limits. Streaky opacities at the bilateral lung bases. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,"Streaky opacities at the bilateral lung bases, likely atelectasis.",1.2.826.0.1.3680043.8.498.37934336345479002234311626702504859529
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33647099006821405097501296469740020734
"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is borderline normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild vascular congestion noted; lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.15584748252328129842549915714586990552
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. No active disease.,1.2.826.0.1.3680043.8.498.57804926899160696474900376280739283039
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92093598797171750455049100769193193737
"The heart is enlarged. The aorta is tortuous. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Cardiomegaly. No acute process.,1.2.826.0.1.3680043.8.498.92450002144916346516879211238621474295
There are low lung volumes with bibasilar atelectasis. Mild cardiomegaly. No pneumothorax. Right lateral rib fractures again noted.,"Low lung volumes, worsening bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.18165206604017827294085961416802941710
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64107408605562611868219573110546739101
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69104619842411453255158987459930967436
There is a linear streak-like density within the left mid lung field. Atelectasis versus residual infiltrate. No effusion. Right lung is clear. Stable cardiac silhouette and pulmonary vasculature.,Atelectasis versus residual infiltrate left mid lung. I recommend a follow-up with a PA and lateral view of the chest in 2 to 4 weeks to document resolution.,1.2.826.0.1.3680043.8.498.61745936847394842171865918591863908791
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.89137795683353036762859488903257673258
Mediastinum and hilar structures are stable. Heart size stable. Dense consolidation and atelectasis in the right upper lobe. Prominent right pleural effusion. No pneumothorax. No acute bony abnormality.,1. Dense consolidation and atelectasis in the right upper lobe. Findings are consistent with right upper lobe pneumonia. 2. Prominent right pleural effusion.,1.2.826.0.1.3680043.8.498.91427338640409326924359794585087626595
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57910000552364855063131994147749517774
There is opacity in the right upper lobe consistent with the known lung lesion and surrounding atelectasis. The lungs are hyperaerated consistent with emphysema. The heart is within normal limits in size. No bony abnormality is seen.,1. Opacity in the right upper lobe consistent with the known lung lesion. 2. Emphysema.,1.2.826.0.1.3680043.8.498.55890142061396659083180920366031564160
Linear density in the right mid lung compatible with atelectasis. Left lung clear. Heart is normal size. No effusions or acute bony abnormality.,Right mid lung atelectasis. No confluent airspace opacity.,1.2.826.0.1.3680043.8.498.65727957463465163272439169281531514043
An endotracheal tube has been placed with its tip 6.5 cm above the carina. An NG tube has been placed with its tip in the stomach. The heart and lungs are unchanged.,1. Endotracheal tube and NG tube placement as described. 2. No change in the lungs.,1.2.826.0.1.3680043.8.498.63804834207079069105688744357841429552
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21320967590184807632274261404700550363
The right hemidiaphragm is elevated. There is right lower lobe atelectasis which is a new finding. The left lung is clear. No pneumothorax or effusion.,Elevated right hemidiaphragm and right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.92586795451251713720524341041762462206
"Cardiovascular: The heart is normal sized. The pulmonary vascularity appears normal. Mediastinum: The mediastinal contour and hilar configuration are within normal limits. Lungs: There are no consolidating infiltrates, pleural effusions, or pneumothoraces. Lung volumes are appropriate. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.43070340297707108395029086755240528533
The cardiomediastinal silhouette is within normal limits. A 5.6 cm right upper lobe lung mass is stable to slightly larger than on the prior PET-CT. The left lung remains clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen.,Stable to slight enlargement of known right upper lobe lung mass.,1.2.826.0.1.3680043.8.498.72261289461173571384309232749050990263
The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 5/4/2008.,1.2.826.0.1.3680043.8.498.53632279738936490971405609260632807059
The heart is mildly enlarged. The aorta is tortuous. The lungs are clear. No effusions. Ordinary degenerative changes affect the spine.,Mild cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.29280814597880075844316218177547501223
There is a feeding tube with tip below the field of view. The heart size is normal. The lung volumes are low. Airspace opacities within the right mid lung and base are again noted. There is a small right pleural effusion. The left lung is clear. There is no pneumothorax.,1. No significant interval change in appearance of right lung airspace opacities. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.82136943440050422009330614354868410678
The endotracheal tube tip lies at the level of the inferior margin of the clavicular heads. The esophagogastric tube tip projects off the film. There is a RIGHT subclavian venous catheter present with the tip in the region of the mid portion of the SVC. I do not see evidence of a post procedure complication. The cardiac silhouette remains enlarged. The hemidiaphragms remain obscured.,There is no evidence of a post procedure complication following placement of the RIGHT subclavian venous catheter.,1.2.826.0.1.3680043.8.498.18993685408806025175489344142278131312
"The heart is normal in size. The lungs are clear. No pneumothorax. Small left pleural effusion, decreased.",Small left pleural effusion.,1.2.826.0.1.3680043.8.498.99440547659037210274048759437732164915
UVC tip is at the IVC right atrial junction. UAC tip is at the T6-7 level. OG tube has been removed. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax. Normal bowel gas pattern.,No acute findings.,1.2.826.0.1.3680043.8.498.37801018206764272617897080741760199838
"There is central peribronchial thickening. There is patchy airspace opacity in the right upper lobe, suspicious for pneumonia. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.","Central peribronchial thickening, suggesting viral bronchiolitis or reactive airways disease. Right upper lobe pneumonia.",1.2.826.0.1.3680043.8.498.13777725161621770549518643746249350381
There has been interval worsening of the right greater than left lower lobe air space disease/consolidation. Small bilateral pleural effusions are again noted. Cardiomegaly is present.,"Interval worsening of bibasilar air space disease, likely representing pneumonia with associated bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.45245347036067553537201889812889370065
"Patchy opacity in the right mid lung, suspicious for pneumonia. Left lung is clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.",Suspected right mid lung pneumonia.,1.2.826.0.1.3680043.8.498.78474341493155305762117255429123306378
"The right PICC line terminates in the central SVC, in satisfactory position. The heart size is enlarged. Aortic calcifications are noted. There is no pneumothorax. No large pleural effusion. No focal infiltrate.",1. Right PICC line as above. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.25967437322127888699181103542666101451
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84050023678798388785996651524834379174
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84180740402274522180629247936070157416
Bilateral airspace disease with pleural effusions about the same. No definite interval improvement. Left-sided PICC line is in place with its tip in the superior vena cava.,No significant change in the appearance of the chest.,1.2.826.0.1.3680043.8.498.56612452994039624269409651844514532137
Stable cardiomediastinal silhouette. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.29028651351950055967965168259553158384
"Patient is rotated. Prior median sternotomy. The chin overlies the right lung apex. The heart is enlarged. There are bilateral interstitial and airspace opacities, similar to prior. Small right pleural effusion. No pneumothorax.",1. Similar appearance of bilateral interstitial and airspace disease. Findings may represent pulmonary edema or infection. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.84608102250013705782688169190890005775
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62424102094826850428842312440930860625
There is a small right pleural effusion with atelectatic change in the right base. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions. Patient is status post coronary artery bypass grafting. Central catheter tip is in the superior vena cava.,Small right pleural effusion with right base atelectasis. No edema or consolidation. Heart size normal.,1.2.826.0.1.3680043.8.498.37052671775058183218167889770172943589
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.91057129996402982526517754533463122173
The lungs are clear. Cardiovascular structures are unremarkable. Atherosclerotic calcification is noted.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25929171676793650336609558897999325375
Rotated to the right. Borderline enlargement of cardiac silhouette. Calcified tortuous aorta. Pulmonary vascularity normal. Bibasilar atelectasis. Upper lungs clear. No gross pleural effusion or pneumothorax. Bones demineralized.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.78409463169265294959051847788362461135
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no evidence of a pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44177519161141116524793877414460451446
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77887619122456702000826317436944901846
"Normal sized heart. Tortuous and ectatic thoracic aorta, increased in size since the prior study. Small amount of linear density at both lung bases. Small amount of linear density in the right mid lung zone. Small amount of pleural fluid or thickening posteriorly on the lateral view. Mildly prominent interstitial markings. Mild thoracic spine degenerative changes.","1. Small amount of bilateral linear atelectasis or scarring. 2. Small amount of pleural fluid or thickening. 3. Tortuous and ectatic thoracic aorta, increased in size.",1.2.826.0.1.3680043.8.498.24143223384016766066047051447251304328
Right PICC line is in place. The tip is at the cavoatrial junction. Left pacer is unchanged. There is mild cardiomegaly. No focal airspace opacities or effusions.,Right PICC line tip cavoatrial junction.,1.2.826.0.1.3680043.8.498.65277402625690553188112732036973905322
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23209309412722645978355117821253731544
There is cardiomegaly. Left-sided pacer in place with leads in the right atrium and right ventricle. There is mild vascular congestion. There are small bilateral pleural effusions. There is bibasilar atelectasis or infiltrate. Mild degenerative changes thoracic spine.,Cardiomegaly. Mild vascular congestion. Small effusions. Bilateral lower lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.70958636377209226875116616214003778261
Two views of the chest show a small residual right pleural effusion with mild residual right basilar atelectasis versus infiltrate. No pneumothorax is present. The heart size is normal. Prior CABG changes are noted.,1. Near resolved right mid lung pneumonia when compared to 7/2/2001. 2. Small right pleural effusion with mild residual right basilar atelectasis versus infiltrate.,1.2.826.0.1.3680043.8.498.62831395988819324520762072731399391003
Normal cardiac silhouette. Aortic atherosclerosis with calcification. Clear lungs. No pleural effusion or pneumothorax. Left chest wall dual lead pacemaker. No acute osseous abnormality is evident.,No active disease.,1.2.826.0.1.3680043.8.498.20154331941219573124563271929556906453
Two views of the chest show opacity posteriorly at the left lung base consistent with left pleural effusion and left basilar atelectasis. Pneumonia at the left base cannot be excluded. The right lung is clear. The heart is mildly enlarged.,1. Small left pleural effusion with left basilar atelectasis. Cannot exclude pneumonia. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.62116451148612999470204876308401094688
ET tube is in good position. NG tube has tip in the stomach. Right-sided central line has tip in the SVC. The heart is normal in size. The lungs are well expanded. There is left basilar infiltrate or atelectasis with obscuration of the left hemidiaphragm. The right lung is clear. No pneumothorax is seen.,Developing infiltrate or atelectasis at the left base.,1.2.826.0.1.3680043.8.498.28340398306231892038639342465808739087
There is a feeding tube in place with its tip in the stomach. The heart size is normal. There is no pleural effusion or pulmonary edema. There is mild atelectasis at the right lung base.,1. Feeding tube tip is in the stomach. 2. Mild right base atelectasis.,1.2.826.0.1.3680043.8.498.46868742397718427384820991052203557649
The lungs are well-expanded. There is stable biapical pleural scarring. The infiltrate in the right upper lobe has cleared. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,COPD. There is no pneumonia nor other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.15149878025107297108118735486699061666
There is again noted increased density at both lung bases compatible with bibasilar pleural effusions. The effusions have not changed appreciably since the prior exam. No new pulmonary infiltrates are seen. No pneumothorax is noted. The heart is mildly enlarged but stable as compared to the prior exam.,Stable appearing chest as compared to the exam of 3-1-8. Bibasilar pleural effusions persist. No new pulmonary infiltrates are seen.,1.2.826.0.1.3680043.8.498.73959878799242454699131333816160003900
The lungs are adequately inflated. There is no focal infiltrate. The heart is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion.,There are findings consistent with COPD. I do not see evidence of CHF nor of pneumonia.,1.2.826.0.1.3680043.8.498.18059181539272720458902371354388423722
The heart size is normal. Aortic calcifications are noted. There is no pneumothorax. No large pleural effusion. Linear atelectasis is noted at the left lung base. The right lung is clear.,No active disease.,1.2.826.0.1.3680043.8.498.70122739231113475997476805915734468034
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70605596365462560940236552162749859670
"Patchy bilateral pulmonary opacity that is similar to mildly progressed from yesterday. No edema, effusion, or pneumothorax. Normal heart size.",Stable and similar patchy bronchopneumonia.,1.2.826.0.1.3680043.8.498.83879152088088652191394030220483657440
"Stable cardiomediastinal contours. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.62077584976547665083710291255686646359
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14799995461819197721080790496639073623
Right arm PICC line is seen with the tip in the distal SVC. Both lungs are clear. No evidence of pleural effusion. Heart size is normal.,No acute cardiopulmonary disease. Right arm PICC line tip in distal SVC.,1.2.826.0.1.3680043.8.498.58713207570477741356275546408426443018
Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46195061226142020751208312859265650293
"Right upper lobe infiltrate has increased in size and contour. Remainder of the lungs is clear. No pleural effusion or pneumothorax. Heart, mediastinum and hila are unremarkable. Bony thorax is intact.",Increase in the size and contour of the right upper lobe infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.96634538587286696162966840654950173124
Right upper lobe consolidation with cavitation is similar to prior. Left lung is clear. No pleural effusion or pneumothorax. The heart is normal in size.,Stable appearance of the right upper lobe consolidation with cavitary change consistent with the patient's known history of lung cancer.,1.2.826.0.1.3680043.8.498.95113998078915398356743398319813488531
Endotracheal tube is 4.6 cm above the carina. Swan-Ganz catheter is in the main pulmonary artery. Left chest tube and mediastinal drains are in place. No pneumothorax. Nasogastric tube extends into the stomach. Mild left base atelectasis. No pulmonary edema.,Tube and catheter positions as described. No pneumothorax.,1.2.826.0.1.3680043.8.498.18306270451922487454140360635741733317
"The cardiomediastinal silhouette is normal. Lungs are well expanded. No consolidation, pleural effusion, or pneumothorax. No displaced fracture.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.79309312946261425219688400351081806661
"There is cardiomegaly present with mild pulmonary vascular congestion and small effusions, consistent with mild congestive heart failure. Permanent pacemaker is present. No bony abnormality is seen.",Mild CHF with small effusions.,1.2.826.0.1.3680043.8.498.66064597726805669455332893916812832731
Endotracheal tube is noted in good anatomic position. The lungs are hypoinflated. Basilar atelectasis is present. Mild basilar pneumonia cannot be excluded. The cardiovascular structures are unremarkable.,Good tube position. Hypoinflation with basilar atelectasis and/or pneumonia.,1.2.826.0.1.3680043.8.498.63984315879188120048818122721908426134
The heart size and mediastinal contours are within normal limits. Aortic knob calcifications are noted. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66181369542975202119012254736430095746
There is dense consolidation in the lingula of the left lung consistent with pneumonia. The right lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Lingular consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.88132926073289708737127772449754354701
"Single portable AP chest radiograph is provided. The endotracheal tube is in satisfactory position. There is a nasogastric tube with the tip below the diaphragm. There is hyperinflation of the lungs likely secondary to COPD. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.47624694342331658676779951338927875539
Heart is borderline in size. Lungs clear. No effusions or edema. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.78500691404627311140335165925191771610
"Normal heart size, mediastinal contours, and pulmonary vascularity. Atherosclerotic calcification aorta. Bibasilar atelectasis. Lungs otherwise clear. No infiltrate, pleural effusion or pneumothorax. Bones demineralized.",Bibasilar atelectasis. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.87949129981350572184311726123210445115
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.63601478354520398477618802721358987264
There is mild cardiomegaly. There is a large hiatal hernia. There are mild left effusion with likely adjacent atelectasis. The right lung is clear. There is no pneumothorax. The mediastinum is not widened.,Mild cardiomegaly with large hiatal hernia. No acute cardiopulmonary pathology.,1.2.826.0.1.3680043.8.498.58726092704577297933261908930473418679
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.16368415080828963549895923085836493636
"The cardiac and mediastinal contours are unremarkable. There is no evidence of acute consolidation, congestion, or pleural effusions. No acute displaced fracture.",Mild peribronchial thickening. No dense consolidation.,1.2.826.0.1.3680043.8.498.74938449689556269550976268712099823138
Mediastinum and hilar structures normal. Stable cardiomegaly. Diffuse interstitial changes again noted consistent with chronic interstitial lung disease. Similar findings noted on prior exams. No pleural effusion or pneumothorax. No acute bony abnormality.,Stable cardiomegaly. Diffuse chronic interstitial changes consistent with interstitial lung disease. Similar findings noted on prior exams.,1.2.826.0.1.3680043.8.498.39590811916108143689166452331907354960
Cardiothymic silhouette is within normal limits. Diffuse hazy opacities throughout the lungs. No effusions or pneumothorax. No bony abnormality.,Moderate diffuse hazy opacities throughout the lungs.,1.2.826.0.1.3680043.8.498.29698521623611805838774767360278049340
Stable normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pneumothorax or effusion. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation identified.,1.2.826.0.1.3680043.8.498.51642549434661571429150664193362753940
There is persistent increased density in the RIGHT upper lobe consistent with pneumonia. The interstitial markings of both lungs are slightly more conspicuous today. The lungs are less inflated. I see no pleural effusion. The cardiothymic silhouette is normal.,There are findings consistent with pneumonia of the RIGHT upper lobe. I do not see evidence of significant atelectasis. There are findings consistent with pneumonia of the LEFT upper lobe as well.,1.2.826.0.1.3680043.8.498.32865822610601820027684662557015873163
Normal sized heart. Clear lungs. No fracture or pneumothorax seen.,No acute abnormality.,1.2.826.0.1.3680043.8.498.18153700882473292583413368604768192752
Multiple areas of subcutaneous emphysema are noted over the RIGHT chest. A RIGHT pneumothorax cannot be entirely excluded. No definite rib fracture is seen. No LEFT sided pneumothorax is noted. The heart is normal in size. The lungs are clear.,1) Multiple areas of subcutaneous emphysema on the RIGHT. 2) A RIGHT pneumothorax cannot be entirely excluded. 3) No rib fracture is seen. 4) The heart is normal in size.,1.2.826.0.1.3680043.8.498.99719542600786528392991350624124793369
Endotracheal tube and NG tube noted in good anatomic position. Basilar atelectasis is present. Basilar pneumonia cannot be excluded.,Good tube positionings. Basilar atelectasis and/or pneumonia.,1.2.826.0.1.3680043.8.498.11483876753237919755441413965189086743
"An orogastric tube is seen with tip in the mid stomach. There has been interval clearing of mild diffuse ground-glass pulmonary opacity since prior study. Mild worsening is seen in the right lower lobe, consistent with pneumonia. There is no evidence of pleural effusion. Heart size is normal.","1. Orogastric tube in appropriate position. 2. Interval clearing of diffuse pulmonary opacity since prior exam. 3. Mild worsening of right lower lobe airspace disease, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.51014046051019544516160244030341555237
There is a large bore right-sided central venous catheter with its tip in the superior vena cava. The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.81342280669691506632536246444060859577
Stable cardiomegaly. Atherosclerosis of thoracic aorta is noted. No pneumothorax is noted. Mild central pulmonary vascular congestion is noted. Stable mild bilateral pleural effusions are noted with associated atelectasis. Bony thorax is unremarkable.,Stable cardiomegaly with central pulmonary vascular congestion and bilateral pleural effusions with associated atelectasis.,1.2.826.0.1.3680043.8.498.62353418389433016672004374662652043188
The right hydropneumothorax is again seen with a tiny apical component of the pneumothorax and a small amount of pleural fluid. There is atelectasis in the right lung base. Surgical clips are seen in the right upper quadrant of the abdomen. The left lung is free of infiltrates. The cardiac silhouette is normal size and shape. There is a osteopenic appearance of the bones.,There is again seen a right hydropneumothorax with a tiny apical component of the pneumothorax and a small amount of right pleural fluid. There is atelectasis in the right lung base.,1.2.826.0.1.3680043.8.498.23654360390679666785825330367586174042
Right upper extremity catheter tip overlies the proximal right atrium. Mild reticular opacity at the lung bases. No pleural effusion. Normal heart size. No pneumothorax.,Mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.69122089332442849622782844757649315576
"Right IJ vascular sheath removed. Changes of CABG. Low lung volumes with bibasilar atelectasis and small pleural effusions, left greater than right, stable since previous exam. No pneumothorax. No edema. Heart size difficult to assess due to adjacent opacities.",Stable postoperative changes.,1.2.826.0.1.3680043.8.498.10053322466261126834754545863927985188
Cardiomegaly and pulmonary vascular congestion. Perivascular edema appears somewhat improved compared to the prior study. No consolidative infiltrates or effusions. No acute bone abnormality.,Slight improvement in bilateral perivascular edema.,1.2.826.0.1.3680043.8.498.60488477136893717827289431953140369647
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95687121690665695768612283214621943193
The heart size and mediastinal contours are within normal limits. No evidence of pneumomediastinum or pneumothorax. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88082108263820684190712532614035815011
The lungs are adequately inflated. There is increased density at the left lung base. The cardiac silhouette is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is a small amount of pleural fluid on the left. The bony thorax exhibits no acute abnormality. There is a gastric tube in place.,Left lower lobe atelectasis or pneumonia. Small left pleural effusion. There is no CHF.,1.2.826.0.1.3680043.8.498.36439230756327465381494803321165665422
Nasogastric tube is seen with tip in the stomach. Low lung volumes are again seen. There is increased left lower lobe atelectasis or consolidation since the prior study. There is no evidence of pulmonary consolidation. Heart size is within normal limits allowing for low lung volumes.,Increased left lower lobe atelectasis versus consolidation.,1.2.826.0.1.3680043.8.498.23496217791856991318205378194252105885
There is diffuse airspace disease throughout the right lung and at the base of the left lung. There is no pneumothorax. The heart is mildly enlarged. The pulmonary vasculature is unremarkable. The mediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.,Airspace disease consistent with pneumonia in right lung and left lung base.,1.2.826.0.1.3680043.8.498.52537250925587813946658278291483297507
"Right-sided Port-A-Cath with tip at the cavoatrial junction. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. Atherosclerotic calcification of the aorta. Degenerative changes of the spine. No acute osseous pathology. Right upper quadrant cholecystectomy clips.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69770576897449620616121747629648908753
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.72782732122396007497439111444006097051
"Lungs remain clear. Heart size normal. Mediastinum, hila, pleura and degenerative changes dorsal spine stable and unremarkable.",Stable - no active disease.,1.2.826.0.1.3680043.8.498.11745558607564567632009064354655364270
The cardiothymic silhouette is within normal limits. The lung fields demonstrate good expansion with no evidence for focal infiltrate or congestive failure. The bowel gas pattern is unremarkable with no evidence for pneumatosis or free intraperitoneal air. Bony structures appear intact.,Unremarkable cardiopulmonary appearance. Nonspecific bowel gas pattern.,1.2.826.0.1.3680043.8.498.37662071583581968738431933400780977430
Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35616238361799844835940332997476947180
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93426956909737453477841706131392642102
A left-sided permanent pacemaker is noted with dual chamber leads in place. The cardiac silhouette is enlarged. The mediastinal contour and pulmonary vascularity are diffusely engorged and indistinct. Bilateral patchy airspace infiltrates are present. There are small bilateral pleural effusions. No pneumothorax is evident. The osseous structures are unremarkable.,Findings consistent with pulmonary edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.64682557318925152069743858542432872420
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.37404073203537800796511466755396540881
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78574584564106857195255318893603063149
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31507702171085267231168649918335409171
The lungs are mildly hypoinflated. There is increased density at the right lung base. A small right pleural effusion is suspected. There is no pneumothorax. The left lung is clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The endotracheal tube and the esophagogastric tube have been removed. The bullet fragments are again demonstrated in the right shoulder.,Interval extubation of the trachea and esophagus. Increased density at the right lung base suggests atelectasis or pneumonia. A small right pleural effusion is suspected.,1.2.826.0.1.3680043.8.498.89287310879988275833320948470841281128
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32597754356780461788258257551289193106
"Heart and mediastinal contours are within normal limits. There is hyperinflation. Nodular density projecting over the left lower lung, likely the patient's nipple. No focal opacities or effusions. No acute bony abnormality.",Hyperinflation compatible with COPD. No acute findings.,1.2.826.0.1.3680043.8.498.25691685839266183485778891601283572896
"No displaced rib fractures are seen. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fracture seen. No acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.95868096164395647233388558970118933670
There has been interval development of bilateral airspace disease most consistent with pneumonia. Heart size is normal. No effusion.,New bilateral airspace disease consistent with pneumonia.,1.2.826.0.1.3680043.8.498.23184310366388887788799295559115885584
LEFT-sided pacemaker lead wires are identified. The previously seen LEFT apical pneumothorax is not identified on today's study. The lung fields are clear. The heart is top normal in size.,1) No pneumothorax identified. 2) Lung fields are clear.,1.2.826.0.1.3680043.8.498.87949936182283927789163404664252983401
"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality. Aortic atherosclerosis.",No active disease.,1.2.826.0.1.3680043.8.498.40896929405318800044810980823883927651
The cardiomediastinal silhouette is within normal limits. The trachea is midline. No pulmonary consolidations or masses. No evidence of pneumothorax. The imaged abdomen is within normal limits. The osseous and soft tissue structures demonstrate no acute abnormality.,No acute chest process.,1.2.826.0.1.3680043.8.498.25089812043269757249362188330604508631
Right subclavian approach Port-A-Cath is in place with the tip projecting over the mid superior vena cava. No pneumothorax. Lungs are clear. Heart size is normal.,Tip of right subclavian approach Port-A-Cath projects over the mid superior vena cava. Negative for pneumothorax.,1.2.826.0.1.3680043.8.498.94647472885077074782951556858402687844
"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51576336287938823721358044777237782272
"The cardiomediastinal silhouette is within normal limits. Aortic atherosclerosis is noted. There is a chronic right pleural effusion with associated atelectasis. Scattered areas of ill-defined opacity in both lungs are also noted, particularly in the right lung base. No pneumothorax is identified. No acute osseous abnormality is seen.","1. Scattered ill-defined lung opacities, particularly in the right lung base, concerning for pneumonia. 2. Chronic right pleural effusion.",1.2.826.0.1.3680043.8.498.95896876205555460329830080574143296147
The right-sided PICC line terminates over the high right atrium. The heart size is normal. Lung volumes are low but clear. There is no pleural effusion or pneumothorax.,Right-sided PICC line terminates over the high right atrium. This could be retracted approximately 3 cm to terminate over the SVC/RA junction if desired.,1.2.826.0.1.3680043.8.498.84204049676694648232521951393709498392
"Post CABG. Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.30398415776756727330625550493838442164
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19224512940977529112029510557142486168
The feeding tube and endotracheal tube are stable. A right IJ central venous catheter is present with its tip in the superior vena cava. Severe emphysematous changes are again noted. Patchy opacities at both lung bases are unchanged. No pneumothorax is seen. The heart is normal in size.,No significant change from earlier today.,1.2.826.0.1.3680043.8.498.16155351669066481063060928414558812998
The cardiomediastinal silhouette is unremarkable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease.,1.2.826.0.1.3680043.8.498.56880312230567425929620208365633950494
"Cardiac shadow is enlarged. Postsurgical changes are again seen. Mediastinal drain, pericardial drain and Swan-Ganz catheter have been removed in the interval. The right jugular sheath is also been removed. No pneumothorax is noted. Small bilateral pleural effusions are noted as well as some mild bibasilar atelectasis. No bony abnormality is seen.",Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.66799772396214882918004928466268072703
There is infiltrate in the right base. The lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Infiltrate right base consistent with pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.60384986871240265190028845656963838901
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89433768665473393818068673412729451544
"Stable cardiomegaly. Atherosclerotic calcification of the aortic knob. Chronically coarsened interstitial markings throughout both lungs, similar to prior. No focal airspace consolidation, pleural effusion, or pneumothorax.",No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64988558496064051430130229540754531283
Tracheostomy catheter tip is 3.6 cm above the carina. No pneumothorax. There is airspace consolidation throughout the left lower lobe with small left pleural effusion. Right lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is postoperative change in the lower cervical spine.,Persistent left lower lobe consolidation. Small left pleural effusion. Right lung clear. Stable cardiac silhouette. Tracheostomy as described without pneumothorax.,1.2.826.0.1.3680043.8.498.96572550614320633047907818959435364106
Patchy opacity remains in the left lung base. No visible pneumothorax. No visible effusion. No discernible displaced right-sided rib fracture. Cardiomediastinal contours are similar to prior.,1. No visible displaced right rib fracture. No pneumothorax or effusion. 2. Opacity in the left lung base could reflect atelectasis or infection.,1.2.826.0.1.3680043.8.498.18494673614153205274848532618990646526
Low lung volumes with bibasilar atelectasis. No convincing pneumonia. No effusion or pneumothorax. Stable cardiomegaly with aortic atherosclerosis. No acute osseous abnormality.,Low lung volumes with atelectasis. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.90181261254940793906518049873218351870
Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41191421769808043948130940007139302132
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.82155545035346468364301207630778994437
Again noted are numerous bilateral pulmonary metastases and pleural based lesions. The left lower lobe process looks more consolidated than on the prior study but this may be due to the erect PA technique. No definite pleural effusion. No lung lesions are seen. Left subclavian Port-A-Cath is unchanged.,Extensive metastatic disease to the lungs and pleura. Possible consolidation at the left lung base but this is difficult to assess with certainty because of the extensive metastatic disease.,1.2.826.0.1.3680043.8.498.93472427009640989754565775808597575238
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Mild atelectasis at left lung base. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.96581793197202535508971544485848062725
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30449715777615775877803629112722608523
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55455662265473897386139795149669729115
The mediastinum and hilar structures are normal. Basilar interstitial prominence is noted. These findings can be consistent with chronic interstitial changes. A component of congestive heart failure cannot be excluded. The cardiovascular structures are unremarkable.,Findings suggestive of chronic interstitial changes. A component of mild congestive heart failure cannot be excluded.,1.2.826.0.1.3680043.8.498.62880028806460484612773284808564135099
There is cardiomegaly. Pulmonary edema has progressed in the interval. Small bilateral pleural effusions are noted. There is COPD. Dual lead pacemaker is unchanged.,Worsening congestive heart failure with edema and bilateral effusions.,1.2.826.0.1.3680043.8.498.30527313615392313111866560544355812496
"Mild patchy bilateral opacities, suspicious for multifocal pneumonia. No pleural effusion or pneumothorax. The heart is top-normal in size.","Mild patchy bilateral opacities, suspicious for multifocal pneumonia.",1.2.826.0.1.3680043.8.498.60846584111062384841437557507616739245
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99953186537934460242789888819474324128
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77103472961418247904319788883899514256
The lungs are well-aerated. Right basilar airspace opacity may reflect atelectasis or pneumonia. A 2.2 cm nodule is noted at the right midlung zone. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are seen.,1. Right basilar airspace opacity may reflect atelectasis or pneumonia. 2. 2.2 cm nodule again noted at the right midlung zone.,1.2.826.0.1.3680043.8.498.36869875277538775168415434987987589406
Lung volumes are within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. No confluent pulmonary opacity. Mild central peribronchial thickening. Negative visualized bowel gas and osseous structures.,Central peribronchial thickening which can be seen with viral or reactive airway disease.,1.2.826.0.1.3680043.8.498.78711878590592245698466687621251745901
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.76173234241698299914248621052608926266
Low lung volumes are seen. Both lungs are clear. There is no evidence of pleural effusion. Heart size is within normal limits allowing for low lung volumes.,Low lung volumes. No active disease.,1.2.826.0.1.3680043.8.498.39358279543031407049474881115688894774
"Lung volumes are low. There is cardiomegaly. Mild pulmonary vascular congestion is identified. No consolidative process, pneumothorax or effusion. No acute or focal bony abnormality.",Cardiomegaly and pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.82711307067426808103781394156147909555
Stable cardiac and mediastinal contours. Atherosclerotic calcifications present in the transverse aorta. Persistent patchy airspace opacity in the left lower lobe. Stable appearance of chronic bronchitic changes and interstitial prominence. No pulmonary edema or pneumothorax. No acute osseous abnormality.,1. Persistent patchy airspace opacity in the left lower lobe concerning for pneumonia. 2. Aortic Atherosclerosis (ICD10-170.0),1.2.826.0.1.3680043.8.498.50397260542010175869526651047906487288
"Endotracheal tube and nasogastric catheter have been removed in the interval. Left thoracostomy catheter, pericardial drain and mediastinal drain are again seen and stable. No pneumothorax is noted. Minimal left basilar atelectasis is seen. Swan-Ganz catheter is been removed as well.",Minimal left basilar atelectasis.,1.2.826.0.1.3680043.8.498.76942408049741191652765460298098429663
The heart size is at the upper limits of normal. The mediastinal contours are normal. The lungs appear clear aside from mild atelectasis at the left lung base. There is no pleural effusion or pneumothorax. No osseous abnormalities are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.88969625600861328405071704095668081939
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.40379943948627892612367701443939309719
Cardiothymic silhouette is within normal limits. There is peribronchial thickening and some streaky areas of atelectasis suggesting bronchiolitis. No focal infiltrates. No effusions. Bony structures are intact.,Bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.62316451220158054164774752700883404580
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality. Calcified granuloma in the left mid lung.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85428815382711023511696188327872147235
Mediastinum and hilar structures normal. Cardiomegaly. Diffuse bilateral pulmonary infiltrates/edema again noted. Similar findings noted on prior exam. No pleural effusion or pneumothorax.,1. Cardiomegaly. 2. Diffuse bilateral pulmonary infiltrates/edema again noted. Similar findings noted on prior exam.,1.2.826.0.1.3680043.8.498.54629241621456881307404150305446815054
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84805630555886746252641853562386332479
Lungs are clear. No pneumothorax or pleural effusion. Heart size is upper normal. The patient is status post CABG. No fracture is identified.,Negative exam.,1.2.826.0.1.3680043.8.498.38201882981342559600234570088754471478
Cardiomediastinal silhouette is within normal limits. Lungs are clear. Bony thorax is unchanged.,No evidence for active disease in the chest.,1.2.826.0.1.3680043.8.498.99605791584496951142044139745952673271
"The current exam shows the lung fields to be clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.39904567803904294623498068901685257935
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.48865558122130463563843203274342567313
"The previously noted pulmonary edema has improved slightly. There are bilateral pleural effusions with bilateral lower lobe consolidation, more severe on the left than the right. The heart is enlarged. There is atherosclerotic calcification in the aorta.",There is cardiomegaly with bilateral pleural effusions with areas of atelectasis and/or airspace consolidation in the lung bases. There has been slight improvement in the pulmonary edema.,1.2.826.0.1.3680043.8.498.89339700001249213848173991641727480426
"The heart is enlarged but appears stable. There is tortuosity and calcification of the thoracic aorta. The pulmonary hila appear normal. The lungs are hyperinflated but clear. No infiltrates, edema or effusions. The bony thorax is intact.",Cardiac enlargement. COPD. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.83960160933494230226214459396797214034
The lungs are adequately inflated. There is density at both lung bases consistent with atelectasis and infiltrate. The interstitial markings are increased. The cardiopericardial silhouette is mildly enlarged. There is blunting of the posterior costophrenic angles.,There are findings consistent with atelectasis and/or infiltrate at both lung bases. There is likely a small amount of pleural fluid layering posteriorly. I see no discrete alveolar infiltrate. There is mild enlargement of the cardiac silhouette. There is mild prominence of the pulmonary vascularity centrally. Followup films are recommended.,1.2.826.0.1.3680043.8.498.41478052864752846918309212481048227845
"The cardiomediastinal silhouette is unremarkable. Airspace opacity within the mid and lower left lung is identified compatible with pneumonia. There is no evidence of pleural effusion, pneumothorax or pulmonary edema. No acute bony abnormalities are identified.",Left mid and lower lung airspace disease compatible with pneumonia. Radiographic follow-up to resolution recommended.,1.2.826.0.1.3680043.8.498.57561762357976458898506060177325946743
There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.69515702957008746503521796771130091775
There are small bilateral free-flowing pleural effusions. No pneumothorax is seen.,Small bilateral free-flowing pleural effusions.,1.2.826.0.1.3680043.8.498.55648872885012715054621051766836188195
There is chronic elevation of the left hemidiaphragm with associated left basilar atelectasis. There is a small right pleural effusion. The heart size and mediastinal contours are stable. No pneumothorax or pulmonary edema is identified.,Small right pleural effusion with associated basilar atelectasis. Chronic elevation of the left hemidiaphragm.,1.2.826.0.1.3680043.8.498.87379206353150673442600527120834643885
The lungs are adequately inflated. There is increased density at the left lung base. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings which may reflect atelectasis or developing infiltrate at the left lung base. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.78194224189062594000122043939491631035
Cardiomediastinal silhouette is stable. Elevation of the right hemidiaphragm again noted. Stable chronic interstitial prominence and bilateral fibrotic changes. Atelectasis or scarring in the right base. No definite superimposed infiltrate. Stable small right pleural effusion.,No significant change. Stable fibrotic changes and chronic interstitial prominence. Atelectasis or scarring in the right base.,1.2.826.0.1.3680043.8.498.53723647128810875690855211134439373634
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.51592041764100205446952513792872605288
The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. Again noted is a left-sided Port-A-Cath catheter in place.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 01/05/2009.,1.2.826.0.1.3680043.8.498.72576614815544801429086374541636263193
"The cardiomediastinal silhouette is normal in size. A right-sided chest port terminates in the mid SVC, unchanged. There is mild left basilar atelectasis. There is no evidence of acute rib fracture on the right. There is no evidence of pneumothorax or pleural effusion.",No evidence of right-sided rib fracture or pneumothorax.,1.2.826.0.1.3680043.8.498.76580112513649907346703568147743655775
Low lung volumes. No focal opacity or pleural effusion. Stable cardiomediastinal silhouette. No pneumothorax.,No active disease. Low lung volumes.,1.2.826.0.1.3680043.8.498.99495372585735897164265169465498532563
AP portable semi upright view 3268 hours. Stable right thoracostomy tube. Small volume right chest wall subcutaneous gas. Stable volume of right pneumothorax. Stable opacity at the right lung base. Left lung remains clear. Stable cardiac size and mediastinal contours.,Stable right thoracostomy tube. Stable small volume right chest wall subcutaneous gas. Stable small right pneumothorax.,1.2.826.0.1.3680043.8.498.88735671075772674191029081959865051389
"Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.54675391302313887553509536269846070158
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98970256685567606179717120327642592003
The lungs are clear. Heart size is normal. No effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.15619894303159651183345883556175398000
"Tracheostomy tube is in place with the tip approximately 5.5 cm above the carina. The patient has undergone previous median sternotomy and coronary artery bypass grafting. Dual lead pacemaker is in place. The heart is mildly enlarged. There is atherosclerotic calcification of the aortic arch. There is mild interstitial edema. More confluent airspace opacities are seen in the lung bases, left greater than right. Small bilateral pleural effusions are suspected. No pneumothorax is identified.","1. Suspected mild CHF and small bilateral pleural effusions. 2. Bibasilar airspace disease, left greater than right. While this may reflect atelectasis, infection is also a concern.",1.2.826.0.1.3680043.8.498.87124594713294303938066039834140649275
The Swan-Ganz catheter has been removed with a sheath remaining in the right internal jugular vein. A left chest tube remains and no pneumothorax is seen. Basilar atelectasis remains and has worsened slightly. Small left effusion remains.,Swan-Ganz catheter removed. Slightly worsened basilar atelectasis.,1.2.826.0.1.3680043.8.498.16452207567277835615545262698191705486
"Interval improvement in the right lower lobe pneumonia, with only minimal patchy airspace opacities persisting. Stable linear scarring in the lingula and left lower lobe. Lungs otherwise clear. No pleural effusions. Cardiomediastinal silhouette unremarkable and unchanged. Visualized bony thorax intact.","Improved right lower lobe pneumonia, with only minimal patchy airspace opacities persisting.",1.2.826.0.1.3680043.8.498.71118688391606039184388631834781729594
There is again noted increased density in the right lower lobe compatible with pneumonia and atelectasis. There is also observed minimal infiltrate in the right upper lobe anteriorly. The left lung field is clear. Heart size is normal.,1. Persistent right lower lobe infiltrate compatible with pneumonia and atelectasis. 2. There is also minimal infiltrate in the right upper lobe.,1.2.826.0.1.3680043.8.498.43821407739041495490073428154038799283
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.69534768181911410998429510733698342186
"Heart size is normal. Patchy infiltrates are seen in the mid and lower lungs bilaterally, suspicious for pneumonia. No evidence of pleural effusion.","Bilateral mid and lower lung infiltrates, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.77857880989262588434504454774750968340
There is dense opacity at the left lung base consistent with left lower lobe atelectasis and/or pneumonia. The right lung is clear. The right IJ central venous catheter is unchanged. The nasogastric tube has been removed. The stomach is distended.,Left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.49555479301631796112070791347129246290
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.29825314814748383485509602111699446976
The lung volumes are low. The pleural effusions have resolved. The lungs are clear. Heart size is normal. No pneumothorax.,Low lung volumes. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63335579029437299253765956872586669213
The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,Stable chest. No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.71200848272325441173607338579956714065
The patient has taken a shallow inspiration. There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the lung bases. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Shallow inspiration. 2. Findings consistent with pulmonary edema. 3. Atelectasis versus infiltrate versus asymmetric edema within the lung bases. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.56965213773408588825613961543279846239
Lungs are adequately inflated without focal consolidation or effusion. Cardiomediastinal silhouette is within normal. Bones and soft tissues are normal.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83261297705107481699425389417483134813
Mediastinum and hilar structures normal. Heart size normal. Low lung volumes with mild basilar atelectasis. Mild right base infiltrate cannot be excluded. No pleural effusion or pneumothorax. No acute bony abnormality.,Low lung volumes with mild basilar atelectasis. Mild right base infiltrate cannot be excluded.,1.2.826.0.1.3680043.8.498.57076252423671436061649414589047395723
No displaced rib fracture is identified. The lungs are clear. There is no evidence of pneumothorax or pleural effusion. Heart size and mediastinal contours are within normal limits.,No displaced rib fracture or acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97228257482477040248961239689021130425
There is cardiomegaly. Small bilateral pleural effusions are noted. There is mild interstitial prominence without focal airspace opacity. Atherosclerotic calcifications are noted within the aorta.,Cardiomegaly and mild interstitial prominence which may reflect mild edema. Small effusions.,1.2.826.0.1.3680043.8.498.54578868149315701090815871089258731496
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.78652213813336465283696735393656757481
"Semi-erect AP and lateral views of the chest. Low lung volumes. There is mild cardiomegaly. Other mediastinal contours are within normal limits. No pneumothorax, pulmonary edema, pleural effusion, or consolidation. Streaky opacity at the left lung base, probably atelectasis. No acute osseous abnormality identified.",Low lung volumes with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.31113273636951650348286768764754316930
"Low lung volumes with some streaky opacities in the bases favoring atelectasis. No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.","Low lung volumes with atelectasis, no other acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.72119349381408950869419328277658705124
The patient has a new right PICC in place with the tip in the superior vena cava. Left central line remains in place. There is new complete opacification of the left hemithorax compatible with atelectasis and possibly a left effusion. Patchy airspace disease in the right lung base noted.,1. Right PICC in place with the tip in the superior vena cava. 2. New complete opacification of the left hemithorax compatible with atelectasis and effusion.,1.2.826.0.1.3680043.8.498.95789001303575422308133945115207631150
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.42597725471875767496662771602471746677
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91338422567199180571210785510219859353
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70609331284756784016200721329888779596
The heart is within normal limits in size. The lung fields appear clear. Vascularity is within normal limits. No effusions are seen. Degenerative spurs are noted in the thoracic spine.,No acute cardiopulmonary disease noted.,1.2.826.0.1.3680043.8.498.39478781894577537190434293657089006897
Cardiomediastinal silhouette unchanged in size and contour. No evidence of central vascular congestion. No interlobular septal thickening. Coarsened interstitial markings persist. No pneumothorax or pleural effusion. No confluent airspace disease. Surgical changes of the right chest.,Chronic lung changes without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62880550521072930953393591711844279352
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95214917273230551762974518829627839448
The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.45012935635863663025517808958076814270
The lungs are hypoexpanded. Mild bibasilar airspace opacities likely reflect atelectasis. Mild vascular crowding is noted. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size; pulmonary vascularity is within normal limits. No acute osseous abnormalities are seen.,1. Hypoexpanded lungs; mild bibasilar airspace opacities likely reflect atelectasis. 2. No displaced rib fractures seen.,1.2.826.0.1.3680043.8.498.59748126537714020029461929297598446110
The heart size and mediastinal contours are stable with stable tortuosity of the descending thoracic aorta. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,Stable examination. No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.21801352486366993338830432291881900568
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67995899458104917336330118674673802965
The cardiomediastinal contours are within normal limits. The lungs are clear. No pneumothorax or pleural effusion. No acute finding in the visualized skeleton.,No evidence of active disease.,1.2.826.0.1.3680043.8.498.32846155082536186876925263345634047193
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18545683988408274394673867200543843041
"Endotracheal tube is 1.2 cm above the carina. Umbilical arterial catheter is at the T6 level. Umbilical venous catheter tip is in the right atrium approximately 1.2 cm above the IVC right atrial junction. OG tube is in the stomach. Cardiothymic silhouette is within normal limits. Mild hazy opacities in the lungs, slightly improved since prior study. No effusions or pneumothorax. Diffuse gaseous distention of bowel without pneumatosis or free air.",Support devices as above. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50445993439455853572675806857511582706
"Right subclavian Port-A-Cath stable. New right jugular central venous catheter, tip SVC. No pneumothorax. Left upper lobe scarring. Lungs otherwise clear. Heart size upper limits normal.",No pneumothorax following central line insertion.,1.2.826.0.1.3680043.8.498.63732464740080593187156530969391315266
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes. No focal infiltrate. No pleural effusion or pneumothorax.,1. Cardiomegaly. No pulmonary venous congestion. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.26591677013883102886686794551142085707
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29395107952000333560474661620319199552
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Small bilateral pleural effusions with adjacent atelectasis. No edema. No pneumothorax. The visualized skeletal structures are unremarkable.,Small bilateral pleural effusions with adjacent atelectasis.,1.2.826.0.1.3680043.8.498.21101710571431659541034609471290550644
The heart is mildly enlarged. There is tortuosity and calcification of the thoracic aorta. There is elevation of the left hemidiaphragm. There is vascular crowding and atelectasis at the left lung base. The right lung is clear. No pneumothorax. No pleural effusion. The bony thorax is grossly intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.39722318254710257795662099348578976102
"Endotracheal tube, NG tube, and left subclavian central venous catheter are unchanged. Stable cardiomegaly. Low lung volumes. Bibasilar atelectasis. No pneumothorax.",Stable.,1.2.826.0.1.3680043.8.498.16869690805268090213848348516233533986
Grossly unchanged cardiac silhouette and mediastinal contours. Stable positioning of support apparatus. No pneumothorax. The pulmonary vasculature is indistinct with cephalization of flow. Interval increase in perihilar and bilateral medial basilar heterogeneous / consolidative opacities. Trace bilateral effusions are not excluded. No pneumothorax. No acute osseous abnormalities.,"Stable positioning of support apparatus. No pneumothorax. Findings most suggestive of pulmonary edema with scattered areas of suspected atelectasis, though note, atypical infection, including COVID-19, could have a similar appearance. A follow-up chest radiograph in 3 to 4 weeks after treatment is recommended to ensure resolution.",1.2.826.0.1.3680043.8.498.39482962420181079544677931346503386430
Two views of the chest show a normal size cardiomediastinal silhouette with atherosclerotic calcifications in the aorta. A small right pleural effusion is present. No consolidation is seen. Degenerative changes are seen in the spine.,Small right pleural effusion.,1.2.826.0.1.3680043.8.498.44480132090688587676113370279092025471
There is central peribronchial thickening. Focal opacity in the right middle lobe is consistent with pneumonia. There is no pleural effusion or pneumothorax. Heart size is normal.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.51212092791558287461431733547294906765
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77195119111862526749661937925967678718
"Endotracheal tube is 2.5 cm above the carina. There is a feeding tube in the stomach. Diffuse airspace disease throughout the lungs again noted, not significantly changed.",Endotracheal tube and feeding tube unchanged. Stable severe diffuse airspace disease.,1.2.826.0.1.3680043.8.498.53752893233025220019479985786125183527
Left-sided central venous port tip over the SVC. No focal opacity or pleural effusion. Normal cardiomediastinal silhouette. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.24453186311483574294767994827805254186
"The lungs are mildly hypoexpanded. There is no consolidation, pleural effusion, or pneumothorax. The cardiothymic silhouette is within normal limits. The bony thorax is grossly intact.",Mild pulmonary hypoinflation. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.94376479470307469518873058839861883530
"UVC tip is at the T-6 level. Orogastric tube is in the stomach. Normal bowel gas pattern. Lungs are better aerated. No acute airspace process, edema, effusion, or pneumothorax. Normal cardiothymic silhouette.",1. UVC tip at T-6 over the right atrium. 2. Improved lung aeration.,1.2.826.0.1.3680043.8.498.29033937954716202071268514081006944590
"The heart is enlarged. Patient is post median sternotomy. Left-sided pacemaker is unchanged. A moderate right pleural effusion is similar to the prior study, possibly slightly increased. There is vascular congestion with mild edema. More confluent opacity at the right lung base is consistent with atelectasis or infiltrate. Small left effusion is noted. There is no evidence of pneumothorax.",1. Moderate right pleural effusion with right lower lobe atelectasis or infiltrate. 2. Small left pleural effusion. 3. Cardiomegaly and vascular congestion with mild edema.,1.2.826.0.1.3680043.8.498.17062260462211396534317047480905820848
There is persistent increased density in the lung bases bilaterally with some patchy density in the upper lobes. Findings are consistent with bilateral pneumonia. Small bilateral effusions are present. The heart is normal in size. The bony structures are intact.,Persistent bilateral pneumonia with small bilateral effusions and some areas of basilar atelectasis.,1.2.826.0.1.3680043.8.498.25125505238570013167760805413345939606
Patchy airspace disease in the right upper lobe and left base. No pleural effusion. Normal heart size. No pneumothorax.,Patchy right upper lobe and left lower lobe airspace disease concerning for pneumonia.,1.2.826.0.1.3680043.8.498.84628427745933250120584013192078698746
Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Previously visualized patchy opacities in both lungs have resolved. No pulmonary edema. No acute consolidative airspace disease.,Resolved previously visualized COVID-19 pneumonia. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81205851211708584875473910939562545303
Endotracheal tube is 2.5 cm above the carina. Left central line tip is in the mid SVC region. There is a large amount of free intraperitoneal air. Basilar atelectasis. Heart size is grossly normal. No evidence for a pneumothorax. Nasogastric tube is coiled in the stomach.,1. Large amount of free intraperitoneal air. 2. Left central line tip in the mid SVC region. 3. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.67236577345794582817118039406683522307
Swan-Ganz catheter has been inserted and the tip is in the right lower lobe pulmonary artery. This can be retracted by approximately 4 cm. No pneumothorax. Mild basilar atelectasis. Cardiomegaly. Calcified tortuous aorta.,Swan-Ganz catheter tip right lower lobe pulmonary artery.,1.2.826.0.1.3680043.8.498.25746562782946289720799198970684991801
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.57403629604278004993285728940746651431
Heart size is normal and the vascularity is normal. Lungs are clear without infiltrate or mass lesion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99594827142423155414142030872446419221
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88783363407558524147334080561975358716
The endotracheal tube and nasogastric tube are stable. The lungs are under-inflated and grossly clear. No pneumothoraces or effusions are seen. The heart is normal in size.,No significant interval change.,1.2.826.0.1.3680043.8.498.85604437074770633387908444712641975433
There is a moderate right pleural effusion with consolidation in the right base. The left lung is clear. Heart is mildly enlarged with pulmonary vascularity normal. Patient is status post coronary artery bypass grafting. No adenopathy. No bone lesions.,Moderate right pleural effusion with right base consolidation. Suspect superimposed pneumonia in the right base. Left lung clear. Heart mildly enlarged. Status post coronary artery bypass grafting.,1.2.826.0.1.3680043.8.498.76877134369111691503439863684608127883
"The patient is rotated to the left. Diffuse bilateral interstitial and airspace disease is again seen, not significantly changed since prior study. Left pleural effusion also unchanged. No pneumothorax. Cardiomegaly. Thoracic aortic atherosclerosis.",No significant change in diffuse bilateral interstitial and airspace disease and left effusion. Findings are suggestive of pulmonary edema.,1.2.826.0.1.3680043.8.498.37335660380360311411903312365176002866
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.38480090957113809151206484168131932506
The lungs are clear. No calcified pleural plaques are seen. The heart is normal in size and there is no evidence for mediastinal adenopathy. The pulmonary vasculature is normal. No nodules are detected. No pneumothoraces or effusions are seen.,No evidence for acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25122883116948760234533659916285546968
The lungs are hyperinflated. There is no focal infiltrate. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of pneumonia nor definite evidence of CHF. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.29266796357899766605677981537398065829
Sternotomy wires are unchanged. Interval removal of Swan-Ganz catheter. Right IJ sheath remains. Prior aortic valve replacement. Cardiomediastinal silhouette is unchanged. Low lung volumes. Bilateral basilar atelectasis with small bilateral pleural effusions. No evidence of pulmonary edema. No pneumothorax.,Interval removal of Swan-Ganz catheter. Persistent basilar atelectasis and small effusions.,1.2.826.0.1.3680043.8.498.50674875673616931945457891109932058679
"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax. Calcified pleural plaques are noted.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.86746376364619891288717698714746563333
"The lungs are clear and slightly hyperaerated. However, there is a rounded soft tissue mass in the right infrahilar region which appears to have increased slightly in size compared to the prior chest x-ray. This is worrisome for primary lung carcinoma. CT of the chest with IV contrast media is recommended to assess further. The heart is within normal limits in size. No bony abnormality is seen.",1. Suspect enlarging right infrahilar mass of lung. Recommend CT of the chest with IV contrast media. 2. Hyperaeration.,1.2.826.0.1.3680043.8.498.36138930120883585359612796465570980189
Heart size is normal. No pleural effusion or edema. Similar appearance of bilateral pulmonary opacities which are worse in the bases. The visualized osseous structures are unremarkable.,Persistent bilateral pulmonary opacities compatible with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.28566953086809058115545110938379272257
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.80618344467561164070554002384903642831
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.71159469363384132459872133839614904185
The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.44548613285631818645665693761884487793
"Low lung volumes. The heart is at the upper limits of normal in size, likely accentuated by technique. No large consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality is seen.","Low lung volumes, no gross focal consolidation. Frontal and lateral views may be helpful when patient is able.",1.2.826.0.1.3680043.8.498.90423585822827946839305784302205002537
The lungs are hyperinflated. The interstitial markings are increased bilaterally. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The observed portions of the bony thorax exhibit no acute abnormalities.,"There are findings consistent with COPD. I do not see evidence of pneumonia currently. When the patient can tolerate the procedure, a PA and lateral chest x-ray would be useful.",1.2.826.0.1.3680043.8.498.52441874894445290112592528942247266740
There is dense consolidation in the right upper lobe compatible with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Right upper lobe pneumonia. Recommend follow-up films to clearing.,1.2.826.0.1.3680043.8.498.68649922887857194068663708531952009918
There is opacity at the lung bases particularly at the left lung base suspicious for pneumonia. There may be a small left effusion present as well. There is mild cardiomegaly present. No bony abnormality is seen.,1. Suspect patchy left lower lobe pneumonia. 2. There may be a small left effusion and developing infiltrate or pneumonia at the right lung base as well. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.77907696077874147715536065410454457819
There is prominence of the interstitial markings. No focal regions of consolidation are appreciated. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,Interstitial infiltrate likely representing a component of pulmonary edema. No focal regions of consolidation are appreciated.,1.2.826.0.1.3680043.8.498.33536980314594466195022928402602990422
"The heart, hila, and mediastinum are normal. No pneumothorax. No nodules or masses. No focal infiltrates. No fractures are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79055620480190511472549816968331188965
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82926758749459622695647907354907737422
Endotracheal tube and nasogastric tube remain in place. There is some persistent left base atelectasis with interval increase in right base airspace disease. No effusion. Heart size normal.,1. Persistent left base atelectasis. 2. Increasing right base airspace disease.,1.2.826.0.1.3680043.8.498.17369527122035989292236683912791054357
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87237321385508032491896755361082474079
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68078974208024703946800179885710415224
The heart is enlarged. Tracheostomy tube is in place. Left PICC line is in place with tip in the mid SVC. Bilateral pleural effusions and bibasilar atelectasis is present. There is no edema. No pneumothorax is present.,1. Cardiomegaly. 2. Bilateral pleural effusions and associated atelectasis.,1.2.826.0.1.3680043.8.498.94113633696842438879391717241110054062
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No infiltrate, pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.45719383971552635569351809852214815170
A right-sided chest tube is in place. There is a small right apical pneumothorax. A left-sided pacemaker is in place. The heart is enlarged. The lungs are well expanded. There are bilateral small pleural effusions. There is no focal infiltrate.,1. Small right apical pneumothorax. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.35623734141517342996916744662698938104
Stable enlarged cardiac silhouette and post CABG changes. Stable left subclavian pacemaker leads. There is patchy airspace opacity at the right lung base on the frontal view. This is not definitely seen on the lateral view. The lungs are mildly hypoinflated. Diffuse peribronchial thickening and accentuation of the interstitial markings are unchanged. Diffuse osteopenia.,1. Right basilar atelectasis or pneumonia. 2. Stable cardiomegaly and mild changes of COPD and chronic bronchitis.,1.2.826.0.1.3680043.8.498.38264124537535936490204809244982223588
"Since that time, the patient has undergone sternotomy for aortic dissection repair. The heart is mildly enlarged though stable. The left chest tube remains in place with no pneumothorax. The Swan-Ganz catheter tip remains in the right main pulmonary artery. The endotracheal tube remains in satisfactory position below the thoracic inlet. Nasogastric tube courses below the diaphragm into the stomach. There has been improvement in the atelectasis in the left upper lobe. The left pleural effusion and left lower lobe atelectasis are unchanged. The right lung remains clear.",Tubes and lines satisfactory. Stable left pleural effusion and left lower lobe atelectasis. Improved left upper lobe atelectasis.,1.2.826.0.1.3680043.8.498.48225677529047457183929211604479216168
Cardiac pacer lead tips in right atrium and right ventricle. CABG. Cardiomegaly. Bilateral pleural effusions. Bilateral basilar atelectasis and/or infiltrate.,1. Cardiac pacer with lead tips in right atrium and right ventricle. CABG. Cardiomegaly. 2. Bilateral pleural effusions. 3. Bilateral basilar atelectasis and/or infiltrate. These findings are consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.33651710585501413934722682960744097764
Cardiac shadow is enlarged but stable. Postsurgical changes are again seen. The overall inspiratory effort is poor. Mild left basilar atelectasis is noted. No pneumothorax is seen. No bony abnormality is noted.,Left basilar atelectasis.,1.2.826.0.1.3680043.8.498.14088823388859869414416938306931470327
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53798591599549515012827367001040628229
The lungs are well-expanded. The perihilar lung markings are coarse. There is no alveolar infiltrate or pleural effusion. The cardiothymic silhouette is normal. The trachea is midline. The bony thorax and observed portions of the upper abdomen are normal.,Acute bronchiolitis. No alveolar pneumonia.,1.2.826.0.1.3680043.8.498.95787836001302397534439554886340674139
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Status post surgical posterior fusion of thoracic and lumbar spine.,No active disease.,1.2.826.0.1.3680043.8.498.34065675845722054953019221666923679608
The cardiomediastinal silhouette is within normal limits. Lungs grossly clear without focal infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. Bony thorax is intact.,No definite acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73940977388044951066849703437541480593
UVC tip is at the IVC right atrial junction. UAC tip is at the T7 level. Endotracheal tube is 1.8 cm above the carina. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax. Normal bowel gas pattern.,Support devices as above. No acute findings.,1.2.826.0.1.3680043.8.498.58665259685006859629375780546836573390
Endotracheal tube is 3.2 cm from the carina at the thoracic inlet. The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,No acute disease. Endotracheal tube in place.,1.2.826.0.1.3680043.8.498.52132562676839143396108389133662112209
PA and lateral upright views of the chest were obtained. Left anterior chest wall dual lead pacer is again noted. Postsurgical changes of the mediastinum are stable. The heart is enlarged. Atherosclerotic calcifications are present. The lungs are hyperinflated. There is mild pulmonary venous congestion. Small bilateral pleural effusions are present. No focal areas of consolidation. No pneumothorax. No acute osseous abnormality. Degenerative changes in the spine and shoulder joints are present.,"1. Cardiomegaly and mild pulmonary venous congestion. 2. Small bilateral pleural effusions. 3. Hyperinflated lungs, which can be seen with COPD.",1.2.826.0.1.3680043.8.498.11272351905270225345163769655594307259
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or edema. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15974636158282612448753670387089272993
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75451730225161200140810633244155596681
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42860710598057408968951248036882628257
There is chronic elevation of the right hemidiaphragm. Linear opacity in the right mid lung is compatible with atelectasis or scarring. No focal consolidation is identified. There is no evidence of pulmonary edema. No pleural effusion or pneumothorax. The heart is mildly enlarged. No acute osseous abnormalities are seen.,1. No evidence of acute cardiopulmonary disease. 2. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.51450234767081490035455798738451247906
PICC line has been inserted and the tip is in the superior vena cava at the level of the azygos vein. Patchy pulmonary infiltrates persist throughout both lungs but there appears to be slight improvement. No effusions.,PICC line in good position. Slight improvement in bilateral pulmonary infiltrates.,1.2.826.0.1.3680043.8.498.95242709805192383548006364604404808767
Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.98085003032893404674319255109155956788
The cardiopericardial silhouette is within normal limits for size. The lungs are clear. The visualized soft tissues and bony thorax are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43611261202961311049860888560271709687
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.41193577847552744158970668755065006979
"Cardiomegaly. Low lung volumes. No confluent opacities, effusions or edema. No acute bony abnormality.","Low lung volumes, cardiomegaly. No active disease.",1.2.826.0.1.3680043.8.498.39006994188769865289214728269612486199
"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11894755777285380873114727171632905249
There is infiltrate in the right middle lobe. The lungs elsewhere are clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,"Infiltrate right middle lobe, likely pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. Cardiomegaly. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.70536025119798622260964731907564320741
Cardiothymic silhouette is within normal limits. Low volume chest film with vascular crowding and atelectasis. There is peribronchial thickening and abnormal perihilar aeration which may suggest viral bronchiolitis. No focal infiltrates. No effusions. Bony structures are intact.,Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.57799504923452337063366535994985982511
"Normal cardiothymic silhouette. Normal pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.50757045832663783619069951639864996181
Cardiac shadow is at the upper limits of normal in size. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75275631772042546128724967447375253990
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.51686977465848440426639768972725875346
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32159074935849381137759565799541046167
The lungs are well-expanded and clear. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,There is no evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.74479195738499575859878903621779553576
Stable cardiomegaly. Left-sided pacemaker is unchanged in position. No pneumothorax is noted. Minimal right pleural effusion is noted. Stable left pleural effusion is noted with associated atelectasis. Bony thorax is unremarkable.,Stable left-sided pleural effusion with associated atelectasis. Minimal right pleural effusion is noted.,1.2.826.0.1.3680043.8.498.72349814734226837240710576333648605002
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94350364945785583166299485985401569076
Cardiomediastinal silhouette is stable. Status post median sternotomy. No acute infiltrate or pleural effusion. No pulmonary edema. Stable osteopenia and degenerative changes thoracic spine. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82692025634803601946459081716301365330
Cardiac silhouette is mildly enlarged. No mediastinal or hilar masses. Left anterior chest wall sequential pacemaker is well positioned. There is opacity at the left lung base consistent with atelectasis. Lungs otherwise clear. No convincing pleural effusion and no pneumothorax. Skeletal structures are grossly intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71630434084406618916516530243572715203
Frontal chest as well as oblique and cone-down lower rib images were obtained. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is no evident pneumothorax or pleural effusion. No rib fractures are evident.,No demonstrable rib fracture. Lungs clear.,1.2.826.0.1.3680043.8.498.27523260970158717081509274904256893451
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15400211657068991523675171524142899041
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.64186880484498345099256055673584240827
There is flattening of the hemidiaphragms. Thickening of the interstitial markings is appreciated as well as minimal peribronchial cuffing. No focal regions of consolidation are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,Findings consistent with COPD with superimposed pulmonary fibrosis as well as possibly an element of pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.91892227902453459928145468840646095469
The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No rib fracture.,Negative exam.,1.2.826.0.1.3680043.8.498.60805664653389861280428300720760607847
The lungs are mildly hyperinflated. There is blunting of the left lateral and posterior costophrenic angles. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The bones are osteopenic. There is mild tortuosity of the descending thoracic aorta.,There are findings consistent with COPD. I do not see evidence of CHF nor of pneumonia. There may be a trace of pleural fluid on the left.,1.2.826.0.1.3680043.8.498.15854153990133742318390939542925050598
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89332355968161010932410781361504933051
Repeat frontal view was obtained with nipple markers in place. The nodular density seen at the left lung base on prior exam appears to correspond to the nipple. No acute abnormality is noted.,No acute abnormality noted.,1.2.826.0.1.3680043.8.498.78405510762887481413828771371396934105
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,Negative for acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46966894376572247070291405463548787644
There is increased airspace opacity in the left mid and lower lung. Interstitial opacity is present in the right lung base. The right midlung opacity is stable. The heart size is normal. There is a probable left pleural effusion.,1. Increased left lung airspace opacity compatible with pneumonia. 2. Stable interstitial opacity at the right lung base.,1.2.826.0.1.3680043.8.498.85415760350305697118180614441477613946
Swan-Ganz catheter has been removed. The right IJ sheath remains in place. Left chest tube has been removed. No pneumothorax. Cardiomegaly. Left base atelectasis. Mild vascular congestion.,Interval removal of Swan-Ganz catheter and left chest tube. No pneumothorax. Continued vascular congestion and left base atelectasis.,1.2.826.0.1.3680043.8.498.12653821883332532779377148984798552495
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96341125007745133755496057237987565457
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73478469584096954586404440949427579049
"Cardiac silhouette mildly enlarged, unchanged. Prior CABG. Worsening airspace opacities throughout both lungs since the examination 2 days ago, with slight interval worsening of the RIGHT UPPER LOBE. Stable chronic elevation of the RIGHT hemidiaphragm.",Worsening pneumonia/ARDS throughout both lungs since the examination 2 days ago.,1.2.826.0.1.3680043.8.498.62249988644827245945045603928446827843
The heart size and mediastinal contours are within normal limits. Both lungs are clear. Stable scarring is identified in the lateral aspect of the left lung base. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54119360236826866707674359780765356356
There is consolidation in the right lower lobe compatible with pneumonia. Left lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.15014005203812805291270656277224068329
Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. No fractures identified.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.39193057601882901331800218807562881752
"Single frontal view of the chest demonstrates a stable cardiac silhouette. Emphysema again noted without airspace disease, effusion, or pneumothorax. No acute bony abnormalities.","Stable exam, no acute process.",1.2.826.0.1.3680043.8.498.46327537273744957830654988059330073634
There is central airway thickening. No focal airspace opacities or effusions. Cardiothymic silhouette within normal limits. Bony structures unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.31025711458837484400919878754854857185
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.53276251028587860090787407351686213567
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63384458974206408800810966796194743773
The large left pleural effusion has decreased in size following thoracentesis. There is no evidence of pneumothorax. Left basilar air space opacities are compatible with atelectasis or pneumonia. The right lung is clear. The heart size and mediastinal contours are stable.,Decreased large left pleural effusion following thoracentesis. No evidence of pneumothorax.,1.2.826.0.1.3680043.8.498.79364682053376012465886607267451125757
Monitoring leads overlie the patient. Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.93060635670503950690465491576554965116
Mild atelectasis at the left lung base. Lungs otherwise clear. Heart size upper limits normal for technique. No effusion. Regional bones unremarkable.,1. Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.95996328390010328067335151456039231138
The lungs are adequately inflated. The interstitial markings are increased. The pulmonary vascularity is engorged. The cardiopericardial silhouette is enlarged. There is no evidence of a pleural effusion.,The findings are consistent with congestive heart failure and pulmonary interstitial edema. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.21799949574472486588793541959752431485
"Patchy peripheral airspace opacities in the left lung and right mid lung, improved since prior study. Heart is normal size. No effusions or pneumothorax. No acute bony abnormality.","Patchy peripheral airspace opacities, left greater than right, improved since prior study. Findings remain concerning for pneumonia.",1.2.826.0.1.3680043.8.498.72952165354291060005703305303952802534
COPD with pulmonary hyperinflation. Lungs are clear without infiltrate or edema. Negative for pleural effusion. Heart size is normal. CABG.,COPD. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86198569987872706246184396435307684656
There is peribronchial thickening. Heart is normal size. Lingular opacity noted previously has improved. No confluent opacities currently. No effusions. No acute bony abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.71752731361591284920878882284845807164
The heart size and mediastinal contours are within normal limits. No focal consolidation. No pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.32604529582015196233013133629693987112
"The lungs are well-aerated. Mild left basilar opacity could reflect mild pneumonia, depending on the patient's symptoms. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. Chronic left-sided rib deformities are noted.","Mild left basilar opacity could reflect mild pneumonia, depending on the patient's symptoms.",1.2.826.0.1.3680043.8.498.63988719516416667725478664819829693893
Upper normal heart size. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. LEFT upper lobe mass unchanged. Remaining lungs clear. No pleural effusion or pneumothorax. Bones demineralized.,LEFT upper lobe mass unchanged. No new abnormalities.,1.2.826.0.1.3680043.8.498.58649923363752619770190745924944573948
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27467578472751991897168888371328391286
Central catheter tip is in the superior vena cava. No pneumothorax. There is interstitial edema throughout both lungs. There is a small right pleural effusion. There is no airspace consolidation. Heart is mildly enlarged with pulmonary venous hypertension. No adenopathy. No bone lesions.,Evidence a degree of congestive heart failure. No airspace consolidation. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.74369680828598064609309723695987808790
The lungs are well-expanded. The interstitial markings are increased bilaterally. The heart is top-normal in size. The pulmonary vascularity is not clearly engorged. The endotracheal tube tip lies 3.5 cm above the carina. The esophagogastric tube tip projects below the inferior margin of the image. The observed bony thorax is unremarkable.,Bilateral interstitial and early alveolar opacities compatible with pneumonia or pulmonary edema. The support tubes are in reasonable position.,1.2.826.0.1.3680043.8.498.84809950909076185948233401029393303821
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50233874741016082275693193841842633723
Normal cardiac contours. Aortic atherosclerosis. Lungs are hyperinflated. No large area of pulmonary consolidation. No pleural effusion or pneumothorax. Thoracic spine degenerative changes.,No acute cardiopulmonary process. Emphysematous change.,1.2.826.0.1.3680043.8.498.43263424257556150747457504020581106296
Bilateral confluent airspace opacities progressed since the prior radiograph most consistent with progression of pneumonia. Clinical correlation and follow-up recommended. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,Interval progression of bilateral pneumonia.,1.2.826.0.1.3680043.8.498.28090909633274858725699628400469099763
"Heart is upper limits normal in size. Linear densities in the lung bases, likely atelectasis. No effusions. No acute bony abnormality.",Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.40637392711238472781099365752476903719
There is central airway thickening with focal airspace disease in the left lower lobe compatible with pneumonia. No effusion. Heart size normal.,Central airway thickening with left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.35232444094968823494446019891550978090
The heart is at the upper limits of normal in size. There is mild tortuosity of the thoracic aorta. The pulmonary hila appear normal. The lungs are clear. No pleural effusion or pneumothorax. The bony thorax is intact.,No active disease.,1.2.826.0.1.3680043.8.498.67565171507269583069141123975262172422
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10386345832694387762883911742624916542
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98839654845386845497756318247553609750
"The umbilical venous catheter tip is now in the right atrium, approximately 1.5 cm from the inferior vena cava-right atrium junction. The lungs are clear. The cardiothymic silhouette is normal. No adenopathy. Bowel gas pattern is unremarkable. No free air or portal venous air. No pneumatosis. No bony lesions.",Umbilical venous catheter tip is in the right atrium approximately 1.5 cm distal to the inferior vena cava-right atrium junction. Bowel gas pattern unremarkable. Lungs clear. Cardiothymic silhouette within normal limits.,1.2.826.0.1.3680043.8.498.45442098653961169570075901577786838281
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82932781973111556588926247232577200725
Left-sided pacemaker overlies normal cardiac silhouette. Cardiomegaly is unchanged. There is increased density posterior to the heart which is new from prior. Small effusions are new. No pneumothorax.,1. New left lower lobe atelectasis versus infiltrate. 2. New small effusions. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.14198012140413804022769728771489219662
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40956997648567427171788722149084751875
Cardiomediastinal silhouette is within normal limits. No acute infiltrates are seen. Osseous structures are unchanged.,No evidence for active disease in the chest.,1.2.826.0.1.3680043.8.498.97056218171918136307243165355951509684
"The ventricular system is normal in size for the patient's age. There is no evidence for hemorrhage, mass effect, or extra-axial fluid collections. The brain stem and cerebellum appear unremarkable. There is no evidence of acute infarct in a major vascular distribution. No skull abnormalities are seen. There is no change compared with the prior exam.",Negative study.,1.2.826.0.1.3680043.8.498.43455476212794226029460600605604082802
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81555470075663187521057190158293181414
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes with mild basilar atelectasis. Interim partial clearing of left base infiltrate. Small left pleural effusion. No pneumothorax. Left IJ central venous catheter with tip over the right atrium.,1. Interim partial clearing of left lower lobe infiltrate. Small left pleural effusion. 2. Low lung volumes with basilar atelectasis. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.91979967235476091274686646741932519789
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11666946413212570723256166901659795158
"The heart size and mediastinal contours are within normal limits. There is a rounded masslike opacity in the left upper lobe, likely representing pneumonia. The right lung is clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.","1. Rounded masslike opacity in the left upper lobe, suspicious for pneumonia. However, recommend radiographic follow-up to resolution. 2. Otherwise unremarkable exam.",1.2.826.0.1.3680043.8.498.85347371040303395080477734131165346342
"Heart size is normal. The mediastinum is unremarkable. There is bronchial thickening. There is patchy pneumonia in both lower lobes, right more than left. No effusions. No significant bony finding.",Bronchitis and bilateral pneumonia consistent with pneumonia.,1.2.826.0.1.3680043.8.498.85919035768547544356023114712496950430
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43054272840760433395061594926613162330
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92234662560855210144697257028727863332
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.54861832184474822767350468283089131979
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48844296243321710348332696687246033611
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.21433082318673358860807206027721857061
Right central line is in place. The tip is in the right atrium. No pneumothorax. NG tube is in the stomach. There is bibasilar atelectasis. Heart is borderline in size. No effusions.,Right central line tip in the right atrium. No pneumothorax. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.74300986426343997791715112166009332934
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.94352869358152632060031637622022643047
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36149654436693081856645974978372098713
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.74010751033533817422568600977973821581
Cardiothymic silhouette is normal. There are hazy pulmonary opacities but no focal areas of consolidation. No pneumothorax. No pleural effusion. Bony structures are intact. Normal bowel gas pattern.,Hazy lung opacities consistent with RDS.,1.2.826.0.1.3680043.8.498.54609941197258466065655187251749704019
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.32652343185201176841325963435845001823
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65625223066390523016368746977185671922
No active infiltrate or effusion is seen. There are somewhat prominent perihilar markings with some peribronchial cuffing which may indicate a central airway process such as bronchitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect central airway process.,1.2.826.0.1.3680043.8.498.58043273173643317757759953237388281994
"Low lung volumes with bibasilar atelectasis. Heart is normal size. No visible pneumothorax. Left rib fractures again noted, unchanged.","Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.80189750852214451739312378152674220597
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.73159658989238260837150010402320319216
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.45852118286365621668874548483440858758
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.60630463507397347275172749712812575517
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95519759888461694983667295621508483443
Cardiac and mediastinal contours are within normal limits given portable AP technique. There is mild pulmonary vascular congestion. No focal or consolidative pulmonary opacities. Pleural spaces are normal. The visualized osseous structures are unremarkable.,Mild pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.27129041686411601859379113422550945020
Normal heart size and pulmonary vascularity. Diffuse interstitial pattern to the lungs may reflect edema or consolidation. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,Diffuse interstitial pattern to the lungs may represent edema or consolidation.,1.2.826.0.1.3680043.8.498.12161973831643124327204675641807350808
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65744735230405932509861889883081164121
There is a left chest wall AICD with leads in expected position of the right atrial appendage and right ventricle. The heart is enlarged. The patient is status post CABG. The lungs are hyperinflated. There is no focal infiltrate or pulmonary edema. There is no pleural effusion or pneumothorax. The osseous structures are unremarkable.,No active cardiopulmonary disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.88591523438105073296528600125732390865
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94908354876634963874000059785597858614
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.65901324216048842002329059951116648581
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78245996968448381465202908951442331269
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.22720131473617542172493970871920680036
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38722432965434186884995745042675723283
Lung volumes are low. Cardiothymic silhouette is normal. There is perihilar peribronchial thickening. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.68452560733414189125995616045256463142
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33522880302897153195095656035471192796
There is increased density in the right mid lung field compatible with pneumonia or atelectasis. The left lung field is clear. Heart size is normal. No pulmonary edema is seen.,1. There is increased density in the right mid lung field compatible with pneumonia or atelectasis. 2. Heart size is normal.,1.2.826.0.1.3680043.8.498.58395511940910304754787306770788814570
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.42528132726043762013020061071322348545
"Endotracheal tube is 5 cm above the carina. Nasogastric tube enters the stomach. There is cardiomegaly with bilateral upper lobe air space disease, slightly progressed from the prior examination. No effusion.",1. Endotracheal tube and nasogastric tube appear well positioned. 2. Slight progression of bilateral upper lobe air space disease.,1.2.826.0.1.3680043.8.498.23982038575642059117503954402027950654
Endotracheal tube is in place with the tip in good position at the level of the clavicular heads. NG tube courses into the stomach and below the inferior margin of the film. Lungs are clear. Heart size is normal. No pleural effusion.,1. ET tube and NG tube in good position. 2. No acute disease.,1.2.826.0.1.3680043.8.498.30149348823155398622942858743590033097
There is a new right upper lobe infiltrate with associated right hilar fullness. This is suspicious for a central obstructing lung cancer with postobstructive atelectasis and/or pneumonia. The left lung is clear. There is no pleural effusion or pneumothorax. The heart size is normal. The patient is status post median sternotomy and CABG.,New right upper lobe infiltrate with associated right hilar fullness. Findings are suspicious for a central obstructing lung cancer with postobstructive atelectasis and/or pneumonia. A follow-up chest CT with contrast is suggested for further evaluation.,1.2.826.0.1.3680043.8.498.51531009109559709334905905659525331454
Interval placement of a left chest tube. Small residual left apical pneumothorax. Continued atelectasis in the left upper lobe. Increasing left lower lobe atelectasis. Subcutaneous emphysema on the left. Right lung is clear.,Interval placement of left chest tube with small residual left apical pneumothorax. Increasing left upper lobe and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.12925488336882492592994925944707572345
Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.21644230997221771101290260544626466408
Cardiac shadow is stable. Aortic calcifications are again seen. The lungs are well aerated bilaterally. Mild interstitial changes are again identified and stable. No focal confluent infiltrate is seen. No sizable effusion is noted.,Stable interstitial changes. No acute abnormality is noted.,1.2.826.0.1.3680043.8.498.83793202705708795322295819446050695816
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90387732792710898757675524029355798069
OG tube is in the stomach. Mild gaseous distention of bowel. No evidence of pneumatosis. No free air. Bibasilar atelectasis. Small effusions.,OG tube in the stomach. No evidence of bowel obstruction.,1.2.826.0.1.3680043.8.498.56769578342564308829036895994792388911
The lungs are adequately inflated. The interstitial markings are increased. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is engorged. I see no pleural effusion.,There are findings consistent with interstitial edema of both lungs. This is likely of cardiac cause. I see no discrete focal infiltrate. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.35218895263562014968874756169677482098
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.46849784745131284509370619038138903703
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77259454988150150157823524003850108409
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14570267906326108710019000923761016463
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29011430567308482503408680857566333404
Left IJ central line tip is in the proximal SVC. Lung volumes remain decreased with basilar atelectasis. Slight increase in lung volumes with improved aeration of the lung bases. No large effusion or pneumothorax. Exam is overall stable.,1. Slight improved lung volumes with residual basilar atelectasis. 2. Stable central line.,1.2.826.0.1.3680043.8.498.12640638121770906847976498161840798701
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58110011266296136264804025111198548867
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.88731524746274396820289657006268524089
The lungs are clear. There is no pneumothorax or infiltrate. Heart size is normal. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.48536671844910243811827596288931554494
Right PICC line is unchanged. Prior CABG. Cardiomegaly with vascular congestion. Left lower lobe atelectasis or infiltrate with small left effusion. Minimal right base atelectasis. No acute bony abnormality.,"Cardiomegaly, vascular congestion. Left lower lobe atelectasis or infiltrate with small left effusion. Minimal right base atelectasis.",1.2.826.0.1.3680043.8.498.28065270550551579316829601184381588848
Moderate cardiomegaly is present and there is mild pulmonary vascular congestion noted. A central venous catheter is present with the tip in the lower SVC. No pneumothorax is seen. Median sternotomy sutures are noted.,Cardiomegaly and pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.52327030240917589923038554695793780887
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32533120455105547572028713035762285786
The tracheostomy tube is stable. A right upper extremity PICC has been placed. The tip is in the right atrium. The heart is normal in size. A moderate right effusion is again seen. A right basilar opacity is also noted.,1. Right upper extremity PICC placement. The tip is in the right atrium. 2. Stable right effusion and right lower lobe opacity.,1.2.826.0.1.3680043.8.498.32802825420943147505457111361006731801
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21072788045468310748635038893064070191
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16215401944648778748027423496206602838
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.69260575158358692277157573025276862750
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41061602872385217108518712793472233359
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.68123228057890692728699465394817918881
There is airspace consolidation in the lingula and right middle lobe. There is more patchy opacity in the right upper lobe as well. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Multifocal pneumonia, most notably in the lingula. Heart size normal. No adenopathy.",1.2.826.0.1.3680043.8.498.47117118172711072318035932558127403165
The cardiac silhouette is within normal limits for size. The mediastinum is not widened or deviated. The lungs are clear and the costophrenic sulci are sharp. Pulmonary vasculature is normal caliber. No pneumothorax is identified.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.51917876556144932052225326574822055076
Patchy opacity in the lung bases could reflect atelectasis or developing airspace disease. No pneumothorax or effusion. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.,"Patchy opacities in the lung bases, atelectasis versus developing airspace disease.",1.2.826.0.1.3680043.8.498.29207087070816647636582354763290300394
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.34526863823967329266950180747591919266
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59375406412006444466543992075804505770
There is peribronchial thickening. Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.66306368556226095702528979725548794875
The lungs are mildly hyperinflated. The perihilar lung markings are increased. The cardiothymic silhouette is normal in size and the trachea is midline. There is no pleural effusion. The bowel gas pattern in the upper abdomen is normal.,There are findings consistent with reactive airway disease and acute bronchiolitis. I do not see evidence of pneumonia.,1.2.826.0.1.3680043.8.498.47638711512368514974629839257513349366
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.73348706884007297971301594116500273364
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.58490197494401971877493436748837975249
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32942282370031109677171822140192528103
A central venous catheter is present from the RIGHT side. The tip is in the superior vena cava. The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43514072847121228417605968895068197917
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78713612951329554409844324477285519466
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pneumothorax. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.39886386926995029275069157819366845360
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.54465855734665111218452324403551008189
The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions. No acute bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.30119050929729435817034630247703159715
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.65235042497262076743231619305178531731
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78098249983894788709406976103141561232
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47632075279499270682962134897590404720
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81478634719415181293615378446263818786
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.36341278173574844111492755189286317600
Large mass in the left upper lobe. Prominent airspace disease in the right lower lobe. Moderate right pleural effusion. No pneumothorax. Heart is obscured by the large mass.,1. Large left upper lobe mass is similar to the prior CT allowing for differences in technique. 2. Airspace disease in the right lower lobe may reflect atelectasis or infection. 3. Moderate right pleural effusion.,1.2.826.0.1.3680043.8.498.56645478100803081183546713355152813565
"The heart is at the upper limits of normal in size. The mediastinal contours are normal. There is no focal consolidation, pleural effusion, or pneumothorax. There is no overt pulmonary edema. The osseous structures are unremarkable.",No active disease.,1.2.826.0.1.3680043.8.498.32249891946863798572224236419608777138
There is elevation of the right hemidiaphragm. The lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. Atherosclerosis noted.,No acute disease.,1.2.826.0.1.3680043.8.498.62109445106001861165215187853606137185
There is a right-sided dialysis catheter with the tip in the projection of the right atrium. The heart size is enlarged. There is no pulmonary edema. No pleural effusions or pneumothorax. No focal airspace opacities are identified.,1. Cardiomegaly. 2. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.96740432851678177739417593735787345118
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Right internal jugular Port-A-Cath is unchanged in position. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35954054801871295032597764525576967262
The lungs are well-aerated. Mild focal left lower lobe airspace opacity is concerning for pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Mild left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.95180995463362905620896943318499239265
"The heart is normal in size. The lungs are hyperinflated. There is no acute infiltrate, effusion or pneumothorax.",Hyperinflation compatible with COPD without acute process.,1.2.826.0.1.3680043.8.498.91802898977516850344432085155126425256
The lungs are mildly hyperinflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,"Mild hyperinflation consistent with COPD or reactive airway disease. No pneumonia, CHF, nor other acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.69131015580144889921746547309277620434
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Mild right basilar atelectasis is seen. Calcified lymph nodes are noted in the right hilum stable from the prior exam. No focal confluent infiltrate is seen. No bony abnormality is noted.,Mild right basilar atelectasis.,1.2.826.0.1.3680043.8.498.78992694732000031643029718028315478124
The lungs are clear. Heart size is mildly enlarged. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.43155139143754047829644227274250500719
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13060334014403049104886854154342186495
Heart size is normal. The vascularity is normal the lungs are clear. There is no infiltrate or effusion. There are multiple old left rib fractures.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28855325174090244387477406192177712870
The endotracheal tube tip is 1.5 cm above the carina. Diffuse bilateral air space disease is present. The heart size is normal. There is no pneumothorax. A nasogastric tube courses off the inferior aspect of the film.,1. Diffuse bilateral air space disease compatible with pneumonia or edema. 2. Low lung volumes. 3. Satisfactory positioning of the endotracheal tube.,1.2.826.0.1.3680043.8.498.75428911913611982893423175123267306158
Heart is normal size. There is perihilar peribronchial thickening. No confluent airspace opacities or effusions. No acute bony abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.84093754880399603903179384483001671474
There is interstitial fibrosis throughout the lungs bilaterally. There is no frank edema or consolidation. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,"Widespread interstitial fibrosis, stable. No edema or consolidation. Stable cardiac prominence.",1.2.826.0.1.3680043.8.498.84203212083676429934785013113609460848
Cardiac shadow is stable. Aortic calcifications are again seen. Increasing right basilar infiltrate is noted with associated effusion. New left basilar infiltrate is seen as well. No bony abnormality is noted.,Increasing bibasilar infiltrates.,1.2.826.0.1.3680043.8.498.96442822143293791622044945375522431790
Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28007190404511450111804613026512102654
"Endotracheal tube, NG tube, right central venous catheter are unchanged. Stable cardiomegaly. Bibasilar atelectasis with slight improvement since prior. No pneumothorax.",Improving bibasilar atelectasis. Stable support apparatus.,1.2.826.0.1.3680043.8.498.70508795176046667057412932220591464099
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.38655737151243694434971790109257084315
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82067792300907202569496337214754536002
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid. Left subclavian Port-A-Cath is in place.,No acute findings.,1.2.826.0.1.3680043.8.498.55882005337677334811349187670603182823
"There are low lung volumes. Bibasilar opacities present, atelectasis versus infiltrates. Small bilateral pleural effusions. Heart is normal size. No acute bony abnormality.",Bibasilar atelectasis or infiltrates and small effusions.,1.2.826.0.1.3680043.8.498.55584938597548675368054814152370238219
No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.15115048790066022428364409091939787646
There is extensive airspace disease in the right lung involving the right upper lobe and right lower lobe. There is a small right pleural effusion. Left lung demonstrates mild airspace disease in the left mid and lower lung. No pneumothorax is identified. Underlying COPD is present. Heart size is normal.,Extensive right lung airspace disease compatible with pneumonia. Mild left lung airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.30291680811860941568208409707629734818
Cardiomediastinal silhouette is normal. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,Normal chest.,1.2.826.0.1.3680043.8.498.91572262699753272867319593304588636738
Port-A-Cath is in place. The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.83427309592868564666075845151306227936
There is elevation of the RIGHT hemidiaphragm. A LEFT sided central venous catheter is appreciated with the tip projecting in the region of the superior vena cava. The patient is rotated to the RIGHT. There is no evidence of focal infiltrates effusions or edema. The cardiac silhouette is within normal limits. The visualized bony skeleton is osteopenic.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32803312206605308365552107090815993665
The cardiopericardial silhouette is within normal limits for size. Lungs are clear. There is no airspace disease or effusion. No pneumothorax. The lateral view demonstrates a nodular density in the anterior mediastinum. This is not well seen on the frontal view. The visualized soft tissues and bony thorax are unremarkable.,1. No acute cardiopulmonary disease. 2. Questionable nodular density in the anterior mediastinum on the lateral view. This is not evident on the frontal view to confirm stability. Consider follow-up CT chest without contrast.,1.2.826.0.1.3680043.8.498.67504571326693129445511249287984135642
No displaced rib fracture is identified. The bone density is normal. No destructive bony process is appreciated. The lungs are clear. No pleural effusion or pneumothorax is identified.,"No displaced rib fracture, pleural effusion or pneumothorax.",1.2.826.0.1.3680043.8.498.90539277608808490450731733310721910588
"The heart is normal in size. The aorta is tortuous and calcific. The lungs are hyperinflated. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",COPD without acute process.,1.2.826.0.1.3680043.8.498.71437068072626353445146044200802679661
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Previously seen bilateral airspace disease has resolved since previous study. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44911914155123362893204726678135898635
Stable heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27517123432371314588423520772578275843
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.82294525330266318326160504890361530400
The heart size and mediastinal contours are within normal limits. Consolidation of the right upper lobe. No visible pleural effusions or pneumothorax. The visualized skeletal structures are unremarkable.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.23385644082528265829712104853277211762
The lungs are clear. The heart is within upper limits of normal. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.25815101234226812362746299563599364895
Small bilateral pleural effusions are seen. Left basilar atelectasis is noted. The right lung is clear. There is no pneumothorax. Heart size is upper normal. The patient is status post CABG.,Small bilateral pleural effusions and left basilar atelectasis.,1.2.826.0.1.3680043.8.498.91757660467353677683367242722977551141
Stable mediastinum and cardiac silhouette. There is blunting of the costophrenic angles bilaterally which is increased compared to prior. There is mild increase in central venous pulmonary congestion. No evidence of pneumothorax.,1. Interval increase in bilateral pleural effusions. 2. Increase in central venous pulmonary congestion.,1.2.826.0.1.3680043.8.498.37516337860653739101348304806341537785
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.47446183714927378671309407333569595834
The heart size and mediastinal contours are within normal limits. The aorta is tortuous. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91853667448624221786397276066022217493
"The lungs are hypoexpanded but appear grossly clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.97634695735892180273742937096561788474
Endotracheal tube is 5.5 cm above the carina. Left IJ central line tip is in the SVC. No pneumothorax. Low lung volumes with bibasilar atelectasis. Heart is normal size. No effusions.,Left central line tip in the SVC. No pneumothorax. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.87880149292127385560890975311897904499
PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is within normal limits. The lungs are clear bilaterally. The visualized bones and soft tissues demonstrate no acute findings.,No acute chest disease,1.2.826.0.1.3680043.8.498.97660845301467211473185316636447662539
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39595470588905773224782231774286511300
"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is borderline normal in size. No acute osseous abnormalities are seen.",Mild vascular congestion noted. Lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.62046448301637839062942607181820546277
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.25236134789675339184080623351698233657
The heart is normal in size. Linear atelectasis is seen at the left base. The lungs are otherwise clear. No pneumothoraces or effusions are seen.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23121022338178213526294285895811599543
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.61508634839301831560840077556745818234
"Endotracheal tube is well positioned with tip approximately 2 cm above the carina. Enteric tube passes below the diaphragm. Central line appears stable in position with tip at the cavoatrial junction. Heart size is stable. Central pulmonary vascular congestion and bilateral interstitial edema, stable. Probable atelectasis at the left lung base. Small left pleural effusion. No pneumothorax seen.",1. Endotracheal tube well positioned with tip approximately 2 cm above the carina. Enteric tube passes below the diaphragm. 2. Central pulmonary vascular congestion and bilateral interstitial edema suggesting some degree of congestive heart failure. 3. Probable atelectasis at the left lung base. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.17773915247076709447437390371160369048
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.48093053820572528063073206293679603402
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81182274126287033515956600838685807217
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33795758239493937561650995146984879674
"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43225656524488545908569029024866478158
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58357400910435161311839892732227814306
The lungs are hyperinflated. There is no evidence of acute infiltrate or pleural effusion. The heart size is normal. No pulmonary edema is seen.,COPD. No acute findings.,1.2.826.0.1.3680043.8.498.79341471358474438386947944369516103234
There is a moderate right pleural effusion with right lower lobe atelectasis or infiltrate. The left lung is clear. No evidence for heart failure.,Right lower lobe atelectasis/ infiltrate and right pleural effusion.,1.2.826.0.1.3680043.8.498.71307089293325399264129409298364188520
Left PICC line is in place. The tip is in the mid SVC. Lungs are clear. Heart is normal size. No effusions. No acute bony abnormality.,Left PICC line tip mid SVC.,1.2.826.0.1.3680043.8.498.10690606773755504829056327843029412478
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified. There are mild degenerative changes within the thoracic spine.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.82856541077585853849222687084168394967
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61487010827864053777303534537296968158
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36397671729026937069219833625280124179
Cardiac and mediastinal contours are within normal limits. No focal or consolidative pulmonary opacities. Pleural spaces are normal. Osseous structures are unremarkable.,No acute pulmonary process.,1.2.826.0.1.3680043.8.498.80569818833100611925613812827544808536
There is cardiomegaly. Aortic atherosclerosis. Small bilateral pleural effusions. Pulmonary vascular congestion and diffuse interstitial edema is present. There is no significant airspace consolidation. No acute fractures are present. There is no pneumothorax.,1. Cardiomegaly and mild pulmonary edema suggesting congestive heart failure. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.39692903684836315428885023084217795850
Cardiomediastinal silhouette is normal. Calcified aortic knob. No pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious. Mild degenerative change of the thoracic spine.,No acute cardiopulmonary process. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.93592281996047723219085025084699874712
Heart size is normal. Both lungs are clear. No evidence of pleural effusion. No mass or adenopathy identified.,No active disease.,1.2.826.0.1.3680043.8.498.66778978768119326866498121607080391952
The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.34577338964380292123211135399189919789
Cardiac shadow is stable. Diffuse bilateral airspace opacities are noted consistent with the given clinical history of COVID positivity. No sizable effusion is seen. No bony abnormality is noted.,Bilateral airspace opacities consistent with COVID pneumonia.,1.2.826.0.1.3680043.8.498.72260977540830886717651647366499670558
The lung volumes are low. The lung volumes are low. There is bibasilar atelectasis. The lung volumes are low. There is no pneumothorax. No large pleural effusion. The heart size is stable from prior study.,1. Low lung volumes with bibasilar atelectasis. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.86871807376473753933436096043140235804
"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Subcentimeter pulmonary nodule in the right upper lobe. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.","1. No active cardiopulmonary disease. 2. Subcentimeter pulmonary nodule in the right upper lobe, better evaluated on prior CT.",1.2.826.0.1.3680043.8.498.20268776746923736130840126670427401213
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84610667017583857264593239254456278841
The heart is enlarged. The lung volumes are low. The right basilar opacity has decreased. There is a small left pleural effusion. There is no pneumothorax.,1. Improving aeration at the right lung base. 2. Small left pleural effusion. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.22019237687954325468481521593356475346
Two views of the chest show a left-sided pacemaker with a lead overlying the right ventricle. The heart is normal in size. The mediastinal contour is normal. Nodular opacities are seen throughout the lungs. There is no pulmonary vascular congestion. There is no pleural effusion or pneumothorax.,"1. Nodular opacities throughout the lungs, which could represent metastatic disease. 2. No focal consolidations to suggest pneumonia.",1.2.826.0.1.3680043.8.498.48971369409947915235896441783215896445
"Cardiac silhouette is normal in size and configuration. Normal mediastinal and hilar contours. Mild scarring noted at the right lung base, stable. Lungs are otherwise clear. No pleural effusion or pneumothorax. Bony thorax is intact.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41487913653847364519206305689894132210
Right PICC line is unchanged. Stable cardiac silhouette. There is increased air space disease in the right upper lobe and right lower lobe. Left lower lobe atelectasis is increased. No evidence of pneumothorax.,1. Increasing bilateral pneumonia. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.70845017318917910876941668657400133988
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.71864919981585585160763326523539056534
No displaced rib fracture is seen. No pneumothorax is present. No abnormal pleural fluid collection is recognized.,No evidence of displaced rib fracture or pneumothorax.,1.2.826.0.1.3680043.8.498.65714734574661293693754828540581279470
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.31963132921902676686436920502932322944
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99934470063165900578519993893697391424
There is ill-defined airspace opacity in the left upper lobe. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Ill-defined airspace opacity consistent with pneumonia left upper lobe. Lungs elsewhere clear. Stable cardiac silhouette. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.64233636564827084907908464204326136082
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81611822671856907037218658301046291592
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18436894440905893139322934417872499426
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pneumothorax. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.14750295978749566312028848673887669465
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83720775758923860444173499409333184868
Normal heart size. No effusion or pneumothorax. No evidence of rib fracture.,Negative.,1.2.826.0.1.3680043.8.498.34945061727106120240253092054682225644
"Normal heart size and mediastinal contours. Peribronchial thickening and hyperinflation. No definite consolidation, pleural effusion or pneumothorax. Bones unremarkable.",Peribronchial thickening and hyperinflation which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.25322153976054660872525526792907424536
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",No acute process.,1.2.826.0.1.3680043.8.498.23203244016410612283124034660792092200
There is a large hiatal hernia. I do not clearly define the LEFT hemidiaphragm. The lungs are clear. There is no infiltrate. There is no pneumothorax. There is no evidence of a pleural effusion. The heart is mildly enlarged. A permanent pacemaker is identified.,1) No acute cardiopulmonary disease. 2) Hiatal hernia. 3) Cardiomegaly with a permanent pacemaker.,1.2.826.0.1.3680043.8.498.80072299314095517068190582129693990647
The heart size is normal. There is elevation of the left hemidiaphragm. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are seen.,Elevation of the left hemidiaphragm. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.22676211899701265031801387415503095849
"PA and lateral chest radiographs are provided. There is bilateral perihilar interstitial thickening with mild peribronchial cuffing as can be seen with lower airways disease secondary to an infectious or inflammatory etiology. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",There is bilateral perihilar interstitial thickening with mild peribronchial cuffing as can be seen with lower airways disease secondary to an infectious or inflammatory etiology.,1.2.826.0.1.3680043.8.498.34336667780334220218090260444463773849
The heart size and mediastinal contours are normal. The left heart border is partially obscured by confluent airspace opacity in the lingula. The lungs are otherwise clear. There is no pleural effusion or pneumothorax.,Lingular pneumonia. This should be followed to radiographic clearing.,1.2.826.0.1.3680043.8.498.48708527585587641065030323727254777072
Endotracheal tube is 3.5 cm above the carina. Right IJ central venous catheter tip is in the SVC. No pneumothorax. Lungs are clear. Heart size is normal. No effusion.,Support apparatus in good position. No acute disease.,1.2.826.0.1.3680043.8.498.33640398131026036469639840045943902795
"Single frontal view of the chest demonstrates stable endotracheal tube and enteric catheter. Cardiac silhouette is unremarkable. There is persistent consolidation within the right mid and lower lung zone, with small right pleural effusion. No pneumothorax is identified. Left chest is unchanged.","Stable support devices. No pneumothorax. Persistent right-sided airspace disease, with small right pleural effusion.",1.2.826.0.1.3680043.8.498.16089694503218212556167106305692506729
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.42337550913027328351066445912251004144
The cardiac silhouette is normal in size. The mediastinal contour and pulmonary vascularity are within normal limits. There is increased density at the right lung base which may be due to consolidation and/or pleural effusion. The left lung appears free of infiltrate. No pneumothorax is seen.,Right basilar infiltrate and/or pleural effusion.,1.2.826.0.1.3680043.8.498.40990762494844909279390401309275911900
Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion. Monitoring leads are projected over the chest.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82109998501524766370386770608489494034
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85035567242903166048397827249713671178
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76499039711829203399386063894910319669
"Heart: Similar cardiomegaly. Left chest wall cardiac generator. Lungs: Bilateral central airspace opacities. No pneumothorax or pleural effusion. Pulmonary vascularity is within normal limits. Mediastinum: Calcified atherosclerotic changes in the aorta. Otherwise, unremarkable. Pleural effusions: None. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.",1. Bilateral central airspace opacities. Differential includes edema versus infection. 2. Similar cardiomegaly.,1.2.826.0.1.3680043.8.498.80433740798786637903681131683990132972
"Lung volumes are low with crowding of the bronchovascular structures. Central airway thickening is identified. No consolidative process, pneumothorax or effusion. Heart size is normal. No focal bony abnormality.",Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.90337554566537833494216058780031412290
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.45593377884616574346242596976046580151
The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Bones appear average for age.,No acute or active process is identified.,1.2.826.0.1.3680043.8.498.11386910152634237787889319322768566205
The lungs are hypoinflated. The interstitial markings are increased. The cardiac silhouette is top normal in size. The pulmonary vascularity is indistinct. I see no pleural effusion.,The study is limited due to hypoinflation. I cannot exclude low-grade CHF in the appropriate clinical setting. A followup PA and lateral chest x-ray with deep inspiration would be of value.,1.2.826.0.1.3680043.8.498.31372964329109886481159426228657659616
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.69555955928944927588545322524372524403
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.91264860632420652898645167523551597799
"Right PICC line is in place. The tip is in the right atrium, approximately 6 cm deep to the cavoatrial junction. Endotracheal tube and NG tube are unchanged. Diffuse airspace disease throughout the lungs again noted, unchanged.","Right PICC line tip in the right atrium, 6 cm deep to the cavoatrial junction. Otherwise no change.",1.2.826.0.1.3680043.8.498.31054214206868447087340707745350474177
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.57947237538419617056277250457739188498
"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax. Chronic interstitial lung disease again demonstrated.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.14777617590963220218215136611518810798
There is bilateral interstitial thickening and hazy right lower lobe airspace disease. There is no pleural effusion or pneumothorax. There is stable cardiomegaly. The osseous structures are unremarkable.,Bilateral interstitial thickening and hazy right lower lobe airspace disease most concerning for pulmonary edema versus multilobar pneumonia.,1.2.826.0.1.3680043.8.498.99940478219854572279117536732969800194
"Endotracheal tube, NG tube, left internal jugular central venous catheter are again seen and stable. Diffuse bilateral airspace disease with slight improvement on the right. Cardiomegaly. No pneumothorax. No large effusion.",Stable support apparatus. Slight improvement in diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.18062003841329860971053236928608347758
Progression of airspace disease in the right upper lobe and right lower lobe. Mild airspace disease on the left unchanged. Cardiac enlargement with vascular congestion. Small pleural effusions bilaterally.,Progression of airspace disease on the right suspicious for pneumonia. Mild vascular congestion and interstitial edema bilaterally.,1.2.826.0.1.3680043.8.498.67296633386388799657699996743832368366
Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.51155269777538892618533398374807714212
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.70900901454251824115896620662972104007
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.96518327435760108579413393043597663872
There is chronic interstitial lung disease with peripheral fibrosis. No focal airspace disease or effusion. Heart size is mildly enlarged. No focal bony abnormality.,Chronic interstitial lung disease. No acute disease.,1.2.826.0.1.3680043.8.498.53436778650306712798911057211421366965
The lungs are adequately inflated. The perihilar lung markings are increased. The cardiothymic silhouette is normal. There is no pleural effusion. The gas pattern in the upper abdomen is normal. The trachea is midline. The bony thorax is unremarkable.,Acute bronchiolitis without evidence of pneumonia.,1.2.826.0.1.3680043.8.498.19522525475459297881487770671036957158
Shallow inspiration. Heart size and pulmonary vascularity are normal. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42236059296692569951849747873562638511
Lungs are clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. There is a small hiatal hernia. There is degenerative change in the thoracic spine. There is anterior wedging of a midthoracic vertebral body. No pneumothorax.,No edema or consolidation. Small hiatal hernia. Heart upper normal in size.,1.2.826.0.1.3680043.8.498.97934032559243104573691550392085733703
The heart is mildly enlarged. There is aortic atherosclerosis. There are patchy bilateral airspace opacities in both lungs which are somewhat confluent. No pleural effusion or pneumothorax. The bones are unremarkable.,Patchy bilateral airspace opacities which could reflect asymmetric edema or pneumonia. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.37771853211767068108220573302670191516
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.93609684303581306359566605638430939489
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.26183551598937471266148305568967375023
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10644448424357146364750846566498191943
There has been interval placement of a right IJ dialysis catheter with tips overlying the right atrium. A pacemaker is in place. Cardiomegaly is again noted. There is no evidence of pneumothorax. Mild pulmonary vascular congestion is stable.,1. New right IJ catheter placement with tips overlying the right atrium. 2. Stable cardiomegaly and pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.88747585462543145484757768097036414492
Right jugular dual-lumen central venous catheter with tip projecting over SVC. Enlargement of cardiac silhouette post median sternotomy. Atherosclerotic calcification aorta. Pulmonary vascularity normal. Persistent left lower lobe consolidation with associated left pleural effusion. Minimal atelectasis at right base. No pneumothorax.,Persistent left lower lobe consolidation consistent with pneumonia with associated left pleural effusion. Enlargement of cardiac silhouette post median sternotomy.,1.2.826.0.1.3680043.8.498.85971550323851661325850358233486287519
No edema or consolidation. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. There is a hiatal hernia. No bone lesions.,Hiatal hernia. No edema or consolidation. Heart upper normal in size.,1.2.826.0.1.3680043.8.498.26837865756660305269328550693746620463
The lungs are well-aerated. Mild bibasilar atelectasis is noted. There is no evidence of pleural effusion or pneumothorax. The heart is borderline normal in size. No acute osseous abnormalities are seen.,Mild bibasilar atelectasis noted. Lungs otherwise clear.,1.2.826.0.1.3680043.8.498.15985119204465771023699826438527689433
"Single view. No focal pulmonary opacity, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. Regional skeleton is normal.",No acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.21165325696346651532922030262918122809
"The current exam shows the lung fields to be clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. A cardiac pacemaker is present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.13881907183873442511407199467121839714
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26265082632368707192752360759218620818
Mild cardiomegaly. No pleural effusion or focal consolidation. Mild vascular congestion. No pneumothorax.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.46989490080913683245105582785576233205
"Shallow inspiration. No focal consolidation, pleural effusion, pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17160504695392807985968673525165574707
There is a right chest wall porta-catheter with tip in the SVC. Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.14642088524942247627755011467204291693
There is little change in linear atelectasis at the lung bases. Opacity at the right lung base remains and pneumonia cannot be excluded. Mild volume loss is again noted at the right lung base. Tracheostomy and right central venous line remain. Heart size is stable.,1. No significant change in bibasilar linear atelectasis and possible pneumonia at the right lung base. 2. No change in mild right basilar volume loss.,1.2.826.0.1.3680043.8.498.39380639227604864804450651173541954580
Endotracheal tube terminates 3.5 cm above the carina. Enteric tube courses into the left upper abdomen with tip not imaged. The cardiomediastinal silhouette is within normal limits. There is new mild left basilar opacity which may reflect a combination of a small left pleural effusion with associated atelectasis or pneumonia. The right lung is clear. No pneumothorax is identified. No acute osseous abnormality is seen.,1. New left basilar opacity which may reflect a combination of atelectasis or pneumonia. Small left pleural effusion. 2. Support devices as above.,1.2.826.0.1.3680043.8.498.78047535056864298090661822338220205857
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53356482053483847093537929745300277251
"Interval extubation and removal of nasogastric tube. Right IJ Swan-Ganz catheter unchanged, with tip at main pulmonary artery. Mediastinal drain and left chest tube remain in place. No pneumothorax. Cardiomegaly accentuated by AP portable technique. Probable small left pleural effusion. No pneumothorax. Moderate interstitial edema is not significantly changed. Patchy lower lobe predominant airspace disease is also similar.","1. No change since one day prior. 2. Removal of support apparatus, without pneumothorax. 3. Mild pulmonary edema with bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.46340125368141008356390230616997349733
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16195580241097176638880734549672873092
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48048839327852301552529665813948451382
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60764025197481441123336389839329656720
"Portable AP semi upright view at 6475 hrs. Endotracheal tube tip in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, side hole at the level of the gastric body. Stable cardiomegaly and mediastinal contours. Prior aortic valve replacement. Increased pulmonary vascularity. No pneumothorax or pleural effusion. No consolidation.",1. ET tube and enteric tube appear appropriately placed. 2. Increased pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.79768425344052985799752587049037213645
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable. Prior cervical and upper thoracic fusion.,No active disease.,1.2.826.0.1.3680043.8.498.31007742904696435159670182466975699891
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80448743586110098336739247058361022870
"The heart is normal in size. The aorta is tortuous and calcific. The lungs are well expanded. There is a large mass in the right upper lobe. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Large mass in the right upper lobe worrisome for neoplasm. Recommend CT of the chest for further evaluation.,1.2.826.0.1.3680043.8.498.85296967014069892445174173268028276599
Patchy bilateral airspace disease consistent with pneumonia. No pleural effusion. Normal heart size. No pneumothorax.,Patchy bilateral pneumonia consistent with COVID pneumonia.,1.2.826.0.1.3680043.8.498.32514311738769783389871705093722641596
"There is again noted increased density bilaterally, more prominent on the RIGHT. Interstitial and pulmonary edema remains the primary consideration as to etiology. The findings are not specific and could be secondary to interstitial or pulmonary edema or could be secondary to pneumonia. Overall, there has been little or no appreciable interval change since the exam of yesterday. The heart size remains normal. No pleural effusion is seen. Monitoring electrodes are present.","There are again noted bilateral interstitial and alveolar densities, more prominent on the RIGHT and consistent with edema or pneumonia.",1.2.826.0.1.3680043.8.498.89741791629476145844752318879711013337
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.83137004039839510251054201511308940039
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.49714917672791765622105061826911787269
The heart and vascularity are unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.67545694619982061277458029013229303349
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95226638623536536613775174023029937598
Stable normal cardiac silhouette. Feeding tube extends below the field of view into the abdomen. Decrease in right pleural effusion. Right basilar opacity is likely associated atelectasis. No new consolidation. No pneumothorax. Bones are unremarkable.,Decrease in right pleural effusion and right basilar opacity probably associated atelectasis.,1.2.826.0.1.3680043.8.498.40816837679341368655590525594895596257
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37098440451742278510912084619656681303
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81741526876278245030484160357315280443
Heart size is normal. A cardiac pacemaker is present. Mediastinal and hilar contours are within normal limits. Lungs are clear without focal consolidation. Pulmonary vascularity is within normal limits. There is no pneumothorax or pleural effusion. Bony thorax is intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69241865818629928766099211592628527472
Mediastinum and hilar structures normal. Cardiomegaly with mild pulmonary vascular prominence and interstitial prominence noted consistent with congestive heart failure. Mild basilar atelectasis. No prominent alveolar infiltrates. No pleural effusion or pneumothorax. No acute bony abnormality.,Findings consistent with mild congestive heart failure with mild interstitial edema.,1.2.826.0.1.3680043.8.498.98506651057052767127427623564538195600
The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.70458345665233417594512819305413163032
"PA and lateral views of the chest are made and are compared to previous studies of 10/18/10, and 7/22/7 and show the heart to be within the limits of normal. The lungs show mild peribronchial thickening but no active airspace disease. The bony thorax shows mild degenerative hypertrophic spurs of the mid and lower thoracic spine.",No active cardiopulmonary disease. Mild stable scarring in the left lower lung base.,1.2.826.0.1.3680043.8.498.89402680589653800640073017509929069411
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.75482151201767605958611528419147671592
The cardiac and mediastinal contours are unremarkable. Focal opacity within the right middle lobe. No acute fracture.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.65087453081554145411627122946711874085
The heart is normal in size. The lungs are under expanded. There is left lower lobe infiltrate or atelectasis. A left lateral rib fracture is again seen. There is a small left pleural effusion. There is no pneumothorax.,1. Left lower lobe infiltrate or atelectasis. 2. Left lateral rib fracture with small effusion.,1.2.826.0.1.3680043.8.498.43671261838705120716854716308679438284
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66198059381807470238368645393016501631
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.60491084569752087863556898778845051643
"Lung volumes are small, but are symmetric. Mild pulmonary vascular congestion, without frank pulmonary edema. No pneumothorax or pleural effusion. Mild cardiomegaly. No mediastinal or hilar masses.","Cardiomegaly and pulmonary vascular congestion, without overt pulmonary edema.",1.2.826.0.1.3680043.8.498.17497317066447947237859102779356201681
"Cardiovascular: The heart size is mildly enlarged. The pulmonary vascularity is normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.57344961904187327310529630975898125666
Endotracheal tube is 5.5 cm above the carina. Left chest tube is in place. No pneumothorax. Minimal right base atelectasis. Heart is normal size. No effusions.,Interval placement of endotracheal tube and left chest tube. No pneumothorax. Minimal right base atelectasis.,1.2.826.0.1.3680043.8.498.71782406980821593929857616188972775538
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.28978501229332652134904638413828465980
"Cardiothymic silhouette is normal. There is bronchial thickening. There is patchy pneumonia in the left lower lobe. No dense consolidation, collapse or effusion.",Bronchitis and left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.54076974951502939578286513068200662414
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37592591213256769863605067162174304729
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24720137446191743914635924035801400803
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77865526201553210876319464631034485343
There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.84680740373933805793789324700103527234
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.96124052151328426272966431209518444378
There is central airway thickening. No focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.94509781861437949191533331253637882332
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82750175124005622974022871425732284396
Tracheostomy tube is in place. There is moderate cardiac enlargement. Moderate bilateral pleural effusions and interstitial edema identified. The visualized osseous structures are unremarkable.,1. CHF.,1.2.826.0.1.3680043.8.498.92509226975564363063970777799863659606
The lungs are mildly hyperinflated. There is no focal infiltrate. The endotracheal tube tip lies approximately 2.0 cm above the carina. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There is mild hyperinflation consistent with COPD. I do not see evidence of CHF nor of pneumonia.,1.2.826.0.1.3680043.8.498.57364131699021577508020418769423480626
Endotracheal tube is present with the tip at the level of the aortic arch. A right internal jugular central venous catheter is present with the tip in the superior vena cava. There is no pneumothorax. The lungs appear clear. The heart is borderline enlarged. Monitoring electrodes are present.,Please see above.,1.2.826.0.1.3680043.8.498.96177197033549499888839491668732016829
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39003333582925607778958079639568578202
The left PICC line tip is in the distal SVC near the cavoatrial junction. Low lung volumes with vascular crowding and atelectasis. There is also vascular congestion which is stable. Small bilateral pleural effusions and bibasilar atelectasis.,"1. Left PICC line tip in distal SVC. 2. Low volume chest film with vascular crowding, atelectasis and small effusions.",1.2.826.0.1.3680043.8.498.90946792057404716116326262117823100890
The lungs are well-expanded and clear. The heart and mediastinal structures are normal. There is no pleural effusion. Old deformities of the posterior aspects of the left fourth and fifth ribs are demonstrated.,There is no evidence of acute or old tuberculous infection. There is no acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.68473627749682647084467090943890486103
Endotracheal tube terminates 2.5 cm above the carina. Enteric tube courses into the left upper abdomen with tip not imaged. The cardiomediastinal silhouette is unchanged. Lung volumes are lower with bronchovascular crowding and mild atelectasis in the lung bases. No sizable pleural effusion or pneumothorax is identified.,Low lung volumes with mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.54786668986798545232200564824601372378
Cardiomediastinal silhouette unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax. Visualized bony thorax intact.,Normal examination.,1.2.826.0.1.3680043.8.498.75838965651491180180499410112319883556
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93427044577462834722325370861893478912
Endotracheal tube is 3.5 cm above the carina. Nasogastric tube extends into the abdomen. Mediastinal drain and left chest tube are present. Right jugular Swan-Ganz catheter in the proximal right pulmonary artery. No evidence for a pneumothorax. Left basilar densities are suggestive for atelectasis. Post CABG changes. Heart size is enlarged.,Postoperative chest with left basilar atelectasis. Support apparatuses as described.,1.2.826.0.1.3680043.8.498.38218271378811671509343521460723487370
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.46036170191488818044358209799322958552
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No evidence of pleural effusion or pneumothorax. No acute osseous findings.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89322270689801301417081381792574734422
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84279320288476739044547124213805276001
There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. No evidence for heart failure.,1.2.826.0.1.3680043.8.498.89484359348185950267016294550158842943
Cardiothymic silhouette is within normal limits. No pneumothorax. No pleural effusion. No overt pulmonary edema. No acute consolidative airspace disease. Visualized osseous structures appear intact. No evidence of pneumatosis or pneumoperitoneum in the visualized upper abdomen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48528743357184586015303668579467927909
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.47531621651896504583069629063508376602
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76773955811728869853576978796027079575
Endotracheal tube is in place with the tip approximately 2.5 cm above the carina. The lungs are clear. Heart size is upper normal. No effusion.,1. Endotracheal tube in good position. 2. No acute disease.,1.2.826.0.1.3680043.8.498.72916415769125871644934501800535058082
"There is cardiomegaly. There are increased interstitial markings within the lung bases, consistent with edema. There are Kerley B-lines also consistent with congestive failure. There are small bilateral effusions. There is no pneumothorax. No acute bony findings.",Findings most consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.56337178349387589243829232910182538406
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28490930311844328584320228032124205002
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes with mild basilar atelectasis and/or infiltrates. Small left pleural effusion. No pneumothorax.,1. Cardiomegaly. No pulmonary venous congestion. 2. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.57972991246754680776065336256497006435
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.94347724958752684603942941784821513293
"The previously noted infiltrate or atelectasis at the LEFT base has now cleared. There is noted a deformity of the fourth RIGHT posterior rib compatible with residual change from prior fracture or prior surgery. No new pulmonary infiltrates are seen. No pneumonia, pneumothorax or pleural effusion is noted. The heart size is normal.",1. No acute changes are identified. 2. There is deformity of the fourth RIGHT posterior rib compatible with residual change from prior surgery or prior trauma.,1.2.826.0.1.3680043.8.498.72762317357323264020857530772166350251
There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.53200051244747850527428257391146300109
An orogastric tube is in place with the tip located in the region of the mid body of the stomach. The cardiothymic silhouette is within normal limits. The lung fields demonstrate a mild granular pattern with no areas of focal atelectasis or infiltrate seen. No pleural effusions are noted. Bony structures appear intact.,Findings suggestive of mild RDS.,1.2.826.0.1.3680043.8.498.28337649688947554260336426903420225360
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91728945107705213983620798851464554295
Port-A-Cath appliance is in place with the tip in the superior vena cava. No pneumothorax. There is no edema or consolidation. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Port-A-Cath appliance tip in superior vena cava. No pneumothorax. No lung edema or consolidation. Heart mildly enlarged.,1.2.826.0.1.3680043.8.498.90934988322345815126288597513190985814
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.24793246288978454170689022983353263025
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Feeding tube is seen entering stomach. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.68834266626223224800040913838989833548
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50106330569047497222468916698909107846
There is a calcified granuloma in the right middle lobe. There is a pectus deformity of the sternum. There is mild airspace disease in the left lower lobe which is unchanged and may represent atelectasis or pneumonia. There is no pleural effusion. The lungs are otherwise clear.,1. Mild left lower lobe airspace disease is unchanged and may represent atelectasis or pneumonia. 2. Stable pectus deformity.,1.2.826.0.1.3680043.8.498.33974425361481190919143684120897440142
Endotracheal tube and nasogastric tube have been removed. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere are clear. Heart is enlarged with pulmonary vascularity normal. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,Left base atelectasis. No edema or consolidation. Stable cardiomegaly. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.13489827690550439380011707943236790197
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56387639124647180394755879596731627940
"Post CABG. The heart is normal in size. There is a moderate size hiatal hernia. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen. No displaced rib fracture. Surgical clips are noted in the right upper quadrant of the abdomen.",1. No acute findings. 2. Hiatal hernia.,1.2.826.0.1.3680043.8.498.42203384581981547870130348094163296310
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.79903218762835676126370416579401243144
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.16569977988877153541375864230221498903
The heart size is normal. There are no effusions or edema. No focal airspace opacities are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77681327689640256702996192402927911613
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; a pacemaker is noted at the left chest wall, with leads ending at the right atrium and right ventricle. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.16161045221420520681706443793812138062
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78987962021222278783364685931401373267
Cardiothymic silhouette is normal. Lungs are mildly hyperinflated. There is mild perihilar peribronchial thickening. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.35071391287891603978679938435889139782
Mediastinum and hilar structures normal. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Low lung volumes with mild bibasilar atelectasis and/or infiltrates.,1.2.826.0.1.3680043.8.498.56124811157733629054817279048911535342
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.32035989886838682766692241159653116438
Cardiac shadow is within normal limits. The lungs are hypoinflated although no pneumothorax or focal confluent infiltrate is seen. No bony abnormality is noted.,No acute abnormality seen.,1.2.826.0.1.3680043.8.498.11917065696936023284360043819946329254
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23588579334772933349134466620038842217
There is elevation of the right hemidiaphragm. There is right-sided pleural thickening and right-sided pleural effusion. There is a right-sided central venous catheter present with the tip in the superior vena cava. The left lung is clear. The heart is normal in size.,Volume loss on the right with elevation of the right hemidiaphragm and pleural thickening and effusion. Underlying infiltrate or mass is not excluded. No significant change.,1.2.826.0.1.3680043.8.498.90665924280950046441704506938936319020
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Right base atelectasis. Tiny right apical pneumothorax again noted. No left pneumothorax. No pleural effusion. No acute bony abnormality.,1. Tiny right apical pneumothorax again noted. No interim change. 2. Right base atelectasis.,1.2.826.0.1.3680043.8.498.49600576437269340224677506982187848086
"There are low lung volumes. Bibasilar opacities present, likely atelectasis. Heart is normal size. No effusions. No acute bony abnormality.","Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.93732290297537778992474265381778078821
Cardiac silhouette normal and mediastinal contours unremarkable for the AP technique. Hilar and pleural contours unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pneumothorax. No pleural effusions. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55094341920228074637266595796228887239
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84153442469811789843788607006130453595
There is thickening of the interstitial markings as well as peribronchial cuffing. No focal regions of consolidation are appreciated. The cardiac silhouette is moderately enlarged. The patient is status post median sternotomy and coronary artery bypass grafting. The visualized bony skeleton is osteopenic.,Findings consistent with improved pulmonary edema. Continued surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.71185426687179774966693127305819483686
The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected. Mild spondylosis extends through the spine.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.15219277159534316238828104716400875380
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.32458680786458310426499402630185368480
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24413909064665079030757344857605306341
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86009516059677215523904116645231507189
Extensive bilateral airspace disease persists but shows some improvement. Heart size is normal. No pneumothorax.,Some improvement in extensive bilateral airspace disease.,1.2.826.0.1.3680043.8.498.42541764918278869479260718287633435304
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36423049972390633746543951466017637208
"Right-sided PICC with tip over central SVC. The lungs are hyperinflated with emphysematous changes. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",1. No acute cardiopulmonary process. 2. COPD.,1.2.826.0.1.3680043.8.498.38663115104368265349485744796606214500
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76133380075005989791013504624385498858
Single frontal view of the chest demonstrates a stable cardiac silhouette. There is left lower lobe consolidation compatible with pneumonia. No pneumothorax. No acute bony abnormalities.,Left lower lobe consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.22812749059721407965999947957854982398
The heart size and mediastinal contours are within normal limits. Both lungs are clear. Chronic thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88394881365790516905499682913577491928
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20462766491676137833812044260517985880
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15748662153236530868469944536496550706
The lungs are clear. No pleural abnormality is seen. The heart and mediastinum appear intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.47279893715817226676745507766064792341
The cardiomediastinal silhouette is stable and within normal limits. Lungs grossly clear without acute infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. There are no acute bony findings.,No significant interval change. No acute process.,1.2.826.0.1.3680043.8.498.24883765171460932806199937997224113342
There is peribronchial thickening. Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.26640998161541770738769197828352937574
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97792046549073468251860908656989993555
Left chest tube remains in place. No pneumothorax. Left lower lobe consolidation and left pleural effusion are stable. There is some increasing infiltrate or atelectasis at the right base. Heart size is normal.,1. No pneumothorax. 2. Stable left lower lobe consolidation and left effusion. 3. Increasing right base atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.32848888364323796648073549757966947884
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.59694101527411323742640854699340317097
There is marked enlargement of the cardiac silhouette. The pulmonary vascularity is normal and the lungs are clear. No effusions. No bone abnormality.,Enlargement of the cardiac silhouette which could represent true cardiomegaly or a pericardial effusion.,1.2.826.0.1.3680043.8.498.64940448763842164707651502098282067998
The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is not engorged. The patient has undergone prior CABG. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of CHF nor of pneumonia.,1.2.826.0.1.3680043.8.498.44852411184068512453254107101163697673
"Normal heart size, mediastinal contours, and pulmonary vascularity. Right upper lobe infiltrate consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.21817563480632182802673656892566920029
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.13788518516068021552009425642908572295
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43290031388155831041163354326706512594
The heart size is enlarged. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18811565483367806528099948781653601097
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.64445578337878619614820427803787501615
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.86219596238353340495398653058234691244
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45938210402692890515124168524954702160
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.81881294575823925496171784979331876704
"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.30084323890005356228540604643673221799
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.79704958227442173020886771782651835183
"A left internal jugular central venous catheter is present with the tip in the superior vena cava. The heart is mildly enlarged. The lungs appear clear. There is no edema, infiltrate, effusion or pneumothorax.",Please see above.,1.2.826.0.1.3680043.8.498.89167362578613457930443421711948241072
Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. No fractures identified.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.64137541894925592246921720045109517479
There are low lung volumes. Diffuse bilateral airspace disease is present. Heart size is normal. No pneumothorax or pleural effusion.,Diffuse bilateral airspace disease compatible with pneumonia or edema.,1.2.826.0.1.3680043.8.498.18334433142023415384304653013322124109
Cardiac shadow is mildly enlarged. The lungs are well aerated bilaterally. Mild bibasilar infiltrative changes are seen. Small effusions are noted bilaterally. No bony abnormality is seen.,Bibasilar infiltrates with small effusions.,1.2.826.0.1.3680043.8.498.50248636934966904459636357953979851400
A VP shunt is in place. The tip is located in the left upper quadrant consistent with location in the stomach. The lungs are clear. Heart size is normal.,VP shunt in place with tip in the stomach.,1.2.826.0.1.3680043.8.498.39667446878864613757433267092730920440
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.95669569969141422769341699207524368781
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41009818064030207587225814245266707450
The cardiomediastinal silhouette is stable and within normal limits. There is atelectatic change in the right midlung. Lungs otherwise grossly clear without acute infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. There are no acute bony findings.,No significant interval change. No acute process.,1.2.826.0.1.3680043.8.498.92908511628238401068517996980090461998
"No displaced rib fractures are seen. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fractures seen; no acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.85938423338317404265194067445457184478
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30619828457355457066979884814003888855
Grossly unchanged borderline enlarged cardiac silhouette and mediastinal contours. Atherosclerotic plaque within the thoracic aorta. No focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. Unchanged bones.,"No acute cardiopulmonary disease. Specifically, no evidence of edema.",1.2.826.0.1.3680043.8.498.80127174760645244776720652024098858610
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.47202616151037771689550075230967961188
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31349547849997636192414087617585575409
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93301053295638960199527369888326464524
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.23821783311807051717681378614787890148
Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized skeletal structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73494948912506191488129987143149421836
"The patient's enteric tube is noted ending overlying the body of the stomach. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.31406671428204572046622389336937555337
There is mild elevation of the right hemidiaphragm. The heart size is at the upper limits of normal. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.96858934622117533707141505416610673884
There is a moderate right pleural effusion with right lower lobe atelectasis. No pneumothorax after thoracentesis is noted. Left lung is clear.,1. No pneumothorax after right thoracentesis. 2. Right effusion and right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.55413100004936445103747440041150385582
Stable heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22612523156649642648633418708520853782
"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14820568893224782614925432556004165361
The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.43973196814699276652325870749200847498
Portable AP upright view at 5965 hrs. Pacer or resuscitation pads project over the chest. Normal cardiac size and mediastinal contours. No pneumothorax or pleural effusion. Pulmonary vascularity is within normal limits. No acute pulmonary opacity.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.46508752948468938539420853050924856929
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.93310443733972966460361844609335486946
There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the right and left lung bases. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Findings consistent with pulmonary edema. 2. Asymmetric edema versus infiltrate within the lung bases. Continued surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.48538285094718048704713496819266606259
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen. No displaced rib fractures identified.,1.2.826.0.1.3680043.8.498.25156860236207735274447364678506087200
"Heart size is normal. The mediastinum is unremarkable. The lungs are hyperinflated consistent with emphysema. No sign of active infiltrate, mass, effusion or collapse. No significant bony finding.",COPD. No active disease.,1.2.826.0.1.3680043.8.498.62560255096971440659916029265318082264
The lungs are clear. Cardiothymic shadow is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.60609230761868246787727804207245540367
Cardiac shadow is stable. The left pneumothorax is again identified and stable from the prior exam. Multiple rib fractures are again seen on the right. Chronic scarring is noted bilaterally. No acute bony abnormality is seen.,Stable left pneumothorax. No acute abnormality is noted.,1.2.826.0.1.3680043.8.498.92614031567834307758133713395772767535
There is atelectatic change in the left base. The lungs elsewhere are clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. Patient is status post coronary artery bypass grafting. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,Left base atelectasis. No edema or consolidation. Stable cardiomegaly. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.89087127863327953384905335565629576727
New LEFT chest wall pacemaker/ICD apparatus in place. Heart size and mediastinal contours are stable. Lungs are clear. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.,New pacemaker/defibrillator. No evidence of pneumonia or pulmonary edema. No pneumothorax.,1.2.826.0.1.3680043.8.498.65108488514219689554161987661670174168
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.48635638801874541916004446907734462467
"Cardiac silhouette, mediastinal and hilar contours are within normal limits. Streaky ill-defined basilar lung opacity on the right suggesting atelectasis or infiltrate. No effusions or edema. Bony structures are intact.",Right lower lobe infiltrate or atelectasis.,1.2.826.0.1.3680043.8.498.25596854028525668460579817099312598006
Small right pleural effusion and right lower lobe airspace disease are unchanged. There is a tiny left pleural effusion. The tiny left apical pneumothorax is unchanged. The right apical pneumothorax is not identified. The heart is normal in size.,1. Stable appearance of the chest with a small right pleural effusion and right lower lobe airspace disease. 2. The right pneumothorax has resolved. The tiny left apical pneumothorax is stable.,1.2.826.0.1.3680043.8.498.15463587187185799276951058748857524781
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78419921539131331123230877323261357544
Endotracheal tube is 5.6 cm above the carina. Nasogastric tube extends into the abdomen. Mediastinal drains and left chest tube are present. Right jugular Swan-Ganz catheter in the right pulmonary artery region. No evidence for a pneumothorax. Left basilar densities are suggestive for atelectasis. Heart size is within normal limits.,Expected postoperative changes with left basilar atelectasis. Support apparatuses as described.,1.2.826.0.1.3680043.8.498.32305886222575570975182420446367133812
Linear atelectasis or scarring at the left base. No consolidation or effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48487634277314546104309809589164097577
Endotracheal tube tip is 2.5 cm above the carina. Nasogastric tube enters the stomach. Right internal jugular central line tip is in the SVC 3 cm above the right atrium. No pneumothorax. Progression of mild atelectasis in the right lower lobe. No edema or effusion.,Endotracheal tube and other lines well positioned. Mild atelectasis in the lower lungs.,1.2.826.0.1.3680043.8.498.15477463832766865652741111365921093324
Heart size is normal. No pleural effusion or pulmonary edema. The lung volumes are low. There is plate-like atelectasis in the left base. The right posterior rib fractures are again noted. No pneumothorax identified.,1. Low lung volumes and left base atelectasis. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.43427058432576347341987304209890594052
The heart is at the upper limits of normal in size. The lung volumes are low. There is patchy opacity at the right lung base. The left lung appears clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,1. Low lung volumes with patchy right basilar airspace disease. This may reflect atelectasis or pneumonia. Correlate clinically. 2. Borderline heart size.,1.2.826.0.1.3680043.8.498.72027988098369595500305018047163163788
"Chronic interstitial markings. Left lower lobe opacity, likely a combination of atelectasis and pleural effusion. Mild patchy right lower lobe opacity, atelectasis versus pneumonia. No pneumothorax. The heart is top-normal in size.","Left lower lobe opacity, likely a combination of atelectasis and pleural effusion. Mild patchy right lower lobe opacity, atelectasis versus pneumonia.",1.2.826.0.1.3680043.8.498.39013126413489326490367197405697555686
Enlargement of cardiac silhouette with pulmonary vascular congestion. Atherosclerotic calcification aorta. Perihilar infiltrates likely pulmonary edema and CHF. Small RIGHT pleural effusion. No pneumothorax. Bones demineralized.,Enlargement of cardiac silhouette with pulmonary vascular congestion and probable CHF. Increased RIGHT basilar opacity likely representing a combination of atelectasis and effusion. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.72534863809810405931520761121518181854
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19968998892255386911440769709648545350
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37611525206901146327440222331890176162
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. There are stable calcified granulomas in the right middle lobe. The lungs are otherwise clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.15399209116107047705500605756320048033
The heart is mildly enlarged. The aorta is calcific. The lungs are well expanded. There are chronic interstitial changes in the lungs. Superimposed infiltrate is seen in the right lower lobe. There is a small right pleural effusion. No pneumothorax is identified.,1. Right lower lobe infiltrate. 2. Small right pleural effusion. 3. Chronic interstitial changes.,1.2.826.0.1.3680043.8.498.52555322440621845230174962357961180564
The heart is mildly enlarged. Pulmonary vascularity is within normal limits. Chronic interstitial changes are again seen. Patchy opacities are seen at the lung bases bilaterally. No pneumothoraces or effusions are seen.,Cardiomegaly without CHF. Bibasilar patchy opacities either atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.97225574682741737214657931589324486167
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89969588796136115714160983407051839663
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93069653935067615419078129905947182798
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No change.,No active disease,1.2.826.0.1.3680043.8.498.13215424718222272074636416685582510129
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.16328846570195848718434920475394134336
Right chest tube remains. No pneumothorax. There is a stable amount of right pleural fluid and associated airspace disease. Left lower lobe atelectasis is also unchanged. No significant change in the right hilar and anterior mediastinal mass.,Stable chest x-ray. No pneumothorax.,1.2.826.0.1.3680043.8.498.87817833302385247231983035101286936368
Two views of the chest show the lungs to be hyperaerated consistent with COPD. Right-sided central venous catheter remains with the tip in the SVC. Surgical clips are noted in the right upper lung field. Heart size is stable.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.89888848778793729220203353085431689841
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61382458618011356430852898965949809844
The bowel gas pattern is unremarkable. There is no evidence of bowel obstruction noted. There is no pathologic calcification. There is no evidence of free air noted on the supine view. The visualized osseous structures appear intact. The visualized lung fields demonstrate no acute infiltrate or pleural effusion.,Unremarkable abdominal ultrasound. No evidence of bowel obstruction.,1.2.826.0.1.3680043.8.498.74729511882920527226563871943080403697
"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.18340239423176646999518719932754283429
Heart size and mediastinal contours are stable. Atherosclerotic changes again noted at the aortic arch. Lungs are clear. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable. Scoliosis of the thoracolumbar spine is stable.,No active disease. No evidence of pneumonia or pulmonary edema. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.25446617766268894374027063938110625484
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29793979247488376206433203431215905359
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92885378050401256747949957608425410189
"The lungs are well-aerated. Mild peribronchial thickening is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild peribronchial thickening noted; lungs otherwise clear.,1.2.826.0.1.3680043.8.498.28166649379853521685578017431972544832
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Thoracolumbar scoliosis noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22966779428596833072080774647678829541
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.98633525839479528159171955533786583265
"The lungs are well-aerated. Increased central lung markings may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Increased central lung markings may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.23438829398629692061586075235204675277
The right PICC line tip is in the distal SVC. The heart is moderately enlarged. The pulmonary vasculature is congested. A small right effusion is present. Atelectasis is seen at the lung bases. No pneumothoraces are seen.,1. Right PICC line. 2. Cardiomegaly and CHF.,1.2.826.0.1.3680043.8.498.89381945115912944951113233179908425602
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No acute cardiopulmonary abnormality seen.,1.2.826.0.1.3680043.8.498.19165707506134053890496732472404253205
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98080290080725637655821171895448238071
The heart and vascularity are unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.63457572874648341707441603324090199767
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10170874645996073638037040314156988009
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52991029942869762931636504605284923202
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.17837555030841754012145479036769330897
"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16396156127327861928147670621226336786
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.55043080856059406756457342313937133445
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.24174401600534361342680304600269358016
"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91516183022263491557871755106754969401
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97683660332524943772316403234282841555
Mediastinum and hilar structures are normal. Heart size stable. Low lung volumes. Reference is made to prior CT report. No pleural effusion or pneumothorax. No acute bony abnormality.,Low lung volumes. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32493046860754238840694059658974410590
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80281896520806189478867598453312581224
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60275344230407670248909833479676323705
The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Bones appear average for age.,No acute or active process is identified.,1.2.826.0.1.3680043.8.498.35060889652256341623245732719442241498
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Scattered end plate spur formation thoracic spine.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.67469945774322552605183214943089708781
Moderate cardiomegaly. There is perihilar peribronchial thickening. Small bilateral pleural effusions. No focal consolidation. No pneumothorax. Degenerative changes of the shoulders.,Cardiomegaly and small pleural effusions. Bronchitic change.,1.2.826.0.1.3680043.8.498.82488678129778737347670468699883791840
No active infiltrate or effusion is seen. The heart is within normal limits in size. No bony abnormality is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.26529113425119500498108891927687372031
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.41621669899721963317649574384650704988
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72427607136098626993032446459166101355
The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. Again noted are mild bibasilar subsegmental atelectasis. There is no definite focal infiltrate seen. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No significant change. No focal infiltrate or pleural effusion. Stable mild bibasilar subsegmental atelectasis. No significant change compared to prior study done on 3/10/2016.,1.2.826.0.1.3680043.8.498.68601734960391432034387716511478388494
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55737113155850165891338728516297565676
Heart size is normal. No pleural effusion or pulmonary edema. Lung volumes are low. There is central airway thickening. No airspace consolidation.,1. Central airway thickening which is suspicious for lower respiratory tract viral infection or reactive airways disease. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.81699071057898946602819516466307528652
Portable AP supine view at 2495 hours. Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Allowing for portable technique the lungs are clear. No pneumothorax or pleural effusion identified on this supine view. No rib fracture identified. No acute osseous abnormality identified. Negative visible bowel gas pattern.,No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.27845818063108184975102225206775978452
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.17416667004358924355089846019364874802
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen; no displaced rib fractures identified.,1.2.826.0.1.3680043.8.498.41750098918286416484997429779257354948
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55840565135541993195411093058428179887
"An orogastric tube is again seen with tip in the mid stomach. Umbilical vein catheter and umbilical artery catheter are in appropriate position. Mild granular pulmonary opacity is again seen bilaterally, without significant change. No evidence of pulmonary consolidation or pleural effusion. Heart size is normal.",Stable mild RDS pattern.,1.2.826.0.1.3680043.8.498.38781143812829016854308749567847289791
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61622260408843578288992503201845296222
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.70014620081728886637192337611743158968
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86847039781911686313675632042948555218
Pulmonary edema has not significantly changed. Small bilateral pleural effusions are again noted. Cardiomegaly is stable.,No significant interval change.,1.2.826.0.1.3680043.8.498.81052785046104469254541408196474662522
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17478330868734194692172677377175203579
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.34042873613456974264219463521905534569
Endotracheal tube is 1.2 cm above the carina. OG tube is in the stomach. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax. Normal bowel gas pattern. No pneumatosis or free air.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37157987819922755583684759285639722955
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.80049228387772321116680748582777026351
There is central peribronchial thickening. Patchy infiltrates are seen in the right lung base. There is minimal atelectasis in the left base. No consolidation or pleural effusion is seen. Heart size is normal. No bony lesions are identified.,There is central peribronchial thickening. Patchy infiltrate is seen in the right base. There is minimal atelectasis in the left base.,1.2.826.0.1.3680043.8.498.20591906931007860891553427091119357854
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30406530160745143237974969552619167634
There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aorta. No pneumothorax. No acute fracture evident.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.37488394460378201821980517541351267438
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28465873484712263430511869932978048046
Normal heart size and mediastinal contours. Mildly tortuous thoracic aorta. Lungs clear. No pleural effusion or pneumothorax. No acute osseous findings.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38576328731284921617017828431201639366
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.96594762270043110135928745735328671214
Lung volume is normal. Mild bilateral airspace disease may represent pneumonia or atelectasis. No effusion.,Mild bilateral airspace disease.,1.2.826.0.1.3680043.8.498.91443418020093853400851589196884113652
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.28286394507303896989843833439879542416
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87903472655202119095738892208015978402
"Heart size is normal. Mild central peribronchial thickening is seen, however there is no evidence of pulmonary air space disease or pleural effusion. No significant hyperinflation.",Mild central peribronchial thickening. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.51239989444244634281307386286207852922
The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Bones appear average for age.,No acute or active process is identified.,1.2.826.0.1.3680043.8.498.75569397545830397733912308044048187489
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.35419965639326952086084759753300767095
The heart is upper limits of normal. The aorta is tortuous. The lungs are clear. No effusions. Ordinary degenerative changes affect the spine.,No active disease.,1.2.826.0.1.3680043.8.498.90302056586582777014689921066797225485
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14721900751837722930736165061898478303
The lungs are mildly hypoinflated. The interstitial markings remain increased bilaterally. Confluent density in the right perihilar region is less conspicuous today. The left hemidiaphragm remains obscured. The cardiac silhouette remains enlarged. The pulmonary vascularity is engorged. The ICD is in stable position. The patient has undergone previous CABG.,Slight interval improvement in the appearance of the pulmonary interstitium consistent with resolving interstitial edema. Persistent bibasilar atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.26632526994229325415635257369998784539
Mediastinum and hilar structures normal. Heart size normal. Low lung volumes. Right base atelectasis and or infiltrate. No pleural effusion or pneumothorax.,Low lung volumes. Right base atelectasis and or infiltrate.,1.2.826.0.1.3680043.8.498.16217661307005858339469954906655776021
"An endotracheal tube is in place with tip 3.6 cm above the carina. A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No evidence of pulmonary edema. Heart size is normal. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Atherosclerosis in the thoracic aorta.","1. Support apparatus, as above. 2. No radiographic evidence of acute cardiopulmonary disease. 3. Atherosclerosis.",1.2.826.0.1.3680043.8.498.51498143745004801206384364320690312084
The tip of the PICC catheter is in the superior vena cava. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary abnormalities. PICC catheter tip is in the superior vena cava.,1.2.826.0.1.3680043.8.498.29667554635184714455612090475402464025
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18772685695956431907886280144088361373
There is atelectasis at the left lung base. The lungs are otherwise clear. No pleural effusion or pneumothorax. The heart is top-normal in size. Postsurgical changes related to prior CABG. The upper thoracic spine is mildly degenerative.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42833708761386310106721635647893270790
Left jugular central venous catheter tip is in the lower SVC. No evidence for a pneumothorax. Endotracheal tube and nasogastric tube have been removed. Heart size is normal. Lung volumes are low. No significant airspace consolidation. No evidence for pleural effusions.,Central line tip in the lower SVC. No evidence for pneumothorax. Low lung volumes.,1.2.826.0.1.3680043.8.498.23180110673181588278358533236747882886
The cardiac silhouette is normal size and shape. Ectasia and nonaneurysmal calcification of the thoracic aorta are seen. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Osteophytes are seen in the spine. There is osteopenic appearance of bones.,No acute or active cardiopulmonary process is identified. Chronic findings are detailed above.,1.2.826.0.1.3680043.8.498.16230597612802867884300896885150771767
Cardiac leads overlie the chest. Heart size is normal. Lung volumes are low but clear. No pleural effusion. No acute osseous finding.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.64990840181145786994290410235348605800
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40283055732304082523561825742370841438
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62321394103813092549926151027125812613
Heart size is normal. There is perihilar peribronchial thickening. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.40445509707166518091150210152839571943
The cardiothymic silhouette is normal. The lung volumes are normal. There are mild bilateral hazy opacities. No consolidation or pleural effusion is identified. There is no pneumothorax. The abdominal bowel gas pattern is normal. The osseous structures appear normal.,Mild bilateral hazy opacities compatible with RDS.,1.2.826.0.1.3680043.8.498.99122000472668404413709209030530190753
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33822916114433586816287211625536302084
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.12154932771451996496931834116108233335
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22556695385657869368843415580621821811
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47617882650971223862681898762580643522
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92533222049648167985898384855517679840
Cardiothymic silhouette is within normal limits. Mild hazy opacities in the lungs. No effusions or pneumothorax. No bony abnormality.,Mild hazy opacities in the lungs which could reflect atelectasis.,1.2.826.0.1.3680043.8.498.74523240411484144589827960000842429607
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.82367557590162014402396024561607502270
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43812275365630607197614095935324821134
There is increased density in the RIGHT perihilar region and at the RIGHT lung base consistent with RIGHT perihilar pneumonia and RIGHT lower lobe pneumonia. The lungs are otherwise clear. The heart is not enlarged. There is no effusion or pneumothorax.,RIGHT perihilar and RIGHT lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.56215974745024604493640103041762899964
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.31238807890244755749432736027264297934
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.38121601428277228832696802750147579741
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.12389990176076549359617417498095946768
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62658005732030888123428442443255013559
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.51315599485010178654264691863260184184
The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is infiltrate in the right lower lobe. A small right effusion is suspected. The left lung appears clear. There is no pneumothorax. Degenerative changes are seen in the spine.,Right lower lobe infiltrate with suspected small effusion.,1.2.826.0.1.3680043.8.498.84677530830335783030365574893630814435
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98245826122857774982247295241990117885
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74668626548640337479205392829875818368
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.40300721459126518133186083569325369455
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20576333565306942927068062796225904948
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21534635733185057066434908382001684549
"The lungs are hyperexpanded, with flattening of the hemidiaphragms, compatible with COPD. Chronic peribronchial thickening is noted. Mild bibasilar scarring is seen. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is mildly enlarged; diffuse calcification is noted within the aortic arch. No acute osseous abnormalities are seen.",Findings of COPD; lungs otherwise clear.,1.2.826.0.1.3680043.8.498.99676653267894721537761864265321530159
There is interstitial edema with cardiomegaly and pulmonary venous hypertension. There is no airspace consolidation. No adenopathy. No bone lesions. No pneumothorax.,Evidence a degree of congestive heart failure. No airspace consolidation.,1.2.826.0.1.3680043.8.498.97851618964961368442820231807505164408
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.14034853381992654940940564730553119879
The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.35704131428043841866527880007008575089
The cardiac silhouette is within normal limits. The lungs are free of focal consolidations. Chronic interstitial changes are noted. Postthoracotomy changes are identified with sternal wire sutures and a prosthetic valve. Pulmonary vasculature is normal in caliber. The bony structures are adequately mineralized.,No acute cardiopulmonary process. Chronic interstitial changes. Postthoracotomy changes.,1.2.826.0.1.3680043.8.498.90250962923760908287321018223141955362
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40140540135999047283652620034430265995
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Status post coronary artery bypass graft. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29073679081799413262711058766274341691
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.40015538854497100076372147573292478714
"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.77725201509040339902466769082502144701
Endotracheal tube terminates 1.5 cm above the carina. Mild streaky perihilar opacities. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Enteric tube terminates in the mid gastric body.,Endotracheal tube terminates 1.5 cm above the carina.,1.2.826.0.1.3680043.8.498.73820462168286007343540597000149686224
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.88380144982735355121143456925943788248
The lungs are again significant for bands of opacity in each lung base. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No change in the appearance of the chest. Basilar atelectasis and/or pneumonia persists.,1.2.826.0.1.3680043.8.498.68921659125286037462468579502294217648
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93909937416396824310321083650190368508
"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. Mild spondylosis affects the thoracic spine.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.29919956987715318784546276638934562224
NG tube noted with tip below left hemidiaphragm. Heart size normal. Bibasilar atelectasis again noted. Small left pleural effusion again noted. No pneumothorax.,1. NG tube noted with tip below left hemidiaphragm. 2. Bibasilar atelectasis again noted. Similar findings noted on prior exam. 3. Small left pleural effusion again noted.,1.2.826.0.1.3680043.8.498.73685338898714880891515131170014860909
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90663533285274814938708556146835278257
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51779358365548547370876669727585742058
The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.69848237627824610740122994818241282552
Heart and mediastinal contours are within normal limits. There is central airway thickening without focal airspace opacity or effusion. Visualized skeleton unremarkable.,Findings compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.31812810920748526455483331624841494264
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77533045743507193433957176889830347277
The lungs are clear. There is no pleural effusion. Heart size is upper normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.85676683647090442722465228463002487404
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.23555978391845458698276694369269278482
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23492144961126503982166953636916764372
"Single frontal view of the chest demonstrates a stable cardiac silhouette. There is patchy consolidation at the lung bases, with relative sparing of the upper lung zones. No effusion or pneumothorax. No acute bony abnormalities.",Patchy bibasilar consolidation consistent with multifocal pneumonia. This is consistent with COVID-19.,1.2.826.0.1.3680043.8.498.44234768229629432659908715169118626299
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51057527793529248119262096335983371892
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90866715314433577587725238558536547940
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18840827476178286847704661671956195006
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92540368246670795458712372462166341390
There is consolidation in the right upper lobe compatible with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.83556944887889462178522065713338073853
"Lungs are adequately inflated without consolidation or effusion. Cardiomediastinal silhouette, bones and soft tissues are normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91600418666074025053191038604174053141
"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Atherosclerotic calcification of the aortic arch. Chronic emphysematous changes with coarsened interstitial markings throughout both lungs, similar to prior study. New consolidation at the right lung base. No pleural effusion or pneumothorax. No acute osseous abnormality.",New right lower lobe atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.17040151027720852740914675801045168029
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97856868533069076145717820667690825543
"PA and lateral chest radiographs are provided. There is a left lower lobe mass. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest. There is a left lower lobe mass. Recommend CT of the chest.,1.2.826.0.1.3680043.8.498.80303338906860069847455887913625182067
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.70295076226537316895985452692108755092
"Cardiothymic silhouette is normal. There is no evidence of focal airspace consolidation, pleural effusion or pneumothorax. Mild central airway thickening is noted. Osseous structures are without acute abnormality. Soft tissues are grossly normal.",Mild central airway thickening without evidence of focal airspace consolidation. This may represent reactive airway disease or viral bronchiolitis.,1.2.826.0.1.3680043.8.498.80502575647598986757670813992884643180
"Shallow lung volumes on both views. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.","Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.63327931297749775393332833698555041096
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.30347159814502546127162169371939970770
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.36674931401210283866762500580955021624
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50096852219451479419804637476920852439
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85950571889512972906532245093888079726
"Interim removal of left chest tube, mediastinal drainage catheter, Swan-Ganz catheter. Right IJ sheath in stable position. Prior CABG. Cardiomegaly. Low lung volumes with basilar atelectasis and/or infiltrates. Small left pleural effusion. No pneumothorax.","1. Interim removal of left chest tube, mediastinal drainage catheter, Swan-Ganz catheter. Right IJ sheath in stable position. 2. Prior CABG. Stable cardiomegaly. 3. Low lung volumes with basilar atelectasis and/or infiltrates. Small left pleural effusion.",1.2.826.0.1.3680043.8.498.72056689049553403117828782145388202020
Right PICC line tip mid superior vena cava. No gross pneumothorax. Mild central pulmonary vascular prominence. Further improvement in the pulmonary edema. Mild residual increased markings right mid to lower lung zone. Attention to this on follow-up to exclude underlying mass. Heart slightly enlarged. Calcified tortuous aorta.,Further improvement in pulmonary edema. Mild central pulmonary vascular prominence and mild residual right-sided pulmonary edema with slight increased markings on the right as noted above.,1.2.826.0.1.3680043.8.498.51321167343515120099258385959472353306
There is a left sided pacemaker present. The heart is enlarged. There is pulmonary vascular congestion. There is elevation of the right hemidiaphragm. There is no definite interstitial edema. There is no pneumothorax.,1. Cardiomegaly. 2. Atelectasis at the lung bases. 3. Pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.24995528409257002476258049751466160353
Left PICC line and nasogastric tube in stable position. Heart size stable. Left lower lobe atelectasis/infiltrate. Small left pleural effusion. No pneumothorax. Surgical skin staples over the abdomen.,1. Lines and tubes in stable position. 2. Left lower lobe atelectasis/infiltrate. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.67476716881680240553157159764897724441
"Endotracheal tube is in place, tip 2.5 cm above carina. Cardiac silhouette is obscured by diffuse bilateral airspace disease. No pneumothorax. No acute bony abnormalities.","1. Endotracheal tube in satisfactory position. 2. Extensive bilateral airspace disease, which could reflect edema or infection.",1.2.826.0.1.3680043.8.498.36607426331092069634699744064354898816
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Thoracic spine degenerative changes and mild scoliosis again noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65848586645830472732065009794521965211
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89144451133772316128256560683357231900
"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. There is patchy consolidation in the left lower lobe, similar. No pulmonary edema.","Patchy left lower lobe consolidation, similar. Findings are suggestive of left lower lobe pneumonia. Recommend follow-up PA and lateral post treatment chest radiographs in 4-6 weeks.",1.2.826.0.1.3680043.8.498.18446044208163166940242422539040936037
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Review of the visualized osseous structures is unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.31498027461511896617038603447371325405
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65838954330898112664714969356020577251
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89464337850731334840229292383937696164
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86679446779791437447089079730878605183
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61360648904149663053178344423772938285
The right lung is clear. No pleural effusion is seen.,No right pleural effusion.,1.2.826.0.1.3680043.8.498.59970721201919502046871650880284900191
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26021499891121337325984923399602157674
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.48770885351026038457206984146202670227
Mild cardiomegaly. Lungs are clear. No effusions. No acute bony abnormality.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.57902377718024003821894862588006946269
Stable heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56499384571365166801545017443725047027
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19176794145674220196189390076964131432
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69888954931712384698110413984022952078
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76391698828281441768816502440510554929
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28577574055845467844092338432109276696
The lungs are well-expanded. There are confluent increased densities in the left mid and lower lung and at the right lung base. The interstitial markings of both lungs are increased. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged.,There are findings consistent with pneumonia of the left mid and lower lung and subsegmental atelectasis or developing infiltrate at the right lung base. There is underlying COPD. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.16330004776954294066826296005973333132
Endotracheal tube tip 6.2 cm above the carina. Enteric tube enters the stomach with the tip below the field of view. Normal heart size. Normal mediastinal contour. No pneumothorax. No pleural effusion. Emphysema. Patchy opacities in the right mid to lower lung are not significantly changed. No pulmonary edema.,"1. Endotracheal tube tip 6.2 cm above the carina. 2. Enteric tube enters the stomach with the tip below the field of view. 3. Emphysema. Unchanged patchy opacities in the right mid to lower lung, favor atelectasis.",1.2.826.0.1.3680043.8.498.90243324233293419822684194756371642484
"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.36716793365149693596050406501701056531
Patchy airspace disease in the left lower lobe consistent with pneumonia. Streaky opacities in the right mid and lower lung zones may represent pneumonia or atelectasis. Heart size and pulmonary vascularity are normal. No pleural effusions. No pneumothorax. Mediastinal contours appear intact.,"Bilateral pneumonia, most prominent in the left lower lobe.",1.2.826.0.1.3680043.8.498.76949257797847146182174850541870711850
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40326023033240538180652874049622634550
Single portable AP view of the chest was obtained. The cardomediastinal silhouette is normal in size. There is mild shallow inspiration. The lungs are clear bilaterally. The osseous structures demonstrate no acute findings.,No acute chest disease,1.2.826.0.1.3680043.8.498.31524007663572174599214945089638079923
The heart size and mediastinal contours are within normal limits. Stable pneumomediastinum is noted. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,Stable pneumomediastinum. No other significant abnormality seen in the chest.,1.2.826.0.1.3680043.8.498.61036709442181918619593616085972719804
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Aortic atherosclerosis. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.34255060799144040595505584269587165024
The patient is rotated to the left. The cardiomediastinal silhouette is unchanged. Aortic atherosclerosis is noted. Lung volumes are lower than on the prior study. There is new mild right basilar opacity which may reflect atelectasis or developing consolidation. Mild left basilar opacity is also noted. No sizable pleural effusion or pneumothorax is identified. A calcified granuloma in the left upper lobe is unchanged.,"Decreased lung volumes with mild bibasilar opacities, likely atelectasis. Early infection is not excluded.",1.2.826.0.1.3680043.8.498.88431796842048020237983881363724295541
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24014750522201498087136893053596965509
"Low lung volumes. The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Low lung volumes without acute abnormality.,1.2.826.0.1.3680043.8.498.47870998186712784879481799520916483171
"Sternal sutures and mediastinal clips are noted. The heart is mildly enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.39504651421363931592213240952740341413
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19164813039701179551893299170463589151
Portable AP semi upright view at 8995 hours. Small to moderate left pleural effusion. Diffuse increased interstitial opacity in both lungs. Evidence of pulmonary vascular congestion. No pneumothorax. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits.,"1. Small to moderate left pleural effusion suspected. 2. Diffuse increased pulmonary interstitial opacity, favor pulmonary interstitial edema. Viral/atypical respiratory infection is also possible.",1.2.826.0.1.3680043.8.498.24040640459217211896477542131432239428
Grossly unchanged enlarged cardiac silhouette and mediastinal contours. Lung volumes are reduced with cephalization of flow. There is mild elevation of the right hemidiaphragm. No focal airspace opacities. No pleural effusion or pneumothorax. No definite evidence of edema. Unchanged bones.,Cardiomegaly and hypoventilation without acute cardiopulmonary disease on this hypoventilated examination.,1.2.826.0.1.3680043.8.498.19712870433769411219371372907560793177
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.60408774667207651217863189506070935679
The bowel gas pattern is normal. No evidence of pneumatosis is identified. There is no evidence of portal venous gas or free intraperitoneal air. An OG tube is in place. The tip is in the stomach. The tip of the UVC is at the level of the inferior cavoatrial junction. The visualized lungs are clear.,Normal bowel gas pattern. UVC at the level of the inferior cavoatrial junction.,1.2.826.0.1.3680043.8.498.17202094249728539007438705224981044883
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70274435007213147604712672758382774882
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60051978455061647901750738032206656865
No fracture or other bone lesions are seen involving the ribs. Heart size and vascularity are normal and the lungs are clear.,Normal exam.,1.2.826.0.1.3680043.8.498.35608409995326966397317135229084862759
The lungs are clear and the heart size and pulmonary vascularity are normal. There is no significant abnormality identified.,Normal chest x-ray.,1.2.826.0.1.3680043.8.498.75257074365833933695139929500211264198
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Degenerative changes of the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34437532375073922776415415119435517721
The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.80610374490237887750674706440033874965
Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.45798473571231043611644113429671147467
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37835855930726020258866846691363351302
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.75664515244193607445512079651357925817
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99475227328116009484720560589555138116
The heart is mildly prominent. There is bilateral hilar prominence. Mild peribronchial thickening is noted. No gross pneumothorax is seen. No dense consolidation. No acute fracture.,Mild peribronchial thickening. Findings may represent mild pulmonary edema. An atypical infectious process would be difficult to exclude.,1.2.826.0.1.3680043.8.498.37962854731987093486163093811099124294
Endotracheal tube is 6.5 cm above the carina. Lungs are clear. No effusions or pneumothorax. Heart is normal size. No acute bony abnormality.,Endotracheal tube 6.5 cm above the carina. Lungs are clear.,1.2.826.0.1.3680043.8.498.25526125467727900807802845717349213821
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87620498160870529629990834921245175455
"Left chest tube remains in place. There is a small left apical pneumothorax, unchanged. Continued left mid and lower lung airspace disease, unchanged. Minimal right base atelectasis. Heart is normal size. Subcutaneous air on the left chest wall unchanged.",Stable left chest tube with small left apical pneumothorax. No significant change left mid and lower lung airspace disease.,1.2.826.0.1.3680043.8.498.90017406392786289284577897214734153171
Left arm PICC line is seen with the tip overlying the distal SVC. Both lungs are clear. No evidence of pleural effusion. Heart size is within normal limits. The patient has undergone previous coronary artery bypass grafting.,1. No active cardiopulmonary disease. 2. Left arm PICC line in appropriate position.,1.2.826.0.1.3680043.8.498.95719038383075049603060153896603108352
Right central venous catheter is present with the tip in the mid SVC. No pneumothorax. Lung volumes are low. Bibasilar atelectasis. Heart size normal. Nasogastric tube is present with the tip in the stomach body.,1. Right IJ central venous catheter tip in the mid SVC. 2. No pneumothorax. 3. Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.54592537662752256971107479596252235503
"Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Central peribronchial thickening. No definite infiltrate, pleural effusion or pneumothorax. Osseous structures unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.28669188908070323592720561485495739744
The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.39367458442849761916227124293067428193
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.78971166844248386099526145595678427464
The lungs are adequately inflated. The interstitial markings remain increased. The pulmonary vascularity is less engorged and the pulmonary interstitial markings are slightly less conspicuous. The cardiac silhouette remains enlarged.,There are findings consistent with some improvement in the patient's pulmonary interstitial edema. Continued followup films would be of value.,1.2.826.0.1.3680043.8.498.25757291982659895913275258823272885691
There is worsening congestive heart failure with edema and bilateral pleural effusions. The heart remains enlarged.,Worsening CHF.,1.2.826.0.1.3680043.8.498.69850575508551061196395649149370163567
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79001712202528260753475286812561095747
Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48785268757257146320127757116910286912
Post CABG changes. Normal heart size and mediastinal contours. No pneumothorax or pleural effusion. Lungs are clear.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28849298642484057072843839051794738205
There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,Aortic atherosclerosis. No edema or consolidation.,1.2.826.0.1.3680043.8.498.62028855528792179357429013570352533987
Cardiomediastinal silhouette is normal. Mediastinal contours appear intact. There is no evidence of pneumothorax. Small right pleural effusion. Right lower lobe atelectasis versus airspace consolidation. Osseous structures are without acute abnormality. Soft tissues are grossly normal.,No evidence of pneumothorax post right thoracentesis. Small residual right pleural effusion with right lower lobe atelectasis versus airspace consolidation.,1.2.826.0.1.3680043.8.498.58336035200182171904033173157170271613
"Portable AP upright view at 6065 hrs. Chronically large body habitus. Stable left axillary surgical clips. Stable cardiac size and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.76517668311480652894810767857362630065
"The cardiomediastinal silhouette is unremarkable. Airway thickening is present. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Airway thickening without focal pneumonia - question viral process or reactive airway disease.,1.2.826.0.1.3680043.8.498.56407403045199639504954406316530346633
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20739351798487527159209072602562240568
"Portable AP upright view at 3485 hours. Enteric tube placed, tip at the level of the gastric body. Slightly larger lung volumes. Stable cardiac size and mediastinal contours. Ongoing confluent opacity in the right mid and lower lung. No pneumothorax. No pulmonary edema. Small right pleural effusion. Stable visualized osseous structures.","1. Enteric tube placed into the stomach, tip at the level of the gastric body. 2. Stable ventilation with right lung consolidation and small pleural effusion.",1.2.826.0.1.3680043.8.498.13644344679259200351015338666328005541
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.60623208815076866642105825029205422166
Linear opacities in the left lower lung are likely due to atelectasis. No pneumothorax. No pleural effusion. The heart size is normal. The right lung is clear. Known right rib fractures are better seen on CT.,1. No evidence of right-sided pneumothorax. 2. Mild left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.80000152087209324938858904503474043476
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19627209414134374547108638282200303183
"Right dialysis catheter is in place with the tip in the right atrium. Right central venous catheter tip is in the SVC. No pneumothorax. Cardiomegaly. No confluent opacities, effusions or edema. No acute bony abnormality.",Right dialysis catheter tip in the right atrium. Right central venous catheter tip in the SVC. No pneumothorax. Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.78659415962137505714325081061638400482
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71536688735883722229522481780676340206
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.64187545506290705314303717048565763393
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.57293855646743270212115604194440517481
Diatek catheter has been inserted via right jugular vein approach. The tips of the catheter are in the SVC/right atrial junction and in the proximal right atrium. No pneumothorax. Pulmonary vascular congestion. Chronic bronchitic changes.,"Specifically, the Diatek catheter is in the SVC/right atrial junction and proximal right atrium. No pneumothorax.",1.2.826.0.1.3680043.8.498.51082037681358521896258059372632393341
The bony thorax is grossly intact. The heart and pulmonary vascularity are within normal limits. No focal pulmonary infiltrate is present. No pleural effusion is seen.,No acute cardiopulmonary abnormality is identified.,1.2.826.0.1.3680043.8.498.99225392918842557887272624998553012772
"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72334985671589698293520033133687738163
Lung volumes are low. Bibasilar atelectasis. No effusion. Heart size normal. No pneumothorax.,Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.32042580544686166644475790519829518614
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34972013142805797670892366569104185071
"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. No significant skeletal abnormality is detected.",No significant radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.56287524541420187205059965797865307184
Mediastinum and hilar structures normal. Heart size normal. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14606112584964698987637904497211645650
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88613503447606408454708331704671708300
The endotracheal tube and nasogastric tube have been removed. The right IJ Swan-Ganz catheter tip is in the proximal right pulmonary artery. The left chest tube is in place. No pneumothorax is identified. Small left pleural effusion and left basilar atelectasis are present. The heart size and mediastinal contours are stable.,Interval extubation. Small left pleural effusion and left basilar atelectasis.,1.2.826.0.1.3680043.8.498.84198402649667813440489529454512575804
The heart size and mediastinal contours are within normal limits. Mild central peribronchial thickening. No focal consolidations. No pleural effusions. No pneumothorax. The visualized skeletal structures are unremarkable.,Central airway thickening which may reflect bronchiolitis or reactive airways disease.,1.2.826.0.1.3680043.8.498.86963466187385368131155985747768306773
The heart is normal sized. The pulmonary vascularity appears normal. The mediastinal contour and hilar configuration are within normal limits. There are no acute appearing infiltrates. No pleural effusion is identified.,No acute radiographic abnormality in the chest.,1.2.826.0.1.3680043.8.498.85569613711801191917835851751199738184
Endotracheal tube in position with the tip 4.6 cm above the level of the carina. Enteric tube entering the stomach with the tip below the field of view. Right internal jugular Swan-Ganz catheter with the tip in the right pulmonary artery. Mediastinal and left chest tubes are in good position. Interval CABG. Normal heart size. Low lung volumes with bronchovascular crowding. Bibasilar atelectasis. Small left pleural effusion. No pneumothorax. No acute osseous abnormality.,1. Post CABG with appropriately positioned support tubes and apparatus. 2. Low lung volumes with bibasilar atelectasis and small left pleural effusion.,1.2.826.0.1.3680043.8.498.34573080044708430051601673223473163157
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77762763200918265743694745401703830220
"There is patchy opacity at the right lung base, suspicious for pneumonia. Lungs otherwise clear. Heart size and mediastinal contours are normal. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.","Patchy opacity at the right lung base, suspicious for pneumonia. Recommend follow-up chest x-ray to ensure resolution.",1.2.826.0.1.3680043.8.498.82541559312438694518665178201639047036
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15045730541770356496622085849487144321
Cardiac pacer is noted in good anatomic position. The lungs are clear. The cardiovascular structures are unremarkable.,No acute cardiopulmonary disease. Cardiac pacer noted in good anatomic position. The chest is stable from prior study.,1.2.826.0.1.3680043.8.498.28015325028357902388971444729733427493
No focal consolidation. No pneumothorax or pleural effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54132741114293744772069537682245863354
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77353954277856360441995482487188260736
The chest appears hyperexpanded but the lungs are clear. No pneumothorax or pleural effusion. Heart size normal.,Pulmonary hyperexpansion. No focal process.,1.2.826.0.1.3680043.8.498.23680821571447630531147740811436709399
There is a focal opacity in the left lingula. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,Consolidation consistent with pneumonia in a portion of the lingula. Lungs elsewhere clear. No adenopathy evident.,1.2.826.0.1.3680043.8.498.78187723300025262944765577033844601647
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43487979951382926388559424977473863151
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. Patient is status post coronary artery bypass grafting. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.74559296309435131090213174925746609960
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.24391370273200939856020422051872001970
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.32892526017478789295235661969907141151
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94260534922102337829781488595428621484
Endotracheal tube is noted with its tip above the carina. Left-sided central venous catheter is noted with its tip in the left innominate vein. The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.78967832275912232875675834518916849863
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52513758083548282395485109858595512763
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94796635804594787330744361063169667312
Cardiothymic silhouette within normal limits. Lungs clear. No effusion. Visualized bones unremarkable. Distended bowel loops noted in the visualized upper abdomen.,No acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.96800605363896758680105323527196156452
No pneumothorax. Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.70421949917829814274762093770359445286
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.65728595541075438452650838761134331319
Normal heart size and pulmonary vascularity. Lungs appear emphysematous but clear. No pleural effusion or pneumothorax. Bones appear demineralized. No rib fracture or bone destruction.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.28044366683942897601784171003547396069
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11597599353518310213111869988070899532
There is a large right pleural effusion with extensive atelectasis of the right middle and lower lobes. The left lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Large right pleural effusion with extensive atelectasis of the right middle and lower lobes. Lungs elsewhere clear.,1.2.826.0.1.3680043.8.498.78098442580716148834755493392617734290
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29122013915469724474049435889010903144
Stable cardiomegaly given projection and technique. Aortic atherosclerosis with calcification. Clear lungs. No pleural effusion or pneumothorax. No acute osseous abnormality is evident.,Stable cardiomegaly. No acute pulmonary process identified.,1.2.826.0.1.3680043.8.498.16514334065218355213002096190303567793
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43371151943101016411973310771345384788
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68682743122312291947455240791394219552
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47368342970455105891229352899964681674
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18943556999889503865080660752360780206
The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.28104203837933653160424850613212894118
"Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No bronchial thickening. No infiltrate, mass, effusion or collapse. Pulmonary vascularity is normal. No bony abnormality.",Normal chest,1.2.826.0.1.3680043.8.498.62201085491557821745678620498741598952
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99824146984748531878828237648082865878
Endotracheal tube is 3.6 cm above the carina. Nasogastric tube extends into the abdomen. Right jugular central line tip in the SVC region. No evidence for a pneumothorax. Consolidation in the right lower lung. Right pleural fluid. Left lung is clear. Heart size is within normal limits.,Right lower lung consolidation and pleural fluid. Central line tip in the SVC region. Negative for pneumothorax.,1.2.826.0.1.3680043.8.498.60836624601506336549473679481804732777
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72484790444285295254910488170167181119
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15741796388722338546649660804492418967
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39951194603607551866415067616406489301
"Extensive bilateral airspace disease again noted, unchanged. Volume loss in the right upper lobe. Heart is normal size. No effusions or pneumothorax. No acute bony abnormality.",Stable extensive bilateral airspace disease.,1.2.826.0.1.3680043.8.498.76303878537452620411246010250877701953
The lungs are hypoexpanded. Vascular crowding and vascular congestion are seen. Bilateral central airspace opacities may reflect pulmonary edema or pneumonia. No definite pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are identified.,Lungs hypoexpanded. Vascular congestion seen. Bilateral central airspace opacities may reflect pulmonary edema or pneumonia.,1.2.826.0.1.3680043.8.498.70044383729791858655660760049250944269
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31354308671929789668231752931347117068
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.39686559479650751796018376449488040841
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.32113325447232440781652109812519805725
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.90500463123229158740740988903885715495
Cardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. No pulmonary edema. Stable calcified granuloma in the left lower lobe laterally.,No active disease. Stable exam.,1.2.826.0.1.3680043.8.498.99814323734736700587034399261980975687
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.54229275135764661841082278971843244060
"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70261187066871451056644619297489203642
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.99010888450301387312194203915772724626
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,Normal exam.,1.2.826.0.1.3680043.8.498.58600098471344145338862657129297341993
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.96864580556938514494779756428213896375
The left central line tip is stable at the left brachycephalic vein level. The cardiac silhouette remains enlarged. There is pulmonary vascular cephalization without frank edema. No pneumothorax. No focal infiltrates.,Stable cardiomegaly and pulmonary vascular cephalization.,1.2.826.0.1.3680043.8.498.91591104919561176216820858360961693330
The heart is enlarged. There are increased perihilar infiltrates and increased interstitial markings consistent with pulmonary edema. Bilateral pleural effusions are noted. The osseous structures are unremarkable.,1. Cardiomegaly and increased pulmonary edema. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.73270433034975999348971845293193220896
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13246033880386794203460107507578368922
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16783676689488656198881892895206860018
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78571268600260429788305992036125754984
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.17891353816319232133068717424576703264
Marked cardiomegaly. Pulmonary vascular congestion with mild interstitial edema. Left lower lobe atelectasis is again noted. No evidence of pneumothorax or sizable pleural effusion. Tracheostomy tube is seen in place. Right arm PICC line extends to the cavoatrial junction.,Stable cardiomegaly and mild interstitial edema. Left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.73592145653802785208234555725273869643
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.25199969278135546399556655517703535707
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.14836492582437757642775159008991275640
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17162295878782085688472944232610184698
The heart is normal. There is pulmonary vascular congestion. There are bilateral airspace opacities. There is no pneumothorax. No large pleural effusion.,Bilateral airspace opacities concerning for pneumonia.,1.2.826.0.1.3680043.8.498.28751975180444585403551262562011449961
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.88472871494939343967440499932414987208
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process. No radiographic evidence for tuberculosis.,1.2.826.0.1.3680043.8.498.77995285110112876286339608397071397759
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.82693286964315020592413294155511480900
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41629764281027524914178858051747364367
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55247813587589133134168418833792290351
Endotracheal tube is 3.5 cm above the carina. Nasogastric tube extends into the abdomen. Swan-Ganz catheter is in the right pulmonary artery. There is no evidence for a pneumothorax. Left basilar densities suggest atelectasis. Heart size is within normal limits. No evidence for pulmonary edema.,Left basilar atelectasis. Support apparatuses as described.,1.2.826.0.1.3680043.8.498.67530764913019797100229706250592277931
The chest is hyperexpanded with central airway thickening. No consolidative process or effusion. No pneumothorax. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.24758575245201893502617821873396711167
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19666740165800522759368853548778510133
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.83327375441570091082839835840554927478
Multiple bilateral rib fractures are again noted. No pneumothorax. Left base atelectasis with small left effusion again noted. Right base atelectasis. Heart is normal size. Displaced right humeral neck fracture again noted.,Multiple bilateral rib fractures. No pneumothorax. Left base atelectasis with small left effusion. Right base atelectasis.,1.2.826.0.1.3680043.8.498.67138557905090139264765948818012874406
"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58292598882797538909055558167807377004
Eventration of the left hemidiaphragm. Linear atelectasis at the left base. No pleural effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58399580043265682296215595657776631467
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits. Atherosclerosis of thoracic aorta is noted.,Normal left ribs. Aortic atherosclerosis. No acute cardiopulmonary abnormality seen.,1.2.826.0.1.3680043.8.498.51600397226618288562485919269062397032
There is cardiomegaly with vascular congestion and mild pulmonary edema. No definite effusions. No acute bony abnormality. Left pacer is unchanged.,Cardiomegaly with vascular congestion and mild interstitial edema. Findings are similar to prior study.,1.2.826.0.1.3680043.8.498.29973474036046869547326365946477338511
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54310016745327284155893193200640963524
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid. Degenerative changes are seen in the spine.,No acute findings.,1.2.826.0.1.3680043.8.498.73756256359894699825026785427668330720
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95081190837226828503598885413822885902
Stable mild cardiomegaly. Normal vascularity. Patchy opacities in the right mid and bilateral lower lungs have improved. No pneumothorax or pleural effusion.,Improved bilateral airspace disease.,1.2.826.0.1.3680043.8.498.23490809262673945042196446899495658114
Right arm PICC is unchanged near the cavoatrial junction. There is stable pleural thickening on the right. Consolidation in the right lower lobe appears slightly improved. There is no significant change in the appearance of the left lung. The cavitary lesion in the anterior left chest is unchanged. The heart size and mediastinal contours are stable.,Slight improvement in right lower lobe consolidation. No change in cavitary process in the lingula.,1.2.826.0.1.3680043.8.498.52210747656919238662125939367876606925
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of hyperinflation or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.93801821320448831424118812631304106958
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Aortic atherosclerosis.,No active disease.,1.2.826.0.1.3680043.8.498.62983402311831226947227575540287834138
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,Negative chest.,1.2.826.0.1.3680043.8.498.42015300360212079932738592765567735572
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89692122516933312076703951495728660200
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64627780035400587546546058160956964438
"There is mild cardiomegaly. Lungs are hyperinflated. Coarse interstitial opacities in both lung bases, likely atelectasis or scarring. No effusion. Mild compression deformities in the mid thoracic spine, age indeterminate.","1. Mid thoracic compression fractures, age indeterminate. 2. Stable mild cardiomegaly and pulmonary hyperinflation.",1.2.826.0.1.3680043.8.498.34104139772914387853751757680485961499
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58908059612057575060779620894808809194
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.96095164043423317874182951461627505737
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Elevated right hemidiaphragm is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30707343335708883862266427527262180711
Pacemaker lead is attached to the right ventricle. No pneumothorax. There is atelectatic change in the left base. The lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity normal. There is aortic atherosclerosis. No adenopathy. No bone lesions.,Pacemaker lead tip attached to right ventricle. No pneumothorax. Left base atelectasis. Lungs elsewhere clear. Stable cardiac silhouette. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.83100508497497339183398699985437314734
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. There is an ill-defined airspace opacity in the left lower lobe consistent with pneumonia. The right lung is clear. No pleural effusions. The bony thorax is intact.",Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.75522080004530727808720095386997328184
Tracheostomy device is in place. Feeding tube is in the stomach. Heart is normal size. No confluent airspace opacities or effusions. No acute bony abnormality.,No acute findings.,1.2.826.0.1.3680043.8.498.60129234420394442609012170701014863673
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.67533321635874198883423921362891723958
Normal heart size and pulmonary vascularity. Biapical scarring. No focal airspace consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax.,No evidence of active pulmonary disease.,1.2.826.0.1.3680043.8.498.37144535176560885690383860376707227369
The heart is enlarged. There is a small right pleural effusion. There is evidence of diffuse interstitial edema. Atherosclerotic calcification is present. There is no pneumothorax. The bony structures appear intact.,1. Cardiomegaly. 2. Small bilateral pleural effusions. 3. Pulmonary edema.,1.2.826.0.1.3680043.8.498.37473218836933998391979112681551471986
Right PICC is in place with the tip projecting in the lower superior vena cava. There is cardiomegaly. Left pleural effusion and airspace disease have worsened since the prior exams. The right lung is clear. No pneumothorax. Aortic atherosclerosis is noted.,Worsened left effusion and airspace disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.70306352981949134645050457198940973146
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86280524618988016106190617597683486411
Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.39404084932884654795891537876722464773
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.61517389497125050298039031044611891171
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29965131159557690411680928335409508159
The heart is normal. The lungs are clear. Mediastinum is normal. No pleural effusion or pneumothorax. No obvious acute bony injury.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44359340387584426466870600588551513182
Normal cardiac silhouette. Consolidation in the right upper lobe. No pleural effusion or pneumothorax. Bones are unremarkable.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.16735713673274761473616502390559188111
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Review of the visualized osseous structures is unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.82457216821736258736584201928643607940
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.47001634083879884906855643122876670044
There are low lung volumes. New atelectasis at the right lung base. There is also atelectasis in the left midlung. No effusions. Heart is borderline in size.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.47838799966467450659093578955737939696
The lungs are clear. Mediastinal contours appear normal. The heart is within upper limits of normal. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.41087322566552892897867703355569933436
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45481760205824759072448815406199210058
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84883862003556155728270541801561247505
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69387434270503267963193756425882236185
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38658283182417424371896444670381104644
"Left lower lobe atelectasis and left pleural effusion again noted, similar to prior study. Right lung is clear. Heart is normal size. No mediastinal mass. No acute bony abnormality.",Continued left lower lobe atelectasis and left pleural effusion. Findings are stable.,1.2.826.0.1.3680043.8.498.68227241545306086198563242664182856883
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19834288468295426470481638527087808432
Endotracheal tube terminates 5.5 cm above the carina. Enteric tube courses into the left upper abdomen with tip not imaged. The cardiomediastinal silhouette is unchanged. Lung volumes are lower than on the prior study with persistent left mid and lower lung opacities and new opacity in the right lung base. No sizable pleural effusion or pneumothorax is identified.,1. Unchanged left lung opacities consistent with pneumonia. 2. New right basilar opacity which may reflect developing pneumonia or atelectasis.,1.2.826.0.1.3680043.8.498.93064483591094156334862793843519867331
Interval placement of right central venous line with tip in the distal SVC. No evidence of pneumothorax. Normal cardiac silhouette. There is bibasilar atelectasis. Mild central venous congestion.,1. Right central venous line with no evidence of pneumothorax. 2. Bibasilar atelectasis and central venous congestion.,1.2.826.0.1.3680043.8.498.58962067260110832197656802073888506717
"Cardiothymic silhouette is normal. There is perihilar peribronchial thickening. There are patchy infiltrates in the left lower lobe, consistent with pneumonia. No pleural effusions. No pulmonary edema. Visualized osseous structures have a normal appearance.",Left lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.61760734375222004792382495424605842048
There is volume loss on the RIGHT in the perihilar region due to the patient's known malignancy. This is not significantly changed here since the prior study. The lungs are hyperinflated. There is no focal infiltrate. The heart is not enlarged.,There are findings consistent with COPD. There is chronic change in the RIGHT lung related to prior surgery and radiation therapy. I do not see evidence of acute pneumonia.,1.2.826.0.1.3680043.8.498.87683283550693250398026613776966912748
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.49363170105002223572118307489041172621
Endotracheal tube is 3.5 cm from the carina at the thoracic inlet. Enteric tube in place with tip and side-port below the diaphragm. Low lung volumes. Upper normal heart size likely accentuated by technique. Patchy opacities in the right upper lobe and left perihilar region. No pneumothorax. No pleural fluid.,1. Endotracheal tube tip at the thoracic inlet. Enteric tube in place with tip and side-port below the diaphragm. 2. Patchy right upper lobe and left perihilar opacities may be atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.91633088507668995796168023630895571489
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.96428750900922436253904542336360815088
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26018917329361382822054859622800111607
There is airspace consolidation in the right base. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation right base consistent with pneumonia.,1.2.826.0.1.3680043.8.498.46549403531582686877771108299656838866
The lung volumes are low. This accentuates the heart size. I suspect the heart size is normal. The mediastinal contours are unremarkable. There is mild atelectasis at the lung bases. No pleural effusion is seen. No rib fractures are identified.,1. Low lung volumes with mild bibasilar atelectasis. 2. No evidence of rib fracture.,1.2.826.0.1.3680043.8.498.14564148411239581389375621768227975263
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58349654526656532935048213854228472547
Right PICC tip in the superior aspect of the right atrium. Right jugular catheter tip in the superior aspect of the superior vena cava. No pneumothorax. Stable enlarged cardiac silhouette and left basilar airspace opacity. Stable prominence of the interstitial markings and mild diffuse peribronchial thickening. Stable post CABG changes. Diffuse osteopenia.,"1. Right PICC tip in the superior aspect of the right atrium. 2. Right jugular catheter tip in the superior aspect of the superior vena cava without pneumothorax. 3. Stable cardiomegaly, left basilar atelectasis or pneumonia and mild changes of congestive heart failure.",1.2.826.0.1.3680043.8.498.20517602286125333466570407097353136132
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56513886381507527497658529378036717625
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66155481223531238530034509251103597590
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93285296240957920508419534011851609436
"Endotracheal tube, NG tube, right PICC line stable position. Stable cardiomegaly. Persistent left base atelectasis/infiltrate and mild right base atelectasis. Small left pleural effusion. No pneumothorax.",1. Lines and tubes in stable position. 2. Persistent left base atelectasis/infiltrate and mild right base atelectasis. Small left pleural effusion. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.31065773422245519875511734998220144602
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.73334528580927623600338084655182125089
"Heart is enlarged. There is atherosclerotic calcification of the aortic arch. Bilateral pulmonary opacities are again identified, slightly increased in the right upper lobe and slightly improved in the left lower lobe. Bilateral pleural effusions are suspected. No pneumothorax.","Findings consistent with pulmonary edema, increased in the right upper lobe and slightly improved in the left lower lobe. Superimposed pneumonia is not excluded.",1.2.826.0.1.3680043.8.498.33939300795832336567782189199756866652
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.90988123745077643624865662143354086391
The lungs are clear and hyperaerated consistent with COPD. The heart is within normal limits in size. No bony abnormality is seen.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.31141878077491238178522930643636409009
Heart size is normal. There is atherosclerotic calcification of the aortic knob. Diffuse interstitial opacities are seen throughout both lungs. No pleural effusion or pneumothorax. No acute osseous abnormality.,1. Diffuse interstitial opacities throughout both lungs which could be due to interstitial edema and/or infectious etiology. 2. Atherosclerotic calcification of the aortic knob.,1.2.826.0.1.3680043.8.498.52093005681323975387515960372258335264
There is interstitial edema throughout both lungs. There is a small right pleural effusion. There is no airspace consolidation. Heart is upper normal in size with pulmonary venous hypertension. No adenopathy. There is atherosclerotic change in the aorta. No bone lesions.,Findings indicative of congestive heart failure.,1.2.826.0.1.3680043.8.498.61597862178108335005615036951536649801
"PA and lateral chest radiographs are provided. There is a dual-lumen left-sided central venous catheter with the tip projecting over the cavoatrial junction. There is right basilar atelectasis. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.74239899386645724477765107585991542128
The heart is enlarged. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process. Cardiomegaly.,1.2.826.0.1.3680043.8.498.70998884520915729653896782023135464366
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79763330525465403400156595187448632866
There is patchy airspace disease at the lung bases most consistent with pneumonia. There does appear to be a small right effusion present. The heart is within normal limits in size. Feeding tube is present.,Basilar opacities suspicious for pneumonia with small right effusion.,1.2.826.0.1.3680043.8.498.93745421338177333873070690211633164010
"The patient has taken a shallow inspiration. With technique taken into consideration, there is no evidence of focal infiltrates, effusions or edema. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable. A right-sided PICC line is appreciated with tip projecting in the region of the superior vena cava.",1. Shallow inspiration. 2. Cardiomegaly. 3. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72433839594901802275858228479250292232
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.62376960195069577531884858246391954196
Mild cardiomegaly. Mediastinal silhouette within normal limits. Lungs normally inflated. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.,1. No active cardiopulmonary disease. 2. Mild cardiomegaly without pulmonary edema.,1.2.826.0.1.3680043.8.498.40205537272744247395040140848822907657
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96129231567841759583539159314588669344
There is peribronchial thickening. Focal opacity in the left upper lobe consistent with pneumonia. Heart size and pulmonary vascularity are normal. No blunting of costophrenic angles. No pneumothorax.,Left upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.41333797541634816780422549648554435049
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.70168799327692233285476695932681975323
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.34369083101337602837690809788406066840
"The cardiac silhouette appears mildly enlarged, even with consideration to this low inspiratory portable examination with crowded vasculature markings. Mildly elevated RIGHT hemidiaphragm. No pleural effusions or focal consolidations. No pneumothorax. Included soft tissue planes and osseous structures are nonsuspicious.","Stable cardiomegaly, no acute pulmonary process.",1.2.826.0.1.3680043.8.498.71735435408981949761263261197252569707
There is right base atelectasis. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,Right base atelectasis. No edema or consolidation.,1.2.826.0.1.3680043.8.498.32927842048617716355091908467807493645
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86141892800110437288201567049610059209
"Low lung volumes. The heart is at the upper limits of normal in size, likely accentuated by technique. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Low lung volumes without acute chest finding.,1.2.826.0.1.3680043.8.498.52943046130573315231979152288347317392
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.98293330882934981254292949780964508157
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.84829135089729191211017015825365245663
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.36651435503432713194684302049523593743
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82231740986286135065279744486533042971
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.16457282510511321500261487098953749116
There is thickening of the interstitial markings as well as an element of peribronchial cuffing. The cardiac silhouette is enlarged indicative of cardiomegaly. The visualized bony skeleton is unremarkable.,Findings consistent with improved pulmonary edema. Continued surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.48096539612715418253110683055057001151
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Azygos lobe (a normal anatomical variant) incidentally noted.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60957411779009583569617905146492606865
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63646873216132702946566847973361603210
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.19324407702121858014254183960920121686
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80893293836871378079098599290492875773
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84005671140803901415612484686236310680
"The umbilical vein catheter is been pulled back, with tip now in the inferior aspect of the right atrium. A small left apical pneumothorax is again seen, not significantly changed since prior exam. Both lungs are clear. Heart size is normal. Bowel gas pattern is normal.",1. No significant change in small left apical pneumothorax. 2. UVC in appropriate position.,1.2.826.0.1.3680043.8.498.88692345629971111274913871581512857786
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Left subclavian Port-A-Cath is noted with distal tip in expected position of the SVC. The visualized skeletal structures are unremarkable.,Left subclavian Port-A-Cath is noted with distal tip in expected position of the SVC. No pneumothorax is noted.,1.2.826.0.1.3680043.8.498.80820773300800047482791436703420014312
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94187660212027349356870685154572112683
There is no evidence of fracture or dislocation. There are no arthritic changes.,Negative study.,1.2.826.0.1.3680043.8.498.82786362574245294048310912558949987683
The heart size and mediastinal contours are within normal limits. New atelectasis at the left lung base. No evidence of pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,New left basilar atelectasis.,1.2.826.0.1.3680043.8.498.30927834871492787867540861969651308582
The lungs are clear. There is no evidence of pneumothorax or pleural effusion. Heart size and mediastinal contours are within normal limits. No bony abnormalities are identified.,Normal chest.,1.2.826.0.1.3680043.8.498.61929204709031505538832856914099902676
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.16746940697585485881946884341219089351
The cardiac silhouette is minimally enlarged. The lungs are free of infiltrates. No pleural disease is seen. There is minimal degenerative spondylosis compatible with age.,"The cardiac silhouette is minimally enlarged. No pulmonary edema, pneumonia, or pleural effusion is seen.",1.2.826.0.1.3680043.8.498.59976823977312863739826926413593312063
"AP portable seated upright view 2000 hours. Slightly shallow lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.48457869789916045276891813224011417588
Rotated to the left. Scoliosis. Cardiomegaly. Pulmonary vascular congestion. Left base infiltrate/atelectasis appears slightly more prominent than on the prior examination. This may be related to rotation however. The right base is essentially clear. No pneumothorax.,Rotated exam. Slight increase in left base infiltrate/atelectasis. This is probably related to rotation however followup two view exam is suggested when the patient is able.,1.2.826.0.1.3680043.8.498.71154167693777165517377606197436382541
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No acute osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.62773778317238983709841210188372357118
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18549323150847774847940510410981087125
The cardiopericardial silhouette is within normal limits for size. Mild central airway thickening is present. No focal airspace disease is seen. The visualized soft tissues and bony thorax are unremarkable.,"Mild central airway thickening without focal airspace disease. This is nonspecific, but can be seen in the setting of an acute viral process.",1.2.826.0.1.3680043.8.498.75602052968033694294101405830649271746
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16580595274316066090036334616439415355
Heart size is normal. Aortic atherosclerosis. No pleural effusion or edema. No airspace consolidation. Spondylosis noted within the thoracic spine.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.47716297607188829805236488674962235846
"The cardiac silhouette, mediastinum, pulmonary vasculature are within normal limits. Both lungs are clear. The osseous structures are unremarkable.",Normal chest x-ray.,1.2.826.0.1.3680043.8.498.81228712202758155868193730529920011430
The heart size and mediastinal contours are within normal limits. Aortic knob calcifications are seen. Both lungs are clear. No pleural effusion. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52565377513667928518424438283559760362
There is a stable right-sided venous Port-A-Cath. Mild areas of atelectasis and/or infiltrate are seen within the right lung base and mid right lung. There is no evidence of a pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. There is mild calcification of the aortic arch. The visualized skeletal structures are unremarkable.,Mild right-sided atelectasis and/or early infiltrate.,1.2.826.0.1.3680043.8.498.83964419890340336710597365151260666014
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.77260937194740946535540622044236506016
"Right central venous catheter remains in place, unchanged. There is cardiomegaly with vascular congestion. Low lung volumes. No overt edema. No effusions.","Cardiomegaly, vascular congestion.",1.2.826.0.1.3680043.8.498.87385963990665844394901512814711430216
The heart size and mediastinal contours are within normal limits. Tortuous thoracic aorta. Both lungs are clear. No visible pleural effusions or pneumothorax. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32929842721053153421041713188295355946
Portable supine AP view 1459 hours. Low lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion on this supine view. No confluent pulmonary opacity. Crowding of lung markings. No acute osseous abnormality identified.,"Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.66695037125314129810201997781212037474
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.32021586555908091971406881946716020127
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No acute osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.72555452596821170211917406753200881360
OG tube tip is in the stomach. The cardiothymic silhouette is normal. The lungs are clear. No pleural effusion or pneumothorax. The bony thorax is intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.24763775934310064139633225459910376619
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68972572398970249429966181270738283931
There is mild cardiomegaly. Left basilar atelectasis present. No effusions. Right lung clear. No acute bony abnormality.,"Mild cardiomegaly, left basilar atelectasis.",1.2.826.0.1.3680043.8.498.94757910318286482402010776209172646227
Shallow inspiration. Mild elevation of right hemidiaphragm. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Heart size and pulmonary vascularity are normal. Degenerative changes in the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98533577226884026558504093963405307518
Heart: Normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.26290173447786720172952744200895229313
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous mineralization normal. BB placed at site of symptoms lower left chest. No rib fracture or bone destruction.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.67768204093410229120377031937373646164
Mediastinum and hilar structures are normal. Cardiomegaly with normal pulmonary vascularity. Bilateral pulmonary alveolar infiltrates noted consistent with pulmonary edema. Bilateral pleural effusions. No pneumothorax. No acute bony abnormality.,Congestive heart failure with bilateral pulmonary edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.77911446502529105018223020200135149806
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Scattered endplate spur formation thoracic spine.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.78380678254472777084020832289930682840
Tracheostomy tube in stable position. Cardiomegaly. Diffuse bilateral pulmonary infiltrates/edema again noted without interim change. Small bilateral pleural effusions. No pneumothorax.,1. Tracheostomy tube in stable position. 2. Stable cardiomegaly. 3. Diffuse bilateral pulmonary infiltrates/edema again noted without interim change. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.69332079791018912149395440623636638445
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57381904988178283524778404423666770861
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.24158851503049245878055971606352722964
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17780629291036176034588769816934038213
Heart/Mediastinum: Cardiomediastinal silhouette appears grossly unremarkable. Lungs: No dense consolidation or definite acute infiltrate. No pneumothorax. Pleural effusions: No definite significant effusion seen. Bones: No definite acute osseous findings. Visualized upper abdomen: Grossly unremarkable.,No definite acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.62504306558377602589211474270253308109
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable. No sternal fracture identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33320383598314205801145859471454219000
"Cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. Bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.63889660036623914504786736515500457457
"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.74854294745552734082001745528163031484
"There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. There is tortuosity of the thoracic aorta. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34300268272177631627561206288447233719
Endotracheal tube is 2.5 cm from the carina at the thoracic inlet. Low lung volumes. Heart size is normal. The lungs are clear. No pneumothorax. No acute osseous abnormality.,Endotracheal tube in satisfactory position. Hypoventilatory chest.,1.2.826.0.1.3680043.8.498.56301154441022732332071567154866087592
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.56174496857540127885215441904656227975
The heart is enlarged. There is no evidence of pulmonary edema or consolidation. No pleural effusions are identified.,Cardiomegaly.,1.2.826.0.1.3680043.8.498.11508290982848432623453858308072575520
The lungs are clear. There is no pleural effusion. Heart size is normal.,No acute disease.,1.2.826.0.1.3680043.8.498.59257360262127502692063783750247857870
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52580384474066038936723140585137502355
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55080511184755558526697294176239881414
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47224309547425328247702798427447107287
Cardiac silhouette is enlarged. There are low lung volumes. There is a small left pleural effusion. There is a left lower lobe infiltrate. No pneumothorax.,Left lower lobe infiltrate and left pleural effusion.,1.2.826.0.1.3680043.8.498.59162907167745280445284628531334194003
No pneumonia is seen. There are somewhat prominent perihilar markings with some peribronchial thickening which can be seen with central airway process such as bronchitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Possible central airway process.,1.2.826.0.1.3680043.8.498.54721616017702589523691823097085652588
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.82963509965658032187499419857909758368
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65508484270964315585699535056466344892
"Patchy bilateral pulmonary infiltrate which has mildly improved. Low lung volumes. No edema, effusion, or pneumothorax. Normal heart size.",Mild improvement in bilateral pneumonia.,1.2.826.0.1.3680043.8.498.11167546999834277754986585821242628739
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.79402065644480188601008150607823211837
"The cardiomediastinal silhouette is unremarkable. Left upper lobe airspace disease is compatible with pneumonia. The lungs are otherwise clear. There is no evidence of pleural effusion, pulmonary edema or pneumothorax. No acute or suspicious bony abnormalities are identified.",Left upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.88944391079823597000589260958027802100
"The heart size and mediastinal contours are stable. There is chronic lung disease with emphysema and pulmonary hyperinflation. Chronic scarring at both lung bases appears stable. On the lateral view, there is a new opacity overlying the heart, not seen on the frontal examination. This is suspicious for pneumonia. There is no consolidation or significant pleural effusion. The bones appear unchanged.",1. Suspected new left lower lobe pneumonia. 2. Stable chronic lung disease.,1.2.826.0.1.3680043.8.498.35720043404356114363496099874468544649
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.53000830827981470814386571443546679522
There is diffuse interstitial disease throughout both lungs. Heart is enlarged. No definite pleural effusions. No pneumothorax.,"Cardiomegaly and diffuse interstitial disease, likely pulmonary edema.",1.2.826.0.1.3680043.8.498.56940593556899488504361615484114773458
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50167126406770964817853988336123962718
"There is hyperinflation of the lungs compatible with COPD. There is cardiomegaly. There are small bilateral pleural effusions. The right effusion has decreased since the prior study. There is no edema. There is a compression fracture in the mid thoracic spine, age indeterminate.","COPD. Cardiomegaly. Small effusions. Mid thoracic compression fracture, age indeterminate.",1.2.826.0.1.3680043.8.498.93897684979083095498009466962883312424
Mediastinum and hilar structures normal. Prior CABG. Heart size normal. Pulmonary vascularity normal. Chronic interstitial changes noted consistent with chronic interstitial lung disease. Similar findings noted on prior exam. No acute infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Prior CABG. Heart size stable. 2. Chronic interstitial changes consistent chronic interstitial lung disease again noted. Similar findings noted on prior exam. No acute infiltrate.,1.2.826.0.1.3680043.8.498.28254584795440477183159018826032014714
Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease,1.2.826.0.1.3680043.8.498.59979643705096976063796651217384043010
Prior CABG. Cardiomegaly with bilateral pleural effusions and bilateral lower lobe atelectasis again noted. Similar findings on prior exam. No pneumothorax.,1. Prior CABG. Stable cardiomegaly. 2. Persistent bilateral pleural effusions and bilateral lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.50958810113966819251166290501911658324
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease.,1.2.826.0.1.3680043.8.498.85165955451202037061447579663350852846
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95278360580694799524233131526555558533
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65383033927812439186548521754555217664
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11012685573707777081441651781356290711
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.52966135739021261538948592637458813698
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.62738225669803138000028080149893680023
Right upper extremity PICC tip in the mid SVC. Enteric tube is present with tip and side-port below the diaphragm. Elevation of the right hemidiaphragm with atelectasis at the right lung base. No significant airspace disease. Unremarkable heart size. No evidence of pneumothorax. No pleural effusion.,1. Right upper extremity PICC with tip in the mid SVC. 2. Enteric tube with tip and side-port below the diaphragm. 3. Elevation of right hemidiaphragm with atelectasis at the right lung base.,1.2.826.0.1.3680043.8.498.95579992217823275276688521676854048076
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46067963775866187210922045940582157641
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Lung volumes are low. There are interstitial changes of COPD.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.52940163436776188240360870171695981457
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.33789381421264652852703419715040308764
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.16633498559253084439128009679083859969
Cardiac shadow is stable. The lungs are well aerated bilaterally. Elevation of the right hemidiaphragm is again seen. No focal infiltrate or sizable effusion is noted. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21314975406079402754804188031080919176
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76755106482392513526204932492975086232
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.92151908414570207649375421783215388225
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable.,No acute disease.,1.2.826.0.1.3680043.8.498.57392869857796504363760753341335656276
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69883699018709245918892666761092698965
The lungs are well-aerated. Focal left lower lobe airspace consolidation is compatible with pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Left lower lobe pneumonia noted.,1.2.826.0.1.3680043.8.498.88377525868446059171486358635980482452
The lungs are adequately inflated. The interstitial markings are coarse though stable. There is no alveolar infiltrate. There is no pleural effusion. The heart is top-normal in size. The pulmonary vascularity is not engorged. There is calcification in the wall of the aortic arch. The patient has undergone previous CABG. The sternal wires are intact. The observed bony thorax exhibits no acute abnormality.,"Chronic bronchitic changes, stable. No pneumonia, CHF, nor other acute cardiopulmonary abnormality. Thoracic aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.84501946007250408859099389221220173497
There is persistent increased density in the left lung base consistent with elevation of the left hemidiaphragm. There is likely left lower lobe atelectasis or infiltrate. The right lung is clear. The cardiac silhouette is not enlarged. There is no pneumothorax. The bony structures are normal in appearance.,There is persistent volume loss on the left with elevation of the left hemidiaphragm. There is likely left lower lobe atelectasis or infiltrate. This is not new.,1.2.826.0.1.3680043.8.498.91398315357064601045030144258338570407
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.49024770022515651645593203077260402873
"Tracheostomy tube, feeding tube, and right upper extremity PICC are stable. Diffuse airspace disease has worsened. The heart remains enlarged. No pneumothorax.",Worsening diffuse airspace disease.,1.2.826.0.1.3680043.8.498.25219702959690490577772559344869147917
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80902232263130367621488496394285685105
"Median sternotomy wires underlying prostatic valve noted. Cardiac and mediastinal silhouettes are stable, and remain within normal limits. Lungs normally inflated. Mild subsegmental atelectasis at the right lung base. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.",1. Mild right basilar subsegmental atelectasis. 2. No other active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43649921745191304351515657177960944594
Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No acute or significant findings.,1.2.826.0.1.3680043.8.498.29458004336214804415512152838195422570
Small bilateral pleural effusions are present. There is no interstitial edema. The lungs are clear. The heart is normal in size. The upper abdomen is unremarkable.,Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.96318775507918961488351518727924254040
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.24105035513774533465712789131557393136
The heart is normal in size. There is a small area of consolidation in the right upper lobe.,1. Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.66917547828676648928999553523872956972
There is noted a small RIGHT effusion. The heart appears within normal limits and size. The lung fields are clear. Vascularity is within normal limits.,Findings which can be compatible with bibasilar pneumonia.,1.2.826.0.1.3680043.8.498.75348356236205398725164657577836429213
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.94114187162999399328203513753434460858
The heart is mildly enlarged. There are no focal consolidations or pleural effusions. No pulmonary edema. Lungs are hyperinflated.,No evidence for acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.22194115171266498765977514854965579232
A small to moderate LEFT pleural effusion is present. A lateral decubitus film demonstrates a small free flowing component. The lung fields appear clear. Surgical clips are noted in the LEFT axillary region.,Please see above.,1.2.826.0.1.3680043.8.498.57244508952899019482249713994037762753
"The cardiac silhouette remains mildly enlarged. Aortic atherosclerosis is noted. Small bilateral pleural effusions are present, similar to the prior study. There is mild pulmonary vascular congestion which appears slightly improved from the prior study. No Kerley lines or airspace consolidation is identified. No acute osseous abnormality is seen.","1. Cardiomegaly with small bilateral pleural effusions. 2. Pulmonary vascular congestion, with appearance slightly improved from prior.",1.2.826.0.1.3680043.8.498.49989089657449078523451089125550862742
Endotracheal tube is 2.5 cm above the carina. Left central line is unchanged. Nasogastric tube enters the stomach. There is cardiomegaly with bilateral pleural effusions and diffuse pulmonary edema.,Moderate CHF pattern.,1.2.826.0.1.3680043.8.498.34708147902084407374631270944748791416
Cardiomegaly. Diffuse bilateral interstitial pulmonary opacity. The visualized skeletal structures are unremarkable.,"Cardiomegaly and diffuse bilateral interstitial pulmonary opacity, consistent with atypical or viral infection. No focal airspace opacity.",1.2.826.0.1.3680043.8.498.61566985537764242740064075322163831484
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80487780648620274451658908152459816049
"The heart is normal in size. The aorta is tortuous and calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.38214224036380726696454292749069679998
The heart size and mediastinal contours are within normal limits. Linear atelectasis or scarring in the lingula. No consolidation. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95231090125162111378436891169843014976
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No rib fractures. No pneumothorax.,No acute findings.,1.2.826.0.1.3680043.8.498.22535788981796091648245085346411848916
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62156017974513593999902953778536898658
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.11832720277745412407347407869826498317
The heart is enlarged. Low lung volumes. No focal consolidation. No pleural effusion or pneumothorax.,Low lung volumes with basilar atelectasis. Cardiomegaly.,1.2.826.0.1.3680043.8.498.84309973976937170338850602433058887175
There is mild peribronchial thickening. Consolidation in the left lingula. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Left lingular consolidation concerning for pneumonia. This is background bronchial thickening which may be viral or reactive small airways disease.,1.2.826.0.1.3680043.8.498.78894265205761250655660005341405421466
No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.24890607358685344550331409666961096189
Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.62084060643164585271952797235604807735
Endotracheal tube is seen 6.2 cm above the carina. Nasogastric tube extends into the upper abdomen beyond the margin of examination. Right upper extremity PICC line extends into the superior vena cava. Cardiac size is within normal limits. There is no pneumothorax. Diffuse interstitial opacities are seen throughout both lungs. No consolidation or pleural effusion.,"Support lines and tubes in satisfactory position. Diffuse interstitial opacities throughout both lungs, which could reflect interstitial edema.",1.2.826.0.1.3680043.8.498.28054066465286596214385209908022694342
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51921324079407602043631521590509339372
"Cardiothymic shadow normal. Lungs clear. No definite airspace disease. However, on the PA view, there is a possible subtle right lower lobe density although this is not confirmed on the lateral view. Recommend careful clinical correlation with repeat chest x-ray if clinically warranted.",1. No definite pneumonia. 2. Cannot exclude subtle right lower lobe airspace process. See report.,1.2.826.0.1.3680043.8.498.80771950197849836742112902259556614726
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable. No radiopaque foreign body is observed.,There is no active cardiopulmonary disease. No radiopaque foreign body is observed.,1.2.826.0.1.3680043.8.498.31964222225237296892697994681683183603
Mild cardiomegaly is evident. Increased interstitial markings are seen throughout both lungs. No airspace consolidation is evident. Osseous structures are unchanged.,Findings suggestive of early interstitial edema.,1.2.826.0.1.3680043.8.498.25126130024574951399602848026504701415
"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable. Degenerative spurring at noted in the thoracic spine.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28960531021901558135479232183392858876
"There is hyperinflation. The lungs are clear. Hilar, mediastinal and cardiac contours are unremarkable. There is no pleural effusion. Pulmonary vasculature is normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50516559736546504741018973338414998476
There is interstitial edema throughout both lungs. There is no airspace consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. Patient is status post coronary artery bypass grafting. No bone lesions.,"Evidence a degree of congestive heart failure, stable. No airspace consolidation.",1.2.826.0.1.3680043.8.498.82456330554371989570497631245156615614
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.72940182907898601811887808752740832777
The patient has a left sided transvenous pacemaker with leads overlying the right atrium and right ventricle. The heart is enlarged. Diffuse interstitial and airspace disease is identified throughout the lungs bilaterally. Bilateral pleural effusions are present. There is no evidence for pneumothorax.,1. Cardiomegaly and interstitial and airspace disease compatible with pulmonary edema. 2. Bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.10920798877279054748595154562416833868
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax. No effusion.,No active disease.,1.2.826.0.1.3680043.8.498.99561508370723298856562327768161687324
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.34954536530288318118036619271403328052
"Endotracheal tube has been removed. Nasogastric tube is in place with tip in the stomach. The heart size is normal. There are patchy opacities at both lung bases, increased from prior exam. No pleural effusions are noted.","Increasing bibasilar airspace opacities, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.78367196498979736951577454930092457542
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93121866976876532293965199851775418486
Endotracheal tube has been removed. OG tube is in the stomach. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions.,Interval extubation. No focal opacities.,1.2.826.0.1.3680043.8.498.65030997361868208379703481928863434326
The heart appears within normal limits and size. The lung fields are clear. Vascularity is within normal limits. No effusions are seen.,1. No acute cardiopulmonary disease identified. 2. Chest is unchanged from prior study.,1.2.826.0.1.3680043.8.498.95870440146025972032106391441310814580
Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. The lungs are clear. There is no pneumothorax. There are no effusions.,Support lines are unchanged. Lungs are clear.,1.2.826.0.1.3680043.8.498.72002174871151836927708388238315109939
The heart is top-normal in size. There is aortic atherosclerosis. The lungs are free of focal consolidations and pleural effusions. No pulmonary edema. No pneumothorax. No acute fracture.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11268440108733375409146007427501424474
Cardiac silhouette is normal in size and configuration. Normal mediastinal and hilar contours. Clear lungs. No pleural effusion or pneumothorax. Bony thorax is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53690347215193070330262646293713264604
"A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. There is a right-sided internal jugular central venous catheter with tip terminating in the mid superior vena cava. Lung volumes are low. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.","1. Support apparatus, as above. 2. Low lung volumes.",1.2.826.0.1.3680043.8.498.93864759116149695958006702501082608174
Normal cardiothymic silhouette. Mild granular pulmonary opacities bilaterally. No pleural effusion or pneumothorax. Paucity of bowel gas within the abdomen. No definite free intraperitoneal air. Umbilical venous catheter tip projects over the right atrium. Unremarkable osseous skeleton.,Umbilical venous catheter tip projects over the right atrium.,1.2.826.0.1.3680043.8.498.92593404447110085601891024197665063702
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.19010993590673157910674863053008423132
Endotracheal tube and NG tube have been removed. Heart size normal. Mild bilateral interstitial prominence. No pleural effusion or pneumothorax.,1. Interim extubation and removal of NG tube. 2. No acute pulmonary infiltrate.,1.2.826.0.1.3680043.8.498.88504607345184749259322339374488898058
"Orogastric tube is in the stomach. Normal heart size. Mild diffuse granular pulmonary opacity persists throughout the lungs. No consolidation, effusion, or pneumothorax.",Stable appearance of mild respiratory distress syndrome.,1.2.826.0.1.3680043.8.498.90735145573595275076460151245827731197
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.10778467640006747954555343381042650318
"Patient is rotated. Cardiomegaly is similar to prior exam. Bilateral pleural effusions, right greater than left, with bibasilar atelectasis/consolidation, increased from prior exam. No visualized pneumothorax. Hiatal hernia is again seen. No evidence of acute osseous abnormality.",1. Increased pleural effusions and bibasilar atelectasis/consolidation. 2. Similar cardiomegaly.,1.2.826.0.1.3680043.8.498.81944687062289993169267803673977816495
Chest: Single view chest without comparison shows the cardiac silhouette and mediastinal structures are within normal limits. There is no pulmonary vascular congestion. No focal lung consolidation is seen. There is no pleural effusion or pneumothorax seen. Visualized osseous structures show no acute findings. Abdomen: flat and upright views of the abdomen without comparison shows a nonobstructive bowel gas pattern with air seen down to the level of the rectum. No pathologic calcifications are seen. There is no free air seen by upright examination. The visualized osseous structures show no acute findings.,1. No radiographically evident acute cardiopulmonary process. 2. Nonobstructive bowel gas pattern seen. 3. No free air seen by upright examination.,1.2.826.0.1.3680043.8.498.48815578800920959805819359932433028083
Shallow inspiration. Linear atelectasis in the lung bases. No consolidation or edema. No pleural effusions. No pneumothorax. Mediastinal contours appear intact. Postoperative changes in the cervical spine. Degenerative changes in the spine and shoulders.,Shallow inspiration with linear atelectasis in the lung bases.,1.2.826.0.1.3680043.8.498.61304812178150449921387295253257950369
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82287170188437161161291165719858746095
"Single view. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The heart is enlarged. The mediastinal contours are widened with prominent aortic knob and thoracic aorta, unchanged. Patient is status post median sternotomy. Degenerative changes are present in the shoulders.","1. No acute cardiopulmonary process. 2. Cardiomegaly. 3. Widened mediastinum, unchanged.",1.2.826.0.1.3680043.8.498.82114924183525962290931596167496656912
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.59867885893530174621054264490215307047
Two views of the chest show an enlarged cardiomediastinal silhouette with atherosclerotic calcifications in the aorta. Small bilateral pleural effusions are present. No consolidation is seen. Degenerative changes are seen in the spine.,Cardiomegaly. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.95225058755301232497015781644336927980
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65683478263695756606474537988804593959
"Endotracheal tube and NG tube remain in place, unchanged in position. There is left basilar atelectasis. The right lung is clear. No effusion. Heart size upper normal.",Left basilar airspace disease most consistent with atelectasis.,1.2.826.0.1.3680043.8.498.55566616287960486055180249586692433952
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94314980651144545108256166224837305665
There is bibasilar atelectasis. There is a small right pleural effusion. There is no focal consolidation. Heart size is normal. No pneumothorax.,Small right pleural effusion with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.89752864129864074915892687620970224868
Lung volumes are at the upper limits of normal. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. Evidence of central peribronchial thickening. No confluent pulmonary opacity. Negative for age visible bowel gas and osseous structures.,Central peribronchial thickening compatible with viral airway disease in this setting. No focal pneumonia.,1.2.826.0.1.3680043.8.498.44187425425548655959467268072570316823
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24849781881931062518081217172590666353
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21093444298421106042887386419637668187
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20400870932337961332580082270796549227
The cardiothymic silhouette is within normal limits. The lung fields demonstrate some mild prominence of the interstitial markings at both lung bases. No focal infiltrates or pleural fluid is seen. Bony structures appear intact. The visualized portion of the bowel gas pattern is unremarkable.,Findings suggestive of mild retained fluid.,1.2.826.0.1.3680043.8.498.50685677861604900436518053822615393891
The lungs are clear. Lung volumes are normal. There is no effusion. The cardiothymic silhouette is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.40529494670446951652412337375513360264
The lungs are well-expanded. There is a small left pleural effusion. There is no alveolar infiltrate. The interstitial markings are coarse. The heart is top-normal in size. The pulmonary vascularity is not engorged. The sternal wires are intact. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,There is a small left pleural effusion which is new since the previous study. There is underlying COPD. There is no evidence of pneumonia nor CHF.,1.2.826.0.1.3680043.8.498.84561529589299797914876301673408726177
Endotracheal tube is 3.5 cm above the carina. Nasogastric tube enters the stomach. Swan-Ganz catheter is in the proximal right pulmonary artery. Left chest tube is in place. No pneumothorax. There is left base atelectasis.,Postoperative changes. No pneumothorax. Left base atelectasis.,1.2.826.0.1.3680043.8.498.72445694200373066913168465549992216047
Patchy opacities in the right mid and lower lung. No pleural effusion. Normal heart size. No pneumothorax.,"Patchy opacities in the right mid and lower lung, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.99880137086244011545372601437564375638
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98216509224844719831929983704514059554
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable. Prior cervical spine surgery again noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67266144479999511635816492304404877845
Linear density in the right mid lung compatible with atelectasis. Left lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Right mid lung atelectasis. No active disease.,1.2.826.0.1.3680043.8.498.57131545575874632370593369564993561326
The lungs are hyperinflated consistent with COPD. There is linear density at the right lung base suggestive of atelectasis or fibrosis. Some linear density is also seen at the left lung base. No definite pneumonia is present. No significant effusion is evident. The heart is normal in size. The bones are osteopenic. Postoperative changes are noted in the right shoulder.,COPD with linear densities at both lung bases suggestive of atelectasis or fibrosis.,1.2.826.0.1.3680043.8.498.77812039947575930344562226913685937091
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49406413936739688147385047139062832745
The heart size and mediastinal contours are within normal limits. Both lungs are clear. Scoliosis of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93180567042990402613971489663286745121
The lung volumes are low. Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,Low lung volumes.,1.2.826.0.1.3680043.8.498.34655947271177961309406316813789657008
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.49910364488048527596196966001566897371
OG tube is in the stomach. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.23428646135457912714909808808331401733
There is no residual infiltrate within the left lung. Currently lungs are clear. Heart and pulmonary vasculature within normal limits. No pneumothorax or pleural effusion.,Complete resolution of left lung infiltrate. No current acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.10152075371695842573487821106071613458
Endotracheal tube tip is 3.6 cm above the carina. Nasogastric tube enters the stomach. Swan-Ganz catheter tip is in the main pulmonary artery. Left chest tube is in place. No pneumothorax. There is mild basilar atelectasis.,Satisfactory postoperative radiograph.,1.2.826.0.1.3680043.8.498.87154032927938849901162027965819799554
The cardiomediastinal silhouette is unchanged. There is improved aeration of the right lung with persistent loculated right pleural effusion and underlying consolidation. The left lung is clear. No pneumothorax is identified.,Decreased right pleural effusion following thoracentesis. No pneumothorax.,1.2.826.0.1.3680043.8.498.73753492935890663732215974370806113677
There is patchy infiltrate in the right lower lobe. The left lung is clear. The heart and pulmonary vasculature are within normal limits. No pneumothoraces or effusions are seen.,Right lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.88454815110725951700893281683031659464
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.53605764488695026110637964106120082920
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36085719381514374998651020413949527674
Endotracheal tube tip is 2.5 cm above the carina. Nasogastric tube enters the stomach. There is worsening aeration in the left lung. There is mild basilar atelectasis on the right. No evidence of pneumothorax.,1. Worsening aeration in the left lung. 2. Mild right base atelectasis.,1.2.826.0.1.3680043.8.498.67262293457983319511748976631040137184
"Shallow lung volumes on both views. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. Crowding of lung markings. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.","Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.79741454914736019313669558429406970166
There is chronic elevation of the right hemidiaphragm. Low lung volumes with bibasilar atelectasis. Heart is normal size. No effusions.,Bibasilar atelectasis. Chronic elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.93586392582708433196690829206477289869
"Portable chest demonstrates clear lungs, without consolidation, edema, effusion or pneumothorax. The cardiothymic silhouette is normal. The bones and soft tissues are also normal.",Normal chest.,1.2.826.0.1.3680043.8.498.16180903405517440687028146544935025535
Low lung volumes. Stable cardiac silhouette. Increase in bibasilar opacities. Increase in small to moderate RIGHT effusion. Increase in peripheral masslike density along the RIGHT chest laterally. Sclerotic lesions in the RIGHT scapula and LEFT posterior rib.,1. Increase in bibasilar opacities representing atelectasis versus infiltrates. 2. Increase in small to moderate RIGHT effusion. 3. Stable peripheral mass in the RIGHT lung laterally. 4. Sclerotic lesions in the RIGHT scapula and LEFT posterior rib consistent with metastatic disease.,1.2.826.0.1.3680043.8.498.28382840724919146516180634994005859019
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",No acute process.,1.2.826.0.1.3680043.8.498.64997843032636765823989103658982292802
No pneumonia is seen. There are prominent perihilar markings with some peribronchial cuffing which can be seen with central airway process such as bronchitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect central airway process.,1.2.826.0.1.3680043.8.498.55209514698662281484039160470259643552
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98850071242192602494497343091863693176
There is central airway thickening. Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.69626375484229848338020205078290049151
The heart size and mediastinal contours are normal. Upper lobe scarring is present bilaterally. The lungs are otherwise clear. There is no pleural effusion.,1. No acute cardiopulmonary process. 2. Upper lobe scarring consistent with the patient's history of sarcoidosis.,1.2.826.0.1.3680043.8.498.33859034525144337928188562573858328710
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81383508303558639670104912304595659036
Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69575853720725414898267063059730242713
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86993732749665157193382830727170196709
The heart size and mediastinal contours are within normal limits. Previously seen heterogeneous airspace opacity of the right midlung has resolved since previous study. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51861538864123324610136775462394518982
"The right-sided PICC line is stable. The cardiac silhouette remains enlarged. The mediastinal contours are unchanged. Aortic atherosclerosis is noted. Patchy airspace opacities are present in both lungs, greatest at the lung bases. There are small bilateral pleural effusions. No pneumothorax is identified.","Patchy bilateral airspace disease, greatest in the lung bases, concerning for pneumonia. Small bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.61755394880253266701686976996491536251
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39891467011505124053949249975665307302
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.91916269511226192160957587680664092315
Cardiomediastinal silhouette unremarkable for age. Suboptimal inspiration on the AP image which accounts for crowded bronchovascular markings diffusely; better inspiration on the LATERAL image and the bronchovascular markings are normal. Lung parenchyma clear. No pleural effusions. Normal lung volumes. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76950568904885632813763245485761777411
"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active disease.,1.2.826.0.1.3680043.8.498.84256864341116411986726003768765360419
The lungs are adequately inflated. There is no focal infiltrate. There is a hiatal hernia present. The heart is not enlarged. I see no pleural effusion. There is mild tortuosity of the descending thoracic aorta. No displaced rib fracture is identified.,I do not see evidence of acute cardiopulmonary disease. There is likely a hiatal hernia present.,1.2.826.0.1.3680043.8.498.62093832906551832174077120896073333045
Left lower lobe consolidation. No pleural effusion. Normal heart size. No pneumothorax.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.90426075134919439010122391682597842154
There is cephalization of the pulmonary vasculature and slight indistinctness of the interstitial markings suggestive of mild pulmonary edema. Small bilateral pleural effusions. Mild cardiomegaly. Upper mediastinal contours are within normal limits. Aortic atherosclerosis.,"1. The appearance of the chest suggests mild congestive heart failure, as above. 2. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.49077129968914050502031312792022102662
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91552523129548412407194194572405464498
There is blunting of the RIGHT costophrenic angle compatible with a trace RIGHT effusion. The etiology for the effusion is not identified. No pneumonia is seen. No pulmonary edema is noted. The heart is upper limits for normal in size. The chest is hyperexpanded compatible with COPD. There is a thoracic scoliosis.,1. COPD. 2. Small RIGHT pleural effusion. 3. No pneumonia or other acute change is identified.,1.2.826.0.1.3680043.8.498.18524935121325157509916597768322524347
Right arm PICC tip is in the lower SVC. There is no pneumothorax. Bilateral pleural effusions and bibasilar air space opacities have worsened compared with the prior examination. Mild vascular congestion is noted. The heart size and mediastinal contours are stable.,1. Right arm PICC placement as described. 2. Increasing bilateral pleural effusions and bibasilar air space disease. This may reflect atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.94043117242179247771444512506244788928
Lungs are adequately inflated without focal consolidation or effusion. Cardiomediastinal silhouette and remainder of the exam is unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16164674151444805850392530649690692567
ET tube terminates in the mid trachea. The heart size is normal. The lung volumes are low. There are diffuse bilateral interstitial and airspace opacities throughout both lungs. There is no pleural effusion or pneumothorax.,1. ET tube terminates in the mid trachea. 2. Low lung volumes with diffuse bilateral interstitial and airspace disease. Findings are concerning for pneumonia or aspiration.,1.2.826.0.1.3680043.8.498.92963336541592949708979081876727686896
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. Aorta is tortuous and calcified. No bone lesions.,Tortuous and calcified aorta. No edema or consolidation.,1.2.826.0.1.3680043.8.498.68408060217203056703210521324728520843
No active infiltrate or effusion is seen. Cardiomegaly is stable. A permanent pacemaker remains. There are degenerative changes throughout the thoracic spine.,Stable cardiomegaly with permanent pacer. No active lung disease.,1.2.826.0.1.3680043.8.498.77281768707629104811008669561910384078
An endotracheal tube is in place with the tip located in the mid trachea. An umbilical venous catheter is in place and the tip is located in the right atrium. An umbilical artery catheter is in place and the tip is located at the superior endplate of the T7 vertebral body. The cardiothymic silhouette is within normal limits. The lung fields demonstrate diffuse bilateral granularity with no focal atelectasis or infiltrate seen. No pleural effusions are noted. The bowel gas pattern is unremarkable. Bony structures appear intact.,Lines and tubes as above.,1.2.826.0.1.3680043.8.498.37290689992899710724592064354515320257
There is stable cardiomegaly. A dual lead pacemaker is unchanged. The previously seen basilar airspace disease has improved. There is no evidence of pulmonary edema or pleural effusion. No new areas of airspace disease identified.,Improved bibasilar airspace disease. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.16066856278059925508098842262252123496
Endotracheal tube is 2.5 cm above the carina. NG tube enters the stomach. Volume loss on the left with elevation of the left hemidiaphragm. Left base atelectasis. Right lung is clear. Heart is normal size. Aortic atherosclerosis. No acute bony abnormality.,Endotracheal tube and NG tube appear to be in satisfactory position. Left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.38766176002916089929955825692733887334
The left lung is well-expanded. There is increased density in the retrocardiac region on the left. The right lung is clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. The permanent pacemaker/defibrillator is unchanged in position. The mediastinum is normal in width. The observed bony thorax exhibits no acute abnormalities.,Left lower lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. Cardiomegaly without pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.79010537668873704369394614797730591092
Left arm PICC line is noted with tip in the projection of the SVC. Heart size is normal. There is no evidence of pulmonary infiltrate or edema. No pleural effusions or pneumothorax. Stable elevation of the right hemidiaphragm.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95434278631124113677631851437308934865
There is COPD. The right lower lobe pneumonia has cleared. There is some residual infiltrate in the left lower lobe which has improved since the prior study. There is no significant pleural effusion. There is no edema. The heart size is normal.,1. COPD. 2. Resolved right lower lobe pneumonia. 3. Improving left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.71959859404141454746115299058598360730
Left internal jugular Swan-Ganz catheter is in place with tip in the right main pulmonary artery. Bilateral chest tubes are in place. No pneumothorax visualized. Mild bibasilar atelectasis noted. No evidence of pulmonary edema or consolidation. Heart size is stable.,Postoperative chest with bilateral chest tubes in place. No pneumothorax visualized. Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.91538497122557281846094433572946437081
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Atherosclerosis in the thoracic aorta.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Atherosclerosis.,1.2.826.0.1.3680043.8.498.32656903429046424985075051646611442360
The heart is enlarged. There is no evidence for heart failure. Chronic interstitial lung disease is again identified and appears similar to previous study. No superimposed airspace disease is noted. There is no pleural effusion or pneumothorax.,1. Stable cardiomegaly. 2. Stable appearance of chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.18107493969114634462894539417174983095
Two views of the chest were obtained. The lungs are mildly hyperinflated and clear. The heart size and pulmonary vascularity are normal.,There is mild pulmonary hyperinflation. There is no acute appearing radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.57097887279476380796771041385518038639
Mediastinum and hilar structures normal. Low lung volumes with mild basilar atelectasis. Mild left base infiltrate cannot be excluded. No pleural effusion or pneumothorax. Heart size stable.,Low lung volumes with mild bibasilar atelectasis. Mild left base infiltrate cannot be excluded.,1.2.826.0.1.3680043.8.498.86630741925628849616561795805107839657
There is cardiomegaly. There has been interval increase in pulmonary vascular congestion and the patient now has bilateral mild pulmonary edema. Small bilateral pleural effusions are noted as well as left lower lobe atelectasis. There is no evidence of pneumothorax.,Increasing congestive heart failure.,1.2.826.0.1.3680043.8.498.53352700320092935565684414224936124872
Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. There has been significant improvement in the airspace opacities previously seen in both lungs. Mild residual opacity noted in the right middle lobe. Lungs otherwise clear. No pleural effusion or pneumothorax. Skeletal structures are intact.,1. Significant improvement in bilateral pneumonia with mild residual opacity in the right middle lobe. 2. No new abnormalities.,1.2.826.0.1.3680043.8.498.39252932751078547599553937384605683426
Cardiomegaly. Left lower lobe atelectasis or infiltrate. Right lung clear. No effusions. Aortic atherosclerosis. No acute bony abnormality.,Cardiomegaly. Left lower lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.56970906198001606849516512382410300809
Mild cardiomegaly. No focal opacity or pleural effusion. No pneumothorax.,No active cardiopulmonary disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.45785749831816632858841225018559417902
The lungs are well-expanded. The interstitial markings remain increased bilaterally. Nipple markers were used today. The nodular density previously demonstrated in the left lower lung is not clearly evident today. The heart is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,COPD. Chronically increased interstitial densities at both lung bases. No discrete pulmonary parenchymal nodules are observed today.,1.2.826.0.1.3680043.8.498.75898079638905699329443876722105803459
"There is a persistent opacity in the right upper lobe adjacent to the fissure, compatible with pneumonia. This is similar to the prior study. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78977823386986154131432981416175534921
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80274432217982915289146023540538000881
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",No acute process.,1.2.826.0.1.3680043.8.498.38139800192900479929503488538410355532
"Interim removal of bilateral chest tubes. No pneumothorax. Swan-Ganz catheter, mediastinal drainage catheter, and bilateral chest tubes have been removed. Prior CABG. Cardiomegaly. Low lung volumes with mild basilar atelectasis. No pleural effusion.",1. Interim removal of chest tubes. No pneumothorax. 2. Prior CABG. Stable cardiomegaly. 3. Low lung volumes with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.52595374128366055164748477211483655382
"The heart appears normal in size. There is mild bilateral hilar prominence. Calcified granulomas within the right lung. No acute consolidation, congestion or pleural effusions. No acute fracture.",No acute consolidation.,1.2.826.0.1.3680043.8.498.62883859463667515057328597658963610809
"There is cardiomegaly with vascular congestion and mild interstitial prominence, likely interstitial edema. Small bilateral pleural effusions are noted. Left AICD is unchanged.",Mild CHF.,1.2.826.0.1.3680043.8.498.49534229389158576323311846161713510601
There is increased density at the lung bases compatible with atelectasis. No pneumonia is seen. No pulmonary edema is noted. The heart size is normal. No acute bony abnormalities are seen.,1. There is increased density at the lung bases compatible with atelectasis. 2. No pulmonary edema or pneumonia is identified.,1.2.826.0.1.3680043.8.498.10341696840979648787005909165014021210
Aortic atherosclerosis. Status post TAVR. Heart size is stable. No pulmonary artery aneurysm. No pneumothorax or pleural effusion. No pulmonary edema. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76064781198016056404794316401780214910
There is extensive airspace disease in the left lower lobe and lingula consistent with pneumonia. The right lung is clear. Heart size is normal. No effusion.,Left lower lobe and lingular pneumonia.,1.2.826.0.1.3680043.8.498.45846072171088662387589977875884612297
An endotracheal tube is appreciated with the tip at the level of the clavicles. NG tube is seen with tip not on the view of this study. A left sided central venous catheter is appreciated with the tip at the level of the superior vena cava. The lungs are hyperinflated. There is flattening of the hemidiaphragms. There is thickening of the interstitial markings. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is within normal limits. The visualized bony skeleton is unremarkable.,COPD with superimposed pulmonary fibrosis as well as possibly an element of pulmonary edema. Support lines and tubes as described above.,1.2.826.0.1.3680043.8.498.76722882539298200783041487857017701911
There is cardiomegaly with worsening pulmonary edema. Bibasilar atelectasis is noted. Low lung volumes.,Worsening congestive heart failure.,1.2.826.0.1.3680043.8.498.41798414914602241583465254906210088276
Heart is normal size. Aortic atherosclerosis. Bibasilar atelectasis. No effusions. No acute bony abnormality.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.82625948317199260799903698905465729387
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.43134737716144558732251727274903122454
Mild cardiomegaly. Lungs are clear. No effusions. No acute bony abnormality.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.11198623007091361641853023672748098095
There is increased density at the lung bases bilaterally consistent with atelectasis or pneumonia. The heart is not enlarged. There is no interstitial edema. There is no pneumothorax. The bony structures are intact.,Bibasilar pneumonia versus atelectasis. Follow-up is recommended.,1.2.826.0.1.3680043.8.498.13393134576286952168315344189028958059
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65486274578071174141891297196760583394
The lungs are adequately inflated. The interstitial markings are coarse though slightly less conspicuous than on the previous studies. There is no alveolar infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,Slight interval improvement in the appearance of the interstitial pattern of both lungs consistent with known pulmonary sarcoidosis. There is no alveolar pneumonia nor CHF.,1.2.826.0.1.3680043.8.498.38795849989947422060624123703059359446
Stable normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pneumothorax or effusion. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No focal consolidation identified.,1.2.826.0.1.3680043.8.498.38840640761912970440850284086886859678
Cardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. Stable scarring and probable emphysematous changes in the upper lobes. Stable mild hyperinflation. No pulmonary edema. Stable degenerative changes thoracic spine.,Stable COPD. No active disease.,1.2.826.0.1.3680043.8.498.75997080196266649283544792991583098870
The heart and mediastinum are within normal limits. Previously seen right upper lobe pneumonia has resolved. No new pulmonary opacities.,Interval resolution of right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.47654059321120406392803408597679535415
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31491085913093425475717362951407668591
A right chest tube is present. There is no significant pneumothorax. The heart is borderline enlarged. There is shallow inspiration. Monitoring electrodes are present.,Right chest tube present. No significant pneumothorax.,1.2.826.0.1.3680043.8.498.21593590871584685262780386943571220923
"The lung fields are clear. The heart, mediastinal and osseous structures show no significant abnormalities.",No significant abnormalities are noted.,1.2.826.0.1.3680043.8.498.78639231199658416456815462810800983527
Cardiac shadow is stable. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48148992394828926856336499512958051896
"There is a right-sided double lumen central venous catheter present with the tip in the right atrium. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.66945749305425422396942291468898203746
There is airspace consolidation in the right upper lobe consistent with pneumonia. The left lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Right upper lobe consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.52967639930078234374823759985906005918
The lung volumes remain low. Scarring in the left lung base is again noted. Mild atelectasis is present at the lung bases. The lungs are clear otherwise. The heart is mildly enlarged though stable. The lungs are clear otherwise. The right subclavian central venous catheter tip remains in the SVC.,Stable scarring in the left lung base. Mild bibasilar atelectasis. No evidence of acute disease otherwise.,1.2.826.0.1.3680043.8.498.61656283368225173465218162458500534983
Central catheter tip is in the superior vena cava. No pneumothorax. Lungs are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Central catheter as described without pneumothorax. No edema or consolidation.,1.2.826.0.1.3680043.8.498.15161175879492253574902853801374747048
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The thoracic degenerative disk disease is noted.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.14663124094970307031356581369863554526
Mediastinum and hilar structures are stable. Cardiomegaly with pulmonary vascular prominence and bilateral interstitial prominence with Kerley B-lines. These findings are consistent with congestive heart failure with pulmonary interstitial edema. Small left pleural effusion. No pneumothorax. No acute bony abnormality.,Congestive heart failure with pulmonary interstitial edema and small left pleural effusion. Findings have progressed slightly from prior exam.,1.2.826.0.1.3680043.8.498.70459939583378936611852100398658585489
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.37623985012626652283055445869359743992
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77837182016275896673756884254934372597
A feeding tube extends into the stomach. The cardiac silhouette is upper limits of normal in size. Lung volumes are low with increased opacity in the left lung base. There is also a suggestion of opacity in the right lung base. No pneumothorax is identified. A small left pleural effusion is not excluded.,1. Worsening left basilar and to a lesser extent right basilar lung opacities concerning for pneumonia.,1.2.826.0.1.3680043.8.498.34916730673292908679649339536108989984
There has been placement of a right internal jugular central venous catheter with tip in the superior vena cava. There is no evidence of pneumothorax. Endotracheal tube and nasogastric tube are unchanged in position. Low lung volumes are again seen. There is increased atelectasis in the left lower lobe since prior study. Small left pleural effusion is unchanged.,1. New right internal jugular central venous catheter tip in superior vena cava. No evidence of pneumothorax. 2. Increased left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.36591771389301322327528388812312943575
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. Bilateral infiltrates are noted, greater in the right lung than the left, which have slightly improved in the right upper lobe. There may also be small bilateral pleural effusions.",Bilateral infiltrates with slight improvement in the right upper lobe.,1.2.826.0.1.3680043.8.498.54081531616822829059991692408826970338
Right-sided Port-A-Cath with the tip projecting over the SVC. Left-sided dialysis catheter with the tip at the cavoatrial junction. No focal consolidation or pleural effusion. Stable cardiomediastinal silhouette. No pneumothorax. Degenerative changes of the spine.,1. Right-sided Port-A-Cath with the tip projecting over the SVC. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95544886204823653695689056622263136440
"Single frontal view of the chest demonstrates a stable cardiac silhouette. There is multifocal consolidation throughout the right lung, most dense within the right upper lobe. Findings are consistent with pneumonia. No effusion or pneumothorax. Left chest is clear. No acute bony abnormalities.",Multifocal right lung pneumonia.,1.2.826.0.1.3680043.8.498.26646952170162121362555148378067000703
The heart is enlarged. There is pulmonary vascular congestion without overt edema. No focal airspace opacities are identified. There is no evidence of pleural effusion.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.15948431838417328539837685360174303321
"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.45282738444656184519645802587039325267
"The heart is enlarged. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Stable cardiomegaly. No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.11767374904704942754995085142516694813
There is central peribronchial thickening. No confluent airspace infiltrate or overt edema. No effusion. Heart size normal. Visualized bones unremarkable.,"Mild central airway thickening suggesting bronchitis, asthma, or viral syndrome.",1.2.826.0.1.3680043.8.498.46636224765306038067578362573727051097
Heart size and mediastinal contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.,No active cardiopulmonary disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.45907723686105063192303196853593264297
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. No evidence of rib fracture.,No acute findings.,1.2.826.0.1.3680043.8.498.39538832256580228015339109282859088530
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61517289127975430797126332066544782647
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26216283745356419663275973249425263873
There is mild cardiomegaly. The left lung appears free of infiltrate and the left costophrenic angle is clear. There is increased opacity at the right lung base consistent with right pleural effusion and right lower lobe infiltrate. This is more pronounced than on the prior exam.,Right pleural effusion and right lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.97931531343545682933782138570077993757
"Cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. Lungs normally inflated. Mild coarsening of the interstitial markings is stable, and may reflect sequelae of history of asthma. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.","1. No radiographic evidence for active cardiopulmonary disease. 2. Mild coarsening of the interstitial markings, which may reflect sequelae of history of asthma.",1.2.826.0.1.3680043.8.498.90155591715731204764211510730166183719
The heart size is enlarged. Overlying median sternotomy wires are present. Aortic calcifications are noted. There is no pneumothorax. No large pleural effusion. There is no acute osseous abnormality. There is no focal infiltrate.,No active disease.,1.2.826.0.1.3680043.8.498.90104278715437948884863883947565406154
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44626348050961127404901300467125394096
Patchy bilateral airspace disease has improved. Small bilateral pleural effusions are noted. Heart size normal.,Improved bilateral pneumonia.,1.2.826.0.1.3680043.8.498.98602757970666377477392963557323374480
Lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.29085804892085068647407469830416935747
"Lung volumes are low. There are bibasilar opacities (left greater than right), which may reflect areas of atelectasis and/or airspace consolidation. Small left pleural effusion. No evidence of pulmonary edema. Heart size is mildly enlarged. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Aortic atherosclerosis.","1. Low lung volumes with bibasilar areas of atelectasis and/or airspace consolidation, with small left pleural effusion. 2. Mild cardiomegaly. 3. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.97293082529890841568582410274722514357
The heart is prominent. The lung markings are generally diminished particularly in the right base. No large effusions are seen.,Interval improvement of the abnormally increased lung markings particularly in the right base suggesting clearing fluid overload versus pneumonia.,1.2.826.0.1.3680043.8.498.25991724350790692579298153212564587261
There is a right chest wall port a catheter with tip in the projection of the SVC. The heart size appears normal. There is no pleural effusion or edema. No airspace consolidation.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.57386240257176901431851135665440479761
There is a large left pleural effusion with compressive atelectasis of the left lower lobe. The small right pleural effusion is not well visualized on the chest x-ray. The heart size and mediastinal contours are normal. There is no pneumothorax. The osseous structures appear unremarkable.,Large left pleural effusion with compressive atelectasis of the left lower lobe; no significant change compared with the CT obtained yesterday.,1.2.826.0.1.3680043.8.498.13128895821191762934021729968297500568
The heart size is normal. Aorta is tortuous. There is a large amount of free intraperitoneal gas. Coarse interstitial opacities are seen at both lung bases as well as in the periphery of both lungs. No significant pleural effusions are identified. There is no pneumothorax.,1. Abnormal bowel gas with a large amount of free intraperitoneal gas. 2. Coarse interstitial opacities at both lung bases which may represent atelectasis or scarring. Coexisting pneumonia is not excluded.,1.2.826.0.1.3680043.8.498.35569608645898939742993981630744444777
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.52827848476287481450888146811352069319
Cardiomegaly. Status post median sternotomy and cardiac valve replacement. Aortic atherosclerosis. Mild vascular congestion without overt pulmonary edema. No consolidation. No pneumothorax or sizable pleural effusion.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.68602483371297147497378230183290355592
There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. Thoracic aorta is tortuous and calcified. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.14070658483040211671096567057850333245
Endotracheal tube is in satisfactory position. Nasogastric tube is followed into the stomach. Left IJ central line tip projects over the SVC. Heart size normal. Thoracic aorta is calcified. Lungs are emphysematous. Minimal bibasilar atelectasis. No definite pleural fluid.,Emphysema with minimal bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.62013085602707166028262912069132772282
The lungs are clear. No pleural abnormality is seen. The heart and mediastinum are unremarkable. The bony structures are unremarkable.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.32501735178907207814551553182126559195
Lung volumes are normal. Small left pleural effusion with some left lower lobe airspace disease likely reflecting resolving postoperative atelectasis. Lungs are otherwise clear. No pneumothorax. No evidence of pulmonary edema. Heart size is normal. Upper mediastinal contours are within normal limits. Aortic atherosclerosis. Status post median sternotomy for CABG.,1. Small left pleural effusion with probable adjacent left lower lobe postoperative subsegmental atelectasis. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.75376362789134358873428112353230888403
The lungs are well-expanded. There is persistent increased density in the right lower lobe posteriorly. It has improved somewhat since the previous studies. The left lung is clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,Partial clearing of right lower lobe pneumonia. Additional follow-up chest x-rays in 2-3 weeks are recommended to assure complete clearing.,1.2.826.0.1.3680043.8.498.60833084400669907012182607681758843133
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10301980029198556012068389151865623559
"The patient's endotracheal tube is seen ending 2-3 cm above the carina. A left IJ line is noted ending about the mid SVC. An enteric tube is noted extending below the diaphragm. The lungs are hypoexpanded. Diffuse bilateral airspace opacification is noted, with vascular congestion. This may reflect pulmonary edema or pneumonia. No definite pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is mildly enlarged. No acute osseous abnormalities are identified.","1. Endotracheal tube seen ending 2-3 cm above the carina. 2. Left IJ line noted ending about the mid SVC. 3. Lungs mildly hypoexpanded. Diffuse bilateral airspace opacification, with vascular congestion and mild cardiomegaly, reflecting pulmonary edema or pneumonia.",1.2.826.0.1.3680043.8.498.68845696449327662304692552900976066704
Cardiomediastinal silhouette unchanged in size and contour. Low lung volumes. Persistent opacity at the left base obscuring the left hemidiaphragm and left heart border. No pneumothorax. Tracheostomy tube unchanged. No displaced fracture.,Persisting left-sided pleural effusion with associated atelectasis/consolidation.,1.2.826.0.1.3680043.8.498.84209793165269916221042502434658813964
The heart size and mediastinal contours are stable. There is stable linear scarring at the left lung base. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. Old left-sided rib fractures are noted.,Stable examination. No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.38103991277082440572936923580370398760
Low lung volumes. Persistent patchy density at the lung bases. Small left pleural effusion. Stable cardiomediastinal contours. No pneumothorax.,Persistent patchy atelectasis/consolidation at the lung bases with small left pleural effusion.,1.2.826.0.1.3680043.8.498.40055335191495402818999502696577779995
The lungs are hyperinflated consistent with COPD. There is thickening of the interstitial markings. Areas of linear density are seen in the RIGHT mid lung and at the LEFT lung base suggestive of areas of fibrosis or possibly linear atelectasis. No focal consolidation is present. The heart is not enlarged. The bones are osteopenic. There is no evidence of pneumothorax.,1) COPD with areas of probable linear fibrosis. 2) No acute cardiopulmonary disease. 3) Osteopenia. 4) No evidence of displaced rib fracture.,1.2.826.0.1.3680043.8.498.97812723235833813431301690332250378740
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28801501473256984200051492974249368223
Small right pleural effusion and trace left effusion are again noted. Multiple bilateral pulmonary metastases are again evident. There is increased density in the right lung base medially. Left subclavian Port-A-Cath is in place. No pneumothorax.,1. Small bilateral pleural effusions. 2. Multiple bilateral pulmonary metastases. 3. Increasing density at the right lung base medially.,1.2.826.0.1.3680043.8.498.19308709514726742587109397167856668075
There is increased density at the left lung base consistent with left lower lobe pneumonia. There may be a small left pleural effusion. The right lung is clear. Heart size and vascularity are normal. No bony abnormality.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.95795039069215952182208280380467626253
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.94427543080153127689527410166951128287
Heart size is normal. No pleural effusion or pulmonary edema. The left lung is clear. The right upper lobe airspace consolidation is improved from the previous exam. There is a scoliosis deformity which is convex to the right. No pleural effusion or pulmonary edema. No new findings identified.,1. Interval improvement in right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.40862486404598070490351779705913708349
The lungs are hyperinflated. There is apical pleural thickening. There is likely scarring in the left upper lobe. The interstitial markings are increased diffusely. There is no focal consolidation. The heart is not enlarged. There is mild tortuosity of the descending thoracic aorta. There is thoracic kyphosis.,There are findings consistent with COPD. I do not see evidence of pneumonia. I cannot exclude an element of low grade compensated CHF.,1.2.826.0.1.3680043.8.498.49342474006719795873832579507619757827
"There is cardiac enlargement with diffuse edema throughout the lungs with bilateral effusions, slightly larger on the right. Right-sided pacer is noted with leads in the right atrium and right ventricle.","1. Slight increase in CHF pattern with effusions, larger on the right. 2. Bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.71997418997848442745743092890249391163
"Patchy bilateral airspace disease which is similar in extent. Low volumes. No edema, effusion, or pneumothorax. Normal heart size.",Stable multifocal pneumonia.,1.2.826.0.1.3680043.8.498.32826349116560220343527506129013760843
The heart is enlarged. The patient is status post median sternotomy. The mediastinal contours are normal. There is no evidence of mediastinal hematoma. The lungs are clear. There is no pleural effusion or pneumothorax. No acute fractures are identified.,No evidence of acute chest injury. Cardiomegaly.,1.2.826.0.1.3680043.8.498.99283755363864350474936157048021270550
The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. Nodular density noted on the earlier radiograph corresponds to nipple shadow. No acute osseous pathology.,No active disease.,1.2.826.0.1.3680043.8.498.86777705361385660432624326914643712209
"The cardiomediastinal silhouette is within normal limits. The lungs are hyperinflated. A 2.2 cm right lower lobe lung mass is stable to slightly smaller than on the prior radiographs. Scattered other lung nodules are stable to slightly smaller than on the prior radiographs. No airspace consolidation, edema, pleural effusion, or pneumothorax is identified. No acute osseous abnormality is seen.",COPD with stable to slightly improved lung metastases.,1.2.826.0.1.3680043.8.498.80234189188926546575788557504210479622
The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89657438264088726063609350252828823616
"The cardiac silhouette, mediastinal and hilar contours are normal. The lungs are clear. The right subclavian power port tip is in the mid SVC. No complicating features.",Right subclavian power port tip is in the mid SVC. No complicating features.,1.2.826.0.1.3680043.8.498.21466388028000824255218214257175542180
The patient was shielded for the examination. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49832205322384983254101226488763780309
"Lung volumes are low. There are patchy areas of interstitial prominence and patchy airspace disease throughout the lungs bilaterally, most evident throughout the mid to lower lungs bilaterally. No definite pleural effusions. No evidence of pulmonary edema. Heart size is mildly enlarged. The patient is rotated to the right on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Aortic atherosclerosis. Left-sided pacemaker device in place with lead tips projecting over the expected location of the right atrium and right ventricular apex.","1. The appearance of the chest is concerning for developing multilobar bronchopneumonia, as above. 2. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.64342156910900816513854888831568589523
Cardiothymic silhouette is within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.16749919490185106250235969253800847626
The lungs are mildly hypoinflated. The left hemithorax is opacified. The right lung is well expanded and clear. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. There is a right subclavian venous catheter in place. I see no evidence of a post procedure complication.,1. There is no evidence of a post procedure complication following placement of the right subclavian venous catheter. 2. There is opacification of the left hemithorax. This is likely due to a combination of pleural fluid and atelectasis. A mass in the left hemithorax cannot be excluded.,1.2.826.0.1.3680043.8.498.53938770649402642101419271754966962368
There are new small bilateral pleural effusions with associated bibasilar atelectasis. Lung volumes are low. The heart size and mediastinal contours are stable. There is no edema or confluent airspace opacity. No osseous abnormalities are seen.,New small bilateral pleural effusions with associated basilar atelectasis.,1.2.826.0.1.3680043.8.498.53144786591065832814425860512267988594
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97460767634129189862797520549564440077
There is central airway thickening but no focal airspace disease. No effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.98324925319879887574581478180672273179
An orogastric tube is seen with tip in the mid stomach. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits.,No active disease.,1.2.826.0.1.3680043.8.498.97278164629585860029458383358899826510
Stable cardiomediastinal silhouette. Stable bilateral diffuse interstitial densities are noted throughout both lungs most consistent with chronic interstitial lung disease. No pneumothorax or pleural effusion is noted. Bony thorax is unremarkable.,Stable findings consistent with chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.99883028421152151683786432560413007737
The lungs are clear. No pneumothorax is seen. The heart is within normal limits in size. No acute bony abnormality is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.96338377481785522881091989383484595301
The heart is mildly enlarged. There is tortuosity and calcification of the thoracic aorta. The pulmonary hila are grossly normal. There is a vague density in the right lower lobe which is most likely atelectasis. No edema or effusions.,1. Cardiac enlargement. 2. Right lower lobe density likely reflects atelectasis. Early infiltrate is possible.,1.2.826.0.1.3680043.8.498.42046725387756426781046858768500971361
There is a poor inspiration. There are linear fibrotic and/or discoid changes in the bases. There is a consolidation in the right lung base. There is no pneumothorax. The heart and mediastinum are physiologic in size and contour. The bony thorax is intact.,Consolidation right lung base. This could represent atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.89440016227297212116143597916105815776
The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.90258654969343879529801900364264447908
"Interim extubation and removal of NG tube. Swan-Ganz catheter, mediastinal drainage catheter, and left chest tube in stable position. Prior cardiac valve replacement. Stable cardiomegaly. Low lung volumes with bibasilar atelectasis. No pleural effusion or pneumothorax.",1. Interim extubation and removal of NG tube. Remaining lines and tubes including left chest tube in stable position. No pneumothorax. 2. Prior cardiac valve replacement. Stable cardiomegaly. 3. Low lung volumes with progressive bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.10927644901467672865170068551237939403
The patient has taken a shallow inspiration. The heart is enlarged. There is prominence of the central pulmonary vasculature. Consolidation is seen at the right lung base. There is also patchy opacity at the left lung base. No pleural abnormality is seen. The visualized bony structures are unremarkable.,Bibasal infiltrates.,1.2.826.0.1.3680043.8.498.55155302867627222137816730062488155196
Cardiac silhouette is mildly enlarged. Ectasia and tortuosity of thoracic aorta is seen. Lungs are free of infiltrates. There is minimal atelectasis in the left base. No pleural effusions are seen. No pneumoperitoneum is evident.,There is minimal left basilar atelectasis. No acute process is identified.,1.2.826.0.1.3680043.8.498.81681290487232203655998226741132806632
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.72269631197623131414699269909904484332
Heart size is normal. Left lower lobe pneumonia again seen. There is mild improvement in aeration at the left lung base. No new or worsening consolidations. No pleural effusion. No pneumothorax. Osseous structures about the chest are unremarkable.,"Left lower lobe pneumonia, mildly improved from the previous exams.",1.2.826.0.1.3680043.8.498.88786216338123172751885257161874965127
The heart is mildly enlarged. There are patchy opacities throughout the right lung. Left lung base is clear. No evidence of pleural effusion. No pneumothorax. No acute bony abnormalities are identified.,Patchy airspace opacities throughout the right lung which may represent pneumonia. Consider short-term follow-up PA and lateral chest x-ray.,1.2.826.0.1.3680043.8.498.65654031651370089611872666687004044813
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Atelectasis at the left lung base. The right lung is clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.57779348558216960982687390579316639809
There is new airspace disease at the right lung base with a right pleural effusion. There is also patchy airspace disease in the left lung base which may reflect atelectasis or pneumonia. No evidence of congestive heart failure. Cardiomegaly.,1. New right lower lobe airspace disease and right pleural effusion suspicious for pneumonia. 2. Left basilar atelectasis versus airspace disease.,1.2.826.0.1.3680043.8.498.95563649847541789459111730841193190762
There is again noted increased density at the left base compatible with atelectasis or pneumonia. The density appears slightly less extensive than on the prior exam. The right lung field is clear. No pulmonary edema is seen. The heart size is normal.,1. There is increased density at the left base compatible with atelectasis or pneumonia and which appears slightly less prominent than on the prior exam. 2. No new infiltrates are seen.,1.2.826.0.1.3680043.8.498.95787083663394357162869009799133492068
"Since 4/11/2014 interval worsening right lung airspace opacities with low lung volumes and stable slight left basilar linear scarring or atelectasis and low lung volumes. Lungs otherwise clear. Heart size upper limits of normal. Mediastinum, hila, remaining pleura and osseous structures stable and unremarkable.",1. Interval worsening right lung pneumonia. 2. Stable slight left basilar linear scarring or atelectasis. 3. No additional acute findings.,1.2.826.0.1.3680043.8.498.33818251667640797198959210816024661316
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.71876922207258209483325894456895676321
Left-sided Port-A-Cath in place. Heart is normal in size. Aorta is minimally tortuous. No focal infiltrates or signs of acute congestive heart failure. Degenerative changes of the spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81240353923893994886351543034022608417
Right-sided central venous port tip overlies the SVC. Redemonstration of left hilar mass. There is linear scarring in the left upper lobe adjacent to the mass. No new consolidation or edema. No pleural effusion or pneumothorax. Stable cardiomediastinal contours.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.23753340012032802990535361857278589284
The lungs are mildly hypoinflated. The retrocardiac region on the left is increased in density with obscuration of the left hemidiaphragm. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. The left subclavian venous catheter tip projects over the midportion of the SVC. There is no pneumothorax or pleural effusion. The observed bony thorax is unremarkable.,Interval extubation of the trachea with increased left lower lobe atelectasis. Mild pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.22780942438211340804901544584328851738
Right chest tube remains in place. The right pneumothorax is stable. Right lower lobe airspace disease is unchanged. Left lung remains clear.,No significant change.,1.2.826.0.1.3680043.8.498.54521490061866408355456269136682441874
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53387219830237360812019675274190180027
The lungs are adequately inflated. There is no focal infiltrate. The interstitial markings are mildly prominent. The heart is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no evidence of residual pneumonia nor other active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72131080407131114140579356717662365774
Cardiomediastinal silhouette unremarkable and unchanged. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pleural effusions. No pneumothorax. Visualized bony thorax intact. No significant interval change.,"No acute cardiopulmonary disease. Stable since April, 2004.",1.2.826.0.1.3680043.8.498.81682754054576210944399822480118233613
Tracheostomy catheter tip is 6.2 cm above the carina. Pacemaker leads are attached to the right atrium and right ventricle. No pneumothorax. There is interstitial edema throughout both lungs. There is patchy airspace consolidation in the left base. There is a small left pleural effusion. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. Old rib fractures noted on the right.,Evidence a degree of congestive heart failure. Suspect superimposed pneumonia left base. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.73462969911728938964650365585937929837
Two views of the chest show a small right apical pneumothorax to be present. Small pleural effusions remain with basilar atelectasis. The heart is mildly enlarged. The right IJ sheath has been removed.,1. Small right pneumothorax. 2. Small effusions and basilar atelectasis. 3. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.90453383026967432182814535763557326007
Low lung volumes. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69959711938894612065978426634838897231
There is persistent increased density in the right lung consistent with right upper and right lower lobe pneumonia. The left lung is clear. The heart is normal in size. There is no edema or significant effusion.,Persistent right-sided pneumonia in the upper and lower lobes with slight improvement. Followup to document complete clearing is recommended.,1.2.826.0.1.3680043.8.498.90224830206383986712731322695513244660
"Stable slight cardiomegaly seen. Lungs are clear without hyperinflation. Upper airway, mediastinum, hila, pleura and osseous structures appear normal for age.","1. Stable slight cardiomegaly. 2. Otherwise, normal.",1.2.826.0.1.3680043.8.498.69239684244012716652742385369240750225
"Shallow inspiration. There is no focal consolidation, pleural effusion, or pneumothorax. There is mild cardiomegaly with mild vascular congestion. No acute osseous pathology.",Mild cardiomegaly with mild vascular congestion. No focal consolidation.,1.2.826.0.1.3680043.8.498.34147129331056443626671685900276502753
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.79142394362435101161550975578016101261
There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.13445450322198306097250636309599645851
The heart is enlarged. There is no evidence for pulmonary edema. Chronic interstitial coarsening is again noted. Linear scarring versus atelectasis is seen in the left lung base. There is no evidence of focal consolidation or pleural effusion. Ectasia and atherosclerotic calcification of the thoracic aorta is again noted.,Stable cardiomegaly. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.40442104121261091971485900470389981991
The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. Left hilar surgical clips noted. No acute osseous pathology.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72044315782769462190703551475436351616
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. A venous catheter is present with the tip projected over the superior vena cava.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.88098255957978250347639906130561719059
"OG tube is in place with the tip in the stomach. Cardiothymic silhouette is within normal limits. No confluent airspace opacities, effusions or pneumothorax. No bony abnormality. Diffuse gaseous distention of bowel. No pneumatosis or free air.",No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58651154844213561175270260585158262072
Low lung volumes with bibasilar atelectasis. Heart is normal size. No effusions. No acute bony abnormality.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.37115436745650108714259477523534816817
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55999360497135167789615333546772955550
There is a new dual lead pacing device with lead tips projecting over the right atrium and right ventricle. No pneumothorax is identified. Cardiomegaly and vascular congestion are again noted. Small bilateral pleural effusions are noted.,1. No evidence of complication after pacer placement. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.75652476332251653523473128514345920860
The lungs are clear. No pleural abnormality is seen. The heart and mediastinum appear intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.91843386599327809155282554114256302816
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42945203762316144803770405972565912756
Postoperative changes in the mediastinum. Cardiac pacemaker. Shallow inspiration. Heart size and pulmonary vascularity are normal. Lungs are clear. No pleural effusions. No pneumothorax. Mediastinal contours appear intact.,No active disease.,1.2.826.0.1.3680043.8.498.91681934416821733398913065091343634117
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No acute bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.77791336041162077424621840446909358466
"The heart appears normal in size. There is mild bilateral hilar prominence. No acute consolidation, congestion or pleural effusions. No acute fracture.",No acute consolidation.,1.2.826.0.1.3680043.8.498.75031136360640617587159535242545457907
No rib fracture is identified. No pleural fluid or pneumothorax is seen. Mild atelectasis is present at the left lung base. The heart is normal in size. The mediastinal contours are normal. Spinal stimulator electrodes are present.,No rib fracture.,1.2.826.0.1.3680043.8.498.26016036208444429294366089391575877698
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of peribronchial thickening. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28929968592250048689946728877584723934
"The heart is mildly enlarged. Stable tortuosity of the thoracic aorta. The lungs are hyperinflated with emphysematous changes and areas of pulmonary scarring. No focal airspace consolidation, pleural effusion, or pneumothorax. No pulmonary edema. No acute osseous abnormality.",1. No acute cardiopulmonary disease. 2. Stable COPD.,1.2.826.0.1.3680043.8.498.94724171593340484647525386320604512378
The heart is enlarged. There is pulmonary vascular congestion without overt edema. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.45707297233684008889583743460107656445
There is improvement in the previously noted interstitial edema. Small bilateral effusions remain. The heart is mildly enlarged. There are changes of COPD.,Interval improvement in CHF.,1.2.826.0.1.3680043.8.498.13645144765793690258300498120727546475
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64633654670411947599665988752178016753
"The heart is normal in size. Aorta is tortuous. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax. No acute osseous findings.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.82929125396148479422534405758335902894
Endotracheal tube tip lies approximately 2 cm above the carina. Nasogastric tube enters the stomach. Right internal jugular central line tip lies at the SVC/RA junction. There is worsening of diffuse airspace opacities throughout the right lung and at the left lung base. No pneumothorax. Small bilateral pleural effusions.,1. Lines and tubes satisfactory. 2. Significant worsening of diffuse airspace disease throughout the right lung and at the left lung base.,1.2.826.0.1.3680043.8.498.15180391803413861302329670054803781613
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98660349507352430954038366580718089628
Elevation of left diaphragm. Suggestion of atelectasis at the left base. No consolidation or pleural effusion. Normal heart size. No pneumothorax. Mediastinal contours appear intact.,No active disease. Elevation of left diaphragm with probable atelectasis at the left base.,1.2.826.0.1.3680043.8.498.42161292187256327875303634551238773411
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15304352239260124412212286686913749159
"Endotracheal tube in place with tip positioned 2.2 cm above the carina. Enteric tube courses into the abdomen. Cardiac and mediastinal silhouettes are stable. Lungs normally inflated. Diffuse bilateral pulmonary infiltrates again seen, stable from previous. Small bilateral pleural effusions. No pneumothorax. No acute osseus abnormality.","1. Tip of the endotracheal tube positioned 2.2 cm above the carina. 2. Stable appearance of the lungs with diffuse bilateral pulmonary infiltrates, small bilateral pleural effusions, and associated bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.23552164158906869394293533569403954749
"Left Port-A-Cath remains in place, unchanged. Heart is borderline in size. Lungs are clear. No effusions. No acute bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.81085677621852935842187180104186917801
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.64799682651742690122995917968694511028
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.10238191487505600283271862995484209881
UAC tip terminates at T7. UVC terminates at T8 over the right heart. Cardiothymic silhouette is normal. Lungs are mildly hypoinflated. There are mild bilateral perihilar streaky opacities. Bowel gas pattern is nonobstructive. No pneumoperitoneum. Visualized osseous structures have a normal appearance.,1. Findings suggestive of retained fetal fluid. 2. Support devices as described.,1.2.826.0.1.3680043.8.498.70074393097804766982321309017976627280
The heart is normal in size. The aorta is tortuous. The lungs are under inflated and clear. No pneumothoraces or effusions are seen.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69725942021541963293320750499174719819
"Interval extubation and removal of NG tube. There are low lung volumes with vascular congestion and bibasilar atelectasis, slightly increased on the left. Small left effusion.",Interval extubation. Increasing left base atelectasis and left effusion.,1.2.826.0.1.3680043.8.498.78857459716673065077935559087693770342
"Left IJ central venous catheter tip overlies the proximal SVC. Heart size is stable. Diffuse bilateral airspace opacities are again seen, slightly improved since prior study. Small bilateral pleural effusions. No pneumothorax.",Slight improvement in bilateral airspace disease.,1.2.826.0.1.3680043.8.498.11036195362869303995070362148070116845
The right subclavian central venous catheter is stable. The left chest tube is stable. A tiny left pneumothorax is stable. Bilateral pleural effusions and bilateral atelectasis is stable. Post-operative changes are noted.,No significant interval change.,1.2.826.0.1.3680043.8.498.26970301559633980481667628948619854918
Lungs are adequately inflated with significant interval improvement in the perihilar airspace process. No effusion. Cardiothymic silhouette and remainder of the exam is unchanged.,Significant interval improvement in bilateral perihilar airspace process compatible with resolving pneumonia.,1.2.826.0.1.3680043.8.498.44048167586905750060659667134492879944
Loop recorder device overlies the left chest. Stable cardiomediastinal contours with normal heart size. The lungs are clear. No pneumothorax or pleural effusion. No acute finding in the visualized skeleton.,No active disease.,1.2.826.0.1.3680043.8.498.74483812645609062360869626325618060063
There is increased density at the LEFT base which suggests a pleural effusion. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. The heart is enlarged. The LEFT hemidiaphragm is obscured.,1. There are findings consistent with congestive heart failure. 2. LEFT pleural effusion is present. 3. The LEFT hemidiaphragm is obscured.,1.2.826.0.1.3680043.8.498.95960219771074325740377674143171137827
MediPort catheter noted with tip over superior vena cava. Heart size normal. Diffuse bilateral pulmonary infiltrates are again noted. Similar findings noted on prior exam. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Diffuse bilateral pulmonary infiltrates again noted. Similar findings noted on prior exam. Findings consistent with chronic pneumonitis. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.59015445352281949363905148583752371198
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.74412375455636657819691419703153641011
"The orogastric tube has been removed. The umbilical venous catheter tip is at the T-7 level, projecting over the heart. The cardiothymic silhouette is normal. The lungs are clear. There is no pleural effusion or pneumothorax. The bowel gas pattern is normal.",Umbilical venous catheter tip at T-7 level. Clear lungs.,1.2.826.0.1.3680043.8.498.19280141702154542376279664396816543567
Moderate cardiomegaly. Small right pleural effusion. Bibasilar atelectasis. Upper lungs clear. No pneumothorax.,Cardiomegaly and small right effusion. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.64497114821686928013763692303266152779
A new right subclavian center venous catheter is seen with tip in the distal SVC. There is no evidence of pneumothorax. Endotracheal tube remains in place. A nasogastric tube is seen extending into the stomach. Bilateral pleural effusions and bibasilar atelectasis are again seen and not significantly changed. Cardiomegaly stable.,"1. New right subclavian center venous catheter in appropriate position. No evidence of pneumothorax. 2. Stable cardiomegaly, bilateral pleural effusions, and bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.29502403874728336861172541661167669765
"Low lung volumes. Patchy bilateral airspace disease again noted, slightly increased in the right upper lobe. Small bilateral pleural effusions. Heart is borderline in size. No acute bony abnormality.","Patchy bilateral airspace disease, slightly increased in the right upper lobe. Small bilateral effusions.",1.2.826.0.1.3680043.8.498.30121700972344173271020694422607856876
Low lung volumes. Bibasilar atelectasis. Heart is accentuated by the low volumes. No visible effusions. No acute bony abnormality.,"Low lung volumes, worsening bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.58864999584676955331073538539411124489
The heart is moderately enlarged. Pulmonary edema is present. Small bilateral pleural effusions are suspected. No pneumothorax is seen. Atherosclerotic calcification of the aortic arch is present.,Cardiomegaly and congestive heart failure.,1.2.826.0.1.3680043.8.498.16576581127278421338402756723494092059
The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. There is a permanent pacemaker in place. The patient has undergone prior CABG.,There are findings consistent with COPD. I do not see evidence of CHF nor pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.11263740670011344750061526722288562066
Heart is borderline in size. Lungs clear. No effusions or edema. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.38579983796522816846587766132448163438
Cardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is stable.,No active disease.,1.2.826.0.1.3680043.8.498.62824511243427888934900108786496502560
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80053481157867632872818364775866239898
"Endotracheal tube, feeding tube, and right PICC line are unchanged. There is increased left basilar airspace disease with associated left effusion. Right basilar atelectasis is unchanged. No pneumothorax.",Worsening left basilar airspace disease with associated effusion worrisome for pneumonia.,1.2.826.0.1.3680043.8.498.85298298760037005270288871542650126610
Prior CABG. Cardiomegaly with vascular congestion. Moderate right pleural effusion with right lower lobe atelectasis or infiltrate. Small left effusion with left lower lobe atelectasis. No acute bony abnormality.,"Cardiomegaly with vascular congestion. Bilateral effusions, right greater than left with bibasilar atelectasis or infiltrates.",1.2.826.0.1.3680043.8.498.67592626916352262033585569932037302326
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81037220465908866155527314400755002329
Low lung volumes. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38757187746534757321621958373795742418
Heart: Normal. Lungs: Subtle right-sided airspace opacities. No pneumothorax or pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,Subtle right-sided airspace opacities suggestive of infectious etiology.,1.2.826.0.1.3680043.8.498.72521036313978717787579999933676675643
There is flattening of the hemidiaphragms. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,COPD with likely a component of pulmonary fibrosis. No focal regions of consolidation are appreciated.,1.2.826.0.1.3680043.8.498.86838469152153686413635272548956498003
The heart is enlarged. The aorta is calcific. The lungs are well expanded. There are bilateral pleural effusions with compressive atelectasis. There is no pneumothorax.,"Cardiomegaly, pleural effusions and compressive atelectasis.",1.2.826.0.1.3680043.8.498.69043387736105509082793159572138423491
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.21239380266382937431233065536152740993
"There is a large right perihilar lung mass extending into the right lower lobe superior segment, unchanged from the prior exam. There is no significant left lung consolidation. The lungs are hyperexpanded. No pleural effusion or pneumothorax. Cardiac silhouette is normal in size. Normal mediastinal and hilar contours. Bony thorax is intact.",1. No acute cardiopulmonary disease. 2. Right perihilar and superior segment right lower lobe lung mass consistent with the known neoplasm.,1.2.826.0.1.3680043.8.498.78416570981228344316386527218430731518
There is cardiomegaly and mild interstitial edema. No focal airspace disease is identified. No evidence of pleural effusion.,Cardiomegaly and mild interstitial edema.,1.2.826.0.1.3680043.8.498.14903762953197552237273155812472532894
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38869897722776125992921331047022775356
Aeration of the lungs has improved. No active infiltrate or effusion is seen. No pneumothorax is noted. A dual lead permanent pacemaker is now present. The heart is within upper limits of normal. No bony abnormality is seen.,Dual lead permanent pacemaker present. No active lung disease.,1.2.826.0.1.3680043.8.498.20388496665513834618673091993493505990
Endotracheal tube and NG tube in stable position. Right PICC line noted with tip over cavoatrial junction. Heart size stable. Diffuse bilateral pulmonary infiltrates/edema again noted. Small left pleural effusion. No pneumothorax.,1. Right PICC line noted with tip over cavoatrial junction. 2. Endotracheal tube and NG tube in stable position. 3. Diffuse bilateral pulmonary infiltrates/edema again noted. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.34688949875502959336390467154284270594
Low lung volumes. No focal consolidation or pleural effusion. Stable cardiomediastinal silhouette. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30797837730316748501478203285078077205
"A nasogastric tube is noted with its tip in the stomach. The heart is normal in size. The lungs are clear without evidence of focal consolidations, pleural effusions or pneumothorax.",Nasogastric tube with its tip in the stomach.,1.2.826.0.1.3680043.8.498.50689924106872678155795614842837726812
Mediastinum and hilar structures are normal. Partial clearing of right upper lobe infiltrate. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Partial clearing of right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.82389364025122460182575120194825996689
"Enlargement of cardiac silhouette. Mediastinal contours normal. Pulmonary vascularity normal. Bibasilar infiltrates, slightly increased. Tiny right pleural effusion. No pneumothorax or acute osseous findings.",Slightly increased bibasilar infiltrates.,1.2.826.0.1.3680043.8.498.88614477334941545158220628268030724695
The lungs are adequately inflated. The interstitial markings are increased. The pulmonary vascularity is engorged. The cardiac silhouette is mildly enlarged. I see no pleural effusion.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. I see no focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.63725169180640716179936880667225504696
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50648093025352174642554716185035990679
There is elevation of the LEFT hemidiaphragm. A small LEFT effusion is identified. A component of the patient's previously described LEFT effusion is loculated along the lateral chest wall. Thickening of the interstitial markings is appreciated as well as peribronchial cuffing. The cardiac silhouette is moderately enlarged. A RIGHT sided Port-A-Cath is appreciated with the tip projecting in the region of the superior vena cava. The patient is status post median sternotomy and coronary artery bypass grafting. The visualized bony skeleton is unremarkable.,"1. Findings which appear to be consistent with a small LEFT effusion as well as an element of pulmonary edema. 2. COPD. 3. Atelectasis versus infiltrate versus possible scarring, LEFT lung base. 4. Continued surveillance evaluation is recommended.",1.2.826.0.1.3680043.8.498.44354604665007480561886991990531935397
The lungs are mildly hypoinflated. The interstitial markings are increased. The cardiac silhouette is enlarged. A Port-A-Cath appliance is in place. I see no pleural effusion.,There are findings which likely reflect low-grade CHF. I do not see evidence of pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.86985413611405754054399246265788337996
The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 09/02/1997.,1.2.826.0.1.3680043.8.498.85763258923575113594239729842586214576
Frontal chest as well as oblique and cone-down rib images were obtained. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is no evident pneumothorax or pleural effusion. No rib fracture.,No evident rib fracture. Lungs clear.,1.2.826.0.1.3680043.8.498.91159467327607059705833934288716499094
"Heart is enlarged. Diffuse interstitial prominence again noted, increased since prior study. No confluent opacities or effusions. No acute bony abnormality.",Cardiomegaly with increasing interstitial prominence which could reflect interstitial edema.,1.2.826.0.1.3680043.8.498.69361599924644154681483505331053489251
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No infiltrate, pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.54639376755914297232811000234821137096
There is a left-sided pacemaker/AICD generator noted with the tip of the electrode wire in right ventricle. There is a right-sided chest tube in place. There is no pneumothorax. The heart is enlarged. The lungs are well expanded. There are bilateral lower lobe infiltrates with small bilateral pleural effusions.,1. Pacemaker/AICD. 2. Right chest tube in place. No pneumothorax. 3. Cardiomegaly. 4. Bilateral lower lobe infiltrates with small effusions.,1.2.826.0.1.3680043.8.498.31598118374998251530733765025828402586
Mediastinum and hilar structures are stable. Cardiomegaly with pulmonary venous congestion bilateral pulmonary infiltrates/edema. Findings consistent with CHF. Pacemaker in stable position. No pneumothorax. Small pleural effusions.,1. Cardiomegaly with pulmonary venous congestion and bilateral pulmonary infiltrates/edema. Findings consistent with CHF. 2. Pacemaker in stable position.,1.2.826.0.1.3680043.8.498.70739672855732145734832717159447247699
"Endotracheal tube, NG tube, Swan-Ganz catheter, left chest tube, and right chest tube are unchanged. There is no pneumothorax. There is some mild atelectasis at the left base. There is increased airspace disease on the right, probably due to pulmonary edema. There is a small left effusion.",1. Stable chest. 2. Probable mild edema. 3. Mild atelectasis at the left base.,1.2.826.0.1.3680043.8.498.74690033476539178417697691177581523438
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81005354506364391260986326883260335474
Sternotomy wires are intact. Stable enlarged cardiac silhouette. There is improved aeration to the left lung base with residual linear atelectasis and small effusion. No pulmonary edema. No pneumothorax.,1. Improved aeration to the left lung base. 2. Small left effusion and residual atelectasis. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.22532750014525302254740684313666698288
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.17790669288521545743779202142975890783
There is a moderate left pleural effusion with left lower lobe atelectasis. There is also a small right effusion. The heart is enlarged. The patient has a right lower paratracheal mass which is probably the esophageal tumor. There is no evidence of pulmonary edema. No pneumothorax.,1. Moderate left pleural effusion and small right effusion with left lower lobe atelectasis. 2. Right lower paratracheal mass probably represents the esophageal tumor.,1.2.826.0.1.3680043.8.498.76460057652789847642015268614365223090
"Endotracheal tube with tip approximately 3 cm above the carina. Recommend retraction by 2 cm for optimal positioning. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. Lower thoracic and upper lumbar fixation hardware noted. No acute osseous pathology.",1. Endotracheal tube above the carina. Recommend retraction by 2 cm for optimal positioning. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.12168943139012496494361093126893607851
The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 5/22/1991.,1.2.826.0.1.3680043.8.498.17658440659605868889007184659040529604
"Umbilical vein catheter is been pulled back with tip now in the inferior aspect of the right atrium, approximately 7 mm above the inferior cavoatrial junction. Both lungs are clear. Heart size is normal. The bowel gas pattern is normal.",Umbilical vein catheter tip remains high in position in the inferior aspect of the right atrium. No active lung disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.79417214189957454548647750446863721041
"Endotracheal tube is 2.5 cm above the carina. NG tube is in the stomach. Pneumomediastinum and subcutaneous emphysema in the neck again noted, unchanged. No pneumothorax. Left base atelectasis. Heart is normal size. No visible effusions.",No significant change.,1.2.826.0.1.3680043.8.498.38177622375943019239310737849284704048
Heart: Stable cardiomegaly. Left chest wall cardiac generator with intact leads. Lungs: There is some patchy atelectasis in the right upper lobe. The lungs are otherwise hyperinflated. There is some patchy bibasilar airspace disease and small bilateral pleural effusions. Mediastinum: Normal. Pleural effusions: See above. There is no pneumothorax. Bones: There is no suspicious lytic or sclerotic lesions throughout the visualized bony structures. Visualized upper abdomen: Normal.,"1. Cardiomegaly. 2. Small bilateral pleural effusions and patchy basilar airspace disease which could represent atelectasis and/or chronic interstitial lung changes. 3. Hyperinflated lungs, which can be seen with obstructive airways disease.",1.2.826.0.1.3680043.8.498.24698626755792222377587793758183700541
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41267835541446883349987333850380456120
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18964168602337209656150156151817666747
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.36076647605289026931044898643855890670
Cardiomegaly. Central pulmonary vascular prominence. Subsegmental atelectasis right mid to lower lung. No segmental infiltrate. No gross pneumothorax. Calcified tortuous aorta.,Cardiomegaly. Central pulmonary vascular prominence. Subsegmental atelectasis right mid to lower lung. No segmental infiltrate. No gross pneumothorax. Calcified tortuous aorta.,1.2.826.0.1.3680043.8.498.26719682279770054925298317774513404388
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78225410501750409076359157597343381327
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.19593186789788207357956422632848202558
The heart size and mediastinal contours are within normal limits. There is no evidence of pleural effusion or pneumothorax. There is a peripheral airspace opacity in the left lower lobe. The visualized skeletal structures are unremarkable.,1. No pleural effusion. 2. Peripheral airspace opacity in the left lower lobe may represent pneumonia or hemorrhage.,1.2.826.0.1.3680043.8.498.40089086953512954902978160332448649783
There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.55789904602949698737685147153669043725
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40117591102676416520882336774933925852
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19160165592575275790635795940433673657
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.76216770685625368712097331109611856652
Cardiac and mediastinal silhouettes are within normal limits. Lungs normally inflated. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30062179185408508114596167179722583495
Normal sized heart. Patchy airspace opacity in the right middle lobe. Clear left lung. Mild scoliosis.,Right middle lobe pneumonia. This could be re-acute or chronic. Follow-up chest radiographs are recommended to ensure clearing.,1.2.826.0.1.3680043.8.498.62947269626421020114527105660199122455
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.87359737205040073411511357493734486662
There is airspace disease throughout the right lung and at the left lung base. The heart is enlarged. There is no evidence of pneumothorax. No definite effusions are seen.,Bilateral airspace disease right greater than left worrisome for pneumonia and/or asymmetric edema.,1.2.826.0.1.3680043.8.498.67684187177066903058644571961276322216
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36919086095990578279609425799898502384
"The heart is borderline enlarged. The lungs are hyperinflated consistent with COPD. Atherosclerotic calcification is present. There is no edema, infiltrate, effusion or pneumothorax.",1. COPD. 2. Atherosclerotic calcification. 3. Borderline cardiomegaly.,1.2.826.0.1.3680043.8.498.62299447384880017801933542460435400662
"Single view of the chest shows a normal size cardiomediastinal silhouette. There is no evidence of consolidation, mass or pleural effusion. The bones are unremarkable.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67044911046548984695713077508677064461
"Patchy airspace disease throughout the right lung, suspicious for pneumonia. Left lung is clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.","Patchy airspace disease throughout the right lung, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.24697703990301596174296396153128557063
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal pulmonary infiltrate. No pleural effusion or pneumothorax. Prior CABG. No acute bony abnormality. Old right rib fractures.,1. Cardiomegaly. No evidence of overt congestive heart failure. 2. Prior CABG. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.31034634416168961856237837905266084618
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35799503710665921121656494116267692158
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Prior CABG noted as well as thoracic spondylosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14046819525982508300361072940436985156
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12909684109427165340126739247440245917
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.31137082570929584079092157138519250117
There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is enlarged. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. No heart failure.,1.2.826.0.1.3680043.8.498.67775750575272644308936970836056093132
"Heart size is normal. There is patchy density at the left lung base, consistent with atelectasis or early infiltrate. No pleural effusions. No pulmonary edema.",1. No evidence for acute cardiopulmonary abnormality. 2. Atelectasis or early infiltrate in the lingular segment of the left lung.,1.2.826.0.1.3680043.8.498.92586500475270855745044172848033221122
The patient has undergone placement of a RIGHT subclavian venous catheter. The tip of the catheter lies in the region of the midportion of the SVC. I do not see evidence of a post procedure complication. There is increased density at the RIGHT lung base consistent with atelectasis and likely pleural fluid. The degree of volume loss is not greatly changed since the study of earlier the same day. The LEFT lung is adequately inflated and clear.,There is no evidence of a post procedure complication following placement of the RIGHT subclavian venous catheter.,1.2.826.0.1.3680043.8.498.99170984399636749988928359666324220528
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.16335094737198135452817708937107473018
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.97023657390676881985670993036796430537
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.22210329019323243485964723425299076825
"There is improved aeration of both lungs. Diffuse interstitial disease remains, which may be due to edema or fibrosis. Patchy areas of airspace disease remain at both lung bases.",1. Improved aeration. 2. Residual diffuse interstitial lung disease. 3. Bibasilar airspace disease remains.,1.2.826.0.1.3680043.8.498.42014424462575111520676090337646642879
Right PICC line and right IJ catheter are unchanged. Prior CABG. There is stable cardiomegaly. Small left pleural effusion and left basilar atelectasis are again noted and unchanged. There is no pneumothorax.,No significant change. Persistent left lower lobe atelectasis and small left effusion.,1.2.826.0.1.3680043.8.498.52117953552441703461098906513256142408
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.36713409794276083445441505435908508225
Patient is rotated to the right. Lungs are adequately inflated without focal consolidation or effusion. No pneumothorax. Cardiothymic silhouette and remainder of the exam is unchanged.,No active disease.,1.2.826.0.1.3680043.8.498.31233381045418349120623878928395953567
Stable appearance of postoperative changes in the mediastinum. Shallow inspiration. Cardiac enlargement. Diffuse nodular airspace disease throughout both lungs in the diffuse interstitial pattern. Similar appearance to previous study. No pleural effusions. No pneumothorax.,Stable appearance of the chest since previous study with persistent diffuse nodular airspace disease and interstitial changes consistent with diffuse pneumonia or ARDS.,1.2.826.0.1.3680043.8.498.97386908735800022677724956010911456678
Heart is normal size. Lungs are clear. No effusions. Multiple old left rib fractures. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34521904363697353978624826532190614306
The heart size and mediastinal contours are within normal limits. Previously seen right middle lobe airspace disease has resolved. The lungs are hyperinflated. No evidence of pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12196057067565372103863123038264753893
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72633962318964117162111655190658761782
Diffuse hazy opacities are present throughout both lungs. Central vascular congestion with indistinct margins. Cardiomediastinal contours are normal. No pneumothorax or effusion. No acute osseous or soft tissue abnormality. Telemetry leads overlie the chest.,"Diffuse hazy opacities throughout both lungs, could reflect combination of atelectasis and edema.",1.2.826.0.1.3680043.8.498.11733047642881464489304187586149923449
The right PICC line is stable. The lung bases are slightly better aerated. There are persistent areas of atelectasis and effusion. No pulmonary edema is seen.,Slightly improved basilar lung aeration with persistent areas of atelectasis and effusion.,1.2.826.0.1.3680043.8.498.18029112759318048350288997829530837693
"Linear opacity in the right lung base likely reflects atelectasis. No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.","Atelectasis, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.34890852987597705823850303190717663377
"The cardiomediastinal silhouette is unremarkable. Mild airway thickening is present. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Mild airway thickening without focal pneumonia. This may represent a viral process or reactive airway disease.,1.2.826.0.1.3680043.8.498.78372783507308787605351411522008451411
There is a moderate left pleural effusion with atelectasis at the left lung base. No pneumothorax after thoracentesis. Scattered nodular densities are seen throughout the right lung consistent with pulmonary metastases. The heart is normal in size. The mediastinal contour is stable.,1. No pneumothorax after left thoracentesis. 2. Moderate left pleural effusion. 3. Scattered lung metastases.,1.2.826.0.1.3680043.8.498.22629599682300013867148331144694565539
The lungs are well-aerated. Left basilar airspace opacity is concerning for pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Left lower lobe pneumonia noted.,1.2.826.0.1.3680043.8.498.20100028016998596412034966424843555925
"Enlargement of cardiac silhouette. Mediastinal contours normal. Pulmonary vascular congestion. Accentuated interstitial markings in the perihilar regions bilaterally, could represent minimal edema or atypical infection. No gross pleural effusion or pneumothorax. Bones demineralized.","Enlargement of cardiac silhouette with pulmonary vascular congestion. Perihilar interstitial infiltrates, question minimal CHF though cannot exclude atypical infection.",1.2.826.0.1.3680043.8.498.92030056221836955230802183725381624334
"The heart is enlarged. There is no edema, infiltrate, effusion or pneumothorax. The bony and mediastinal structures appear unremarkable.",Cardiomegaly. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.25550857441225933885861427856626225322
The heart size and mediastinal contours are within normal limits. Previously seen bilateral pulmonary infiltrates have resolved since previous study. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76468393619561429167510035692513036318
The patient has had previous CABG. The heart is mildly enlarged. No edema or effusions. No focal airspace opacities are identified.,1. No acute cardiopulmonary disease. 2. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.53188285010429430834673628409512964796
"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97831574824069228874187142760521600833
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.89086753861259201322191960063950977057
Left PICC is in place with the tip projecting in the mid superior vena cava. No pneumothorax. Mild left basilar atelectasis is noted. The right lung is clear. Heart size is normal. Remote left rib fractures are unchanged.,Tip of left PICC projects in the mid superior vena cava. No pneumothorax.,1.2.826.0.1.3680043.8.498.71515451366857961646207565978704396839
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.56857455639713134928559523396787465784
The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No rib fracture.,Negative exam.,1.2.826.0.1.3680043.8.498.37219916562010857688926768095134934790
There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.33104357905536748242456661425628390374
"Endotracheal tube tip is at the clavicular heads. The orogastric tube reaches the stomach. Hazy opacity of the lower chest, especially on the left, from pleural fluid and atelectasis. Normal heart size. No pneumothorax.",1. Stable hardware positioning. 2. Unchanged left pleural effusion and atelectasis.,1.2.826.0.1.3680043.8.498.95270419339399577868910542555975844466
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43047919788927124679422674951555757017
"There is persistent ill-defined opacity in the left mid lung region. There is a calcified granuloma in the left mid lung. Elsewhere lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is a hiatal type hernia. There is anterior wedging of a mid thoracic vertebral body, stable. There is degenerative change in the thoracic spine. There is postoperative change in the right shoulder.","Persistent ill-defined opacity in the left mid lung remains concerning for a focus of pneumonia. Given that this opacity has been present for 6 months, correlation of the chest CT, ideally with intravenous contrast, is advised to further assess. If the patient has been experiencing recurrent symptoms, followup study in 6 weeks to assess for stability may be reasonable given the patient's age.",1.2.826.0.1.3680043.8.498.14434039486307340980431933198992491901
"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21714798105424900579314889309203843670
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.31947279285593107589396295071683300947
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60235801920809548286656432429511291688
Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.62125970268379724894885329104241517566
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84637777556482825271152901719664610331
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.16383126614847704182388800597435278006
"Umbilical vein catheter tip overlies the inferior aspect of the right atrium, unchanged. Cardiothymic silhouette is normal. The lungs are clear. No pleural effusions. No pneumothorax. Right midclavicular fracture is stable.",1. No acute cardiopulmonary findings. 2. Stable position of the umbilical vein catheter.,1.2.826.0.1.3680043.8.498.75672432000034900663538179122947976566
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50861889123503595762537723425429438644
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94055918466526103710535547333129057807
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83534455377222871417076289327360395599
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83425439410224216629730513195941526822
PA and lateral chest radiographs are provided. There is a focal area of airspace disease in the right upper lobe most consistent with pneumonia. The remainder of the lung fields are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,"Right upper lobe pneumonia. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.86250271691963309823565768123778031152
Patient is rotated towards the right. Heart is normal in size. Aorta is tortuous. No mediastinal or hilar masses. Lungs are clear. No evidence of pneumonia. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.39636520417433763128002993246170667751
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86149184710997417363004124009525589235
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.72142176668890002119869021473575120954
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34705285658926621618000795243253224962
"The heart is mildly enlarged. There are surgical changes related to bypass surgery. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid.",Cardiomegaly and postoperative changes. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.87617247787344461913585200669669966911
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48336574717171931433782917430162630636
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11491463669942668108232531818276898740
There is chronic elevation of the left diaphragm. Heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.94880293517988709090528301899674997906
"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.42636621005526598616830781678213641720
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.54950422711108938818748041521451830699
The lungs are not as well aerated with basilar atelectasis present. Cardiomegaly is stable. Endotracheal tube is unchanged in position. Right central venous line is unchanged.,Slightly diminished aeration with persistent basilar atelectasis.,1.2.826.0.1.3680043.8.498.57734943401368830820331135453450612547
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24561237095469530652908431519826301068
There is a dense infiltrate in the superior segment of the right lower lobe. The left lung is clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,Dense infiltrate in the superior segment of the right lower lobe consistent with pneumonia. Follow-up to document complete clearing is recommended.,1.2.826.0.1.3680043.8.498.10021295442216429458443664613556847556
The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions. Low lung volumes.,No acute disease.,1.2.826.0.1.3680043.8.498.61635678993033992079280502470207804674
"AP view at 5409 hrs. Enteric tube in place, side hole at the level of the gastric body. Normal visible bowel gas pattern. Stable lung volumes. Normal cardiac size and mediastinal contours. No pneumothorax or pleural effusion. No confluent pulmonary opacity. Mild diffuse granular pulmonary opacity is stable. No osseous abnormality identified.",1. Stable lines and tubes. 2. Normal visible bowel gas pattern. 3. Stable lung volumes with mild pulmonary granular opacity.,1.2.826.0.1.3680043.8.498.53951568744963253933174875270948529869
Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70355339170556555191583891757266398988
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54704649355204400406680667077548337856
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.84807158814722421341215088621321892221
There are moderate pleural effusions bilaterally with bibasilar atelectasis. There is no frank edema or consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. Pacemaker leads are attached to the right atrium and right ventricle. No pneumothorax. No bone lesions.,Moderate pleural effusions bilaterally with bibasilar atelectasis. No frank consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.47710548930017934610269478466797666371
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59023032721085033212336864632157042490
"Single view. Elevated right hemidiaphragm. No focal pulmonary opacity, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. Regional skeleton is normal.",No acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.90516620143858704386332671841867633926
"Single portable AP chest radiograph is provided. There is an endotracheal tube with the tip 3.5 cm above the carina. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.63535754200467295522812617445836024862
Shallow inspiration. Linear infiltration or atelectasis in the lung bases. Heart size and pulmonary vascularity are normal. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,Shallow inspiration with linear infiltration or atelectasis in the lung bases.,1.2.826.0.1.3680043.8.498.43727514720654900502689566198666525718
Cardiac and mediastinal contours are within normal limits. There are mild bilateral coarse interstitial opacities. No focal consolidation. Mild blunting of the right costophrenic angle. No pneumothorax. Osseous structures are unremarkable.,1. No acute cardiopulmonary abnormality. 2. Trace right pleural effusion.,1.2.826.0.1.3680043.8.498.92014681272292070744470219398398482638
Mediastinum and hilar structures are normal. Heart size stable. Progressive mild pulmonary vascular prominence. Mild interstitial prominence noted. Mild interstitial edema and or pneumonitis cannot be excluded. No pleural effusion or pneumothorax. Right posterior lateral rib fractures again noted. No significant displacement. Spinal cord stimulator in stable position.,1. Progressive mild pulmonary vascular congestion. Mild interstitial prominence noted. These findings suggest mild interstitial edema and or pneumonitis. 2. Right posterior lateral rib fractures again noted. No significant displacement. No pneumothorax.,1.2.826.0.1.3680043.8.498.30582900555215952810961340373644535533
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18933030527989631354348429379993969972
Endotracheal tube appears well positioned with tip approximately 3 cm above the carina. Enteric tube passes below the diaphragm. New right IJ central venous catheter appears well positioned with tip at the level of the lower SVC. No pneumothorax seen. Stable cardiomegaly. Stable left chest wall pacemaker/ICD. Stable small left pleural effusion and/or atelectasis. Lungs appear otherwise clear.,1. New right IJ central venous catheter is well positioned with tip at the level of the lower SVC. No pneumothorax seen. 2. Stable small left pleural effusion and/or atelectasis.,1.2.826.0.1.3680043.8.498.71178044278035891540084768172984905999
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39160871659771559689756998177980686758
Normal cardiac silhouette. Clear lungs. No pleural effusion or pneumothorax. Bones are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70944290937027126951805577536055991916
Cardiac silhouette is normal in size and configuration. Normal mediastinal and hilar contours. Clear lungs. No pleural effusion or pneumothorax. Bony thorax is grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.89983998527900347077721675602948028041
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.53491452734195468865372750412718492509
There is central airway thickening with focal airspace disease in the right lower lobe compatible with pneumonia. No pleural effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Central airway thickening with focal airspace opacity in the right lower lobe compatible with pneumonia.,1.2.826.0.1.3680043.8.498.97315764230256589846482079022357527570
Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30513400847972361825403011298301502732
"The heart is enlarged. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",Cardiomegaly.,1.2.826.0.1.3680043.8.498.55090561033053302367045573794960513374
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.67542976500131778951462218314068901651
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71689575968972018086621862859504072827
Endotracheal tube is unchanged in position. Nasogastric tube is present within the stomach. There is mild improvement in pulmonary vascular congestion. Mild basilar atelectasis is present. Cardiomegaly is stable.,Slight improvement in pulmonary edema.,1.2.826.0.1.3680043.8.498.35187652532816583353723563014419868723
"PA and lateral chest radiographs are provided. The lungs are hyperinflated likely secondary to COPD. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.98161578448242408775035270863908340237
There is dense consolidation in the right mid and lower lung zone compatible with pneumonia. There is also a component of atelectasis. Left lung is essentially clear. There has been some interval increase in the right pleural effusion. The patient is status post CABG.,1. Right mid and lower lung zone airspace disease compatible with pneumonia. 2. Increasing right effusion.,1.2.826.0.1.3680043.8.498.66553390529341370340790499768437331590
Left chest tube remains in place. No pneumothorax. Left lower lobe atelectasis slightly increased. There may be a small left effusion. The right lung remains relatively clear.,Slight increase left lower lobe atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.15939901545835514522505759782828253985
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.74498934516180278043236512452401793619
The heart size and mediastinal contours are within normal limits. Aortic knob calcifications are noted. Chronic interstitial lung markings are noted. No focal consolidation. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64102258584548287281932245492944810318
The heart is enlarged. There is vascular congestion. There is mild edema. There are small effusions and bibasilar atelectasis. The left upper extremity PICC is stable.,Congestive heart failure with mild edema. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.32809145821401615253782185856276389702
There is airspace consolidation in the right base. There is atelectatic change in the left base. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation consistent with pneumonia right base. Left base atelectasis. Stable cardiac silhouette. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.64717669919264830914647726998084591000
There is again noted increased density in the left upper lobe and right lower lobe compatible with pneumonia. The findings are similar to that noted on the prior exam. No new areas of infiltrate are seen. The heart is enlarged but stable as compared to the prior exam. No pleural effusion is seen.,1. Persistent areas of increased density bilaterally consistent with pneumonia. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.53178004597377007349629131007424457130
The lungs are clear. Mediastinal contours are normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.60547455414185151461591291601162319714
There is dense consolidation in the left upper lobe. There is also consolidation in the left lower lobe with an associated left pleural effusion. The right lung is clear. There is no pneumothorax. The heart is enlarged. The patient is status post median sternotomy.,1. Findings are most consistent with multifocal pneumonia in the left lung. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.64854027848809566014387841482218331611
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.21987319640581159134750751022553305027
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83485171522306469470085778714620827899
There is hyperinflation and chronic interstitial thickening. Cardiac silhouette is mildly enlarged. The mediastinum is not widened or deviated. The lungs are clear and the costophrenic sulci are sharp. Pulmonary vasculature is normal caliber. No pneumothorax is identified. Dual lead pacemaker is identified with the battery pack in the left hemithorax.,Hyperinflation and chronic interstitial thickening without evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.40146101591789144733365132033840413417
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37926721257025739516619962976094164230
"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82203725327122635051665024150556013502
"Since that time, the left pleural effusion has increased in size. There is associated left lower lobe atelectasis. The right lung remains clear. The cardiomediastinal silhouette is unremarkable.",Enlarging left pleural effusion and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.87507310156562996221121777423081010012
Median sternotomy wires and cardiac valve replacement are again noted. Right upper extremity PICC is unchanged with tip projecting over the superior cavoatrial junction. Cardiomegaly is unchanged. Atherosclerotic calcification of the aortic arch. Pulmonary vascular congestion and diffuse interstitial prominence with hazy airspace opacities in both lungs. Findings are suggestive of CHF/volume overload. Small left pleural effusion. No evidence of pneumothorax. No acute bony abnormality identified.,1. Cardiomegaly with pulmonary vascular congestion and bilateral interstitial prominence suggesting CHF/volume overload. Findings are progressed from the prior chest radiograph. 2. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.95130622629356820187300386722868465358
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79070287766001984160470071172755590536
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63052237944706459805741975021370340243
Heart size is normal. There is perihilar peribronchial thickening. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.66280384656476727824513932582226711831
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92415864625827131142028256492900906196
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.89057981204183356658404005222020221640
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.52137363315985052808038960007564574925
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.40961163118871001611915382292881145173
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.10046972507113678346385502958263399174
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.92019634737389187665743693753726745491
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57256789904509514933436101563076542094
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72741945578516770835524910962570520666
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is mild elevation of the right hemidiaphragm.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47871005938937098458860420967208377277
Lung volumes and mediastinal contours remain normal. Visualized tracheal air column is within normal limits. Both lungs appear stable and clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Stable and negative. No cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.74437541775737031908786812008464350166
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69254419106946097366059977464023761803
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.69299942247573536251721847548129071915
"No displaced rib fractures are seen. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fracture seen. No acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.16548660952919751446183595933495057468
"The endotracheal tube tip is 6.5 cm above the carina. The nasogastric tube tip is within the stomach. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",1. Endotracheal tube tip 6.5 cm above the carina; this could be advanced 2-3 cm. 2. No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.33271345047024074692124482781987101681
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45393121885571310118116596822075721400
Portable AP upright view at 7832 hours. Lung volumes and mediastinal contours are normal. Visualized tracheal air column is within normal limits. Allowing for portable technique the lungs are clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative portable chest.,1.2.826.0.1.3680043.8.498.62196700246789275195640590106244535300
Patient is status post median sternotomy and CABG. Left-sided pacemaker is present with 2 leads in place. The heart is normal in size. The lungs are clear without evidence of focal consolidations. Left basilar scarring is present. There is no pulmonary edema or pleural effusion. There is no pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.52252230944105076932986243980519041156
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51501852712955773752176253855830408834
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable. There is elevation of the right hemidiaphragm.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27232852260846809515288711691860786017
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.37803820020186413381092889639786101005
"The heart is normal. There is peribronchial thickening. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",Peribronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.67649350934620147988823054802368498310
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.10105888402475264320078223826589489031
The patient was shielded for the examination. The lung markings are accentuated at both lung bases and in the perihilar regions. Small bilateral pleural effusions are suggested. The heart size is normal. No focal airspace disease is seen. The visualized soft tissues and bony thorax are unremarkable.,Prominent lung markings particularly at the lung bases without focal airspace disease. Small bilateral pleural effusions suggested. This is nonspecific and could represent infection or edema.,1.2.826.0.1.3680043.8.498.77374442787251939243460219222084595046
There is linear atelectasis in the right middle lobe. Small bilateral pleural effusions are seen. There is no evidence of pulmonary consolidation or edema. Heart size is normal. No mass or adenopathy identified.,Small bilateral pleural effusions and right middle lobe atelectasis.,1.2.826.0.1.3680043.8.498.68286311745816874401622574438162487748
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51729859280387844060224168154805371689
"There is a large mass in the left upper lobe, similar to the recent prior studies. There is a large masslike opacity at the left lung base, which is more extensive on the lateral view and likely represents a combination of the previously demonstrated lung masses with adjacent atelectasis or pneumonia. There is a small right pleural effusion. No pneumothorax is seen. The heart and mediastinum are difficult to evaluate due to the large mass in the left lung. The bones are demineralized.","1. Large mass in the left upper lobe, similar to the prior studies. 2. Large masslike opacity at the left lung base, likely representing a combination of the previously demonstrated lung masses with adjacent atelectasis or pneumonia. 3. Small right pleural effusion.",1.2.826.0.1.3680043.8.498.81847766142096880558781015974986142427
There is progressive airspace disease in the right upper lobe which is most compatible with pneumonia. The left lung is clear. There is no pleural effusion or pneumothorax. The heart size and mediastinal contours are stable. The bones appear unremarkable.,Progressive right upper lobe airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.54724783194286971781839196217396492275
Left-sided Port-A-Cath is in place. The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.83465438291293478862145169488718769659
Cardiomediastinal silhouette is normal. No pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61981803280001831762425721235707327885
The lungs are mildly hypoinflated. The interstitial markings are mildly increased. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The Port-A-Cath appliance tip lies in the region of the midportion of the SVC. The observed portions of the bony thorax are normal.,"There is no focal pneumonia. There is mild bilateral hypoinflation and mild prominence of the pulmonary interstitium. When the patient can tolerate the procedure, a PA and lateral chest x-ray would be useful.",1.2.826.0.1.3680043.8.498.42522650296837047302978445643093377336
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41572928342321161437400561554295385089
"The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",No radiographic evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.50482358413127801434493020661330568125
Mild cardiomegaly noted. Mild scarring is seen at the right lung base. The lungs are otherwise clear. No evidence of pleural effusion.,Mild cardiomegaly and right basilar scarring. No acute findings.,1.2.826.0.1.3680043.8.498.93813801782172066810928977403975644421
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16232461618082121403043868090669122475
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70422552119485343370785968108317938295
"Portable semi upright AP view 6067 hours. Better lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. Allowing for portable technique, the lungs are clear. No pneumothorax or effusion.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.70236762432832834472932482983061609419
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79038429280010957143510421535500989481
A right upper extremity PICC has been placed. The tip is in the right atrium. Bilateral air space disease is again noted and is again significantly changed. A nasogastric tube is stable. Bilateral pleural effusions are suspected.,1. Right upper extremity PICC placement into the right atrium. 2. No significant change in bilateral air space disease.,1.2.826.0.1.3680043.8.498.56010595145847871948521556641749888832
There is little change in prominent interstitial markings most consistent with chronic interstitial lung disease. No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. No bony abnormality is seen.,No active lung disease. Probable chronic interstitial change.,1.2.826.0.1.3680043.8.498.69240946022503502379941944808596617177
The lungs are well-expanded. The interstitial markings remain increased bilaterally. Areas of confluent density are slightly more conspicuous today. The cardiac silhouette remains enlarged. The pulmonary vascularity is engorged. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,Slight interval increase in interstitial and early alveolar opacities bilaterally. This may reflect worsening interstitial pneumonia or interstitial edema or combination of the 2. The pulmonary vascularity remains engorged.,1.2.826.0.1.3680043.8.498.90760563824295696659692808797607787615
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71406023624534993574471662848895378119
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14610098710708845582952555549137534476
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33202775723062976787091190882470034999
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No radiopaque foreign body is evident.,No edema or consolidation. No radiopaque foreign body evident.,1.2.826.0.1.3680043.8.498.87866199205578221897602916638780750035
No fracture or other acute bony abnormality is identified. The patient has a known destructive process associated with the posterior aspect of the right fifth rib which is partially included in the field-of-view. No other acute bony abnormalities are identified.,No acute bony abnormalities.,1.2.826.0.1.3680043.8.498.13252116578941284691982548418024026562
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46035360991770686371951217120339899737
There is little change in basilar opacities consistent with atelectasis and effusion. Basilar pneumonia cannot be excluded. The heart is within normal limits in size. No bony abnormality is seen.,No significant change in basilar opacities consistent with atelectasis and effusion. Cannot exclude pneumonia.,1.2.826.0.1.3680043.8.498.71202732152923996496605508927508534178
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68493383893129839636497138790414575784
Patchy bilateral airspace disease has worsened. The heart is normal in size. No pneumothorax. A left pleural effusion is suspected.,Worsening bilateral airspace disease.,1.2.826.0.1.3680043.8.498.73803378520132942632871647808421489026
The heart is mildly enlarged. The thoracic aorta is tortuous and atherosclerotic. Patchy airspace disease is present in both lung bases. Pulmonary vascularity is within normal limits. No pneumothoraces or effusions are seen.,Cardiomegaly. Bibasilar patchy airspace disease. Consider atelectasis or developing airspace disease.,1.2.826.0.1.3680043.8.498.93754633688084365352483387801037486801
"The heart is enlarged. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Cardiomegaly. No acute process.,1.2.826.0.1.3680043.8.498.36080581292040308971310650984473694887
Mediastinum and hilar structures normal. Cardiomegaly with pulmonary venous congestion and diffuse interstitial prominence. Findings consistent with congestive heart failure. No pleural effusion or pneumothorax. No acute bony abnormality.,Congestive heart failure with pulmonary interstitial edema.,1.2.826.0.1.3680043.8.498.62677695515071788001501977469104805402
Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.69828785412430854540625022820256955704
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51158013039417172689018619476825551903
The examination cannot be performed secondary to patient's uncooperative nature,Nondiagnostic study Recommend repeat study once the patient agrees to the examination.,1.2.826.0.1.3680043.8.498.42242489301082602321995589207434594128
"Diffuse reticular reticular opacities are present throughout both lungs, similar to slightly increased from the comparison study most compatible with chronic interstitial changes. No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality. Cholecystectomy clips in the right upper quadrant.","Diffuse chronic interstitial changes throughout the lungs, similar to slightly increased from prior. No acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.50011023079397530711866749809023905260
There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,Aortic atherosclerosis. No edema or consolidation.,1.2.826.0.1.3680043.8.498.47727650730630618836073513669659757941
Tracheostomy tube is in place. The heart size is normal. Aortic calcifications are noted. There is no pneumothorax. No large pleural effusion. No focal infiltrate.,No active disease.,1.2.826.0.1.3680043.8.498.67280414541587438408537091766247154595
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.78032683591020794566844204228585015125
There is mild left lower lobe airspace disease compatible with pneumonia. The lungs are otherwise clear. There is no pleural effusion. The heart size is normal.,Mild left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.86621648706200348465622838664035462330
Prior CABG. Heart is normal size. No focal airspace opacities or effusions. No acute bony abnormality. Degenerative changes in the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86329239456418498224933408839831725895
The heart is mildly enlarged but stable. The lungs are clear. There are no pleural effusions. Degenerative changes are again noted throughout the thoracic spine.,No acute cardiopulmonary disease. Stable mild cardiomegaly.,1.2.826.0.1.3680043.8.498.72261212096642277700055765534017420907
Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.63775459099838166378623495732974301204
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.80217754249130602948146379950009622073
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94472528455311495112636505034967407652
Endotracheal tube terminates 2.5 cm above the carina. Left internal jugular venous catheter terminates in the lower third of the superior vena cava. The cardiomediastinal silhouette is within normal limits. Lung volumes are low with mild atelectasis in the lung bases. No pleural effusion or pneumothorax is identified.,1. Low lung volumes with mild bibasilar atelectasis. 2. Support devices as above.,1.2.826.0.1.3680043.8.498.25598461280147187243730894139677765017
The cardiothymic silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 6/16/1994.,1.2.826.0.1.3680043.8.498.33461495276688483975348136653710366824
The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,No active disease.,1.2.826.0.1.3680043.8.498.41306661530465383109935323918119144936
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Chronic deformity of the left proximal humerus. No acute skeletal abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40256966975685323262941976666147653637
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.47513029468875206979984407228197737293
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. There are surgical clips in the left axillary region. There is mild multilevel degenerative disc disease of the thoracic spine.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27923833229360359432243478997386077652
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33322489855717999345423242842221706427
Endotracheal tube tip is 2.9 cm above the carina. Central catheter tip is at the cavoatrial junction. Nasogastric tube tip and side port are below the diaphragm. No pneumothorax. There is a small left pleural effusion with left base atelectasis. Lungs elsewhere clear. There is stable cardiomegaly with pulmonary vascularity within normal limits. There is aortic atherosclerosis. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Small left pleural effusion with left base atelectasis. Lungs elsewhere clear. Stable cardiomegaly. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.36181660554520350256467013014761681053
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.32429774111917127101794667512714700324
"The cardiac silhouette is moderately enlarged. The mediastinal contour and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Cardiomegaly. No active pulmonary disease.,1.2.826.0.1.3680043.8.498.24927102431289856063493225514843206728
Orogastric tube appropriately positioned. Cardiothymic silhouette is normal. Lungs are clear. Normal visualized bowel gas pattern. Umbilical venous catheter terminates at the level of the diaphragm. Umbilical arterial catheter terminates at the T7-T8 interspace. No pneumothorax.,No acute finding. Support apparatus as above.,1.2.826.0.1.3680043.8.498.41432772122085702344820063914742446917
Nasogastric tube enters the abdomen. There is worsening of bilateral pulmonary infiltrates consistent with pneumonia. No lobar collapse. Small amount of pleural density at both lung bases.,Worsening of bilateral pneumonia.,1.2.826.0.1.3680043.8.498.98927595211017679398137707346390112958
The lungs are hypoinflated. The interstitial markings are increased bilaterally. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,Low-grade CHF with mild interstitial edema. No alveolar pneumonia.,1.2.826.0.1.3680043.8.498.59958946513515539218058581581794980123
Stable normal sized heart and changes of COPD. Stable diffusely prominent interstitial markings and linear densities at both lung bases. Stable mild diffuse osteopenia. Stable mild scoliosis.,Stable COPD and chronic interstitial lung disease. Stable bibasilar linear atelectasis or scarring. No acute abnormality.,1.2.826.0.1.3680043.8.498.93943416645823218325169989643268210443
Linear densities in the lung bases compatible with atelectasis. Heart is normal size. No effusions. No acute bony abnormality.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.81170771117886525975190506238190452060
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17976374816111197553090200089282444279
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88088112352394225554139774001782360673
"Cardiomegaly. Mediastinal contours are within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Small calcified granuloma suspected in the left lower lobe. No acute osseous abnormality identified.","Cardiomegaly, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.40731638441562562016584454421487345616
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26944397101692835874909108737582736166
"Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.14334377162866873835068060876750082102
"Cardiomegaly. Increasing bilateral interstitial and airspace opacities, right greater than left. Small bilateral effusions. No acute bony abnormality.",Cardiomegaly with vascular congestion and mild interstitial edema. Increasing right lower lobe atelectasis or infiltrate. Small bilateral effusions.,1.2.826.0.1.3680043.8.498.13139652625956627549858675374075596473
The lungs are well-aerated. Vascular congestion is noted. Increased interstitial markings raise concern for pulmonary edema. A small right pleural effusion is noted. There is no evidence of pneumothorax. The heart is borderline normal in size. No acute osseous abnormalities are seen.,Vascular congestion and borderline cardiomegaly. Increased interstitial markings raise concern for pulmonary edema. Small right pleural effusion noted.,1.2.826.0.1.3680043.8.498.80797454158008845689299749553176126407
Heart is normal size. Linear areas of scarring in the upper lobes. No confluent opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.47213489652815100620943866082674569632
"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.95293878257153582912474116744530175359
"Bilateral patchy airspace densities similar to prior radiograph consistent with multifocal pneumonia, likely atypical or viral in etiology and in keeping with COVID. Clinical correlation is recommended. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No significant interval change.,1.2.826.0.1.3680043.8.498.13059556763268387071389810589903818644
Cardiac shadow is enlarged but stable. Bibasilar atelectatic changes are again seen. The overall appearance is stable from the prior exam. No new focal infiltrate is noted. No bony abnormality is seen.,Stable bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.99960015757397189275500868437092475423
The lungs are adequately inflated. The interstitial markings are coarse though stable. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no pneumonia nor CHF. The interstitial markings remain mildly increased bilaterally.,1.2.826.0.1.3680043.8.498.81910783535226163741053669027162318807
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.95942360764930545102644487125578935590
Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.53784445339260983693213756684649736446
"Two views of the chest show a left sided cardiac defibrillator. The heart size is normal. The pulmonary vascularity is within normal limits. There are perihilar and bibasilar interstitial infiltrates, similar to the previous exam. No pleural effusion or pneumothorax is identified. Again seen is a 70% compression deformity at the thoracolumbar junction, similar to the previous exam.",Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.26478662606221431942955367824271382224
The lungs are mildly hyperinflated. There is no focal infiltrate. The perihilar lung markings are increased. The cardiothymic silhouette is normal in size. There is no pleural effusion or pneumothorax. The gas pattern in the upper abdomen appears normal.,"There are findings consistent with reactive airway disease and acute bronchiolitis. I see no focal pneumonia. I cannot exclude croup, however, in the appropriate clinical setting.",1.2.826.0.1.3680043.8.498.42299127806962881897909375353498811510
"There is cardiomegaly. Patchy bilateral airspace disease again noted, no significant change. Right central line unchanged.",No significant change.,1.2.826.0.1.3680043.8.498.35429724241744913057529700556264433181
There is cardiomegaly. The aorta is tortuous and ectatic. No edema or consolidation is identified. There is no pleural effusion. No pneumothorax is seen. No acute osseous findings are seen.,Cardiomegaly and aortic ectasia. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.23292780274242371250947543594938830650
"Umbilical venous catheter is present with tip at the level of T10. Umbilical arterial catheter terminates at the level of T7-T8. The exam is otherwise unchanged with diffuse pulmonary opacities, more prominent on the right than left, likely representing a combination of pulmonary edema and atelectasis. Normal cardiothymic silhouette. Nonobstructive bowel gas pattern. No acute osseous findings.",1. Support apparatus as described. 2. Unchanged pulmonary aeration with diffuse edema.,1.2.826.0.1.3680043.8.498.46587697432336915821766146494861509670
Heart size is normal and the vascularity is normal. The lungs are hyperinflated consistent with COPD. There is no infiltrate or effusion.,COPD. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43059917208707216936155026422215472548
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11882367437713436126798745939849874725
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87128510772385502767125267067244122560
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69571997685449788121527443127827835104
There is a left chest wall AICD with leads in the right atrial appendage and right ventricle. The heart size is enlarged. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. No heart failure.,1.2.826.0.1.3680043.8.498.75324067350113295746028603171514151893
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44984116139337813709887412044370415841
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88267674149235423296118766490935219232
Patchy airspace disease throughout the left lung. Right lung is clear. Suspected small left pleural effusion. No pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,Left-sided pneumonia.,1.2.826.0.1.3680043.8.498.13632552851588397423729595501408477730
"Cardiothymic shadow normal. There is central airway thickening. Best seen on the lateral view, is increased density in the right lower lobe consistent with pneumonia. No pleural fluid.",1. Right lower lobe pneumonia. 2. Central airway thickening.,1.2.826.0.1.3680043.8.498.43629013845221746421385007063348895765
The cardiomediastinal silhouette is unchanged. Lungs are clear. No pleural effusion or pneumothorax. Postsurgical changes of the chest are again noted.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.71483932717466407593413237381701142530
There is a large hiatal hernia present. There is a small right pleural effusion. There is some atelectasis at the right lung base. The heart is enlarged. A pacemaker is present. There is no pneumothorax.,1. Cardiomegaly. 2. Small right pleural effusion. 3. Atelectasis at the right lung base. 4. Large hiatal hernia.,1.2.826.0.1.3680043.8.498.64342872635215133428407205255639589406
The left hemidiaphragm is elevated. The stomach is mildly distended with air. The lung volumes are low. Heart size is normal. No focal pulmonary opacities.,1. No acute cardiopulmonary disease. 2. Mild elevation of the left hemidiaphragm with overlying atelectasis.,1.2.826.0.1.3680043.8.498.15132958929586718452282597615879176550
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.42381838058843134350331789367203771347
The lungs are well-aerated. Mild right perihilar opacity could reflect mild pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Mild right perihilar opacity could reflect mild pneumonia.,1.2.826.0.1.3680043.8.498.91285614425939910630844882532366841742
Endotracheal tube tip is 2.5 cm above the carina. Right internal jugular central venous catheter tip is in the superior vena cava. No pneumothorax. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy.,Tube and catheter positions as described. No pneumothorax. No edema or consolidation.,1.2.826.0.1.3680043.8.498.10253602544178709738904193501404343226
"Cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. Aortic atherosclerosis. Enteric tube courses below the diaphragm. Persistent hazy opacity at the right lung base, which may reflect atelectasis or infiltrate. Probable superimposed subsegmental atelectasis. Left lung is clear. No pulmonary edema. No pneumothorax. No acute osseous finding.","1. Persistent right basilar opacity, which may reflect atelectasis or infiltrate. 2. Probable superimposed subsegmental atelectasis.",1.2.826.0.1.3680043.8.498.33951314654182416194306160948170228766
There is significant pulmonary edema. Small bilateral pleural effusions are likely. No pneumothorax. Cardiomegaly.,Findings most consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.54589861863016291001186825632345268614
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73554414159895206334196531413074941601
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58252784331172581841507316996608399019
There is thickening of the interstitial markings. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,Findings consistent with COPD without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31719859340371743044015055167844047254
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62860327383553176820265453460864795554
Heart: Stable cardiomegaly. Left chest wall cardiac generator. Lungs: Increasing patchy opacities in the left mid and lower lung. Stable patchy opacities in the right lower lung. Mediastinum: Normal. Pleural effusions: Small left effusion. Bones: Normal. Visualized upper abdomen: Normal.,Increasing left lung infiltrates. Stable right lung infiltrates. Small left effusion.,1.2.826.0.1.3680043.8.498.56196021411794912837058848138787512003
"Single frontal view of the chest demonstrates an unremarkable cardiac silhouette. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.48366530158988762251344479157282445192
No active infiltrate or effusion is seen. There are somewhat prominent perihilar markings with peribronchial thickening which may indicate central airway process such as bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Question bronchitis.,1.2.826.0.1.3680043.8.498.69367286449263178803526267502200926367
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36996905166891740176165197797425631483
"No pneumothorax. No effusion. Coarsened interstitial markings are noted, similar in appearance to the prior exam. This may represent chronic lung disease. The heart is not enlarged. The mediastinal contours are normal. The patient is status post left mastectomy.",Stable appearance of the chest. No acute findings.,1.2.826.0.1.3680043.8.498.87615698958790947265189915788164792209
There is elevation of the right hemidiaphragm. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32714646704917781356496873363398302512
Endotracheal tube is 2.5 cm above the carina. Nasogastric tube enters the stomach. The heart is enlarged. There is mild central vascular congestion without overt edema. No pneumothorax. No effusion.,Endotracheal tube and nasogastric tube appear well positioned. Cardiomegaly and mild central vascular congestion.,1.2.826.0.1.3680043.8.498.84988202395084649892821973214521777715
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77110969843904475830757423321734063151
There is bilateral airspace disease that is most likely due to pulmonary edema. There are bilateral pleural effusions and there is atelectasis at the lung bases. There is mild cardiomegaly. The patient has had prior CABG. No acute bony abnormalities identified.,Bilateral airspace disease and bilateral effusions most compatible with congestive heart failure.,1.2.826.0.1.3680043.8.498.95120814637678422454729038908916602851
Both lungs are clear. Heart and mediastinum are within normal limits. Trachea is midline. No pleural effusions. Bone structures are unremarkable. Trachea is midline.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11038635529136446051286652775035398921
"Stable cardiomegaly. Normal pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94739157298847079195718348984213461687
"Endotracheal tube, left IJ central line, and enteric tube are again identified. Cardiac shadow is stable. Diffuse bilateral airspace opacities are again identified stable from the prior exam. No pneumothorax is noted. No bony abnormality is seen.",Stable airspace opacities consistent with the given clinical history. Tubes and lines as described.,1.2.826.0.1.3680043.8.498.98525375479915413515932603882700143807
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. There are bilateral infiltrates in the mid and lower lung zones. No lung mass, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Bilateral infiltrates consistent with pneumonia.,1.2.826.0.1.3680043.8.498.60143685504020152868056827316486838679
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63760247500020633250112341865497210083
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52672493335102169726720570756083633160
The cardiopericardial silhouette is within normal limits for size. Mild central airway thickening is present. No focal airspace disease is seen. The visualized soft tissues and bony thorax are unremarkable.,"Mild central airway thickening without focal airspace disease. This is nonspecific, but can be seen in the setting of an acute viral process.",1.2.826.0.1.3680043.8.498.87372427153225928401703649878688943626
Right pneumothorax is again seen and is slightly smaller. Left chest tube remains in place. Swan-Ganz catheter has been removed. Right IJ sheath remains in place. Left chest tube remains in place. No left pneumothorax. Bilateral atelectasis and/or airspace disease is again seen and is slightly worse.,1. Right pneumothorax is slightly smaller. 2. Swan-Ganz catheter and left chest tube have been removed. 3. Slight increase in bilateral atelectasis and/or airspace disease.,1.2.826.0.1.3680043.8.498.21845980743319569384850524251704686680
The lungs are well expanded. There is mild central airway thickening. No confluent airspace opacity is evident. The cardiothymic silhouette is within normal limits. No pleural effusion or pneumothorax is seen. The visualized portions of the bowel gas pattern are within normal limits.,"Mild central airway thickening, which can be seen with reactive airways disease or a viral process. No evidence of pneumonia.",1.2.826.0.1.3680043.8.498.10876077697230436860531154096963271843
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79107634220410438824508287298610541292
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pneumothorax. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.97280338712863377233440677988007009501
The lungs are reasonably well inflated. The interstitial markings are increased bilaterally. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is engorged. There is no pleural effusion.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. I see no discrete focal infiltrate. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.21634187156293730259508315778923592367
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16022402394326985937956114786053631818
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99680288601338194588575117102684413270
There is thickening of the interstitial markings as well as areas of peribronchial cuffing. An area of increased density projects within the RIGHT upper lobe. No new focal regions of consolidation are demonstrated. The cardiac silhouette is within normal limits. The visualized bony skeleton is osteopenic.,"Findings consistent with COPD with superimposed fibrotic change and possibly a component of pulmonary fibrosis as well as possibly an element of pulmonary vascular congestion. Asymmetric edema versus infiltrate, RIGHT upper lobe, versus atelectasis. Surveillance evaluation is recommended.",1.2.826.0.1.3680043.8.498.50615403329519710893831853317529958378
A right IJ dialysis catheter has been placed with tips overlying the cavoatrial junction and right atrium. A left-sided pacemaker is unchanged. Cardiomegaly is again noted with pulmonary vascular congestion. There is no evidence of pneumothorax.,Right IJ dialysis catheter placement with tips overlying the cavoatrial junction and right atrium. No evidence of pneumothorax.,1.2.826.0.1.3680043.8.498.62812377863590829435842063538897279916
Endotracheal tube is 2.5 cm above the carina. Nasogastric tube extends into the abdomen. Right jugular central line in the lower SVC region. Increased diffuse airspace disease throughout both lungs. Heart size remains enlarged. Evidence for left pleural effusion. No evidence for a pneumothorax.,Increased bilateral airspace disease. Findings are suggestive for pulmonary edema. Cannot exclude pneumonia. Support apparatuses as described.,1.2.826.0.1.3680043.8.498.60641148295579276927735709284216058826
"No focal consolidation, pleural effusion, pneumothorax. Stable top-normal cardiac size. Atherosclerotic calcification of the aortic arch. Loop recorder device noted. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.50388218126602924713815541854047803225
"Single-view of the chest demonstrate mild cardiomegaly with vascular congestion. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.29369067887692140829904405631514622041
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14265631180762469155537501064533854407
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No pneumomediastinum is seen. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.17851636560895842079594432754115504639
There is patchy infiltrate in the left lower lobe compatible with pneumonia. There is no effusion. The right lung is clear. Lung volume is normal.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.72543286535281742809837698621322297397
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.38451854437174922207439407814596698576
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.21535743286362454316129392106593079984
Trachea is midline. Heart size normal. Lungs are clear. No pneumothorax. No pleural fluid. Osseous structures appear intact.,No acute findings.,1.2.826.0.1.3680043.8.498.21216865391947817722182774596194931569
There is a focal opacity in the left perihilar region. The lungs are otherwise clear. Heart is enlarged. The aorta is calcific. Mediastinal structures are stable. The bony thorax is grossly intact.,Left perihilar infiltrate. Cardiomegaly.,1.2.826.0.1.3680043.8.498.99816759326051175234916446624733161291
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36977085619789077140877992186292420493
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11596145269862139001218867222631310855
The Swan-Ganz catheter has been removed. The right IJ sheath remains. Two left chest tubes have been removed. No pneumothorax. The patient has had a median sternotomy. The heart remains enlarged with diffuse edema throughout the lungs. There is slight increase in airspace disease particularly in the left upper lobe. Bilateral effusions are noted.,1. Removal of Swan-Ganz catheter and left chest tube. No pneumothorax. 2. Slight increase in airspace disease.,1.2.826.0.1.3680043.8.498.45069972138681456477638499633518791917
Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.11105899927511715273860150495082270032
AP semi-erect and lateral images were obtained. Cardiac silhouette normal in size for AP technique. Thoracic aorta atherosclerotic. Hilar and mediastinal contours otherwise unremarkable. Prominent bronchovascular markings diffusely and moderate central peribronchial thickening. Lungs hyperinflated. Linear atelectasis or scar in the right lung base. Lungs otherwise clear. No localized airspace consolidation. No pleural effusions. No pneumothorax. Normal pulmonary vascularity. Degenerative changes involving the thoracic and upper lumbar spine.,Hyperinflation and moderate changes of acute bronchitis and/or asthma without localized airspace pneumonia.,1.2.826.0.1.3680043.8.498.28056312947498994918598540076016921469
"Portable upright AP view 7917 hours. Cardiac silhouette is enlarged. Mild tortuosity of the thoracic aorta. No pneumothorax, pulmonary edema, pleural effusion or consolidation. No confluent airspace opacity. No acute osseous abnormality identified.",Cardiomegaly. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.50831796544749805720818836090257867087
Sternotomy wires overlie normal cardiac silhouette. The patient has been extubated. Enteric tube has been removed. There is mild interstitial edema which is increased slightly compared to prior. No pleural fluid. No pneumothorax.,1. Increased interstitial edema. 2. Status post extubation and removal of enteric tube.,1.2.826.0.1.3680043.8.498.67466511835044712987134105678800348543
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14087531763083296197389131799256567454
The lungs are clear. Heart size is normal. There is no pleural effusion or focal bony abnormality. Port-A-Cath is in place.,No acute disease.,1.2.826.0.1.3680043.8.498.16677201922684583418175109486619463759
The cardiomediastinal silhouette is stable. There is a persistent large mass in the right upper lobe. There is new infiltrate in the right lower lobe. A small right pleural effusion is also noted. The left lung grossly clear. No pneumothorax appreciated on this portable examination. There are no acute bony findings.,Interval development of right lower lobe infiltrate and right pleural effusion. Persistent large mass in the right upper lobe.,1.2.826.0.1.3680043.8.498.20099298101534113921100778737358640712
"Portable chest demonstrates clear lungs, without consolidation, edema, effusion or pneumothorax. The cardiothymic silhouette is normal. The bones and soft tissues are also normal.",Normal chest.,1.2.826.0.1.3680043.8.498.72951608868851823371788349308036047172
"There is again noted increased density in both lung fields, more prominent on the left and consistent with pulmonary edema. No pneumonia is seen. No pleural effusion is noted. An endotracheal tube is present with the tip approximately 2.5 cm above the carina. A nasogastric tube is present but its distal portion is not sufficiently visualized to locate the tip. The heart is upper limits for normal in size or slightly enlarged.",Please see above.,1.2.826.0.1.3680043.8.498.75069812576666476552972460247062703592
The lungs are adequately inflated. The interstitial markings are increased bilaterally. There is increased density in the left mid lung. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. There is calcification in the wall of the aortic arch. There is a small left pleural effusion. The bony thorax exhibits no acute abnormality.,Findings worrisome for CHF with mild pulmonary interstitial edema. Possible early pneumonia in the left mid lung. Small left pleural effusion. Thoracic aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.62078893200291408668939435899042750016
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51229394424046898891299241374474734613
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66095687565831008238329173049781896648
There is peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease. There is no focal parenchymal opacity. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,Peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease.,1.2.826.0.1.3680043.8.498.64824667028336889141989894827323830992
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59892432989064780896909377612306922209
The heart is mildly enlarged. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,Mild cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.76958316070150585339242670677289256496
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.49993452317010694490876103960604659270
Mild cardiomegaly. Tortuous atherosclerotic thoracic aorta. No pulmonary consolidation or CHF. No effusion or pneumothorax. Degenerative change noted of the spine. No acute appearing fracture.,No active cardiopulmonary disease. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.42628215757122607370692113529032527310
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19113952020667966132919892471572207165
The heart is normal. The lungs are clear. No edema. No pleural effusions. Bony structures are intact.,No active disease.,1.2.826.0.1.3680043.8.498.88648368668703826733296349702621410882
AP view of the chest and AP view of the abdomen were obtained. Endotracheal tube tip is approximately 1 mm above the carina. Umbilical venous catheter tip overlies the level of T7. Umbilical arterial catheter tip overlies the level of T6. Cardiothymic silhouette is normal. Lungs are clear. Bowel gas pattern is nonobstructive.,1. Support devices as described. 2. Clear lungs.,1.2.826.0.1.3680043.8.498.91559633583161717556701941900434052257
The heart is upper limits of normal. The mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.68554692306623711713641764363889373630
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99215590472720821987320642998106124014
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. There is a 3-lead cardiac pacer noted. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.69215688685768316543213052928806732607
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The lungs are hyperinflated. The bony thorax is intact.,COPD. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57224472454457398558120174099597409433
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54052934792513480983132620758958032644
Heart size is mildly enlarged. There is no pleural effusion or pulmonary edema. The lung volumes are low. No airspace consolidation.,1. Low lung volumes. 2. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.29081036130952344064220922542939374456
Cardiac silhouette is mildly enlarged. No pneumothorax or pleural effusion. No focal consolidation. Mild right basilar atelectasis. Prior TAVR.,Mild cardiomegaly. No pneumothorax. No pleural effusion.,1.2.826.0.1.3680043.8.498.27327178587101489895835256503643606274
Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease.,1.2.826.0.1.3680043.8.498.23833524350748379995782030496056067331
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.27760079657085934206108490240811293320
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.21787917447489497939420388175026224099
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.20949666080102154304997320652587462427
No pneumothorax. Old right rib fractures. Heart is normal size. Lungs are clear. No effusions. Degenerative changes in the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97515134792117728822560501021097680115
Endotracheal tube tip is in the mid trachea. Right IJ Swan-Ganz catheter is in the proximal right pulmonary artery. Left chest tube and mediastinal drain are in place. Nasogastric tube projects below the diaphragm. There are low lung volumes with mild left basilar atelectasis. No pneumothorax.,Mild left basilar atelectasis following CABG.,1.2.826.0.1.3680043.8.498.63085508971456041431850204165906986687
The lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Degenerative changes in the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48331888079611293903168757413097981591
The heart size and vascularity are normal and the lungs are clear. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.10530726798510777881886294617282207831
Heart size is normal. The mediastinum is unremarkable. Lungs are clear. No effusions. No bony abnormalities.,Normal chest,1.2.826.0.1.3680043.8.498.94605874921507100299424548890277207401
"Scoliosis. No infiltrate, congestive heart failure or pneumothorax. Heart size within normal limits. Mild loss of height lower thoracic vertebra. This can be evaluated on follow-up two-view exam with cardiac leads removed.",Scoliosis. No acute abnormality.,1.2.826.0.1.3680043.8.498.23358595351349117701725629676307933121
Tracheostomy tube tip midline. Diffuse osseous metastatic disease once again noted. Persistent bilateral pleural effusions with bilateral airspace disease/consolidation and atelectasis. Slight improvement in aeration of the right lung base. No pneumothorax.,Slight improvement in aeration of the right lung base.,1.2.826.0.1.3680043.8.498.22505914119471463738255147915637828028
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66416271601633834213642809409028824445
"The endotracheal tube is present at the level of the aortic arch. The heart is normal in size. There is no edema, infiltrate, effusion or pneumothorax.",No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.60183041435620842967158625679577809898
There is a persistent right pleural effusion. There are increased airspace opacities in the right lung and at the left lung base. There is a small left pleural effusion. There is no pneumothorax. The heart and mediastinal contours are stable.,1. Persistent right pleural effusion. 2. Increased airspace disease throughout the right lung and at the left lung base. This may reflect pneumonia or asymmetric edema.,1.2.826.0.1.3680043.8.498.59956689556256948736051772889946678798
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58894169764911822233813486501406328902
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73867304574441292248394788239820542595
Cardiac shadow is stable. The endotracheal tube and nasogastric catheter have been removed in the interval. The lungs are well aerated with evidence of central vascular congestion. Mild interstitial edema is noted. Bibasilar atelectatic changes are seen. No sizable effusion is noted. No bony abnormality is seen.,Mild vascular congestion and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.84458848117812164545893891761459128222
"The cardiothymic silhouette is within normal limits. There is peribronchial thickening, abnormal perihilar aeration and areas of atelectasis suggesting viral bronchiolitis. No focal airspace consolidation to suggest pneumonia. No pleural effusion. The bony thorax is intact.",Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.41253650974723400040459041790806538043
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.25798824734179965919480973546785195119
Swan-Ganz catheter has been removed. Cordis tip is in the superior vena cava. Left chest tube and mediastinal drain have been removed. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Left base atelectasis. Lungs elsewhere clear. Stable cardiac prominence.,1.2.826.0.1.3680043.8.498.52526927287141580569762005851895527046
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30114996917089611264748180476679678712
Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.79276836061510711962233727295209324532
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44818387362969378868693444658796970663
There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. Moderate cardiac enlargement. No pleural effusion or pulmonary edema. No airspace consolidation. Mild spondylosis noted within the thoracic spine.,1. Cardiac enlargement. 2. No heart failure.,1.2.826.0.1.3680043.8.498.70636601913328877569010319588380033753
The lungs are clear. Heart size is normal. No pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.35107542329159651982157417841748783126
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. The nodular densities seen within the left upper lobe and left lower lobe are not as conspicuous on today's exam.,1. No acute cardiopulmonary abnormalities. 2. Left upper lobe and left lower lobe nodular densities are not as conspicuous on today's exam.,1.2.826.0.1.3680043.8.498.55812752856084866264078281786509477906
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12564139144121644196587915603789807675
Endotracheal tube is in good position. Feeding tube enters the stomach with the tip not visualized. There is new atelectasis at the left base. There is also new atelectasis at the right base. Small pleural effusions are also new. No pneumothorax.,New bibasilar atelectasis and small effusions.,1.2.826.0.1.3680043.8.498.85792325839163425703666652992866062300
"There is no focal consolidation, effusion, or pneumothorax. There is mild interstitial thickening. Focal scarring in the left lung base. There is basilar atelectasis. Mild cardiomegaly. Pulmonary vasculature is well caliber.",Mild interstitial thickening suggests chronic interstitial lung disease. No superimposed acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.30798560284928709900204317118806212887
"The patient has taken a shallow inspiration. With technique taken into consideration, there is no evidence of focal infiltrates, effusions or edema. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.",Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56855532544954869185025439229730584509
Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pleural effusion or pneumothorax. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation identified.,1.2.826.0.1.3680043.8.498.78523498101838253536290412433637312922
Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.70384350711600296607022327969593646448
Multiple old rib fractures are noted on the RIGHT. The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29310161884583413068936275218486248626
Stable cardiothymic silhouette. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable. Lateral view limited due to expiratory technique.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.84836728200723682665236645639608552207
The tip of the UVC catheter is near the expected junction of the right atrium with the inferior vena cava and mild cardiomegaly is stable. An orogastric tube is present with the tip in the body of the stomach. Mild RDS is again noted and no significant change. The bowel gas pattern is nonspecific.,1. No significant change in mild RDS. 2. UVC tip at expected junction of right atrium with IVC.,1.2.826.0.1.3680043.8.498.86737020147542453781561021959682372284
"Endotracheal tube terminates 3.5 cm above the carina. The cardiomediastinal silhouette is within normal limits. Lungs are hypoinflated without confluent airspace opacity, edema, pleural effusion, or pneumothorax. No acute osseous abnormality is seen.",Endotracheal tube terminates 3.5 cm above the carina. Hypo aerated lungs without acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.40077995513488454075841197694835387796
No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within upper limits of normal. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.81935487071782539326162413592434630111
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94005045445650452434483019328294571153
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90907814439747612549175198560435715486
There is a left subclavian Port-A-Cath with tip in the SVC. No pneumothorax identified. Normal heart size. Clear lungs.,No complications after placement of the Port-A-Cath.,1.2.826.0.1.3680043.8.498.19374874188582729668550869258491331459
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs appear mildly hyperinflated but clear. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.16623675513435205219128564473393328770
Grossly unchanged enlarged cardiac silhouette and mediastinal contours. Interval removal of enteric tube. The pulmonary vasculature is indistinct with cephalization of flow. Worsening perihilar and medial basilar heterogeneous opacities. Trace bilateral effusions are not excluded. No pneumothorax. Unchanged bones.,1. Interval removal of enteric tube. No change in remaining support apparatus. 2. Findings suggestive of pulmonary edema with scattered areas of atelectasis.,1.2.826.0.1.3680043.8.498.11774924515561677527471927391579923001
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39113016493671633211094718255414600609
"Single frontal view of the chest demonstrates an unremarkable cardiac silhouette. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.82105234205051240908909114343740621801
Cardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine. Stable degenerative changes bilateral shoulders. Stable surgical clips in the right upper abdomen.,No active disease. Stable degenerative changes thoracic spine and bilateral shoulders.,1.2.826.0.1.3680043.8.498.60216357926162070562204376281901098481
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.67394079781619393400623992164936678156
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92369948209057978861309376067337684586
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29658891538012910659458176604295970925
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.93554926513647280462405267697432559814
There is a large right paratracheal mass extending into the right upper lobe. The heart is normal in size. The left lung is clear. No pneumothorax or effusion.,Right upper lobe mass worrisome for neoplasm. CT is recommended.,1.2.826.0.1.3680043.8.498.90247486873787632213264857392667941157
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.28790079601974030404995638287071120285
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15732566919450925304901061861340392171
"Heart size is normal. There is a new area of density in the right mid lung zone, suspicious for mass or focal infiltrate. There is a hiatal hernia. There is no pulmonary edema. No pleural effusions. No pneumothorax.",1. New masslike density in the right mid lung zone. CT is recommended for further evaluation. 2. Hiatal hernia.,1.2.826.0.1.3680043.8.498.60743033649664145105510324304417910949
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39038122138190933972590192537806410616
Normal sized heart. Clear lungs. Mild diffuse peribronchial thickening. Minimal thoracic spine degenerative changes.,No acute abnormality. Mild chronic bronchitic changes.,1.2.826.0.1.3680043.8.498.50915344613802133540856344017943869031
Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No soft tissue or bony abnormalities.,No active disease,1.2.826.0.1.3680043.8.498.44759852399479320231633491664304163075
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85453869837797454727092516928332156603
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30414894029760447515169686600110386057
The cardiothymic silhouette is normal. The lungs are clear. There is no pleural effusion or pneumothorax. The bowel gas pattern is unremarkable. An umbilical venous catheter is in place and the tip is in the right atrium.,Umbilical venous catheter tip in the right atrium. This could be withdrawn 1.5 cm for positioning at the level of the hemidiaphragms.,1.2.826.0.1.3680043.8.498.65684735659730080664522008070884382141
Single lead pacemaker is unchanged. The heart is mildly enlarged. There is aortic atherosclerosis. There is mild pulmonary edema. More confluent airspace opacities are seen at the right lung base. Small right pleural effusion is suspected. No pneumothorax. No acute nor suspicious osseous abnormalities.,1. Cardiomegaly with mild pulmonary edema and aortic atherosclerosis. 2. Small right pleural effusion. 3. More focal airspace opacities at the right lung base may represent asymmetric edema or superimposed pneumonia.,1.2.826.0.1.3680043.8.498.34403069015064194135286299115917612505
There is focal airspace opacity in the right base. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Infiltrate right base, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.89133173601501121941347217490325407328
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11534826945370941662739640963181305179
The lungs are hypoinflated. There is confluent density in the right upper lobe. The interstitial markings are increased bilaterally. The cardiac silhouette is top normal in size. The pulmonary vascularity is indistinct. I see no pleural effusion.,There are findings consistent with pneumonia of the right upper lobe. I cannot exclude low-grade CHF as well. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.42012214266976132165526028753911894576
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54425058692741311124262735998326214689
There is central airway thickening but no focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.68077833896761090528457804185060721525
The heart is enlarged. There is perihilar pulmonary edema and a component of interstitial pulmonary edema is chronic. Small bilateral pleural effusions are noted. Patchy areas of airspace disease are noted at the lung bases bilaterally. No definite mediastinal or hilar adenopathy is noted on the lateral film. No pneumothorax. The bony thorax is intact.,1. Cardiomegaly and pulmonary edema. 2. Small bilateral pleural effusions and patchy bibasilar airspace disease may reflect atelectasis or developing infiltrates.,1.2.826.0.1.3680043.8.498.35928110357737379452869634803897456884
The lungs are clear. The cardiothymic shadow is normal. No bony abnormality is seen. The bowel gas pattern is nonspecific.,No active lung disease. Nonspecific bowel gas pattern.,1.2.826.0.1.3680043.8.498.34705391823274683324973421607889705212
The patient is rotated to the right. There is stable cardiomegaly status post median sternotomy. Diffuse interstitial infiltrates are again seen and have worsened since the prior study. Small bilateral pleural effusions are suspected. There is no pneumothorax.,Worsening congestive heart failure with bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.49262332219873495570665102593417553192
NG tube courses into the stomach and below the inferior margin of the film. There are bilateral pleural effusions and airspace disease. Effusion on the left appears increased since the most recent examination. There is cardiomegaly. Atherosclerosis noted.,1. Increased left effusion and airspace disease. 2. Extensive airspace disease in the right mid and lower lung zones most consistent with pneumonia.,1.2.826.0.1.3680043.8.498.73803755006087998485905607109145451896
Cardiomediastinal silhouette likely unchanged. Low lung volumes. There is pulmonary vascular congestion with indistinctness of the interstitium and airspace disease. No pneumothorax. No displaced fracture.,Low lung volumes with evidence of pulmonary edema.,1.2.826.0.1.3680043.8.498.84927056357122102823524885386035898140
The heart size and mediastinal contours are within normal limits. Both lungs are clear. Degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65068034271880983035580075819842846647
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.85450633749603063820750427879446295222
"The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",No radiographic evidence of TB.,1.2.826.0.1.3680043.8.498.76989581218313321689675204065834157762
The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 2/7/1993.,1.2.826.0.1.3680043.8.498.44380124703546034468095017568047848104
Endotracheal tube is 3.8 cm above the carina. Enteric tube enters the stomach. Extensive bilateral airspace opacities throughout both lungs. No pneumothorax. No large effusion. Normal heart size.,Extensive bilateral airspace disease consistent with multifocal pneumonia. Lines and tubes as above.,1.2.826.0.1.3680043.8.498.11279953968020447870625207496367349911
UVC has been retracted with the tip in the upper abdomen approximately 7 mm below the IVC right atrial junction. Lungs are clear. Cardiothymic silhouette is within normal limits. No effusions or pneumothorax. Normal bowel gas pattern. No pneumatosis or free air.,UVC tip in the upper abdomen approximately 7 mm below the IVC right atrial junction.,1.2.826.0.1.3680043.8.498.79526457961698849509066070935061707879
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75190040215974718132586828473451670868
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10177158732644324413915571669989925565
Endotracheal tube is 3.5 cm above the carina. Left central line tip is in the mid SVC. No pneumothorax. Lungs are clear. Heart is normal size. No effusions.,Endotracheal tube and left central line as above. No pneumothorax. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98989688881628937170538662898812881442
Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.33444730568436716129645657740127894999
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58168777390642574010365533000849219998
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79455690314271484852324862856498756849
There is no edema or consolidation. Heart is mildly enlarged with pulmonary vascularity normal. No adenopathy. No bone lesions.,Mild cardiac enlargement. No edema or consolidation.,1.2.826.0.1.3680043.8.498.97931675364654379893565342463610662109
The lungs are clear. The heart is upper normal in size with pulmonary vascularity normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.,No edema or consolidation. Heart upper normal in size. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.49142891344501709716451182852588093354
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18505476807181261580086971895962488854
An endotracheal tube is appreciated with the tip at the level of the clavicles. A right sided Port-A-Cath is appreciated with the tip at the level of the superior vena cava. There is prominence of the interstitial markings which has decreased when compared to the previous study dated 03/20/2021. No focal regions of consolidation are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,Support lines and tubes as described above. Decrease in prominence of the interstitial findings.,1.2.826.0.1.3680043.8.498.11743673259516716994641196984525749367
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88960985317942648445563463875271619788
Cardiomegaly. Pulmonary venous congestion with bilateral interstitial prominence. Small right pleural effusion. Findings consistent with CHF. No pneumothorax. No acute bony abnormality.,1. Cardiomegaly with pulmonary venous congestion bilateral interstitial prominence. Small right pleural effusion. Findings consistent with CHF. 2. No acute bony abnormality.,1.2.826.0.1.3680043.8.498.48843494057673190858528177698097280452
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart is enlarged, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease. Cardiomegaly,1.2.826.0.1.3680043.8.498.12300870831517369771483376079469905955
"There is elevation of the right hemidiaphragm. There is no evidence of acute infiltrate, pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82291574320399063439379352176960365289
Heart size within normal limits. There are patchy airspace opacities within the mid to lower lungs bilaterally. No evidence of pleural effusion or pneumothorax. No acute bony abnormality. Thoracic spondylosis.,Bilateral airspace opacities which may reflect pneumonia given provided history of COVID positivity. Radiographic follow-up to resolution recommended.,1.2.826.0.1.3680043.8.498.24158251148823912160865707584680885729
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.98319855222831054011397027149733485299
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79515279566079856523508597535506683549
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79093150212592827546232699409147500596
"Ventriculoperitoneal shunt tubing is seen extending from the lower neck to the mid abdomen, and is in similar position compared to the prior study. Catheter appears intact. Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits. No acute osseous abnormality.",Continued visualization of ventriculoperitoneal shunt tubing. No acute process.,1.2.826.0.1.3680043.8.498.67389831561467446749426517378664948973
Upper normal heart size. Large rounded mass at the RIGHT lower lobe 9.2 x 9.2 cm. Central lucency within the mass. Questionable RIGHT hilar enlargement. LEFT lung clear. No pleural effusion or pneumothorax. No osseous findings.,Large rounded mass at the RIGHT lower lobe concerning for neoplasm. Recommend CT chest with contrast for further evaluation.,1.2.826.0.1.3680043.8.498.27969026323738362093653938147022427021
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.60677564217374146526454973184707445581
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55019472205118152311529325160221370801
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82249023706984788994422742571830239293
"Bullet projects over the right chest, projecting over the right lateral chest wall. There is hyperinflation of the lungs compatible with COPD. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.",COPD. No active disease.,1.2.826.0.1.3680043.8.498.95657937554046457697292026935197612926
No active infiltrate or effusion is seen. There are somewhat prominent perihilar markings with some peribronchial thickening which may indicate bronchitis. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Possible bronchitis.,1.2.826.0.1.3680043.8.498.57257276112701582954619533469939155285
"Cardiothymic silhouette is normal. There is no infiltrate, collapse or effusion. There may be mild central airway thickening. No bony abnormality.",No sign of pneumonia. Question bronchitis.,1.2.826.0.1.3680043.8.498.69326986237175478337560637402064542486
There is central peribronchial thickening. No confluent airspace infiltrate or overt edema. No effusion. Heart size normal. Visualized bones unremarkable.,"Mild central airway thickening suggesting bronchitis, asthma, or viral syndrome.",1.2.826.0.1.3680043.8.498.95929184226288611452944397389763962395
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.10508700535357473190148140063191837053
The lungs are well-aerated. Mild bibasilar atelectasis is noted. There is no evidence of pleural effusion or pneumothorax. The heart is borderline normal in size. No acute osseous abnormalities are seen.,Mild bibasilar atelectasis noted; lungs otherwise clear.,1.2.826.0.1.3680043.8.498.36210247039078673524871987378160716615
The heart is enlarged. The aorta is tortuous and atherosclerotic. Patchy airspace disease is present in both lung bases. Pulmonary vascular congestion is noted. No pneumothoraces or effusions are seen.,Cardiomegaly and bibasilar patchy airspace disease. Consider pneumonia.,1.2.826.0.1.3680043.8.498.34922856934107947935635597078775836007
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34180986472718086363162811230384415393
The cardiac silhouette is within normal limits. The lungs are free of focal consolidations. The pulmonary vasculature is normal in caliber. The costophrenic angles are sharp. The bony structures are adequately mineralized.,No acute cardiopulmonary process. No evidence of displaced fracture.,1.2.826.0.1.3680043.8.498.62441148990943756380792521655424967071
"The heart is at the upper limits of normal. The lungs are clear. No mass, consolidation, or effusion. Heart and bony structures are unremarkable.",No acute process.,1.2.826.0.1.3680043.8.498.44639807996455629608841850634224228397
Cardiothymic silhouette is normal. There is perihilar peribronchial thickening. Lungs are mildly hyperinflated. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Findings consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.64699971384453678507197038391435716310
There is airspace consolidation in the posterior basal segment of the right lower lobe. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation consistent with pneumonia posterior basal segment right lower lobe.,1.2.826.0.1.3680043.8.498.96675388519267338291353255825453106723
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83197918023186748846269290313377931602
"Lungs are hyperinflated. There are interstitial changes throughout the lungs bilaterally, similar to prior study. No focal consolidation. No pleural effusion or pneumothorax. Heart is normal in size. Visualized osseous structures are within normal limits.",1. Hyperinflation and interstitial changes of COPD/emphysema. 2. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97561220041105795281727060105186424829
The lungs are adequately inflated and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is mild tortuosity of the descending thoracic aorta. There is no pleural effusion. The mediastinum is normal in width. There is mild multilevel degenerative disc disease of the thoracic spine.,There is no evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.16147962970838428138789630925006877332
"Moderate cardiomegaly is again noted. There is no evidence of pulmonary edema, focal consolidation, pneumothorax, nodule or pleural fluid.",Stable cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.92235670462802613920082050971953666983
Both lungs are clear. No pneumothorax or pleural effusion. Cardiothymic silhouette is normal. Normal bowel gas pattern. No evidence of diaphragmatic hernia on this single image. Normal skeletal survey.,Normal chest and abdomen radiographs.,1.2.826.0.1.3680043.8.498.26738961815259017569127983390469759333
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61138396026411172787516882797053204279
Endotracheal tube is in place with the tip approximately 5 cm above the carina. Nasogastric tube is seen with its tip in the stomach. Left arm PICC line is seen with its tip in the distal SVC. Linear atelectasis is seen in the right lung base. There is also mild atelectasis in the left lung base. No evidence of pulmonary consolidation or edema. Heart size is within normal limits. No evidence of pleural effusion.,Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.17814344209922367246136555215170798203
"No significant change in left apical pneumothorax, approximately 10-15%. Pulmonary scarring and pleural plaques are unchanged. No acute airspace opacities. Heart is normal size. No effusions.",Stable left apical pneumothorax.,1.2.826.0.1.3680043.8.498.65350928274503891966676174436998376322
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. No radiopaque foreign body is seen.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32247063956168266148987337497522229897
There is thickening of the interstitial markings as well as peribronchial cuffing. No focal regions of consolidation are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable.,Findings consistent with viral pneumonitis versus reactive airway disease.,1.2.826.0.1.3680043.8.498.42766525412962215891403428094703459400
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.45980152774575021248447797274096105006
Normal heart size. Large opacity at the left lung base obscures the left diaphragm. This appears to be a combination of pleural fluid and atelectasis/consolidation on comparison abdominal CT. There is a small amount of pleural fluid on the right. Multiple left-sided rib fractures are again seen which may be slightly more displaced than on comparison abdominal radiograph. No pneumothorax.,1. Large opacity at the left lung base likely represents a combination of pleural fluid and atelectasis/consolidation. 2. Small amount of pleural fluid on the right. 3. Multiple left-sided rib fractures may be slightly more displaced than on comparison abdominal radiograph.,1.2.826.0.1.3680043.8.498.77948998980702836870693595501587238584
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.64703796282219134602598034729282674311
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59331915295145350892406622557130537914
The patient's right IJ sheath has been removed. The patient has a small left pleural effusion and left basilar atelectasis. The right lung is clear. No pneumothorax. Heart size is upper normal. The patient is status post CABG.,Small left pleural effusion and left basilar atelectasis.,1.2.826.0.1.3680043.8.498.49184655459327982955708889512218950225
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50473045096472601598602492649064495521
Endotracheal tube tip is 2.6 cm above the carina. Central catheter no longer appreciable. No pneumothorax. There is airspace consolidation in the left base with small left pleural effusion. There is atelectatic change in the right base. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. Nasogastric tube tip and side port are below the diaphragm.,Tube and catheter positions as described without pneumothorax. Persistent airspace consolidation left base with small left pleural effusion. Right base atelectasis. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.87040729554981919336066016380953035925
There is a moderate left pleural effusion. Consolidation in the left mid and lower lung concerning for pneumonia. There is a masslike opacity in the left upper lobe measuring 5.2 x 5.6 cm. Cannot exclude neoplasm. Recommend chest CT for further evaluation. The right lung is clear. Heart is normal size. No acute bony abnormality.,"Masslike opacity in the left upper lobe concerning for possible neoplasm. Recommend chest CT for further evaluation. Moderate left effusion and left lower lobe consolidation concerning for pneumonia. These results will be called to the ordering clinician or representative by the Radiologist Assistant, and communication documented in the PACS or Clario Dashboard.",1.2.826.0.1.3680043.8.498.84444972741444222909749258356657865094
The lungs are clear but hyperaerated consistent with COPD. Mediastinal and hilar contours are unremarkable. The heart is mildly enlarged. No acute bony abnormality is seen.,COPD. No active lung disease. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.91815801052252885364245144401388929179
There are small bilateral pleural effusions and basilar airspace disease. The appearance is not notably changed since the prior study. No pneumothorax. Heart size upper normal.,No change in left greater than right effusions and basilar airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.45872613499764837900207395697379435554
The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Bones appear average for age.,No acute or active process is identified.,1.2.826.0.1.3680043.8.498.97777546946739132492984985749834642805
Endotracheal tube tip is 3.2 cm above the carina. Nasogastric tube enters the stomach. Right internal jugular central line tip is in the SVC 4 cm above the right atrium. No pneumothorax. The lungs show mild interstitial prominence without consolidation or edema. No effusion.,Central line tip in the SVC 4 cm above the right atrium. No pneumothorax. Endotracheal tube and nasogastric tube appear well positioned.,1.2.826.0.1.3680043.8.498.91390629879987011552009086795381023166
New right internal jugular dialysis catheter has been placed with the tip in the right atrium. Left internal jugular central venous catheter is stable. Low lung volumes. No pneumothorax. Cardiomegaly. Normal vascularity.,New right internal jugular dialysis catheter. No pneumothorax.,1.2.826.0.1.3680043.8.498.25829628258739012807312426956623732618
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54660194999540870870090672136093736595
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. Calcification is noted in the aorta. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.13082911288056400591089160148142653347
There is cardiomegaly. Bibasilar scar is again seen. No pleural effusion. No pneumothorax.,Cardiomegaly and basilar scar. No acute disease.,1.2.826.0.1.3680043.8.498.13727772251027596237699010400228221004
Large hiatal hernia. Large cardiac silhouette. There is a large right pleural effusion which is increased in size compared to prior. No pulmonary edema. No pneumothorax.,1. Large hiatal hernia. 2. Interval increase in right pleural effusion.,1.2.826.0.1.3680043.8.498.82102076767364633171824681446473896575
The lungs are clear. Heart size is upper normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.98955523775758504233297526030496355187
The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.70775028547748811553906937799105647030
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.60713556311038014519242016056577226547
"The cardiothymic silhouette is within normal limits. There is mild peribronchial thickening and some streaky areas of atelectasis. No infiltrates, edema, or effusions. The bony structures are intact.",Findings suggest bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.41493187873616475494455924533670338348
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.71477671348248581745343781788987657537
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52068567917545624106754664352835795371
"There is an endotracheal tube present with the distal tip at the level of the aortic knob. There is a nasogastric tube present with the distal tip in the region of the stomach. There is haziness overlying the right lung consistent with a posterior effusion. There is no pneumothorax. Heart is enlarged, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",Right pleural effusion. ET tube NG tube present. Cardiomegaly.,1.2.826.0.1.3680043.8.498.35444991895879466413702323604624715009
There is a descending thoracic aortic stent graft in place. The aorta is markedly ectatic. The heart is enlarged. There is no focal airspace consolidation or pulmonary edema. There is no pleural effusion or pneumothorax.,1. No active cardiopulmonary disease. 2. Cardiomegaly. 3. Ectatic descending thoracic aorta with stent graft.,1.2.826.0.1.3680043.8.498.97992221692916750114791398537497378972
No confluent airspace opacities. Heart is mildly enlarged. No effusions or edema. No acute bony abnormality.,Mild cardiomegaly. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68578192479018481731381347184584784369
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.53951533471822238867886315269831874844
"The ventricular system is normal in size for the patient's age. There is no evidence of hemorrhage, mass effect or extra-axial fluid collections. The brain stem and cerebellum appear unremarkable. There is no evidence of acute infarct in a major vascular distribution. No skull abnormalities are seen.",Negative study.,1.2.826.0.1.3680043.8.498.65668613520922194756844467481536435106
Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion. Hyperinflation is present.,Hyperinflation without other acute cardiopulmonary disease. This may represent asthma or emphysema.,1.2.826.0.1.3680043.8.498.35678171440632708320170763431232610387
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15933539124965992796317290556399202091
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40516235107049708084738332614020701392
Shallow inspiration. Central peribronchial thickening and perihilar opacities consistent with reactive airways disease versus bronchiolitis. Normal heart size and pulmonary vascularity. No focal consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,Peribronchial changes suggesting bronchiolitis versus reactive airways disease. No focal consolidation.,1.2.826.0.1.3680043.8.498.41095046043523868975004983170669792675
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89651501750570458294480253234371909430
"Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified. Negative visible bowel gas pattern.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.64360719339204697597301644862528983419
Interval CABG. Endotracheal tube in good position. Swan-Ganz catheter in the main pulmonary artery. Left chest tube in place. No pneumothorax. Mild bibasilar atelectasis. Negative for edema.,Satisfactory postoperative chest x-ray.,1.2.826.0.1.3680043.8.498.78336180488862340274730105995417499449
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.62708569969567059038349136587685888656
The heart is enlarged. There is no pleural effusion or pulmonary edema. Lung volumes are low. No airspace consolidation.,1. Cardiac enlargement. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.94193749199953889576932149421848742642
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65176227823348829061584835649227506201
"Lung volumes are low. Cardiothymic silhouette is normal. There is central airway thickening with patchy perihilar airspace disease, most compatible with pneumonia. No pleural effusion.",Low lung volumes with central airway thickening and perihilar infiltrates.,1.2.826.0.1.3680043.8.498.66938314411169246436210504315175608890
The cardiac silhouette is within normal limits. The lungs are clear. The pulmonary vasculature is normal in caliber.,No acute cardiopulmonary process. Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.66963651784617868055171355669395515260
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78199237631155639888968467910273804752
Single frontal view of the chest demonstrates a stable cardiac silhouette. There is new consolidation within the right upper lobe consistent with pneumonia. No effusion or pneumothorax. Left chest is clear. Cardiac silhouette is unremarkable. No acute bony abnormalities.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.84314811394366690307655624632925837449
The lungs are well-aerated. Mild left basilar opacity may reflect atelectasis or mild pneumonia. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. A left-sided chest port is noted ending about the mid SVC. No acute osseous abnormalities are seen.,Mild left basilar airspace opacity may reflect atelectasis or mild pneumonia.,1.2.826.0.1.3680043.8.498.20448346411105448426085424429282851127
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.26243615183889715250257822439821950511
"Normal heart size, mediastinal contours, and pulmonary vascularity. Surgical drain LEFT anterior chest unchanged. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.25936382574665734292774409367787979646
The cardiac silhouette is normal. Hilum are unremarkable. Lungs are well aerated. Trachea is midline. Diaphragms are well visualized. Osseous structures unremarkable. No pleural thickening. No pleural effusions.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.83013792555022145246410625134239176042
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.22179305424978653973605363448009913900
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.74721638181760428002488149524969261075
The heart size and mediastinal contours are within normal limits. There is ill-defined opacity within the periphery of the left mid lung. The right lung is clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,"Ill-defined opacity within the periphery of the left mid lung, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.54720129112979365598368629224711699817
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71649292489994965463717508351104954566
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.29411078197311479143976939677239320088
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59896794425969836930052472887749236791
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.62590434863223532809136492459613597039
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.64845510135794857862904867229770257429
There is elevation of the right hemidiaphragm. Heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.90945916266547769947802810217204872964
Mild central peribronchial thickening. No confluent airspace infiltrate. Heart size normal. No effusion. Regional bones unremarkable.,"Mild central peribronchial thickening suggesting asthma, bronchitis, or viral syndrome.",1.2.826.0.1.3680043.8.498.90838261262368271009945403805780946979
There is opacity at the left lung base which appears to be due to a combination of pleural effusion and atelectasis or pneumonia. There is also opacity in the right upper lobe which may also be due to pneumonia. There is also opacity in the left upper lobe which may also be due to pneumonia. There is also opacity in the right perihilar region which may also be due to pneumonia. The heart is within normal limits in size. No bony abnormality is seen.,1. Opacities at the left lung base and right upper lobe as well as the right perihilar region consistent with pneumonia. 2. Cannot exclude left upper lobe involvement as well.,1.2.826.0.1.3680043.8.498.14545398587231937334008122194630221931
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74943697328477677345256964880440752860
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.56502069802552831026773079602076930259
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99552089665804772171296140017663889414
"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16964414039711236246276638445115538056
Heart size and mediastinal contours are within normal limits. Lungs are hyperexpanded. Chronic scarring/fibrosis again noted at the LEFT lung base. Lungs otherwise clear. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.,1. No active cardiopulmonary disease. No evidence of pneumonia or pulmonary edema. 2. Hyperexpanded lungs suggesting COPD. 3. Chronic scarring/fibrosis at the LEFT lung base.,1.2.826.0.1.3680043.8.498.47991284022552739010567422733041492668
The heart size and mediastinal contours are within normal limits. Calcified granuloma noted in the left mid lung. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.68811417012879612983922413834393223918
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31418255233587449344293293942849372913
"Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Right internal jugular central line tip is in the SVC. No pneumothorax. There is bilateral airspace disease, left greater than right. Left pleural effusion.","Bilateral airspace disease, left greater than right, with left pleural effusion.",1.2.826.0.1.3680043.8.498.94993109415031761266971333863374634335
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.69188241827297437372654841056515449363
"Heart: Normal. Lungs: There is bilateral perihilar, peribronchial thickening with associated mild to moderate streaky and patchy hazy ill-defined airspace opacities predominantly in a perihilar distribution, as well as prominence of the pulmonary interstitium involving the lower lungs. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.",Findings compatible with atypical infectious process given the patient's history.,1.2.826.0.1.3680043.8.498.45397930775214538546109024549863189847
"Umbilical venous catheter terminates at the T7 level, unchanged. Umbilical arterial catheter terminates at T6. Enteric tube is in the stomach. Stable cardiothymic silhouette. Lungs are clear. Normal bowel gas pattern. No pneumothorax.",1. No acute abnormality. 2. Umbilical venous catheter terminates at the inferior cavoatrial junction.,1.2.826.0.1.3680043.8.498.25857826605185384129757291939511597889
Cardiac silhouette normal in size. Thoracic aorta minimally atherosclerotic. Hilar and mediastinal contours otherwise unremarkable. Airspace consolidation in the left lower lobe. Lungs otherwise clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax. Visualized bony thorax intact.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.97742187353208970202901397107894315334
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23666422736807967580841125084026548915
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.63419946327465830872994605504205369923
Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable. Cholecystectomy clips.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55999749479302599590755716507042027858
"There is cardiomegaly. Patient status post CABG. There is a dual lead cardiac pacer with lead tips in the right atrium and right ventricle. Pulmonary interstitial prominence is again noted, similar to prior study. There is hyperinflation of the lungs compatible with COPD. Small bilateral pleural effusions are noted. There is no acute infiltrate.","Cardiomegaly, COPD, and small effusions. No acute findings.",1.2.826.0.1.3680043.8.498.83453783251556455488545524966980478772
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99477394009623353188402953997371875191
Portable AP upright view at 7837 hours. Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Allowing for portable technique the lungs are clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative portable chest.,1.2.826.0.1.3680043.8.498.98139184194983663766159234005168919727
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No evidence of pulmonary edema. Heart size is mildly enlarged. Upper mediastinal contours are within normal limits. Atherosclerosis in the thoracic aorta.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Mild cardiomegaly. 3. Atherosclerosis.,1.2.826.0.1.3680043.8.498.55864942780936546400551033513111959265
"Left-sided dual-lead pacer is unchanged. The cardiac silhouette is normal in size and configuration. No mediastinal or hilar masses. No evidence of adenopathy. There are areas of pleural thickening bilaterally, stable. No lung consolidation or edema. No pleural effusion or pneumothorax. Stable central vascular congestion. Stable areas of scarring in the right upper lobe and left mid lung. The bony thorax is demineralized but grossly intact.",No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12853504973777019317057183205035874594
"There is a right-sided pneumothorax, which is approximately 10-15%. This is not apparent on the prior study. There is a right pleural effusion with right lower lobe air space disease. There is also some left lower lobe airspace disease. There is a calcified pleural plaque on the left. Multiple right rib fractures are noted.",1. Right-sided pneumothorax. 2. Right effusion and right lower lobe air space disease. 3. Left lower lobe airspace disease.,1.2.826.0.1.3680043.8.498.87188518409398808222047614681661904795
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82026605048745971607243462421144149925
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70409702795242844079029906750231677156
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12841985170070539455255826307464641207
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.82136573058032811679236509369879425090
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44217279209372944285484693528701971527
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91921022603498111439284929369067505498
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94620946100214739216656381044662984509
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.66662779157292377230616606250984721226
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17841867066261309398834745593399805842
"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema. Right internal jugular Port-A-Cath terminates at the cavoatrial junction.",No active disease.,1.2.826.0.1.3680043.8.498.53337120307456012323655585437886782926
The heart is normal in size. Lungs are clear. No pneumothorax. No pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20462356734079295987423125083482293945
Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pneumothorax or pleural effusion. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation identified.,1.2.826.0.1.3680043.8.498.95504265539395868583676489817538630034
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.55514233019329802882445255175377294507
Heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. Scar like densities noted in the left base.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.35926654952456932796717845250113340539
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.55268161146148375560342340939970016005
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59945909862820016673277590808435109001
The heart is mildly enlarged. There is pulmonary vascular congestion without frank edema. No focal airspace disease is seen. There is no pleural effusion.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.39706150215430820110116332165799974069
The right kidney measures 10.2 x 5.6 x 5.6 cm. No focal lesion is found. No calculi are seen. No hydronephrosis is present. The left kidney measures 10.3 x 5.8 x 5.8 cm. No focal lesion is found. No calculi are seen. No hydronephrosis is present. The aorta and inferior vena cava are not visualized.,Unremarkable renal ultrasound.,1.2.826.0.1.3680043.8.498.42655720691880579008365978811819474100
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30336506750619037398461216455561113393
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39557758399904222939098116383663809385
"Single frontal view of the chest shows adequate inspiration. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.",No acute cardiopulmonary process on this single view.,1.2.826.0.1.3680043.8.498.86410370192169480010707503221812042497
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.66416032336467426098147369606226520442
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17855101612529045893226315464813539221
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.24822366125412577448452973651318210167
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54569280949980185830921964723697883678
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38878520700273665200468525544668237149
"There is slight thickening of the RIGHT perihilar markings, less prominent than was noted on the exam of 09/07/2023. The findings can be consistent with recurrent perihilar interstitial pneumonia. No consolidated pulmonary infiltrates are seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",There is minimal thickening of the perihilar markings on the RIGHT compatible with recurrent pneumonia.,1.2.826.0.1.3680043.8.498.22248635739824602482001292343053302971
The lungs are reasonably well inflated. There is no focal infiltrate. There is no pleural effusion. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. There is tortuosity of the descending thoracic aorta. There is mild tortuosity of the descending thoracic vertebral bodies.,There is no evidence of pneumonia nor CHF. I cannot exclude underlying COPD.,1.2.826.0.1.3680043.8.498.69321180780111547950740274125521014193
The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology. No rib fracture.,Negative.,1.2.826.0.1.3680043.8.498.54788615919858604690812202541453277090
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45557011353385045627030049480422098071
The heart is enlarged. Pulmonary venous hypertension is present without overt edema. There may be a small left pleural effusion. There is mild atelectasis at the left lung base. The patient has undergone previous CABG.,Cardiomegaly and pulmonary venous hypertension. Left basilar atelectasis. Small effusion.,1.2.826.0.1.3680043.8.498.76609764327078702405761255713636456801
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28770024370832780905819976678835146179
"There is a limited inspiratory effort. There are increased markings in the right lung base consistent with a right pleural effusion and possible underlying infiltrate. There is a minimal infiltrate in the left lung base. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",Right pleural effusion and underlying infiltrate. Minimal left basilar infiltrate.,1.2.826.0.1.3680043.8.498.84274598414744684473873121463707117308
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53091085696562331619884114986939165575
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26264485102803784080629263832494862467
The heart size is normal. There are no pleural effusions or pneumothorax. No focal airspace opacities are noted. Review of osseous structures demonstrates no acute findings.,No acute findings.,1.2.826.0.1.3680043.8.498.42897240044925071935556792572058914290
Cardiac silhouette upper normal in size. Thoracic aorta mildly tortuous. Hilar and mediastinal contours otherwise unremarkable. Patchy airspace opacities involving the lingula and right lower lobe. Lungs otherwise clear. Bronchovascular markings normal. No pleural effusions. Degenerative changes involving the thoracic spine.,Bronchopneumonia involving the lingula and right lower lobe.,1.2.826.0.1.3680043.8.498.48309142574359055112554382473559914422
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39693650060153728682493897590426782506
"Portable upright AP view at 7017 hours. Stable cardiomegaly and mediastinal contours. Stable lung volumes. No pneumothorax, pulmonary edema, pleural effusion or acute airspace opacity. Stable visualized osseous structures.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.69267588910775765794344394881636137334
"Moderate cardiomegaly, stable from previous. Mediastinal silhouette within normal limits. Lungs are normally inflated. Previously seen pulmonary edema has largely resolved, with mild residual pulmonary vascular congestion. Mild left basilar subsegmental atelectasis. No focal infiltrates. No pleural effusion. No pneumothorax. Osseous structures are unchanged.",1. Previously seen pulmonary edema has largely resolved with mild residual pulmonary vascular congestion. 2. No other active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85593109743342521234062860737358805635
There is some minimal atelectasis in the right lung base. Lungs otherwise clear. No effusion. Heart size normal.,No acute disease.,1.2.826.0.1.3680043.8.498.14434965308265804714190987690685994235
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30885266056274078432075274345280498261
There is no edema or consolidation. Heart is borderline enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation. Heart borderline enlarged.,1.2.826.0.1.3680043.8.498.13572104275138637577607657074688115587
"The patient has undergone sternotomy for CABG. The heart size is normal. The patient is intubated. The tip of the endotracheal tube is in satisfactory position approximately 4 cm above the carina. A left chest tube is in place with no pneumothorax. The tip is in the left lung base, likely in the inferior aspect of the left lower lobe. A Swan-Ganz catheter is in place with its tip in the right main pulmonary artery. Nasogastric tube courses below the diaphragm into the stomach. There is no evidence of pulmonary edema. Mild left lower lobe atelectasis is present.",Tubes and lines satisfactory. No pneumothorax. Mild left lower lobe postoperative atelectasis.,1.2.826.0.1.3680043.8.498.93004362179292401677642908341254545659
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits. Spinal fixation hardware appears intact.,Negative.,1.2.826.0.1.3680043.8.498.40367022966432716630265575980143927857
Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94295394541908397799841172339792703268
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81657196155265949266092518722892728489
Endotracheal tube tip is 1.5 cm above the carina. Umbilical artery catheter terminates at the T7 level. Umbilical vein catheter terminates at the inferior cavoatrial junction. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. No acute consolidative airspace disease. No evidence of pneumatosis or pneumoperitoneum in the visualized upper abdomen. Visualized osseous structures appear intact.,1. Well-positioned support structures. 2. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80857780583856547683265070515207509648
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.62268430584840533882238407815421194382
The lungs are clear. No pleural abnormality is seen. The heart and mediastinum appear intact. There is linear atelectasis at the right lung base. The bony structures appear intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.12552549891837372821682952652667209878
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13421947967165953666733913396371384014
The lungs are mildly hypoinflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83262759688494975977756673304261888607
The nasogastric tube has been removed. The lung volumes are low. The lung base opacity is most likely atelectasis. There is a small left pleural effusion. No pneumothorax is identified. Heart size and mediastinal contours are stable.,Low lung volumes with basilar atelectasis. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.10959067713582111437426437425871436419
"There is a moderate size hiatal hernia. There is no focal infiltrate, pulmonary edema, or pleural effusion. The mediastinal contour and cardiac silhouette are normal. The soft tissues and osseous structures are normal.",Hiatal hernia. No acute cardiopulmonary disease identified.,1.2.826.0.1.3680043.8.498.70900757399647785714829083863309404704
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.28845316582533702725533960127354292135
There has been placement of an orogastric tube with tip in the mid stomach. Both lungs are clear. Heart size is normal. The bowel gas pattern is normal.,1. No active lung disease. 2. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.72263524108019597262582187033867275397
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77188270301176182133124507698318387188
The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.66682746501038626624147542962431174538
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48540281566960060114715091899697658904
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.51157193588949375649599232286811084462
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87735007783740872166272162589375697899
"There is airspace opacity in the mid and lower lung regions bilaterally, similar to most recent study. Upper lung regions are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.","Bibasilar airspace opacity consistent with multifocal pneumonia, stable. Stable cardiac silhouette. Aortic Atherosclerosis (ICD10-I70.0).",1.2.826.0.1.3680043.8.498.56814327520410085971614390308723366003
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. Hyperexpansion of the lungs is noted consistent with COPD. The visualized bony structures are unremarkable.",COPD. No active pulmonary disease.,1.2.826.0.1.3680043.8.498.47374683248904757284684704778060256021
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80914655664710364721082224696570433879
"The patient's enteric tube is noted ending overlying the body of the stomach. The lungs are relatively clear. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiothymic silhouette is within normal limits. No acute osseous abnormalities are identified. The visualized bowel gas pattern is grossly unremarkable.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.23417092605551326212945438622690802437
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12313654569121777175235243764495177516
"AP and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.49901850599671836358216756475573848637
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64299902613189366249537615717844152023
Right arm PICC line is seen with tip overlying the distal SVC. Heart size is normal. Aortic atherosclerosis. Small right pleural effusion and right lower lobe atelectasis or infiltrate. No pneumothorax.,1. Right arm PICC line in appropriate position. 2. Small right pleural effusion and right lower lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.63529294970572063580722153185595516256
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66540218695423775710410916187340464833
Single portable AP chest radiograph is provided. There is a left lower lobe pulmonary mass. There is no pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,No left pneumothorax status post left lung biopsy.,1.2.826.0.1.3680043.8.498.71086704723249983793391772731543199501
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65897447429989133593004776796855368048
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.69418721519897562455744497426351650388
Right arm PICC line is in place with the tip in the SVC. Lungs are clear. Heart is normal size. No effusions.,Right PICC line tip in the SVC. No active disease.,1.2.826.0.1.3680043.8.498.92814987038639088131960158083982607187
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80103721317855761308740759142154172024
There is focal airspace opacity in the left lower lobe consistent with pneumonia. The heart size is normal and there is no pleural effusion. The lungs are otherwise clear.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.83372006164089826871772218068244746935
"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.57633058709739299525628815517349093277
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36159531413070917079076966003833840893
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60545655740001036114045192125188743203
Endotracheal tube tip is 2.5 cm above the carina. Nasogastric tube enters the abdomen. Left arm PICC tip is in the SVC 3 cm above the right atrium. Mild edema is improved. Some persistent lower lobe edema and atelectasis. No worsening or new findings.,Less edema in the lungs. Some persistent edema persists. Tubes and lines well positioned.,1.2.826.0.1.3680043.8.498.12757542042515526240566504906545197299
There is elevation of the right hemidiaphragm. A left-sided pectoralis pacing unit is identified with lead tips projecting in the region of the right atrium and right ventricle. The cardiac silhouette is enlarged indicative of cardiomegaly. There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the right lung base. The visualized bony skeleton is unremarkable.,"1. Cardiomegaly with evidence of pulmonary edema. 2. Atelectasis versus infiltrate, right lung base. 3. Elevated right hemidiaphragm.",1.2.826.0.1.3680043.8.498.96009912126468567464659213316494977744
There is little change in airspace disease particularly at the lung bases left greater than right. Mild cardiomegaly is stable. Left central venous line is unchanged. Feeding tube is present.,No significant change in basilar airspace disease.,1.2.826.0.1.3680043.8.498.74244300251119602079822281830485529924
The cardiomediastinal silhouette is stable. Endotracheal tube is identified with distal tip 2.5 cm from carina. A feeding tube is noted with distal tip not included on film. Right central venous line is unchanged. There are patchy consolidations throughout the right lung and left mid lung. There is no pneumothorax. No large pleural effusion.,Stable appearance of bilateral pulmonary opacities.,1.2.826.0.1.3680043.8.498.86774380621872290405401188501926388057
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78262071559101559285789760942778339389
Right IJ portacatheter tip terminates over the SVC. The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13047201475969174265568638379328426254
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are demonstrated.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.37581829878375997250859869385019830335
"There is no evidence of fracture or other focal bone lesions. The sternoclavicular joints appear intact. The heart size is normal. The lungs are clear. There is no evidence of focal airspace consolidation, pulmonary edema, pleural effusion, or pneumothorax.",No acute osseous abnormalities. Normal chest x-ray.,1.2.826.0.1.3680043.8.498.49971949525976518583687973824668348637
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20216540653501460793054665123631299988
Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.92873966499134357502060747071782214314
"An endotracheal tube is in place with tip 3.6 cm above the carina. A left-sided internal jugular central venous catheter is present with tip terminating in the mid superior vena cava. A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. Lung volumes are low. There are bibasilar opacities (left greater than right), which may reflect areas of atelectasis and/or airspace consolidation. Small left pleural effusion. No evidence of pulmonary edema. Heart size is normal. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology.","1. Support apparatus, as above. 2. Low lung volumes with bibasilar opacities (left greater than right), which may reflect areas of atelectasis and/or airspace consolidation. 3. Small left pleural effusion.",1.2.826.0.1.3680043.8.498.75180567819647780209744762331337877639
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.64422663497004392619944713377708658119
The patient has a new right PICC in place with the tip in the lower superior vena cava. No pneumothorax. Extensive airspace disease in the right chest again noted. The left lung is clear. There is a right pleural effusion. Heart size normal.,1. Right PICC in good position. No pneumothorax. 2. No change in extensive right side airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.74236795579511948663504406237201642275
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52206779762230977134429107764784904141
There are small to moderate bilateral pleural effusions. Nasogastric tube courses into the stomach and off the film as tip is not visualized. There is no evidence of pneumothorax. There is mild vascular congestion. There is no evidence of frank pulmonary edema. Bilateral lower lobe airspace opacities likely reflect atelectasis.,"1. Small to moderate bilateral pleural effusions with associated airspace opacities, likely atelectasis. 2. Mild vascular congestion.",1.2.826.0.1.3680043.8.498.65986400815418636155322824562576648003
There is a moderate to large right pleural effusion. This has increased in size since the previous exam. There is a small left pleural effusion. Atelectasis or consolidation in the lung bases. Mild cardiac enlargement. Pulmonary vascularity is normal. No acute bone abnormality.,"Cardiac enlargement. Bilateral pleural effusions, increasing on the right. Atelectasis in the lung bases.",1.2.826.0.1.3680043.8.498.48920187665896602061771056946414159474
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66407598940992380524111343631677958391
Low lung volumes. No focal opacity or pleural effusion. Stable cardiomediastinal silhouette. No pneumothorax.,No active disease. Low lung volumes.,1.2.826.0.1.3680043.8.498.31678960696891088294121716360624383921
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. Left rib detail images include a metallic BB over the lower lateral ribcage. Deep to this no rib abnormality is observed. There is no pneumothorax or pleural effusion.,There is no active cardiopulmonary disease. No abnormality of the left ribs is observed.,1.2.826.0.1.3680043.8.498.59132253048178608169227611141271383370
The right chest portacath has been repositioned. The tip is now in the superior vena cava. The right pneumothorax is not significantly changed in size. It is estimated at 10-15%. There is a small right effusion with right lower lobe atelectasis.,1. Right chest portacath has been repositioned with the tip now in the superior vena cava. 2. Small right pneumothorax is stable.,1.2.826.0.1.3680043.8.498.34510120897751513600603905793570387448
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41510025861587825336501410679930093187
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51393430637920913866124935366280697677
Endotracheal tube 6.5 cm above the carina. Nasogastric tube extends into the stomach. Lungs are hyperinflated. There is hazy opacity at both lung bases most consistent with atelectasis and small effusion. No pneumothorax. Heart size and mediastinal contours are within normal limits.,COPD. Increasing basilar atelectasis and small effusions.,1.2.826.0.1.3680043.8.498.62354336137697084170928180942052522353
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61787240741085618916534051163974945347
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.84624005977069026374920337514363508920
"There is diffuse interstitial haziness and bronchial thickening which may represent respiratory distress syndrome. Infiltrate is not excluded. Clinical correlation is recommended. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.26627393351829317445329947231363560840
Low lung volumes. Hazy atelectasis at the left base. No consolidation. Borderline cardiomegaly. Aortic atherosclerosis. No pneumothorax.,Low lung volumes with left basilar atelectasis.,1.2.826.0.1.3680043.8.498.98679834388408646910721985295311378486
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58060447452164596606614538489394106947
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.21432874479026262462957080884037910151
Heart is enlarged. Aorta is atherosclerotic and tortuous. There are chronic interstitial changes in the lungs. No overt edema. Left base atelectasis. Degenerative changes in both shoulders.,1. Cardiomegaly. 2. Chronic interstitial changes. 3. No overt edema.,1.2.826.0.1.3680043.8.498.56013643050618248947320392840789242752
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74092755419632721498632717002485244212
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.19694571720554149800139450805858614727
The lungs are well-expanded. The interstitial markings are increased. The pulmonary vascularity is engorged. The cardiac silhouette is enlarged. There are small bilateral pleural effusions. The bones are osteopenic.,The findings are consistent with congestive heart failure with pulmonary interstitial edema and small bilateral pleural effusions. There is no focal pneumonia.,1.2.826.0.1.3680043.8.498.13946965331413986986615916234061025264
Seated AP and lateral views of the chest. Stable cardiomegaly and mediastinal contours. Calcified aortic atherosclerosis. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. No consolidation or confluent pulmonary opacity. Osteopenia. No acute osseous abnormality identified. Negative visible bowel gas pattern.,No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.73719435758897189534212867184698334457
Cardiac shadow is stable. Aortic calcifications are again seen. Right-sided pleural effusion is again noted and stable. Small left-sided pleural effusion is noted as well. Diffuse increased density is noted in the right lung consistent with the known history of right lower lobe mass lesion. Increased vascular congestion is noted with mild interstitial edema.,Stable changes consistent with the known history of right lower lobe mass with bilateral pleural effusions right greater than left. Increased vascular congestion with mild interstitial edema.,1.2.826.0.1.3680043.8.498.36337064341736654048702946348760529124
Mediastinum and hilar structures normal. Right mid lung and bibasilar atelectasis and infiltrates. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Right mid lung and bibasilar atelectasis and infiltrates.,1.2.826.0.1.3680043.8.498.70952966419945659843097941911097817661
There is a large mass in the right mid lung. No pneumothorax is identified after lung biopsy. Left-sided pacemaker is in place. No pleural effusion. Heart size is normal.,No pneumothorax after right lung biopsy.,1.2.826.0.1.3680043.8.498.59504459859097582295792831437645244344
Low lung volumes. There is vascular congestion and bibasilar atelectasis. No effusions. No pneumothorax. Heart size is accentuated by the low volumes. No acute bony abnormality.,"Low lung volumes, vascular congestion and bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.12576958117154407905963777151857571889
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74668153878273870644589837684029398996
The lungs are clear. No pneumothorax is seen. Tracheostomy is present. Heart size is normal. Right central venous line tip is in the lower SVC.,No active lung disease. No pneumothorax.,1.2.826.0.1.3680043.8.498.63979617971474586059998664990083828666
Heart is enlarged. There is bilateral airspace disease compatible with pulmonary edema. No definite effusions. No acute bony abnormality.,Cardiomegaly and pulmonary edema compatible with congestive heart failure.,1.2.826.0.1.3680043.8.498.85817327867083507595337041837300780765
"There is cardiomegaly. There is mild vascular congestion without overt evidence of edema. No focal consolidation, pneumothorax, or pleural effusion. No acute osseous findings.",Cardiomegaly with mild vascular congestion.,1.2.826.0.1.3680043.8.498.15732682102947423932235469734081135883
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66443280699997280415334424121965516143
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16416744588721549452479496333061013774
"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.25849249788717286733920548764427929447
There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is enlarged. There is a moderate right pleural effusion. The effusion appears decreased in size compared with prior exam. There is overlying atelectasis and consolidation in the right base.,1. Cardiac enlargement. 2. Right effusion with overlying atelectasis.,1.2.826.0.1.3680043.8.498.98342347045617504130197541129285027151
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73717879719844461956780977121139080859
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.12305720009555854850719757055134552289
"The heart is normal. Similar prominent interstitial lung markings. No focal consolidation, pleural effusion or pneumothorax. No aggressive osseous lesions.",Decreasing pulmonary vascular congestion since the prior study.,1.2.826.0.1.3680043.8.498.97857602504161699620982383546890829510
There is chronic cardiomegaly. Pulmonary vascularity is normal and the lungs are clear. No effusions. No acute osseous abnormality.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.63258643035866961997294582581448810966
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17286900311244606383489719756872264479
"Left chest tube remains in place. There is a tiny left apical pneumothorax, decreased since prior study. Subcutaneous air on the left. Patchy densities in the left mid and lower lung are unchanged. Right lung is clear. Heart is normal size.",Decreasing size of the left apical pneumothorax. Otherwise no change.,1.2.826.0.1.3680043.8.498.98367820021677750706096657941783809855
"The cardiac silhouette, mediastinal and hilar contours are stable. Stable surgical changes from bypass surgery. Stable lingular scarring changes. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.33366574766543763818760479093855376960
There has been interval removal of the nasogastric tube. The right IJ central venous catheter is stable. The lung volumes are low and there is atelectasis at both lung bases. No evidence for pneumothorax.,1. Low lung volumes with bibasilar atelectasis. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.23182004298194114661324101274118878653
The lungs are clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions. No pneumothorax.,Mild cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.88667230015627740402859952189421224132
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.17084224712788486461879695913506090009
"Unchanged elevation of left hemidiaphragm. Streaky opacities at the left lung base, new from prior exam. Unchanged heart size and mediastinal contours. Aortic atherosclerosis. No pulmonary edema. No pleural fluid or pneumothorax. No acute osseous abnormalities are seen.","Streaky left lung base opacities, may reflect atelectasis or pneumonia in the setting of cough.",1.2.826.0.1.3680043.8.498.81139834383322826870049371454877362733
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14065860697059971038363765224989252627
"Interval clearing lung bases seen with currently clear lungs and normal heart size. Slight hyperinflation is seen with changes of COPD noted. Mediastinum, hila, pleura and osseous structures are unremarkable.",1. Slight COPD. 2. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29107426444764254563727462696156998300
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.18987178516448729261808472469802250759
The cardiac shadow is within normal limits. The thoracic aorta is tortuous. The lungs are well-aerated without focal infiltrate or sizable effusion. No acute bony abnormality is noted.,No active disease.,1.2.826.0.1.3680043.8.498.43002486064354198273685697737665350780
Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion. Emphysema is present.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74394747025550862390274316764242493704
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94280627241617882543799793611684722769
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. A small right-sided pleural effusion is noted increased from the prior exam. No focal confluent infiltrate is seen. Spinal stimulator is noted.,Slight increase in right-sided pleural effusion.,1.2.826.0.1.3680043.8.498.21064177015699956424699129777301605962
"Cardiomegaly. Surgical clips overlying the left chest. No focal airspace consolidation, pleural effusion, or pneumothorax. Degenerative changes of the shoulders.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95217185313456334828917457945000196021
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66919213917214164676238281661306892920
Heart: Normal. Lungs: The lungs are well-inflated and radiographically clear. Pulmonary vascularity is unremarkable. Mediastinum: Normal. Pleural effusions: None. Bones: There are mild degenerative changes in the spine. Visualized upper abdomen: Normal.,No evidence for active or metastatic disease in the chest.,1.2.826.0.1.3680043.8.498.46954052944325475404791649271905079097
Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Diffuse bilateral airspace infiltrates question multifocal pneumonia with superimposed pulmonary edema. Small RIGHT pleural effusion. No pneumothorax. Bones demineralized.,Enlargement of cardiac silhouette with pulmonary vascular congestion and BILATERAL pulmonary infiltrates question multifocal pneumonia and superimposed CHF. Small RIGHT pleural effusion.,1.2.826.0.1.3680043.8.498.66661380121421923901156319220875577701
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19217577756977470467334420887181598412
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32201754572863781891829772230242640572
Linear opacity at the left lung base is most compatible with atelectasis. The lungs are otherwise clear. Heart size is normal. No pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.62671993532354286836887466242432037972
There are low lung volumes. Bibasilar atelectasis present. Heart is normal size. No effusions. No acute bony abnormality.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.76218030332878365366980243661103679659
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.81678794441387537576335110480795839457
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10080565395730739805529797758460008085
The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.92054601396238658559563527812549338278
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21298266418174511616446025100815803098
"Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.97414364722637680258304953193633226689
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20734385967547754196748472714125852813
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.45165184234300176109657423900797284304
The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Small left pleural effusion with adjacent atelectasis. No consolidation or pneumothorax. The visualized skeletal structures are unremarkable.,Small left pleural effusion.,1.2.826.0.1.3680043.8.498.92364752346691485519279001936898736198
"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. No significant skeletal abnormality is detected.",No significant radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.93039724971213693752799911153395520307
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusions. Azygos fissure incidentally noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65025955235346542911875635547959516971
Upper normal heart size post MVR. Mediastinal contours and pulmonary vascularity normal. Minimal right basilar atelectasis. Lungs otherwise clear. No gross pleural effusion or pneumothorax.,Post MVR. Minimal right base atelectasis.,1.2.826.0.1.3680043.8.498.58376581655663932215480162418036436204
"Swan-Ganz catheter and mediastinal drains have been removed. Changes of aortic valve replacement. Stable cardiomegaly. Small bilateral pleural effusions with bibasilar atelectasis, similar to prior study. No pneumothorax.",Stable postoperative changes. Small effusions with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.23388239586373761339394742652861015996
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79391752280038276818795933061965433656
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95052604545609152478831575025706092963
Stable cardiomediastinal silhouette. Status post coronary bypass graft. No pneumothorax is noted. Stable mild right basilar subsegmental atelectasis is noted. Minimal left basilar subsegmental atelectasis is noted. Small bilateral pleural effusions are noted. Bony thorax is unremarkable.,Stable bibasilar subsegmental atelectasis. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.16075885528687529130552530902548980059
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77465672958623910123700715973076958627
"Lung volumes are stable and within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Mild linear scarring at the right lung base is stable. No acute osseous abnormality identified. Negative visible bowel gas pattern.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.45323160897673301503138007937946406878
There is no edema or consolidation. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Mild cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.90752956718024641675264196229532392716
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41044805332559122562589545939241815686
There are bilateral upper lobe pulmonary masses which have increased in size compared with the prior chest x-ray. This is also seen on the prior chest CT. There is no pleural effusion. The heart size is normal. The bony thorax is intact.,Interval increase in size of bilateral upper lobe masses. This is consistent with metastatic disease.,1.2.826.0.1.3680043.8.498.78769950476996784918025939270358973980
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10321973987364440915485847812159641216
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.98554467379188526585579770103825269649
The lungs are reasonably well inflated. The interstitial markings are increased diffusely. The hemidiaphragms are obscured. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. The bones are osteopenic.,The findings are consistent with congestive heart failure and pulmonary interstitial edema. I see no discrete focal infiltrate. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.52474740323916412241107087937622591939
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40325058938438531689255094354970326515
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.23553693078706281005547759634659185600
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65562872260744354010494583662165080506
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.75257183098745867912582795977158206662
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.25158521562802097036588984128108361389
The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.77948959955911636887941249773240886395
Heart and mediastinal contours are within normal limits. Lung fields are clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures appear intact. Surgical clips are seen in the right upper quadrant.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.25014673666190513486496375978515731274
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68026471004201315707609087099341640267
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.48929936186156876990775860456396768041
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Degenerative changes in the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71637399181470476875870095134815276447
"Single frontal view of the chest demonstrates an unremarkable cardiothymic silhouette. Lungs are normally inflated, without acute airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.45736555254114330109508066880854373540
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48872545597442995243818638659613305040
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49469481335184832904889160255844591491
"Normal heart size, mediastinal contours, and pulmonary vascularity. Small RIGHT pleural effusion with basilar atelectasis. Lungs otherwise clear. No pneumothorax or LEFT pleural effusion. Bones unremarkable.",Small RIGHT pleural effusion and basilar atelectasis.,1.2.826.0.1.3680043.8.498.79549449800225607093278047929983292218
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. The visualized skeletal structures are unremarkable. Subcutaneous emphysema in the right chest wall.,No active disease.,1.2.826.0.1.3680043.8.498.60223931911355260155553773998600747183
"Stable cardiomediastinal silhouette with mild cardiomegaly. No pneumothorax. Trace bilateral pleural effusions, new. No overt pulmonary edema. No acute consolidative airspace disease.","Stable mild cardiomegaly. No overt pulmonary edema. Trace bilateral pleural effusions, new.",1.2.826.0.1.3680043.8.498.52938686069875943830072257936538277442
Right chest tube is in place. There is a small right apical pneumothorax. Subcutaneous emphysema is seen along the right chest wall. Opacity at the right lung base is compatible with atelectasis. The left lung is clear. No evidence of pulmonary edema. Heart size is normal.,1. Small right apical pneumothorax with a right chest tube in place. 2. Postoperative changes of the right lung with atelectasis in the right lower lung.,1.2.826.0.1.3680043.8.498.80144294260903355229643061652911702763
The intra-aortic balloon pump tip is at the aortic knob. The heart size is enlarged. There is mild vascular congestion without edema. There is no pleural effusion or pneumothorax.,1. Intra-aortic balloon pump tip at the level of the aortic knob. 2. Cardiac enlargement and vascular congestion.,1.2.826.0.1.3680043.8.498.56320571454172977475514293211560714583
There is increased density at both lung bases compatible with bibasilar atelectasis. The upper lobes are clear. No pulmonary edema is seen. Heart size is normal.,1. There is increased density at the lung bases compatible with atelectasis. 2. No pneumonia is seen. 3. Heart size is normal.,1.2.826.0.1.3680043.8.498.94933374775389925400782769746233342432
The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is a small infiltrate in the right upper lobe. The left lung is clear. There is no effusion or pneumothorax. Degenerative changes are seen in the spine.,Small right upper lobe infiltrate.,1.2.826.0.1.3680043.8.498.50268188137813687523807236204112613459
"The liver is normal in size and echogenicity. The biliary tree is unremarkable. The common bile duct is normal in caliber, measuring 0.5 cm. The gallbladder is normal in appearance with no evidence of stones, gallbladder wall thickening, or pericholecystic fluid. The pancreas is not well visualized due to overlying bowel gas. The spleen is normal in appearance. The right kidney measures 10.6 cm in length and the left kidney measures 11.6 cm in length. Both kidneys are normal in cortical thickness and echogenicity without evidence of stones or hydronephrosis. The abdominal aorta and IVC are normal in caliber.",Unremarkable abdominal ultrasound.,1.2.826.0.1.3680043.8.498.40847821731104273078429686029228329424
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.97227701820287268721944556727677244791
The heart is enlarged. The aorta is calcified and unfolded. The lungs are clear. No pneumothorax. No visible rib fracture.,Cardiomegaly. No acute findings.,1.2.826.0.1.3680043.8.498.37656256209706173130258109244486124121
Endotracheal tube tip is 2.6 cm above the carina. Nasogastric tube tip and side port are in the stomach. Central catheter tip is in the superior vena cava. No pneumothorax. There is airspace consolidation in the right lower lobe region. Lungs elsewhere clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Persistent consolidation right base. Stable cardiac prominence.,1.2.826.0.1.3680043.8.498.72504712525593717080787688928142368765
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.92525364977502036223928761898119023338
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.33011611717313916440973261534377197871
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease,1.2.826.0.1.3680043.8.498.99983426317707006626420384788231401890
Extensive bilateral airspace disease persists and has not notably changed. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No marked change in extensive bilateral airspace disease consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.61526827935151995187824806873812428425
Mediastinum and hilar structures are stable. Cardiomegaly with normal pulmonary vascularity. Low lung volumes. Bilateral pulmonary infiltrates/edema and atelectasis again noted. Small right pleural effusion. No pneumothorax. Multiple right rib fractures are best identified on prior CT.,1. Low lung volumes. Persistent bilateral pulmonary infiltrates/edema and basilar atelectasis. Small right pleural effusion. 2. Multiple right rib fractures best identified on prior CT. No pneumothorax.,1.2.826.0.1.3680043.8.498.92522616439325936214794174915400775183
The heart is normal in size. The lung volumes are low. Mild reticular opacities are seen at the left lung base.,Mild left basilar reticular opacities are likely secondary to atelectasis. Early or mild infection or not excluded. Followup radiographs are recommended.,1.2.826.0.1.3680043.8.498.57921934701878049442712434708252556890
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24376304773976025856791782870905947746
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.75691563863552076223595566329655180703
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24422057344966642358219828735844385188
"Stable cardiomegaly. Atherosclerotic calcification of the aortic knob. No focal airspace consolidation, pleural effusion, or pneumothorax. Degenerative changes of the bilateral shoulders.",Stable cardiomegaly. No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.63564645966736084250553936048452589382
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86659495021653044124161613495553526836
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32674559478613874330741408919415795837
"A cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active disease.,1.2.826.0.1.3680043.8.498.51789340824517364676781831990304083893
The lungs are well-expanded and clear. The heart and mediastinal structures are normal. The trachea is midline. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17375396868581106240521650383839482314
There is a minimal left apical pneumothorax. No right pneumothorax is evident. No mediastinal pneumomediastinum is evident. Lungs are free of infiltrates. There is minimal atelectasis in the right base. No pleural effusion is evident. Cardiac silhouette is normal size and shape. Bones appear average for age.,There is minimal left apical pneumothorax. No right pneumothorax is evident. There is minimal basilar atelectasis on the right.,1.2.826.0.1.3680043.8.498.30854846509171379961032789775256783464
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76846438706052422211377708002862136590
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75722412384833646789746567798544867628
Previously seen right upper lobe opacity has resolved. Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52305451617133135084091122442199858751
The heart is markedly enlarged. There are small bilateral pleural effusions. There is interstitial pulmonary edema. There is bilateral lower lobe airspace disease which may be due to alveolar edema or atelectasis. Pneumonia is not excluded.,Cardiomegaly and interstitial edema with bilateral effusions and lower lobe atelectasis/consolidation.,1.2.826.0.1.3680043.8.498.51438554563038994473576896273183946782
"The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. A metallic foreign body overlies the upper chest at the midline, probably within the esophagus.",No active cardiopulmonary process. Metal foreign body consistent with a coin in the esophagus.,1.2.826.0.1.3680043.8.498.12524762706585891896497990879896086671
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.87614456368369999983805802999281326672
Heart is upper limits normal in size. Lungs are free of focal consolidations and pleural effusions. No pulmonary edema. Visualized bony structures have a normal appearance.,No evidence for acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.83921213934772495473255934738591975292
"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",Normal chest x-ray.,1.2.826.0.1.3680043.8.498.70992241896959497212422973057472321583
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.58153884966970743944687104934060135230
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.35765344267832134879470844685494138097
The heart size is enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.94457171307270137072776197989614248843
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No focal consolidation.,1.2.826.0.1.3680043.8.498.69373466001812347096040875891583311529
The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is mildly enlarged. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.39712093782325423593446786555967829006
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20475060047108993190120870966668687657
Low lung volumes. Streaky opacities in the lung bases favor atelectatic change. No consolidation. No pneumothorax or effusion. No convincing features of edema. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality. Telemetry leads overlie the chest.,"Low lung volumes with streaky opacities in the lung bases, likely atelectasis.",1.2.826.0.1.3680043.8.498.97862019143006114846082194944456047133
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.49858076545620245321914827614637672664
"Interval extubation and removal of NG tube. Swan-Ganz catheter and mediastinal drain are unchanged. No pneumothorax. Changes of aortic valve replacement. Stable cardiomegaly. Left basilar atelectasis and effusion again noted, unchanged.",Interval extubation. No significant change left lower lobe atelectasis and small left effusion.,1.2.826.0.1.3680043.8.498.83630366244360251681529089112658957737
"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44903443077300317768673213703646794828
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Moderate scoliosis of thoracic and lumbar spine is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90223116668874049925999888915955906720
Heart size within normal limits. There is no appreciable airspace consolidation. No evidence of pleural effusion or pneumothorax. No acute bony abnormality identified.,No evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.42553308251584923656600735765038403311
The heart size and mediastinal contours are within normal limits. Right lung is clear. No pneumothorax or pleural effusion is noted. Linear density is noted in left lung base most consistent with subsegmental atelectasis or pneumonia. The visualized skeletal structures are unremarkable.,Left basilar linear density is noted consistent with subsegmental atelectasis or pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.69224411382698590628937385805107842102
Heart size is mildly enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. The aorta is tortuous and unfolded.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.26894302035535259004088372690445519830
The heart is normal in size. Aorta is mildly tortuous. There is elevation of the left hemidiaphragm. Mild left basilar opacities are likely secondary to atelectasis. The right lung is clear. No pneumothorax.,1. Elevated left hemidiaphragm. Correlate with patient's history and with prior radiographs if available. 2. Mild left basilar opacities are likely secondary to atelectasis. Early infection or aspiration not excluded.,1.2.826.0.1.3680043.8.498.11480567645085490935841150810727244490
The heart is at the upper limits of normal in size. The thoracic aorta is tortuous and calcified. The lungs are clear of acute infiltrates. Scarring at the lung apices. No pulmonary edema or pleural effusions. No pneumothorax. Old left rib fractures.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.48876595208698580800177434191570520287
Cardiac pacer is in satisfactory position. Cardiomegaly with pulmonary vascular congestion and bilateral interstitial prominence consistent with pulmonary edema. Small bilateral pleural effusions. Findings are consistent with congestive heart failure.,Congestive heart failure with pulmonary interstitial edema and small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.97993442678580002317651529517155791832
Cardiomegaly. Aortic atherosclerosis. Multiple calcified pleural plaques are noted. Small bilateral pleural effusions. No acute bony abnormality.,Cardiomegaly. Small bilateral pleural effusions. Stable calcified pleural plaques.,1.2.826.0.1.3680043.8.498.94315038450167338731892478237111582297
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72945426514387964199664992213309515711
"Cardiac silhouette appears mildly enlarged, even with consideration to this low inspiratory portable examination with crowded vasculature markings. Mildly calcified aortic knob. Mild chronic interstitial changes. Patchy LEFT lung base airspace opacity. No pleural effusions. No pneumothorax. Multiple EKG lines overlay the patient and could obscure underlying subtle pathology. Osteopenia. High-riding humeral heads seen with old rotator cuff injuries. Soft tissue planes are nonsuspicious.",Mild cardiomegaly and chronic interstitial changes with superimposed LEFT lung base probable atelectasis.,1.2.826.0.1.3680043.8.498.32485301779073594646021072446356833122
Cardiac shadow is stable. Postsurgical changes are again seen. Diffuse bilateral infiltrative changes are identified consistent with acute on chronic edema. No sizable effusion is noted. No bony abnormality is seen.,Acute on chronic pulmonary edema.,1.2.826.0.1.3680043.8.498.57130559440637328717119949011740314532
Stable enlarged cardiac silhouette and changes of COPD. Stable appearance of the cavitary mass at the left lung base. Stable appearance of ill-defined opacity at the right lung base. Stable thoracic spine degenerative changes.,"Stable cardiomegaly, COPD and left basilar cavitary mass. Stable ill-defined opacity at the right lung base, including the possibility of pneumonia.",1.2.826.0.1.3680043.8.498.99776002100148944661651915349465157564
"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.21770864637593284818975489716340171242
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.25496653564731087104158372024777496779
Cardiomediastinal silhouette is unremarkable for this low inspiratory examination with crowded vasculature markings. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Included soft tissue planes and osseous structures are non-suspicious. Multiple EKG lines overlie the patient and may obscure subtle underlying pathology.,No acute cardiopulmonary process for this low inspiratory examination.,1.2.826.0.1.3680043.8.498.16827670787885900204273896198963306963
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19840793926388013756216278311350065591
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.16618259615117816153462914240043155970
Patchy airspace opacity in the right lower lobe on both frontal and lateral views. No evidence of pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No evidence of acute osseous abnormality.,Right lower lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.69804040348567342947188117054251786874
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98504368772104292407695321438002649628
Two views of the chest were obtained. There are scattered interstitial and alveolar opacities in the mid and lower portions of both lungs. There is a small area of alveolar opacity in the right lung base. There are small bilateral pleural effusions. There is elevation of the right hemidiaphragm. The heart size is normal.,There are interstitial and alveolar opacities in the mid and lower portion of both lungs as well as in the right lung base. There are small bilateral pleural effusions. There is elevation of the right hemidiaphragm. The findings are suspicious for pneumonia or atelectasis.,1.2.826.0.1.3680043.8.498.89318909087283286027815333369934733481
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Review of the visualized osseous structures is unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.93377272079896603840670551208922693243
"The cardiothymic silhouette is within normal limits. There is peribronchial thickening, abnormal perihilar aeration and areas of atelectasis suggesting viral bronchiolitis. No focal airspace consolidation to suggest pneumonia. No pleural effusion. The bony thorax is intact.",Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.48559630063465782339211151155395454449
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93007418319635653986717639312481899955
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.56353023460576385317871035045971029684
"Shallow inspiration. No focal consolidation, pleural effusion, or pneumothorax. Top-normal cardiac size. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.46183730345412648438415749602105716505
The lungs are clear. Mediastinal contours appear normal. The heart is within upper limits of normal. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.33559855671363435364043752757600883685
Cardiac silhouette is moderately enlarged. Normal mediastinal contours. There is mild interstitial edema. No focal airspace disease. No pneumothorax. No pleural effusion. No acute osseous abnormality.,Cardiomegaly and mild interstitial edema.,1.2.826.0.1.3680043.8.498.95697478210233576343200442474857336685
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.25489282133431905867671823083126995939
Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.34780014642853490689559016388862961255
The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.90960054041001365108967831171201616925
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.21572167947389570974101982836368385889
Normal cardiothymic silhouette. Airway is normal. There is a new right upper lobe opacity. There is mild coarsened central bronchovascular markings. No pleural fluid. No pneumothorax.,New right upper lobe opacity concerning for pneumonia.,1.2.826.0.1.3680043.8.498.98691576285182145111535426311214182033
"Cardiothymic silhouette is normal. There is bronchial thickening but there is no infiltrate, collapse or effusion. Bony structures are unremarkable.",Bronchitis without consolidation or collapse.,1.2.826.0.1.3680043.8.498.88633061900017847168101242160452737263
No active infiltrate or effusion is seen. The lungs are hyperaerated consistent with COPD. The heart is mildly enlarged. The descending thoracic aorta is ectatic. The bones are osteopenic.,COPD. No active lung disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.56319479180447212784049849205558061479
There is airspace consolidation in the lingula. Lungs are otherwise clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,Consolidation in a portion of the lingula.,1.2.826.0.1.3680043.8.498.90944395895742963645383347132463719803
"Cardiac and mediastinal silhouettes are within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. No focal infiltrate, pulmonary edema, or pleural effusion. No pneumothorax. No acute osseus abnormality. Prominent gaseous distention of the stomach noted.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84052776661635653015549749664606264582
There is a right arm PICC line with tip in the SVC. The lung volumes are low. There is plate-like atelectasis at both lung bases. No airspace disease. Stable cardiomegaly.,1. Low lung volumes and bibasilar atelectasis. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.31586629861703700607388126856608364010
The heart size and mediastinal contours are within normal limits. Both lungs are clear.,No acute disease.,1.2.826.0.1.3680043.8.498.97857501511751406003878328785222418669
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.51332713261200319008081098225387466730
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.88205104044233473945644486017505926992
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.18653789020761246439845869614507923134
Single frontal view of the chest demonstrates a stable cardiac silhouette. There is progressive airspace disease within the right upper lobe and right infrahilar region. No significant pleural effusion. Diffuse interstitial prominence consistent with known history of emphysema. No pneumothorax. No acute bony abnormalities.,1. Progressive right-sided pneumonia. 2. Emphysema.,1.2.826.0.1.3680043.8.498.19752616417673403686623098945613460846
Left chest tube is now in place. No pneumothorax. Left pleural effusion has improved. Low lung volumes. Cardiomegaly with vascular congestion. Left base atelectasis.,Interval placement of left chest tube. No pneumothorax. Improved aeration in the left lung base with residual atelectasis and effusion.,1.2.826.0.1.3680043.8.498.48077378553443476427588411844907017690
Portable AP upright view of the chest demonstrates a normal cardiac silhouette. Pulmonary hila and vessels are within normal limits. Pleural spaces are clear. Lungs are clear of any focal mass or consolidation. No pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.70096988124596512287664397845013961627
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.93352913245723194964345034091642332879
Endotracheal tube is in good position. NG tube is in the stomach. Right central venous line is unchanged. Stable cardiac silhouette. There is perihilar air space disease and basilar atelectasis not changed from prior. No pneumothorax.,1. Stable support apparatus. 2. No change.,1.2.826.0.1.3680043.8.498.11374204795661034524825633886142838965
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74440861993311079290667482936963689369
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48639752915965056682581194121233181023
Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Swan-Ganz catheter has its tip in the right main pulmonary artery. Left chest tube is in place. No pneumothorax. Left lower lobe atelectasis. No edema.,Satisfactory postoperative chest x-ray.,1.2.826.0.1.3680043.8.498.90897186114571785522283304692501956552
Endotracheal tube and gastric catheter are again noted and stable. Cardiac shadow is stable. Increasing left basilar infiltrate is noted with mild right basilar atelectasis. No pneumothorax is noted. No bony abnormality is seen.,Increasing left basilar infiltrate.,1.2.826.0.1.3680043.8.498.35818528720175949414589658471068613130
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58470029771556679965821767782775892592
Linear areas of atelectasis or scarring in the lung bases. Heart is normal size. No effusions. No acute bony abnormality. No pneumothorax. No acute bony abnormality.,Bibasilar atelectasis or scarring.,1.2.826.0.1.3680043.8.498.52798787255952112628067842623641772514
A small right pleural effusion is noted. Vascular congestion is seen. Increased interstitial markings raise concern for pulmonary edema. No pneumothorax is seen. The cardiomediastinal silhouette is mildly enlarged. The patient is status post median sternotomy. An enteric tube is noted extending below the diaphragm. No acute osseous abnormalities are identified.,Small right pleural effusion noted. Vascular congestion and mild cardiomegaly. Increased interstitial markings raise concern for pulmonary edema.,1.2.826.0.1.3680043.8.498.96599017783705836906495690366006361290
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.42271765694319805425791733927626625133
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.73514578735099321790059974041528566376
"Right central venous line and right PICC are unchanged. Prior CABG. Cardiomegaly. Left lower lobe airspace opacity again noted, unchanged. No visible effusions. No acute bony abnormality.",No significant change. Persistent left lower lobe consolidation.,1.2.826.0.1.3680043.8.498.76068669006487555948935457375818209098
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66963377707328898021618165899848626098
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33675957647696801519738617950249373219
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.73540021192118965653953903617401839299
"Endotracheal tube, NG tube, right central venous catheter are unchanged. Stable cardiomegaly. Left basilar atelectasis and small left pleural effusion. No pneumothorax.",Stable support apparatus. Stable cardiomegaly. Left basilar atelectasis and small left pleural effusion.,1.2.826.0.1.3680043.8.498.99389444467082198863969233758089482016
There is elevation of the right hemidiaphragm. There is bilateral interstitial thickening. There is a small right pleural effusion. There is no pneumothorax. The heart size is enlarged. The osseous structures are unremarkable.,Cardiomegaly with pulmonary vascular congestion and interstitial edema. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.38262963703267874709488224820831088844
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79772159982361457406634261314654302916
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39379190348740537264922490501327920515
No acute rib fractures are identified. No significant callus formation is seen. The heart and mediastinal contours are stable. The lungs are well expanded and clear. No pleural effusion or pneumothorax is seen.,No evidence of acute rib fracture.,1.2.826.0.1.3680043.8.498.55931575948796943367237777441115894939
There is interstitial pulmonary edema. There is no airspace consolidation. There is no appreciable pleural effusion. Heart is mildly enlarged with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,Evidence a degree of congestive heart failure. No airspace consolidation.,1.2.826.0.1.3680043.8.498.85090342343437030890678799301789382555
Mediastinum and hilar structures are normal. Cardiomegaly with mild pulmonary vascular prominence and interstitial prominence with small left pleural effusion. These findings are consistent with congestive heart failure with mild pulmonary interstitial edema and small left pleural effusion. No pneumothorax. No acute bony abnormality.,Findings consistent with congestive heart failure with mild pulmonary interstitial edema and small left pleural effusion.,1.2.826.0.1.3680043.8.498.58263344796778435066033206951930625727
There is a left internal jugular central venous catheter present with the tip in the superior vena cava. There is no pneumothorax. There is a small right pleural effusion. The lungs are otherwise clear. The heart is normal in size. The bony structures are unremarkable.,1. Small right pleural effusion. 2. Left internal jugular central venous catheter present with the tip in the superior vena cava.,1.2.826.0.1.3680043.8.498.65771413747062216930146531585339694031
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10621105549443739973047943185140834844
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25756036176779297671527525179742356364
Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. Sliding hiatal hernia. No pleural effusion or pneumothorax.,1. No acute cardiopulmonary disease. 2. Hiatal hernia again noted.,1.2.826.0.1.3680043.8.498.60559058415158767769822791312909492985
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77028618813807806828791016329631097686
Heart size is normal. Mediastinal structures are normal. There is bilateral hilar adenopathy. The lungs are clear. No effusions. Bony structures unremarkable.,"Bilateral hilar adenopathy. Differential diagnosis includes sarcoidosis, lymphoma, lymphoma with reactive adenopathy, and other malignancies.",1.2.826.0.1.3680043.8.498.43905511325078714840799929895399116572
Cardiothymic shadow within normal limits. No definite pulmonary infiltrates or pleural fluid. No pleural fluid or osseous lesions.,No active disease.,1.2.826.0.1.3680043.8.498.21679351516853114517215989200672337696
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78457413145935298956021058797528747586
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17642339242110148398783353982162570852
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.69845221799231771709241900288146126010
OG tube is in the stomach. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax. No bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.22505394233643922189044903802658568262
Low lung volumes. Unchanged heart size and mediastinal contours with aortic atherosclerosis. Streaky bibasilar opacities favor atelectasis. No pulmonary edema. No large pleural effusion. No pneumothorax. Degenerative change of both shoulders.,1. Low lung volumes with bibasilar atelectasis. 2. No pulmonary edema.,1.2.826.0.1.3680043.8.498.12359312874975077128985641868490039243
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36028672353830046623338217653101071788
Lower lung volumes from prior exam. The heart size and mediastinal contours are stable. There is mild patient rotation to the right. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,No evidence of acute chest injury.,1.2.826.0.1.3680043.8.498.75511886989187244293196687493145861990
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99970565554162258509567068825381003719
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.28509427945623868270968223528161826649
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.35135474423714196708380375090213443049
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59104161912587714374015292933553060905
There is again noted increased density in the right upper lobe compatible with pneumonia and atelectasis that appears less extensive than on the prior exam. No new infiltrates are seen. No pleural effusion is noted. Heart size is normal. A Port-A-Cath is present with the tip projected over the superior vena cava.,1. Persistent right upper lobe infiltrate compatible with pneumonia and atelectasis. 2. No new infiltrates are seen.,1.2.826.0.1.3680043.8.498.92487260665290664989574257947683536356
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.98836396991449845887156697561818279110
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.78824074903695441055217155719340502014
The nodular density seen projecting over the right lower lung zone represents a nipple shadow. The lungs are clear. The heart is normal in size. The right jugular dialysis catheter is stable.,No pulmonary nodules. The nodular density seen on the earlier study represents a nipple shadow.,1.2.826.0.1.3680043.8.498.14620714357143363058791070290516148814
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.42598791826050746086946884951050668170
Cardiac shadow is at the upper limits of normal in size. The lungs are well aerated bilaterally. Patchy infiltrative changes are noted in the right lung base. No sizable effusion is seen. No bony abnormality is noted.,Right basilar infiltrate.,1.2.826.0.1.3680043.8.498.89047836669907364696984447498815585140
Cardiac shadow is mildly enlarged. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46082119351167168816806152761322958535
The cardiac silhouette is normal in size and configuration. Normal mediastinal and hilar contours. Clear lungs. No pleural effusion or pneumothorax. Bony thorax is intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84674670334948903888146205289727724243
"UVC tip terminates over the expected location of the intrahepatic IVC at the T10 level. Normal visualized bowel gas pattern. No pneumatosis, portal venous gas, or supine evidence for free air is seen. No acute osseous finding.",UVC tip over the intrahepatic IVC.,1.2.826.0.1.3680043.8.498.14187528903521538178621920154470507086
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.64178334977297557355466059382279476327
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15383514194617996213379042109994842021
The lungs are significant for left lower lobe consolidation versus atelectasis. No pleural abnormality is seen. The heart size is enlarged. The mediastinum appears intact. A cardiac pacemaker is present.,Left lower lobe consolidation likely atelectasis. Cardiac pacemaker.,1.2.826.0.1.3680043.8.498.11976364797379762319873860293634438576
There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.89287990166127742620731213986291320147
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.20705526441714812023670183707044323177
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid. Degenerative changes are seen in the spine.,No acute findings.,1.2.826.0.1.3680043.8.498.53070087466858003384155698617471811276
Cardiac and mediastinal contours are within normal limits. No focal or consolidative pulmonary opacities. Pleural spaces are normal. There are deformities of several left lateral ribs which may represent old fractures. No definite acute fracture is identified. No pneumothorax or pleural effusion.,1. No acute pulmonary process. 2. Old left lateral rib fractures.,1.2.826.0.1.3680043.8.498.71879844113886489913371265566974524573
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49677645215464278905510917837132599015
There is a severe thoracolumbar scoliosis deformity. The heart size is enlarged. There is a large hiatal hernia. Opacification of the left base is again noted and appears unchanged when compared with the prior exam. No new areas of consolidation are identified. There is no evidence for pleural effusion.,1. No significant change in aeration to the left lung base. 2. Cardiac enlargement.,1.2.826.0.1.3680043.8.498.20994537021245337347867633513793432207
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Lung volumes are normal. There is central airway thickening.,1. Central airway thickening consistent with lower respiratory tract viral infection or reactive airways disease. 2. No evidence for pneumonia.,1.2.826.0.1.3680043.8.498.78440715474442111760042242133094678841
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62236222109339930496127112228294579941
No active infiltrate or effusion is seen. There are prominent perihilar markings with peribronchial thickening most consistent with bronchitis. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Probable bronchitis.,1.2.826.0.1.3680043.8.498.84005272514673990788969216063011401634
"There is increased density at the right lung base which could be secondary to atelectasis or pneumonia. The lungs are otherwise clear. The heart is normal. The lungs are otherwise clear. There is no edema, effusion or pneumothorax. The bony structures appear intact.",Minimal right lung base pneumonia. Follow-up is recommended.,1.2.826.0.1.3680043.8.498.38327078756172734939221956411714373574
The chest is hyperexpanded consistent with emphysema. The lungs are clear. Heart size is normal. No effusion. No focal bony abnormality.,Emphysema without acute disease.,1.2.826.0.1.3680043.8.498.20213399189806736026983667750510511034
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24978885955406581711907238484928578591
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10504302094343955049237099491143405923
"Right Port-A-Cath remains in place, unchanged. Small right pleural effusion. Bilateral airspace opacities in the lungs, right greater than left, similar to prior study. Heart is normal size. No acute bony abnormality.",Stable bilateral airspace disease. Small right effusion.,1.2.826.0.1.3680043.8.498.68302438886948622984951210161386811826
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50632399790138061996756164658943013484
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49960935982743343096288508350038456375
"The cardiomediastinal silhouette is unchanged with normal heart size. There is new consolidation in the left lung base, likely a combination of a small pleural effusion and underlying atelectasis and/or pneumonia. A trace right pleural effusion is also noted. No pneumothorax is identified. No acute osseous abnormality is seen.","Left basilar opacity, likely a combination of pleural fluid and underlying atelectasis and/or pneumonia. Trace right pleural effusion.",1.2.826.0.1.3680043.8.498.25263761282688016608037577876400072550
"There are low lung volumes. Diffuse interstitial prominence is noted, increased since prior study. Heart size is mildly enlarged. No definite effusions.",Mild interstitial edema.,1.2.826.0.1.3680043.8.498.64804574292481074275171601571609612984
Right internal jugular temporary pacer has its tip projecting in the right ventricle. No pneumothorax. Cardiac silhouette is mildly enlarged. No mediastinal or hilar masses. Mild pulmonary vascular congestion. No overt pulmonary edema.,1. Right internal jugular temporary pacer tip projects in the right ventricle. 2. No pneumothorax. 3. Mild vascular congestion.,1.2.826.0.1.3680043.8.498.15840777971962985698276097312525048466
The lungs are clear. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.54335898861039598428716664907401255875
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.58995019734286150229574491987197249930
There is cardiomegaly. Pulmonary vascular congestion and mild interstitial edema noted. No pleural effusion or pneumothorax. No acute bony abnormality.,Cardiomegaly and mild interstitial edema.,1.2.826.0.1.3680043.8.498.23206349505644774627379007333722452141
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.96261598753633801418152117738516832702
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.24361273511145902760996566200622630853
Heart: Stable borderline cardiomegaly. Lungs: Normal. Mediastinum: Normal. Pleural effusions: None. Bones: Stable. Visualized upper abdomen: Normal.,1. No acute cardiopulmonary process. 2. Stable borderline cardiomegaly.,1.2.826.0.1.3680043.8.498.31370635869058477738574582623539853846
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18587709507283267917894192097296309591
There is little change in cardiomegaly with some improvement in the previously noted pulmonary vascular congestion. Small right pleural effusion remains with mild right basilar atelectasis present. A tiny left pleural effusion cannot be excluded. No bony abnormality is seen.,1. Cardiomegaly with some improvement in pulmonary vascular congestion. 2. Small right pleural effusion remains with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.24847334399452536103353394412823686616
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.60137601026819364079605574243913488528
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.51151308885423911048674003276109153555
There is cardiomegaly. Small bilateral pleural effusions and bibasilar atelectasis present. No acute infiltrates. No edema. No acute bony abnormality.,"Cardiomegaly, small effusions, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.22156907131781771124522063002919328263
The heart size is enlarged. There are bilateral pleural effusions. Interstitial and airspace opacities are identified consistent with pulmonary edema.,1. Cardiac enlargement and pulmonary edema.,1.2.826.0.1.3680043.8.498.56742457661070622807573387522713588253
"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.10236564434111909928411587540894186566
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97523534234225556193391818486327283411
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.14208019079033731674807745409969655697
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66358272318345078301035517381476147908
Single portable AP chest radiograph is provided. There is bilateral diffuse interstitial thickening likely representing interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology. There are bilateral small pleural effusions. There is no pneumothorax. The heart size is difficult to evaluate secondary to the bilateral diffuse air space disease. The osseous structures are unremarkable. There is a right-sided central venous catheter in unchanged position.,Please see above.,1.2.826.0.1.3680043.8.498.46580429544928421378248072604533687812
Mediastinum and hilar structures normal. Heart size normal. Right lower lobe infiltrate noted. This is consistent with pneumonia. Small right pleural effusion. No pneumothorax. Diffuse osteos metastatic disease again noted. Old midthoracic spine compression fracture is stable.,1. Right lower lobe infiltrate consistent with pneumonia. Small right pleural effusion. 2. Diffuse osteos metastatic disease again noted.,1.2.826.0.1.3680043.8.498.88809567414636671439996579523800300534
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.67517410768379514526855960970181924355
Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Pulmonary vasculature is unremarkable. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12348090823582447220503542532263283988
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20577175582503048312403935259544218885
The heart and mediastinum are within normal limits. There are mild perihilar reticular opacities and bronchial cuffing.,Findings suggesting mild reactive airways disease.,1.2.826.0.1.3680043.8.498.25635532727117189072901597503936568546
"Heart size is upper normal, stable. Overall cardiomediastinal silhouette is stable in size and configuration. Lungs are clear. No evidence of pneumonia. No pleural effusion. No pneumothorax seen. Osseous structures about the chest are unremarkable.",No active cardiopulmonary disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.54719808935366340676934910542618358515
A RIGHT sided Port-A-Cath is present with the tip projected over the superior vena cava. An expansile lesion is noted in the RIGHT upper lobe. There is no evidence of pneumothorax status post ultrasound-guided thoracentesis. No evidence of pleural effusion. The LEFT lung is clear. The cardiovascular structures are unremarkable.,1. No evidence of pneumothorax status post ultrasound-guided thoracentesis. 2. Expansile lesion in the RIGHT upper lobe. 3. LEFT sided Port-A-Cath is noted.,1.2.826.0.1.3680043.8.498.99965922813731429132512347434887930281
The lungs are well expanded. Linear opacity in the left midlung is compatible with atelectasis. There is elevation of the left hemidiaphragm. The heart is normal in size; calcification is noted within the aortic arch. No focal consolidation is seen; no definite pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen.,1. No evidence of focal consolidation. 2. Mild left-sided atelectasis; elevation of the left hemidiaphragm.,1.2.826.0.1.3680043.8.498.55282543544393654208219620383446977904
"There is mild left base atelectasis. The lungs are otherwise clear. No pleural effusion or pneumothorax. Heart, mediastinum and hila are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76475289877665679547817011938722563908
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66014784462108458435368564614163607549
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20493654944564570289008170218353884055
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54096201484572230153521823069536779556
Cardiomediastinal silhouette unremarkable. Dense airspace consolidation in the right lower lobe. Right pleural effusions. Left lung clear. Visualized bony thorax intact.,Right lower lobe pneumonia and right pleural effusion.,1.2.826.0.1.3680043.8.498.14600020792100648127231689912434195487
The lungs are well-aerated. Vascular congestion is noted. Increased interstitial markings raise concern for mild interstitial edema. There is no evidence of pleural effusion or pneumothorax. The heart is mildly enlarged. No acute osseous abnormalities are seen.,Vascular congestion and mild cardiomegaly. Increased interstitial markings raise concern for mild interstitial edema.,1.2.826.0.1.3680043.8.498.52491745879135703086496751133902415891
"Interval development of airspace consolidation in the right middle lobe and lingula. Cardiomediastinal silhouette unremarkable and unchanged. Mild central peribronchial thickening, unchanged. No pleural effusions. Visualized bony thorax intact.",Right middle lobe and lingular pneumonia.,1.2.826.0.1.3680043.8.498.71420650165206925858480777173463280168
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87123941435662773337560354409773633003
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.19740083854369578641894394919670184876
Cardiac shadow is enlarged. Aortic calcifications are again seen. Diffuse vascular congestion is noted with increased interstitial changes consistent with pulmonary edema. No sizable effusion is noted. No bony abnormality is seen. Degenerative changes of both shoulder joints are noted.,Stable cardiomegaly with worsening pulmonary edema.,1.2.826.0.1.3680043.8.498.31588399127474243031669487725899147258
"The heart is enlarged. The thoracic aorta is atherosclerotic. A LEFT subclavian pacemaker is present. The lungs are clear aside from minimal basilar atelectasis. There is no edema, pneumothorax or significant pleural effusion.",No acute cardiopulmonary disease. Cardiomegaly. Atherosclerosis. Pacemaker.,1.2.826.0.1.3680043.8.498.89392266326887773478375156184826489491
Again seen is marked hyperexpansion of both lungs with flattening of the hemidiaphragms and enlargement of the retrosternal clear space. Nodular opacity in the left upper lobe is again noted. There is also some scarring in the left lung base. No evidence of pleural effusion. Cardiomegaly is stable. No focal bony abnormality.,1. No acute disease. 2. Stable COPD and cardiomegaly. 3. Stable left upper lobe pulmonary nodule.,1.2.826.0.1.3680043.8.498.62383280978917914722992918338915427912
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23991522933610205065348756228650242564
Cardiac silhouette mildly enlarged. Thoracic aorta atherosclerotic. Hilar and mediastinal contours otherwise unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax.,Mild cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27857179905794346812538732825142813275
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39399060413431096606950557620132114024
The heart is within normal limits in size. The aortic arch is tortuous and contains calcification. The lung fields are clear. No effusions are seen. The vascularity is within normal limits.,1) No acute cardiopulmonary disease identified. 2) The heart is normal in size. 3) The aortic arch is tortuous and contains calcification.,1.2.826.0.1.3680043.8.498.23221841745856238981625914908634915093
PA and lateral chest radiographs are provided. There is left upper lobe and left lower lobe airspace disease most concerning for pneumonia. The right lung is clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,Left upper lobe and left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.48525866333838270899883505496306852319
"Left chest tube remains in place. Small left apical pneumothorax again noted, unchanged. Left base atelectasis again noted. Right lung is clear. Heart is normal size. No effusions.",Stable small left apical pneumothorax with left chest tube in place. Stable left base atelectasis.,1.2.826.0.1.3680043.8.498.57980684441297548260500490802606821023
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91459220312538763311328899593925510941
No fracture or dislocation is identified. The joint spaces are normal in width. No significant arthritic changes are seen.,Normal left knee. Normal left tibia and fibula.,1.2.826.0.1.3680043.8.498.27408433514005812010019355550958480247
"Two views of the chest show a normal size cardiomediastinal silhouette with atherosclerotic calcifications in the aorta. Calcified pleural plaques are seen. No consolidation, mass or pleural effusion is seen. Degenerative changes are seen in the spine.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92777116103336443798486866445701447424
Nasogastric tube terminates below today's film. The right PICC line terminates in stable position. The cardiomediastinal silhouette is stable. The lung volumes are low. Mild opacity in the right base is probably atelectasis given the low lung volumes. No other acute abnormalities.,1. Support apparatus as above. 2. Low lung volumes with probable right basilar atelectasis.,1.2.826.0.1.3680043.8.498.14828320416487261212537303853145948661
Patchy airspace opacities are again noted throughout the right lung and left lung base. These are not significantly changed compared to the prior chest x-ray. No pulmonary edema or pneumothorax. No pleural effusion. Cardiac and mediastinal contours are within normal limits. No acute osseous abnormality.,No significant interval change in the appearance of the chest compared to 10/01/2007. Persistent patchy airspace opacities throughout the right lung and left lung base consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.52681144202890647483307658122607522614
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.49417325751550629894404255825724131852
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.77229675100914974099057211012700974500
The heart size is normal. The lungs are clear. No consolidation identified. No pleural effusion is seen.,"Normal chest. No evidence of acute process; specifically, no consolidation.",1.2.826.0.1.3680043.8.498.35640274780343335371730494427992086630
The patient is rotated to the right. The heart is mildly enlarged. The aorta is tortuous and ectatic. The lungs are clear. There is no evidence of pleural effusion or pneumothorax. A remote right-sided rib fracture is again noted. No acute fractures are identified.,No acute cardiopulmonary disease. Cardiomegaly and ectasia of the thoracic aorta.,1.2.826.0.1.3680043.8.498.40762887907661430360496118350021853745
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.33536072353198616682506063524602452437
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61935991821305698736709989689445898101
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.99268004106935540688492009754931923688
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97708547839148660551762878677977860869
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.92459255549033202768255030778027491029
The heart size is stable. Aortic calcifications are noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56098426425655092497741026870318011720
Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal. Left-sided pacemaker in place.,No acute cardiopulmonary changes.,1.2.826.0.1.3680043.8.498.48960915670242916432473074363913473825
"The lungs are hyperinflated. There is no evidence of acute infiltrate, pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. The visualized skeletal structures are unremarkable.",No active disease.,1.2.826.0.1.3680043.8.498.51591720750783026111052643145105999847
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.36760475054927609269905588192225950088
"The heart is normal in size. The aorta is tortuous. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.27315704799265126399354097732380231071
Mediastinum and hilar structures normal. Prior CABG. Heart size normal. Low lung volumes. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Prior CABG. Heart size stable. 2. Low lung volumes. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.68882090628482507934733815223951861547
There is consolidation in the left upper lobe. The lungs are otherwise clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation consistent with pneumonia left upper lobe. Lungs otherwise clear. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.59441349156040135486382823989442752231
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94471810668835604354136329212514414581
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.77736213253538707767502934367805606791
"Cardiomediastinal silhouette is normal. There is central bronchial thickening but no infiltrate, collapse or effusion. Lung volumes are normal.",Bronchitis pattern. No consolidation or collapse. Normal lung volumes.,1.2.826.0.1.3680043.8.498.39948762691224577883520663601823798199
There is noted a dense consolidation in the RIGHT lower lobe compatible with pneumonia. There is also noted a minimal infiltrate in the LEFT lower lobe. The heart is normal in size. The mediastinal structures are unremarkable. No effusions are seen.,Findings which can be compatible with bibasilar pneumonia basically unchanged from 11-16-6.,1.2.826.0.1.3680043.8.498.41127952448145816560199316653184372384
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.56992559613119908333925215772426698026
Heart size is normal. Aortic atherosclerosis is noted. The lungs are clear. The vascularity is normal. No effusions. No acute bone finding.,No active disease. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.46788849986395059103432628446742394145
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.71091829586292521659525825437393743417
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.24943485798331512100882816511670055140
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94259719020649067472112156714603112541
Stable cardiomediastinal silhouette. Atherosclerosis of thoracic aorta is noted. No pneumothorax or pleural effusion is noted. Stable mild central pulmonary vascular congestion is noted. No consolidative process is noted. Bony thorax is unremarkable.,Stable central pulmonary vascular congestion. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.96374440697789030083553736396372787766
Cardiac silhouette is unchanged. Small left lung infiltrate is re-demonstrated greater than prior exam with progression in the left lung base. Osseous structures are unchanged.,Continued progression of left lung infiltrates.,1.2.826.0.1.3680043.8.498.19447212585381489644210716394027574690
There is central airway thickening but no focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.15573444388761765483217346618946674693
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97803324292574988535309343402001378733
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.96261195786607201635049027587043195317
There is hyperinflation of the lungs compatible with COPD. Linear areas of scarring in the lung bases. Heart is mildly enlarged. No confluent opacities or edema. Suspect small right pleural effusion. No acute bony abnormality. No visible rib fracture. No pneumothorax.,COPD/chronic changes. Cardiomegaly. Small right effusion.,1.2.826.0.1.3680043.8.498.83070057244770235566175989921536282032
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41368243345154491250573673477691261340
Linear atelectasis or scarring at the right base. No consolidation or effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease. Scarring or atelectasis at the right base.,1.2.826.0.1.3680043.8.498.53513650935582377309282594054666627588
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38285357466531637734854254984231040861
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.29024930183940544147019330586823296830
Heart size is normal. No pleural effusion or pulmonary edema. There is central airway thickening. Airspace consolidation is noted within the right lower lobe. The left lung is clear.,1. Central airway thickening consistent with lower respiratory tract viral infection or reactive airways disease. 2. Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.98809856601642546118267198623179417960
Tracheostomy tube and right PICC line in stable position. Heart size stable. Persistent bilateral pulmonary infiltrates/edema again noted without interim change. Small left pleural effusion. No pneumothorax.,1. Lines and tubes in stable position. 2. Persistent bilateral pulmonary infiltrates/edema without interim change. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.41195317334983306388732604698607606307
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30130488648163053076039540990859952209
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85480667997397892643608473454803327999
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37648589294865397773756130641358327707
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79753317972408260654053847870188966434
"An 8 cm masslike opacity is present in the right upper lobe. A patchy area of airspace opacity is present in the left upper lobe. No pleural effusion. No evidence of edema. Heart size is normal. Aortic atherosclerosis. Endotracheal tube terminates 6 cm above the carina. Enteric tube courses into the abdomen, tip not imaged.","1. Support apparatus as described. 2. Right upper lobe mass, suspicious for primary lung malignancy given reported history of lung cancer. 3. Superimposed patchy airspace opacities in the upper lobes bilaterally may reflect pneumonia.",1.2.826.0.1.3680043.8.498.75523128822899611437136108474730572165
Midline trachea. Normal heart size. No pleural effusion or pneumothorax. Slight worsening in right greater than left interstitial and airspace disease.,"Slight worsening in airspace disease, likely due to infection or aspiration superimposed upon pulmonary edema.",1.2.826.0.1.3680043.8.498.15850956300257540777877599048725075427
"Portable AP semi upright view at 7315 hours. Endotracheal tube tip in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, tip not included. Stable right IJ approach Swan-Ganz catheter. Mediastinal drain and left chest tube are stable. No pneumothorax. Stable pulmonary vascularity. Stable cardiac size and mediastinal contours. Prior CABG. Stable visualized osseous structures.",1. Stable lines and tubes. 2. No pneumothorax. 3. Stable pulmonary edema.,1.2.826.0.1.3680043.8.498.40482367583285040629249677681560473369
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11429195635308937244897900598299341824
There is stable cardiomegaly. Again seen is a transvenous defibrillator/pacer and AICD device. There has been slight improvement in the previously seen pulmonary edematous changes. Small bilateral pleural effusions are seen. There is atelectasis seen within the left lung base.,Slight improvement in CHF. Stable cardiomegaly. Small bilateral pleural effusions. Left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.17379250698580991213200094019346862157
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable.,No acute disease.,1.2.826.0.1.3680043.8.498.31257137320662022240845547747955276978
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.64352396434703010160434809573103045606
The cardiopericardial silhouette is within normal limits for size. There is tortuosity of the descending thoracic aorta. Linear atelectasis is present in the right mid lung. No focal consolidation is seen. No pleural effusions are evident. The visualized soft tissues and bony thorax are unremarkable.,1. Linear atelectasis in the right mid lung. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56924302385152961962575168900224778600
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65929869207612797760836964142304296574
"Patchy opacity in the lingula, suspicious for pneumonia. Right lung is clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.",Lingular pneumonia.,1.2.826.0.1.3680043.8.498.37427459303335257143516514119996896113
Low lung volumes. No pleural effusion or pneumothorax. Cardiomegaly.,Low lung volumes with cardiomegaly.,1.2.826.0.1.3680043.8.498.67124461592369510324251774036414423258
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59975688763438046288802784122937775453
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.16707875118084156319286661902960465852
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55300361816127119936896607461687706450
"Right PICC line and feeding tube are unchanged. The cardiac silhouette remains mildly enlarged. Aortic atherosclerosis is noted. Lung volumes remain low with mild left basilar opacity, which has mildly improved. No edema, sizable pleural effusion or pneumothorax is identified.","Mild left basilar opacity, likely atelectasis.",1.2.826.0.1.3680043.8.498.22118618839560712834339797104318902077
"AP view at 9555 hours. Enteric tube placed, tip at the level of the gastric body. UVC catheter tip is at the level of the diaphragm. UAC tip at T7-T8. Normal bowel gas pattern. No endotracheal tube. Normal cardiothymic silhouette. No pleural effusion or pneumothorax. No confluent pulmonary opacity.",1. Enteric tube placed into the stomach. UVC and UAC are stable. 2. Normal bowel gas pattern. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.91029709390096126624709108236807867517
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.89984633223185706589024239607272399000
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42930649597739290291228642946302098735
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85536169438951626459158807328658544224
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.98183758568645137792473779025249316447
Left subclavian pacemaker leads project over right atrium and right ventricle. Enlargement of cardiac silhouette. Tortuous aorta. Pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones appear demineralized.,No pneumothorax following pacemaker placement. Enlargement of cardiac silhouette.,1.2.826.0.1.3680043.8.498.96377510432318179922551817210437108119
Chest: Single view chest without comparison shows the cardiac silhouette and mediastinal structures are within normal limits. There is no pulmonary vascular congestion. No focal lung consolidation is seen. There is no pleural effusion or pneumothorax seen. Visualized osseous structures show no acute findings. Abdomen: flat and upright views of the abdomen without comparison shows a nonobstructive bowel gas pattern with air seen down to the level of the rectum. Moderate amount of stool is seen in the ascending colon and cecum. No pathologic calcifications are seen. There is no free air seen by upright examination. The visualized osseous structures show no acute findings. Surgical clips are seen in the right upper quadrant presumed to reflect previous cholecystectomy.,1. No radiographically evident acute cardiopulmonary process. 2. Nonobstructive bowel gas pattern seen. 3. No free air seen by upright examination.,1.2.826.0.1.3680043.8.498.28613213156483397124750486526122121217
Right central venous catheter is unchanged. Mild cardiomegaly. Bibasilar atelectasis. No effusions or edema. No acute bony abnormality.,"Cardiomegaly, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.79159350615904893344400441605203320621
Heart and mediastinal contours are within normal limits. There is central airway thickening without focal airspace opacity or effusion. Visualized skeleton unremarkable.,Findings compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.51917609621452938670066910281822665323
The heart is enlarged. The pulmonary vascularity is normal. Lungs show no acute process. There is no pneumothorax or effusion. Mediastinal contours are unremarkable. Hilar appearance is normal. Old left rib fractures are noted.,Cardiomegaly. No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.58689360934809994824496452382132563866
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21979505347836238593745846072718663562
Cardiac silhouette upper limits of normal in size. Mediastinal shadows are normal. The lungs are clear. The vascularity is normal. No effusions. No bone abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.39342532878088626728936750639392505389
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18927937850624817368251584611607591690
Heart size is normal. There is a small left pleural effusion. No interstitial edema noted. No airspace consolidation identified. There is a hiatal hernia.,1. Small left pleural effusion. 2. Hiatal hernia.,1.2.826.0.1.3680043.8.498.20240940019355748344081980838477656463
There is airspace disease in the anterior left upper lobe consistent with pneumonia. The right lung is clear. No pneumothorax is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,Left upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.67260482579265034358037778925822671236
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Small right pleural effusion with adjacent atelectasis. The left lung is clear. No pneumothorax. The visualized skeletal structures are unremarkable.,Small right pleural effusion with adjacent atelectasis.,1.2.826.0.1.3680043.8.498.27511446208766595819886293322479447106
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.69672572546194360856417569016851745918
There is hyperinflation of the lungs compatible with COPD. Scarring noted in the lung apices bilaterally. No acute infiltrates or effusions. The heart is upper limits of normal in size. Mediastinal contours are within normal limits and stable. No acute bony abnormality.,COPD/chronic changes. No active disease.,1.2.826.0.1.3680043.8.498.11206231896325752331831312901691504559
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90610576634903630610224732888933443324
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99569576264333464001671051039282941074
"Mild, hazy opacities are present throughout both lungs, likely representing mild RDS. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits. An orogastric tube is seen with tip in the mid stomach.",1. Improved aeration of both lungs. 2. Mild RDS.,1.2.826.0.1.3680043.8.498.24925959482156148384277039258512237795
The lungs are clear. The cardiothymic shadow is normal. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.93041872834968721685769732543010078979
The pleural effusions have resolved. The heart is normal in size and the lungs are clear. No pneumothorax.,Resolved pleural effusions and no acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71621945254709786946532582418617442354
There is diffuse interstitial infiltrate in both lungs. There is shallow inspiration. The heart is borderline enlarged. There is no pneumothorax. There is no discrete mass. The bony structures appear to be intact.,Bilateral areas of interstitial infiltrate. Correlation is made with images of 05/22/1997. The possibility of chronic fibrotic changes with superimposed acute areas of pneumonia or pulmonary edema is a consideration.,1.2.826.0.1.3680043.8.498.18046134885447479622267725505946993706
"Patchy bilateral airspace disease again noted, slightly increased. Low lung volumes. Heart is normal size. No effusions or pneumothorax. No acute bony abnormality.","Patchy bilateral airspace disease compatible with pneumonia, slightly increased in the upper lobes.",1.2.826.0.1.3680043.8.498.40289772743904653530974983552438081486
The lungs are clear. There is no pleural effusion or pneumothorax. Heart size is normal. No rib fracture.,Negative exam.,1.2.826.0.1.3680043.8.498.81887822819908859587817578481861676133
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69202014725939178941353085493415392391
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. Thoracolumbar scoliosis is noted.,No acute disease.,1.2.826.0.1.3680043.8.498.94069989086172985243940335772373920887
The heart is mildly enlarged. There is no significant effusion. There is no definite edema. There is some minimal atelectasis at the lung bases. The bones are osteopenic. There is a thoracic scoliosis. The patient is status post right shoulder replacement.,Stable chest x-ray with mild cardiomegaly and mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.79865847180056456257387708257183129711
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11107169197149299111430517024567315048
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67890234264789455867581483339983189021
"Cardiothymic silhouette is normal. There is bronchial thickening but there is no infiltrate, collapse or effusion. Bony structure is unremarkable.",Bronchitis without consolidation or collapse.,1.2.826.0.1.3680043.8.498.83416039686386215715431332815602856605
"There are bilateral pleural effusions, left greater than right. Opacity in the left lung base is probably due to associated atelectasis. There is no evidence of pulmonary edema. No pneumothorax is identified. Heart size is normal. No focal consolidations are noted. The visualized bony structures are unremarkable.","1. Bilateral pleural effusions. 2. Left lower lobe opacity, probably atelectasis.",1.2.826.0.1.3680043.8.498.48874433045826652053801659615869406779
An orogastric tube is stable in position. The cardiothymic silhouette is within normal limits. The lung fields demonstrate good expansion with no evidence for focal infiltrate or congestive failure. No pleural effusions are seen. Bony structures appear intact.,Stable cardiopulmonary appearance with no acute disease.,1.2.826.0.1.3680043.8.498.39576014121501403167174802109576036336
There is no pulmonary vascular congestion. There are bibasilar reticular markings without focal lung consolidation seen. There is no pleural effusion or pneumothorax seen. Visualized osseous structures show no acute findings.,1. Chronic lung findings without superimposed focal infiltrate. 2. No radiographically evident acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.95897654039535262728094748372500065447
Prior CABG. Heart is normal size. Tortuosity of the thoracic aorta. Small left pleural effusion and left base atelectasis. Right lung is clear. No acute bony abnormality. No pneumothorax.,Small left pleural effusion and left base atelectasis.,1.2.826.0.1.3680043.8.498.50230392694360595075870108823165049569
Exam is limited because of difficulty positioning the patient. The patient is rotated to the right. The heart remains enlarged with a stable tortuous aorta. Bibasilar atelectasis and airspace disease remain with interval increase in the right lower lobe. Bilateral effusions are suspected. No definite pneumothorax.,1. Slight increase in basilar airspace disease and atelectasis with bilateral effusions. 2. Exam is limited because of difficulty patient positioning as described above.,1.2.826.0.1.3680043.8.498.43494556735076386944774720667166727835
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55486070352425510903492163116840653817
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14518055282944902228916282336733134750
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96705416300861725908167136405730341908
Left jugular catheter tip is in the lower SVC. No pneumothorax. There is minimal atelectasis at the left lung base. The lungs are otherwise clear. Heart and mediastinal contours normal.,"1. Left jugular catheter placement to the lower SVC, no pneumothorax. 2. Minimal left lower lobe atelectasis.",1.2.826.0.1.3680043.8.498.93083667264009222722735310387721800050
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81368437618946377810998430319797463691
The cardiac silhouette remains near the upper limit of normal in size. Clear lungs with normal vascularity. Thoracic spine degenerative changes.,No acute abnormality.,1.2.826.0.1.3680043.8.498.11412893548176936757157248290392669854
"There are bilateral pneumothoraces. There is no significant change since the prior study. Again, the lungs appear clear. Negative for airspace disease, atelectasis, or effusion. Negative for pneumothorax. The heart size is normal. The bowel gas pattern is normal. There is no evidence of dilated bowel loops. There is no evidence of free air. The previously described rib fractures are not apparent on this examination.",1. Small bilateral pneumothoraces. 2. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.92241199203415773502659847448130785589
There is focal airspace disease in the right middle lobe consistent with pneumonia. The lungs are otherwise clear. Heart size is normal. No pneumothorax or pleural effusion.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.48627939435461837168108931307765574040
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11247386082625054378459517197317937692
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82563513602022413947715138278730688909
Endotracheal tube is 3.5 cm above the carina. Nasogastric tube extends into the abdomen. Right jugular central line in the SVC region. No evidence for a pneumothorax. New patchy densities throughout the right lung and left lung base. Heart size is within normal limits. No evidence for a pneumothorax.,New airspace densities in the lungs as described. Support apparatuses as described.,1.2.826.0.1.3680043.8.498.92129335155009962915067229073666870245
There is a small right pleural effusion. The right lower lobe lung nodule is difficult to visualize on the current exam. There is no pneumothorax. The left lung is clear. The heart size is normal. The visualized soft tissues and bony thorax are unremarkable.,1. Small right pleural effusion. 2. No change in the appearance of the right lung nodule.,1.2.826.0.1.3680043.8.498.35174549942143662910389758551494664106
Heart and mediastinal contours normal. Again noted are bilateral upper lobe densities with bilateral hilar adenopathy. These findings are stable consistent with sarcoidosis. No acute process. No change since the prior exam. No pleural fluid or osseous lesions.,Chronic changes consistent with sarcoidosis - no acute process.,1.2.826.0.1.3680043.8.498.22697181147909323843443888827250822752
Endotracheal tube is 2.8 cm above the carina. NG tube enters the stomach. Heart is normal size. Lungs are clear. No effusions or pneumothorax. No acute bony abnormality.,Endotracheal tube and NG tube in expected position. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72608630707112484933824065814009524495
Linear atelectasis is seen in the left mid lung and lung base. The lungs are otherwise clear. No pneumothorax or pleural effusion. Heart size normal.,No acute disease.,1.2.826.0.1.3680043.8.498.55698379627054977404741057514140826511
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Lungs clear. Cardiac silhouette normal.,1.2.826.0.1.3680043.8.498.89987714024641005406510038762973259547
Low lung volumes. There are small bilateral pleural effusions. Bibasilar atelectasis present. No pneumothorax. Stable cardiomediastinal contours. No aggressive osseous lesion.,Low lung volumes with small bilateral pleural effusions and adjacent atelectasis/consolidation.,1.2.826.0.1.3680043.8.498.20806032257661389418265362034834407661
Single frontal view of the chest demonstrates an enlarged cardiac silhouette. Atherosclerosis of the aortic arch. Linear areas of consolidation at the lung bases likely reflect atelectasis. No effusion or pneumothorax. No acute bony abnormalities.,1. Bibasilar subsegmental atelectasis. 2. Cardiomegaly. 3. Atherosclerosis.,1.2.826.0.1.3680043.8.498.61933122133078753786627293020502710883
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25176713633628164736112447407533005652
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.52629534355812598991195480068603731685
Lung volumes are normal. There is no focal airspace disease. Mild central airway thickening is noted. No effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Central airway thickening without focal process.,1.2.826.0.1.3680043.8.498.11887401727216564184913949831408902251
Increased reticular opacities are present in the lungs with some fissural and septal thickening. No pneumothorax or effusion. No convincing features of edema. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality. Telemetry leads overlie the chest.,Findings suggestive of mild pulmonary edema.,1.2.826.0.1.3680043.8.498.73102131242315256939821637451986118553
No evidence of displaced fracture or dislocation. No retrosternal hematoma.,No evidence of displaced fracture or dislocation.,1.2.826.0.1.3680043.8.498.35435216995309673236886155046037750601
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37060745948621190351889922200434383131
Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. Small right pleural effusion is stable. No left pleural effusion. No pulmonary edema. Stable hazy opacities at the right greater than left lung bases.,"Stable hazy opacities at the right greater than left lung bases, compatible with multilobar pneumonia. Stable small right pleural effusion.",1.2.826.0.1.3680043.8.498.57381151901338661185273943707431820504
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88669003446780516326586450737076228078
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19133948918646798017914679223103903024
There is a right arm PICC line with tip in the SVC. The heart size is enlarged. There are bilateral pleural effusions and interstitial edema consistent with CHF. Bilateral lower lobe opacities are noted which may reflect atelectasis and/or airspace disease.,1. CHF. 2. Bilateral pleural effusions and pulmonary edema.,1.2.826.0.1.3680043.8.498.70974271765390035512699690604600958584
Mediastinum and hilar structures normal. Heart size normal. No pulmonary venous congestion. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes thoracic spine. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18139911186721702758560685658322008137
Stable cardiomediastinal silhouette. Stable bilateral diffuse lung opacities are noted concerning for multifocal pneumonia. No pneumothorax or pleural effusion is noted. Bony thorax is unremarkable.,Stable findings consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.88662585750105586964635737449170916741
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95069026597509309458323410696925606484
There is patchy infiltrate in the anterior segment of the left upper lobe. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Infiltrate left upper lobe, consistent with pneumonia. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.",1.2.826.0.1.3680043.8.498.38432656237262645405131152693053365463
A left upper extremity PCVC is again noted with the tip in the superior vena cava. An orogastric tube is stable in position. The endotracheal tube has been removed. The appearance is most similar to the exam of 09/30/07. Mild RDS persists. No areas of atelectasis are seen.,Left upper extremity PCVC tip in the superior vena cava.,1.2.826.0.1.3680043.8.498.22221351471731758895389884772020673035
Single frontal view of the chest demonstrates a stable cardiac silhouette. Emphysema again noted. There is patchy consolidation at the right lung base consistent with pneumonia. No effusion or pneumothorax. Multiple bilateral nodular opacities consistent with known metastatic disease. No acute bony abnormalities.,1. Right lower lobe pneumonia. 2. Emphysema and bilateral pulmonary metastatic disease.,1.2.826.0.1.3680043.8.498.97079513831100187678222471611905598169
Endotracheal tube and NG tube in stable position. Heart size normal. Progressive left base atelectasis and/or infiltrate. Stable right base atelectasis. Small left pleural effusion. No pneumothorax.,1. Lines and tubes in stable position. 2. Progressive left base atelectasis and/or infiltrate.,1.2.826.0.1.3680043.8.498.40304070385648311027181470790174764445
Left-sided pacemaker in place. Stable heart size and mediastinal contours. Hiatal hernia. No pulmonary edema. No pleural effusion or pneumothorax. No focal airspace disease.,No acute abnormality.,1.2.826.0.1.3680043.8.498.69297041613555268841869338162907647099
The patient has a new right-sided PICC with the tip in the superior vena cava. No pneumothorax. Left base atelectasis is noted. The lungs are otherwise clear. Heart size normal.,1. PICC in place without complicating features. 2. Left base atelectasis.,1.2.826.0.1.3680043.8.498.70727897346067446274254467736252814015
The lungs are hyperinflated consistent with COPD. No active infiltrate or effusion is seen. The heart is within upper limits of normal.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.62439422958561431279408636824651813962
Normal heart size. Status post TAVR. Aortic atherosclerosis. Clear lungs. No pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16035197199021406723491463341349177634
"Stable cardiomegaly with aortic atherosclerosis. No focal airspace disease, pleural effusion or pneumothorax. No evidence of pulmonary edema. No acute bony abnormalities identified.",Stable cardiomegaly with aortic atherosclerosis. No acute findings.,1.2.826.0.1.3680043.8.498.25687020205753766568905335684456775338
The right PICC line tip is in the mid SVC approximately 6- 7 cm above the region of the cavoatrial junction. The heart remains enlarged and there is persistent diffuse edema throughout the lungs.,Right PICC line tip in the mid SVC.,1.2.826.0.1.3680043.8.498.22559515790975184359761173562537204520
The heart appears normal in size. Mild bilateral hilar prominence. Mild peribronchial thickening. No gross pneumothorax. There is no dense consolidation. No acute fracture. Limited evaluation of the thoracic spine.,Mild bronchitis. No dense consolidation.,1.2.826.0.1.3680043.8.498.73096075029241309248578650178039153808
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43211159893494723112281269229138687059
"Swan-Ganz catheter, mediastinal and thoracostomy tubes have been removed. Small left pleural effusion and left lower lobe atelectasis are again noted. Small right pleural effusion is present. Cardiomegaly. No CHF. No pneumothorax.",Small left pleural effusion and left lower lobe atelectasis. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.92232422017666746150340569428487830523
Single portable AP chest radiograph is provided. There is hazy airspace disease at the right lung base which may represent atelectasis versus developing infiltrate. The remainder of the lung fields are clear. There is no pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,No acute disease of the chest.,1.2.826.0.1.3680043.8.498.49714024355543162760232886021940534840
The heart size and mediastinal contours are stable. There is aortic atherosclerosis. There are persistent findings of congestive heart failure with pulmonary edema and small bilateral pleural effusions. Patchy airspace opacities at the left lung base are unchanged and may reflect atelectasis or pneumonia. There is no pneumothorax. The bones are unchanged.,"Persistent congestive heart failure with small bilateral pleural effusions and patchy left basilar airspace disease, likely atelectasis. Pneumonia is not excluded.",1.2.826.0.1.3680043.8.498.47366454904708227712102450118715806637
Mild cardiomegaly. Lungs clear. No effusions or edema. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31856376597296246713097416562715651044
There is little change in coarse interstitial markings throughout the lungs consistent with pulmonary fibrosis. No focal infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is mildly enlarged and stable. No bony abnormality is seen.,Stable chronic interstitial change consistent with pulmonary fibrosis. No active process.,1.2.826.0.1.3680043.8.498.69472192637176068720271500747736767372
"Heart size is normal. There is atherosclerotic calcification of the aortic arch. Previously seen airspace consolidation in the left upper lobe has decreased in size. There is a persistent bandlike area of airspace consolidation in the left upper lobe, consistent with resolving pneumonia. Right lung is clear. No pleural effusion or pneumothorax.",1. Persistent but decreased left upper lobe airspace consolidation consistent with resolving pneumonia. Continued radiographic follow-up is recommended to document complete resolution. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.63572078723432375139713279136876275110
Heart size within normal limits. There is no appreciable airspace consolidation. No evidence of pleural effusion or pneumothorax. No acute bony abnormality identified.,No evidence of acute cardiopulmonary abnormality or displaced rib fracture.,1.2.826.0.1.3680043.8.498.22171642239327895990836850818038573428
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.82436573727627015186253859038028594695
Heart is normal size. No confluent airspace opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.83850904832283943059811380461643819241
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94739167466234726934059833157419762713
"Unchanged heart size and mediastinal contours. Aortic atherosclerosis. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No acute chest finding.,1.2.826.0.1.3680043.8.498.70804664851295799331769835660075438496
Heart: Normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.11433679022412295521704444971233656124
There is abnormal density in the right lower lobe worrisome for pneumonia. The left lung is clear. No pleural fluid. Heart and mediastinum are normal.,Findings worrisome for right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.53279789462716160861158535434848125419
"There is increased density at both lung bases, greater on the right. The findings are suspicious for bilateral pneumonia. There is no evidence of pulmonary edema. The heart is mildly enlarged. A cardiac pacemaker is present. Postoperative changes of prior CABG are noted.","1. There is increased density at both lung bases, greater on the right. The findings are suspicious for pneumonia. 2. Mild cardiomegaly. 3. A cardiac pacemaker is present.",1.2.826.0.1.3680043.8.498.78341016238394799158806117094466539985
"Patchy ill-defined opacities and areas of interstitial prominence are noted throughout the lungs bilaterally, most evident throughout the mid to lower lungs. No pleural effusions. No evidence of pulmonary edema. Heart size is normal. Upper mediastinal contours are within normal limits.","Persistent parenchymal abnormalities throughout the lungs bilaterally, compatible with residual pneumonia.",1.2.826.0.1.3680043.8.498.53248695109158745398012440754439412547
"There is little change in CHF with congestion, effusion, and edema. Cardiomegaly is stable. Slightly prominent right hilum is noted.",CHF with effusion. Slight prominence of right hilum. Recommend follow-up.,1.2.826.0.1.3680043.8.498.84220659776375283356333230262513597207
Heart is normal size. Aortic atherosclerosis. No confluent airspace opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.59959177400738252588271856307285877887
Heart size is normal. No pleural effusion or pulmonary edema. The lung volumes are low. No airspace consolidation identified.,1. Low lung volumes. 2. No evidence for pneumonia.,1.2.826.0.1.3680043.8.498.99116184050853289080912122689660787959
Right IJ central line extends to the mid SVC. No pneumothorax. Low lung volumes with some patchy atelectasis at the lung bases as before. No effusion. Heart size upper limits normal. Tortuous atheromatous thoracic aorta. Regional bones unremarkable.,Central line to mid SVC without pneumothorax.,1.2.826.0.1.3680043.8.498.45174737468138040543064159635347665720
Persistent areas of increased density noted in the right upper lobe and left lung base. Findings are consistent with atelectasis and infiltrate. The cardiovascular structures are unremarkable.,1. Persistent atelectasis and infiltrates. 2. Interim improvement from 7/11/2023.,1.2.826.0.1.3680043.8.498.95960370966644365648816222232903500962
"The lungs are well-aerated. Increased central lung markings may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",Increased central lung markings may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.63853084491728370895779067311459554938
Tip of endotracheal tube projects 2.8 cm above carina. Right jugular central venous catheter tip projects over proximal SVC. External pacing leads present. Normal heart size. Diffuse bilateral airspace infiltrates throughout both lungs. No gross pleural effusion or pneumothorax.,Line and tube positions as above. Extensive bilateral airspace infiltrates.,1.2.826.0.1.3680043.8.498.34452343395974011370222934213784156503
There are patchy opacities at the right lung base suspicious for pneumonia. Left lung is clear. No pleural effusion or pneumothorax. Heart is normal in size. Visualized osseous structures are within normal limits.,Patchy opacities at the right lung base suspicious for pneumonia.,1.2.826.0.1.3680043.8.498.89396654208606448730233430347331465520
Right internal jugular central venous catheter with its tip at the cavoatrial junction. No pneumothorax. Nasogastric tube extending into the stomach. Mild patchy opacity at the left lung base.,Right internal jugular central venous catheter tip at the cavoatrial junction. No pneumothorax. Mild patchy left basilar atelectasis.,1.2.826.0.1.3680043.8.498.78442168430989597751497528024085431860
PA and lateral chest radiographs are provided. There is a small right pleural effusion. There is right lower lobe airspace disease which may represent atelectasis versus infiltrate. The left lung is clear. There is no pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,Small right pleural effusion with right lower lobe airspace disease which may represent atelectasis versus infiltrate.,1.2.826.0.1.3680043.8.498.55539212238975514001034488888527794845
Normal cardiothymic silhouette. Airway is normal. There is coarsened central bronchovascular markings. No focal consolidation. No pneumothorax. No bony abnormality.,Findings suggest viral process.,1.2.826.0.1.3680043.8.498.63414160381995603448092858113410359581
The heart size and mediastinal contours are within normal limits. Endotracheal and nasogastric tubes are in good position. No pneumothorax is noted. Diffuse interstitial densities are noted throughout both lungs most consistent with pulmonary edema. Minimal pleural effusions may be present. The visualized skeletal structures are unremarkable.,Findings most consistent with bilateral pulmonary edema.,1.2.826.0.1.3680043.8.498.68882063275280372486376696540623656671
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18968269477986661178271387766977210134
"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86489190545380027950895668466983392003
Heart: Normal. Lungs: Normal. Mediastinum: Normal. Pleural effusions: None. Bones: Stable. Visualized upper abdomen: Normal. Left chest wall port in place with the tip in the superior vena cava.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.55779761510863657581279873566956386506
"The lung volumes are low. The heart is probably enlarged. No distinct pneumothorax is identified. Minimal opacities are present in the lung bases, particularly on the left.","Probable basilar atelectasis and/or overlying soft tissue. Pulmonary consolidation cannot be entirely excluded, however.",1.2.826.0.1.3680043.8.498.78698195305836660205347130342656905530
Right chest wall Port-A-Cath is unchanged. The heart size is normal. There is a small left pleural effusion. Patchy areas of atelectasis and/or airspace disease are seen in the left mid lung and left base. There is increased density at the right lung base which may reflect atelectasis.,1. New patchy areas of airspace disease are seen in the left mid lung and left base. 2. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.78150012112025036162189875971569713128
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.19111612445612892684472165331027788916
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.66371492237615765039581047342267975874
The heart and mediastinum are within normal limits. The lungs are hyperinflated. No focal pulmonary opacities.,"Hyperinflation. Otherwise, no acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.35688311270440284387188093253466329614
Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No acute or significant findings.,1.2.826.0.1.3680043.8.498.79053316469497092031184990786859662000
Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.81106000168103474798552208823404251802
The heart is normal in size. The aorta is tortuous. The lungs are clear. No pneumothorax. No acute rib fractures.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62432274985536610303294431756539753114
Right central line is in place. The tip is in the right atrium. Endotracheal tube and NG tube are unchanged. Low lung volumes with vascular congestion and atelectasis. No pneumothorax.,Right central line tip in the right atrium. No pneumothorax. Otherwise no change.,1.2.826.0.1.3680043.8.498.53231854832883439671879774188077963773
Stable enlarged cardiac silhouette and post CABG changes. Stable left subclavian pacemaker leads. No significant change in mild diffuse peribronchial thickening. Stable left basilar airspace opacity. No acute abnormality.,1. Stable cardiomegaly and mild chronic bronchitic changes. 2. Stable left basilar atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.90292167687280835496346366761360162533
Right internal jugular single-lumen porta cath with tip terminating at the superior cavoatrial junction. Left internal jugular Vas-Cath with tip terminating in the right atrium. Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Atherosclerosis in the thoracic aorta.,"1. Support apparatus, as above. 2. No radiographic evidence of acute cardiopulmonary disease. 3. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.30452285583728736882687801789198093916
Mediastinum and hilar structures normal. Heart size normal. Partial clearing of right lung infiltrate. Small bilateral pleural effusions. No pneumothorax.,1. Partial clearing of right lung infiltrate. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.27435691072393101169332758980681711761
Endotracheal tube has been removed. Swan-Ganz catheter remains in the right pulmonary artery. Left chest tube is in place. There is no pneumothorax. There is mild bibasilar atelectasis.,Mild bibasilar atelectasis post extubation.,1.2.826.0.1.3680043.8.498.22918946030546788932713599993044880637
The lungs are adequately inflated. The interstitial markings are increased. The cardiac silhouette is top normal in size. The pulmonary vascularity is not clearly engorged. I see no pleural effusion.,There are findings consistent with interstitial edema of cardiac or noncardiac cause. I see no focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.67176668385742938514954483605991171599
Cardiac shadow is stable. Aortic calcifications are again seen. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25295172799699852644616292367551511217
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80072191672981248346767364766973867828
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10358683874974714840067685127283129382
There is a new area of consolidation in the right upper lobe consistent with pneumonia. Heart size and vascularity are normal. Left lung is clear. No osseous abnormality.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.25862918779951789369923723711836106293
Patchy opacities are present in the periphery of both lungs most notably in the left lung base. No pneumothorax or effusion. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.,Patchy opacities in the periphery of both lungs suspicious for multifocal pneumonia.,1.2.826.0.1.3680043.8.498.49012825114639894613019668024155240179
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.87632846929163972425919266270112588233
"There is an nasogastric tube in place with the tip in the stomach. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. Bilateral infiltrates at the lung bases are noted. There may be small pleural effusions. No lung mass, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Nasogastric tube with tip in stomach. Bilateral basal infiltrates.,1.2.826.0.1.3680043.8.498.25306691984722293462283628991499783623
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.51400497001775681289165784336317318000
The heart size and mediastinal contours are within normal limits. Prior CABG. Both lungs are clear. No visible pleural effusions or pneumothorax. No acute osseous abnormality.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18182311872678365466871209558097552009
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47667483937423198843190595508033427077
"Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No evidence of pulmonary edema. Heart size is mildly enlarged. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Atherosclerosis in the thoracic aorta.",1. No radiographic evidence of acute cardiopulmonary disease. 2. Mild cardiomegaly. 3. Atherosclerosis.,1.2.826.0.1.3680043.8.498.84815238018491655031705237879027693146
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99647387480776719265095765511374034927
The patient has had a right mastectomy and axillary dissection. The heart is normal in size. There is no evidence for pericardial effusion. The lungs are hyperinflated. There is no evidence for pulmonary edema. No focal airspace disease is seen. Blunting of the right costophrenic angle is stable.,1. Stable appearance of the chest. 2. No evidence for pericardial effusion. 3. Changes consistent with COPD. 4. Small right effusion versus chronic pleural thickening.,1.2.826.0.1.3680043.8.498.91675494711689685227654418920309007696
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.19499286789166235500368473680717386328
Cardiac shadow is stable. Aortic calcifications are again seen. Right-sided PICC line is noted in satisfactory position. The lungs are well aerated bilaterally. Mild left basilar atelectasis is seen. No bony abnormality is noted. Postsurgical changes in the cervical spine are seen.,Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.48514638724372212506961408683320458330
The left chest tube is stable. A tiny left pneumothorax is stable. A left pleural effusion and left basilar atelectasis are again noted. The right lung is under-inflated with mild basilar atelectasis. The right internal jugular central venous catheter is stable.,No significant interval change.,1.2.826.0.1.3680043.8.498.54120837908878178882656438089066620881
The heart is enlarged. There is diffuse interstitial prominence throughout the lungs compatible with edema. There are bilateral pleural effusions. There is bibasilar atelectasis.,Findings compatible with CHF.,1.2.826.0.1.3680043.8.498.49565971046292942347683219712000426925
"Lung volumes are low. The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",Low volume film without acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.74083636558791188142640698443058020747
The lungs are clear. Heart size is normal. The left subclavian Port-A-Cath tip is in the lower SVC. There are no pleural effusions. Degenerative changes are present in the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35488766913754362235067625207790841684
Heart is normal size. Aortic atherosclerosis. Lungs are clear. No effusions. No acute bony abnormality. Degenerative changes in the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84328537846706172971794944774726336958
Heart size is normal. No pleural effusion or pulmonary edema. There is plate-like atelectasis noted at the left lung base. No airspace consolidation.,1. Left base atelectasis.,1.2.826.0.1.3680043.8.498.43120253873014182577771108790849660148
The lungs are adequately inflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,There are no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26579854449949001677508695938522905421
"Interval extubation and removal of nasogastric tube. Mediastinal drain and LEFT thoracostomy tube remain. RIGHT jugular Swan-Ganz catheter with tip projecting over main pulmonary artery bifurcation. Upper normal heart size post CABG. Mediastinal contours and pulmonary vascularity normal. Bibasilar atelectasis. No gross infiltrate, pleural effusion or pneumothorax.",Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.77357559857826314948959964840609347698
Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.29484233374360011043603957426727257764
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73319466249957293033209736688209292118
Endotracheal tube remains in place with the tip in good position 3.5 cm above the carina. Left IJ catheter and NG tube are unchanged. Diffuse left-sided airspace disease persists without marked change. The right lung is clear. There is no pneumothorax. Cardiomegaly.,No marked change in diffuse left-sided airspace disease consistent with pneumonia.,1.2.826.0.1.3680043.8.498.96886712284099527510059922762731811945
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39406887061685132605653304751057341567
Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.25085108630925810987731520658284899378
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88198269616481270399905325068709644873
There is now noted increased density in the LEFT upper lobe compatible with pneumonia. The RIGHT lung field is clear. No pulmonary edema is seen. The heart size is normal. The chest is hyperexpanded compatible with COPD.,1. There is a consolidated infiltrate in the LEFT upper lobe compatible with pneumonia. 2. COPD.,1.2.826.0.1.3680043.8.498.16757224599235265645591782962465673887
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80962560631420949792676156455621700868
There has been interval worsening of bilateral lower lung consolidation/atelectasis. Small bilateral pleural effusions are noted. The heart is normal in size.,Worsening bilateral lower lung consolidation/atelectasis with small effusions.,1.2.826.0.1.3680043.8.498.23544590741039841791586571683305601821
Cardiovascular: There is cardiomegaly and pulmonary venous congestion. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are interstitial infiltrates identified bilaterally. Osseous structures: Age-appropriate.,Congestive heart failure with pulmonary venous congestion and bilateral interstitial infiltrates.,1.2.826.0.1.3680043.8.498.65066240295550491171853999817854593062
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61100874635588094304555476594047420534
Continued confluent opacity in the right upper lobe anteriorly. This is less dense than on the most recent exam. No associated pleural effusion. Lung parenchyma elsewhere remains within normal limits. Stable cardiac size and mediastinal contours. Stable scoliosis. No acute osseous abnormality identified.,"1. Continued right upper lobe consolidation compatible with pneumonia, but improved since 1/29/2021. 2. Recommend repeat PA and lateral views in 6 weeks after treatment to document resolution.",1.2.826.0.1.3680043.8.498.81505394626419572522280553790730183585
The lungs are clear. Cardiovascular structures are unremarkable. The chest is stable from multiple prior studies dating back to 0882.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70919566034234504295083254550773940052
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36636495292708247489555687257759320899
Cardiac shadow is stable. Previously seen infiltrative changes have resolved in the interval. No focal infiltrate or effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81001000262864389402021663694294109980
Left subclavian central venous catheter tip is in the mid SVC. No pneumothorax. Esophageal tube tip is below the diaphragm but is non included. Mild cardiomegaly. Status post CABG. No acute infiltrate or effusion.,Central venous catheter tip in the SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.68317850337745984568592254753861170514
There is questionable retrocardiac density which may represent a small developing infiltrate. The cardiac silhouette is mildly prominent. The bony thorax is grossly intact.,Questionable developing left lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.35999933293401812091373866692376846675
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66022054861585353260500187703812957269
There is a right arm PICC line with tip in the projection of the cavoatrial junction. Heart size is normal. There is plate-like atelectasis in the left base. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Left base atelectasis.,1.2.826.0.1.3680043.8.498.96104929189787804365004227480677556358
There is a large right-sided pneumothorax with complete collapse of the right lung. The left lung is clear. The cardiothymic silhouette is normal. No pleural effusions are seen. The upper abdomen demonstrates a normal bowel gas pattern. The osseous structures are unremarkable.,Right-sided tension pneumothorax. This report was discussed with the patient's nurse at the time of this dictation.,1.2.826.0.1.3680043.8.498.28197237622319762465512565532272223418
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No acute skeletal abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.27483526231407745980670064969057972834
Left-sided pacemaker overlies normal cardiac silhouette. Cardiac stent is noted. There is a small right pleural effusion which is increased compared to prior. There is plate-like atelectasis in the right lower lobe. Left lung is clear. No pneumothorax.,1. Increase in right pleural effusion. 2. Right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.85677826091029038512549612126334632406
Enteric tube tip is in the proximal stomach. Normal cardiothymic silhouette. Improved aeration of both lungs. Mild streaky opacities at both lung bases. No pneumothorax or pleural effusion. Bowel gas pattern is nonobstructive. No evidence of free air or pneumatosis. Osseous structures are unremarkable.,"1. Enteric tube tip in the proximal stomach. 2. Improved aeration of both lungs with mild streaky basilar opacities, likely atelectasis.",1.2.826.0.1.3680043.8.498.34894822349745560013166024052419917651
A venous catheter is now present on the LEFT. The tip is projected over the upper portion of the superior vena cava. An endotracheal tube remains present with the tip approximately 2.5 cm above the carina. There is again noted increased density at the LEFT base compatible with pneumonia or atelectasis. The RIGHT lung field is clear. No pneumothorax is seen.,Please see above.,1.2.826.0.1.3680043.8.498.85409027422586304548142070226280153180
Normal sized heart. Patchy airspace opacity in both lungs. No pleural fluid. Mild thoracic spine degenerative changes. Cholecystectomy clips.,Patchy bilateral pneumonia.,1.2.826.0.1.3680043.8.498.30736778791751300576123092017517828634
Cardiothymic shadow normal. There is a rounded density in the right upper lobe consistent with round pneumonia. No pleural fluid. Left lung clear.,Right upper lobe round pneumonia.,1.2.826.0.1.3680043.8.498.51329578123907919233095908304373033460
The heart size is normal. The lungs are clear. There is no free intraperitoneal gas on the upright view. The bowel gas is nonspecific nonobstructive. Dilated gas-filled loops of small bowel are noted. There is no bowel dilatation. No suspicious abdominal calcifications are seen. There is no organomegaly.,No acute abdominal abnormality. Mild gas-filled small bowel loops.,1.2.826.0.1.3680043.8.498.90131521644712448418693953335984189253
Both lungs are clear. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits.,No active disease.,1.2.826.0.1.3680043.8.498.22821405467541963545986639747584591521
The lungs are hypoexpanded. Vascular congestion is noted. Bilateral central airspace opacities raise concern for pulmonary edema. There is no evidence of pleural effusion or pneumothorax. The heart is mildly enlarged. No acute osseous abnormalities are seen.,Lungs hypoexpanded. Vascular congestion and mild cardiomegaly. Bilateral central airspace opacities raise concern for pulmonary edema.,1.2.826.0.1.3680043.8.498.59147427091032790267874790606988378336
"Since prior chest CT, interval left basilar atelectasis and small left pleural effusion seen. Lungs are otherwise clear. Tiny left apical pneumothorax is seen. Heart size is normal. Mediastinum, hila, pleura and osseous structures are unremarkable.",1. Tiny left apical pneumothorax. 2. Interval left basilar atelectasis and small left pleural effusion. 3. Otherwise no active disease.,1.2.826.0.1.3680043.8.498.57427129967256716302467970749473199712
There has been mild interval improvement in diffuse pulmonary edematous changes with residual airspace disease present. The heart remains enlarged.,Mild interval improvement in pulmonary edema.,1.2.826.0.1.3680043.8.498.44967866218495236251288276776822710841
"No radiographically apparent pleural effusion, consolidation, or pneumothorax. Low lung volumes. basilar atelectasis. The cardiomediastinal silhouette is normal in size. The osseous structures are without an acute osseous abnormality. Multiple right-sided rib fractures.",1. No radiographic evidence of an acute cardiopulmonary process. 2. basilar atelectasis.,1.2.826.0.1.3680043.8.498.80659889120148476420192399281683038518
"The tracheostomy tube is in place. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.48306992808529187411457612736020108432
The cardiomediastinal silhouette is normal in size. Normal pulmonary vascularity. Unchanged linear atelectasis/scarring in the right lower lobe. No pneumothorax. Small right pleural effusion again noted. No left pleural effusion. No consolidation. No acute osseous abnormality.,1. Unchanged right lower lobe atelectasis. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.11368189865228537269167668133454258944
The right basilic vein measures 3.5 x 0.5 x 2.0 cm in size. The right basilic vein is compressible and demonstrates normal flow by Doppler evaluation. The left basilic vein measures 3.0 x 0.0 x 1.0 cm in size. The left basilic vein is compressible and demonstrates normal flow by Doppler evaluation. The left basilic vein is not visualized.,Unremarkable ultrasound evaluation of the right basilic vein.,1.2.826.0.1.3680043.8.498.28173496216202910642870977292598966736
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.99907131072881994541127711984599920549
"Right PICC line is in place with the tip at the cavoatrial junction. Left pacer is unchanged. Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",Right PICC line tip at the cavoatrial junction. Stable cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.38196041775014186308894228783911270052
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99661654438268586271340625130688843056
"There is cardiomegaly. There are prominent interstitial markings bilaterally, increased compared to prior studies. No focal consolidations or pleural effusions are identified. No evidence for pneumothorax.",1. Findings are consistent with congestive heart failure. 2. Previously seen lower lobe infiltrates have resolved.,1.2.826.0.1.3680043.8.498.36788889133108724820689988552105209173
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.65653571235151470028930831520290592319
Shallow inspiration. Cardiac enlargement. Calcified and tortuous aorta. Elevation of the left hemidiaphragm. Small bilateral pleural effusions with basilar atelectasis or infiltration. No pneumothorax. Overall stable appearance since previous study.,Cardiac enlargement with small bilateral pleural effusions and basilar atelectasis or infiltration.,1.2.826.0.1.3680043.8.498.38423578061138964488419903949741077731
"There is chronic interstitial coarsening. There is superimposed diffuse interstitial opacity, slightly nodular in appearance. No pleural effusion or pneumothorax. Cardiomediastinal contours are normal.",Diffuse interstitial opacity superimposed on chronic interstitial lung disease. This may indicate acute interstitial or bronchitis superimposed on chronic change.,1.2.826.0.1.3680043.8.498.52940579118629793193968171731877221623
Lung volumes are low. Lungs are clear. No pneumothorax or pleural effusion. Heart size is normal.,No acute disease.,1.2.826.0.1.3680043.8.498.62126932062287061235695433811210493187
Endotracheal tube is 5.6 cm above the carina. Lungs are clear. Heart is normal size. No effusions or pneumothorax. No acute bony abnormality.,Endotracheal tube 5.6 cm above the carina. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42133832000630458138428979847882293692
Cardiac shadow is stable. Postsurgical changes are noted. An endotracheal tube is seen 5.6 cm above the carina. A nasogastric catheter extends into the stomach. A mediastinal drain is noted. A Swan-Ganz catheter is noted in the right pulmonary artery. No pneumothorax is seen. Mild left basilar atelectasis is noted.,Tubes and lines as described. No pneumothorax is noted. Mild left basilar atelectasis is seen.,1.2.826.0.1.3680043.8.498.53470079122957356518879094044669595904
"The heart is top-normal in size. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active disease.,1.2.826.0.1.3680043.8.498.26782749610380791728839417567638876177
Upper normal heart size. Mediastinal contours normal. Diffuse infiltrates in the mid to lower RIGHT lung. LEFT lung grossly clear. No pleural effusion or pneumothorax. Bones unremarkable.,"Infiltrates in the mid to lower RIGHT lung, could represent pneumonia or aspiration.",1.2.826.0.1.3680043.8.498.33024128658806913595074649327702416011
"Endotracheal tube, nasogastric tube, and right subclavian central venous catheter are unchanged. There has been some interval increase in pulmonary edema. Lung volumes are decreased. Basilar atelectasis.",Worsening edema with decreased lung volumes.,1.2.826.0.1.3680043.8.498.23261540404411366352561905242705035412
The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,Negative PA and lateral chest x-ray.,1.2.826.0.1.3680043.8.498.29304686237107055479796989606184386442
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73059067396211966638092287647912678846
Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.,No active disease.,1.2.826.0.1.3680043.8.498.67281904112847351298225118188071641722
Mediastinum normal. Heart size normal. Diffuse bilateral pulmonary infiltrates are present. No pleural effusion or pneumothorax. No acute bony abnormality.,Diffuse bilateral pulmonary infiltrates consistent with pneumonia.,1.2.826.0.1.3680043.8.498.19619940268654408157482333633287677778
Left chest wall pacer device is noted with leads in the right atrial appendage and right ventricle. The heart size is enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. Coned-down views of the left ribs show no evidence for acute rib fracture.,1. Cardiac enlargement. 2. No evidence for left rib fracture.,1.2.826.0.1.3680043.8.498.39367144973205364225475398720034842326
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.40956499455795050308668312923468950026
"Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Linear scarring in left upper lobe with mild volume loss consistent with prior partial lobectomy. Emphysematous changes. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones appear demineralized.",COPD with left upper lobe scarring. No acute abnormalities.,1.2.826.0.1.3680043.8.498.17235543723887320104423120280717210379
Heart size within normal limits. No definite abnormality of the mediastinal contour. The lungs are clear. No pleural fluid or osseous lesions.,Currently no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48230412384725411458828992062818257125
"Cardiomegaly with vascular congestion. Interstitial prominence again noted, similar to prior study. No visible effusions. No acute bony abnormality.","Stable cardiomegaly, vascular congestion and interstitial prominence which could reflect interstitial edema or chronic interstitial lung disease.",1.2.826.0.1.3680043.8.498.78866883359914507563738291847740234586
No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within upper limits of normal. A permanent pacemaker is present with AICD lead. No bony abnormality is seen.,No active lung disease. Permanent pacer with AICD.,1.2.826.0.1.3680043.8.498.12142862436024311473161174909319036607
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77786128944212930170343391206768818102
There is tortuosity of the thoracic aorta. The patient is rotated to the right on today’s exam. The lungs appear clear. Heart size is mildly enlarged. No effusion.,Cardiomegaly and tortuous thoracic aorta. No acute disease.,1.2.826.0.1.3680043.8.498.56818757657593682071362287504954947739
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Surgical clips again seen in the left upper paramediastinal region. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13005845745578277450495033822922683943
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,Negative chest.,1.2.826.0.1.3680043.8.498.82732093433081019754821282163619719259
Umbilical vein catheter is been pulled back with tip now overlying the inferior cavoatrial junction. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal. The bowel gas pattern is also normal.,Umbilical vein catheter in appropriate position. No active lung disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.97181684214188327788628193951283574602
Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72214516274546840617662499225914663682
Peribronchial thickening. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,"Peribronchial thickening, suggesting viral bronchiolitis or reactive airways disease.",1.2.826.0.1.3680043.8.498.56234817653945308827382299010817935225
There is a left chest wall pacer with lead in the right ventricle. The heart size is enlarged. There are bilateral pleural effusions. The interstitial pattern is prominent consistent with pulmonary edema.,Improved CHF.,1.2.826.0.1.3680043.8.498.90325931726283398678356493202730714996
Cardiovascular: There is cardiomegaly and pulmonary venous congestion. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are multifocal areas of atelectasis and infiltrate. Osseous structures: Age-appropriate.,1. Pulmonary venous congestion. 2. Multifocal areas of atelectasis and infiltrate. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.16097753050905459658134333159349164445
"Right anterior chest wall, internal jugular, Port-A-Cath has its tip projecting in the lower superior vena cava. No pneumothorax. Lungs are clear. Heart, mediastinum and hila are unremarkable.","1. Right anterior chest wall Port-A-Cath is well positioned, tip projecting in the lower superior vena cava. 2. No acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.94888659015729827162341666389108818301
Right internal jugular central venous line has its tip in the mid superior vena cava. No pneumothorax. Lungs are clear. Mild cardiomegaly. Prior CABG. Left anterior chest wall sequential pacemaker is stable and well positioned.,Right internal jugular central venous line tip projects in the mid superior vena cava. No pneumothorax.,1.2.826.0.1.3680043.8.498.66098157551420240910267447780005894747
Endotracheal tube tip is 5.6 cm above the carina. Nasogastric tube tip and side port are in the stomach. No pneumothorax. There is a small right pleural effusion with ill-defined airspace opacity in the right base. Lungs elsewhere clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. Ill-defined airspace opacity right base with small right pleural effusion is likely due to contusion. Lungs elsewhere clear. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.96419645914074255744326727288169858617
The cardiac silhouette is within normal limits. The lungs are free of focal consolidations. There is central pulmonary vascular congestion. The pulmonary vasculature is mildly congested. The costophrenic angles are sharp. The bony structures are adequately mineralized.,Mild central pulmonary vascular congestion with mild interstitial edema. No focal lobar consolidations.,1.2.826.0.1.3680043.8.498.98588353102457202743102191781015713424
The bony thorax is grossly intact. The heart is enlarged. The pulmonary vascularity is within normal limits. No focal pulmonary infiltrate is present. No pleural effusion is seen.,No acute cardiopulmonary abnormality is identified.,1.2.826.0.1.3680043.8.498.52737555602987069877820768735502489221
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.94379954695942400435894409218902143079
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Atherosclerosis in the thoracic aorta.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.40885544794997075077184943617207021993
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93481414397488756427877118953741377766
Postoperative changes in the mediastinum. Mild cardiac enlargement. Pulmonary vascularity is normal. Small left pleural effusion with basilar atelectasis or infiltration. No pneumothorax. Calcification of the aorta. Degenerative changes in the spine and shoulders.,Cardiac enlargement. Postoperative changes. Small left pleural effusion with basilar atelectasis or infiltration. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.30649204623922604338273358769699398576
There is airspace consolidation in the right base with small right pleural effusion. There is mild left base atelectasis. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Consolidation right base consistent with pneumonia. Small right pleural effusion. Mild left base atelectasis. Stable cardiac silhouette. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.99238316275196249583623082445250117214
"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.89257562722806081653865660951928610955
Endotracheal tube is 2.5 cm above the carina. Nasogastric tube extends into the stomach. There are patchy airspace opacities in both lower lobes as well as in the right mid lung. No significant pleural effusions. No pneumothorax. The heart is normal in size.,1. Support apparatus satisfactory. 2. Bilateral airspace opacities which may reflect pneumonia or asymmetric edema.,1.2.826.0.1.3680043.8.498.82866143466154765762150395378164566577
There is little change in basilar atelectasis and probable small effusions. Aeration of the lungs has improved slightly. Cardiomegaly is stable. Right central venous line is unchanged. Median sternotomy sutures are noted.,Slightly improved aeration. Persistent basilar atelectasis and probable effusions.,1.2.826.0.1.3680043.8.498.15101409775048995616440280594624524467
"Heart size and pulmonary vascularity are normal. There is a large air-fluid level in the left hemithorax, consistent with a large hiatal hernia. The left hemidiaphragm is chronically elevated. The right lung is clear. No effusions. Port-A-Cath is in place.",No acute abnormalities. Large hiatal hernia.,1.2.826.0.1.3680043.8.498.39848065043254891150255555014460301691
COPD with hyperinflation of the lungs. Negative for pneumonia or heart failure. Negative for mass lesion.,COPD. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82962600586853943192380878796240165181
Cardiomegaly. Diffuse airspace disease with small pleural effusions. Opacification is stable. No pneumothorax.,Stable bilateral airspace disease and small effusions.,1.2.826.0.1.3680043.8.498.90004626330988827004440745416999924865
Lung volumes and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. No pulmonary contusion. No acute displaced rib fracture identified. Mild degenerative endplate changes in the thoracic spine. Negative visible bowel gas pattern.,No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.98290410048064575480841311563827139959
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10453280134973749487712677194422448115
Endotracheal tube placed with tip measuring 4.5 cm above the carina. Enteric tube tip is off the field of view but below the left hemidiaphragm. Shallow inspiration. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact. Postoperative changes in the cervical spine.,Appliances appear to be in satisfactory location.,1.2.826.0.1.3680043.8.498.16290479275984817742332388983943245140
UAC tip at T7. UVC tip at T8 over the right atrium. Lungs are essentially clear. Adequate lung volumes. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,UVC tip over the right atrium. UAC at T7.,1.2.826.0.1.3680043.8.498.32422579560172526969855750152204170317
There is opacity at the left lung base consistent with left lower lobe pneumonia and left pleural effusion. The right lung is clear. The heart is within normal limits in size. No bony abnormality is seen.,Left lower lobe pneumonia and left pleural effusion.,1.2.826.0.1.3680043.8.498.21014279901351924718872834274235081062
Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.52107660797070292268714478388712661288
There has been worsening of diffuse airspace disease throughout both lungs most consistent with either edema or pneumonia. There may be small effusions present. The heart is within upper limits of normal. Left central venous line is unchanged in position.,Worsening of diffuse airspace disease. Consider edema versus pneumonia.,1.2.826.0.1.3680043.8.498.63209455432281342929625621108183870416
Two right chest tubes remain and no pneumothorax is seen. Basilar atelectasis remains with probable effusions. Right central venous catheters are unchanged.,No change in right hilar mass and basilar atelectasis with probable effusions.,1.2.826.0.1.3680043.8.498.53678911156432417072967162849218587167
The lungs are reasonably well inflated. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. The left hemidiaphragm is obscured. I see no definite pleural effusion.,The findings are consistent with congestive heart failure with pulmonary interstitial edema. I cannot exclude left lower lobe atelectasis or pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.42814985800025567689119045650790299813
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64166472257868432578861078903186403432
There is a persistent LEFT pleural effusion with some density in the LEFT lung base which may represent some atelectasis and/or underlying infiltrate. The RIGHT lung field is clear. The vascularity is within normal limits.,1. Persistent LEFT pleural effusion with density in the LEFT lung base which may represent some atelectasis and/or infiltrate. 2. The RIGHT lung field is clear.,1.2.826.0.1.3680043.8.498.24084695600889565152676044181398019494
Left chest wall Port-A-Cath is again noted with tip in the cavoatrial junction. The cardiac shadow is stable. Diffuse bilateral infiltrates are again identified and stable. No new focal abnormality is seen. The upper abdomen is within normal limits.,Stable appearance of the lungs with diffuse bilateral infiltrates.,1.2.826.0.1.3680043.8.498.43266672473486888885155233911625548459
"There is linear fibrosis or atelectasis at the right lung base. The lungs are otherwise clear. The heart is normal in size. Atherosclerotic calcification is present. There is no edema, infiltrate, effusion or pneumothorax.",No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84924540996468109667031899359316275781
"There is elevation of the right hemidiaphragm, chronic. There is no evidence of acute infiltrate, pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. Radiopaque pedicle screws are seen within the visualized portion of the cervical spine. Degenerative changes seen throughout the thoracic spine.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53004987864053026008329037230145254860
Small right pleural effusion. Right basilar atelectasis. Mild cardiac enlargement. Negative for edema. Left lung is clear. No pneumothorax. NG tube is in the stomach.,Cardiac enlargement. Small right effusion with right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.97976366442890536657884947039133616657
"Tip of endotracheal tube projects 6.2 cm above carina. Nasogastric tube extends into stomach. Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Bibasilar atelectasis versus consolidation and small effusions, little changed. Upper lungs clear. No pneumothorax.",Persistent bibasilar atelectasis versus consolidation and small effusions. Enlargement of cardiac silhouette.,1.2.826.0.1.3680043.8.498.91576786719851250454844662963069238304
Right-sided PICC line terminates at the low SVC. Midline trachea. Normal heart size. Small left pleural effusion is similar. No pneumothorax. Improved right upper lobe airspace disease. Persistent left base opacity.,"1. Improved right-sided aeration, suspicious for resolving infection. 2. Persistent left base opacity which could represent atelectasis or infection. 3. Similar small left pleural effusion.",1.2.826.0.1.3680043.8.498.38435356020894829211002597997595163594
Low lung volumes. Small bilateral pleural effusions with associated atelectasis. Vascular congestion with mild pulmonary edema. No pneumothorax. Cardiomegaly.,1. Low lung volumes with small bilateral effusions and basilar atelectasis. 2. Cardiomegaly with vascular congestion and mild pulmonary edema.,1.2.826.0.1.3680043.8.498.67019699587086361963211482528884427664
Endotracheal tube tip is 2.5 cm above the carina. Left base atelectasis is again noted. Nasogastric tube enters the stomach. The heart is enlarged. Pulmonary vascular congestion is improved.,Endotracheal tube tip is 2.5 cm above the carina. Improved vascular congestion. Persistent left base atelectasis.,1.2.826.0.1.3680043.8.498.42335153339502282743791866904269855313
The lungs are well expanded. There is no focal infiltrate. The cardiac silhouette is mildly enlarged. There is a permanent pacemaker in place. The patient has undergone prior CABG. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of pneumonia. I cannot exclude low-grade compensated CHF in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.93809443869680263252378792517790016772
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49769872230886189126494089490002909197
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. Degenerative changes thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49388322015105987181144725970553835707
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42778972062451826632632959576351395823
Endotracheal tube and feeding tube are unchanged. The lungs remain low in volume with bibasilar atelectasis. Heart size is normal.,No interval change.,1.2.826.0.1.3680043.8.498.64636834528445398308707207976388446491
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.21033599452969567677793834172793937194
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57900302940078442159142298608924385667
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.45779214836731723570419134630754094152
PA and lateral upright views of the chest were obtained. Lung volumes are normal. No pulmonary mass or consolidation is present. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. Normal pulmonary vascularity. No acute regional skeletal abnormality. Small hiatal hernia is unchanged.,1. No acute process in the chest. 2. Small hiatal hernia.,1.2.826.0.1.3680043.8.498.71783156081345241959792016573466454599
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30122477143949813661695310516232045702
The heart is enlarged. The lungs are under expanded. There are bibasilar infiltrates and effusions. Degenerative changes are seen in the spine.,Bibasilar infiltrate and effusions.,1.2.826.0.1.3680043.8.498.28016932566934352004313738072106512478
No acute bony abnormality. Specifically no evidence of rib fracture. No pneumothorax. Calcified granuloma noted in the left upper lobe.,No acute findings.,1.2.826.0.1.3680043.8.498.33499216177365916654644322140610957354
"Cavitary lesion in the right lower lobe is again noted, unchanged. There is increasing surrounding consolidation in the right lung which may be due to atelectasis or pneumonia. Left lung is clear. Heart is normal size. No effusions.",Stable right lower lobe cavitary lesion. Increasing surrounding airspace opacity in the right lung which could reflect atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.45595709083873555787681598613168887648
"There is patchy airspace disease at the lung bases bilaterally, similar to prior exam. This may represent atelectasis or pneumonia. Cardiomegaly is present. No effusion.",Stable bibasilar airspace disease.,1.2.826.0.1.3680043.8.498.75728393343872308655338858303571675611
"Tracheostomy tube terminates in the mid trachea. Prior median sternotomy. The cardiomediastinal silhouette is normal in size. Normal pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.77018719060326548599678544215895618704
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23680591213619107576165875338933139408
"Endotracheal tube, right PICC, and nasogastric tube are unchanged in position. Moderate right pleural effusion with associated atelectasis/consolidation in the right lung base has increased. Small left pleural effusion with left retrocardiac consolidation/ atelectasis is also increased. Mild interstitial edema in the right upper lung. Heart size is mildly enlarged.","Increase in bilateral pleural effusions, right greater than left, with associated atelectasis/consolidation in the lung bases. Stable support apparatus.",1.2.826.0.1.3680043.8.498.53692295661481450398788947846263726581
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous mineralization normal. BB placed at site of symptoms lower right chest. No rib fracture or bone destruction.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.30587830602897158607683471752950487810
The lungs demonstrate NO consolidations or significant effusions. Mild chronic appearing coarse interstitial changes. The heart is normal in size and position. Heart size is accentuated by technique. No definite acute changes in bones or joints. There is a naso/orogastric tube present with the tip in the stomach.,There is a naso/orogastric tube present with the tip in the stomach. Consider advancing 5 to 10 cm to be well within the stomach.,1.2.826.0.1.3680043.8.498.27657259441821381037697745585285984924
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. There are mild degenerative changes in the mid to lower thoracic spine. An aortic valve replacement is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.92242776940925723775748457219456198827
"Two views of the chest show a normal size cardiomediastinal silhouette with atherosclerotic calcifications in the aorta. The lungs are hyperexpanded, consistent with COPD. No consolidation or pleural effusion is present. The bones are unremarkable.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49110249914001171756697368998295857555
The lungs are adequately inflated. The interstitial markings are increased. The pulmonary vascularity is engorged. The cardiac silhouette is mildly enlarged. I see no pleural effusion.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. This is not a new finding. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.64201736343005876366307202399829852403
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90619127410068444421231635307479123732
There is again noted increased density at the LEFT base compatible with a LEFT pleural effusion which obscures approximately the lower 40% of the LEFT lung field. There is also noted a mass-like density at the LEFT upper lobe. This density appears to be essentially unchanged as compared to the prior exam. No new pulmonary infiltrates are seen. No pleural effusion is noted on the RIGHT. The heart size is normal. Postoperative changes of prior CABG are noted. A Port-A-Cath is present.,"1. Stable appearing chest as compared to the prior exam of 2/6/3. 2. There persists increased density at the LEFT base compatible with a small, LEFT pleural effusion. 3. A mass-like density is again noted at the LEFT upper lobe. 4. No new pulmonary infiltrates are seen.",1.2.826.0.1.3680043.8.498.16350418964979977919862792395409369511
The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is not engorged. There is no pleural effusion. A Port-A-Cath appliance is in place with the tip in the region of the midportion of the SVC.,There is no evidence of pneumonia nor CHF. I cannot exclude an element of acute bronchitis in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.84799934083375754071080924858212676124
"There is a nasogastric tube in place with the tip in the stomach. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Nasogastric tube with tip in stomach. No active pulmonary disease.,1.2.826.0.1.3680043.8.498.94963399128489781521123184608314712743
There are low lung volumes. No pneumothorax. Bibasilar atelectasis present. Heart is normal size. No effusions.,"Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.30672409851637068827785669373329539265
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23045775845468295565846397371279416973
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80296577154278126235023319098924711970
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99782871251031629001393681392601584010
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The cardiothymic shadow is normal in size.",No significant abnormalities are noted.,1.2.826.0.1.3680043.8.498.35568475067479235804724284973351710865
"Frontal and lateral views of the chest show no focal pneumonic consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Pulmonary vascularity is normal. There is atherosclerotic calcification of the aortic arch.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.78084863477661686709796936505493991842
"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81284780554693958748527376077493070979
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.10869527600437009182429149566344036464
The heart is normal in size. Bibasilar atelectasis is stable. The lungs are otherwise clear. No pneumothoraces or effusions are seen.,No acute interval change.,1.2.826.0.1.3680043.8.498.66650161396476930846884297449263957077
There is a left chest tube in place. The left pneumothorax has improved in the interval. There is a small left effusion with left base atelectasis. The right lung is clear. There is a dilated gas-filled esophagus at the right heart border. The patient is status post esophagectomy and gastric pull-through procedure.,1. Decreasing left pneumothorax. 2. Small left effusion with left base atelectasis. 3. Dilated gas-filled esophagus.,1.2.826.0.1.3680043.8.498.50043819424416945940235935432981232691
There is generalized interstitial edema. There is patchy airspace opacity in the left base. There is mild atelectatic change in the right base. There is no airspace consolidation. There is cardiomegaly with pulmonary venous hypertension. No adenopathy. No bone lesions. No pneumothorax.,Findings indicative of a degree of congestive heart failure. Patchy airspace opacity in the left base may represent alveolar edema or superimposed pneumonia. Both entities may exist concurrently.,1.2.826.0.1.3680043.8.498.89266621486521747033308589996144274896
Cardiac shadow is enlarged. Aortic valve replacement is again noted. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72916938454366962093836952592657939282
Lungs are clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. Patient is status post aortic valve replacement. No bone lesions. No pneumothorax.,Status post aortic valve replacement. Heart upper normal in size. Lungs clear.,1.2.826.0.1.3680043.8.498.70306856845754300904885855949034259157
Cardiac shadow is stable. Endotracheal tube and nasogastric catheter are again noted and stable. The lungs are well aerated bilaterally with increasing density in the right lung base consistent with new infiltrate. Left basilar atelectasis is again noted. No bony abnormality is seen.,New right basilar infiltrate.,1.2.826.0.1.3680043.8.498.69875082925041862166034400800347518434
The lungs are reasonably well inflated. The interstitial markings are increased diffusely. The endotracheal tube tip lies approximately 1.5 cm below the inferior margin of the clavicular heads. The cardiac silhouette is top normal in size. The pulmonary vascularity is indistinct. The permanent pacemaker appears unchanged.,There are findings consistent with pulmonary interstitial and alveolar edema. This may be of cardiac or noncardiac cause. The endotracheal tube tip lies approximately 1.5 cm below the inferior margins of the clavicular heads. Withdrawal by approximately 2.0 cm is recommended.,1.2.826.0.1.3680043.8.498.98673372365103827313076051234135410226
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.93428998074490757465930145585980187638
No active infiltrate or effusion is seen. The heart is within normal limits in size. No acute bony abnormality is noted. Right rib detail films show no evidence of acute rib fracture.,No active lung disease. Negative right rib detail.,1.2.826.0.1.3680043.8.498.14451329881179074077433373698612411600
Prior CABG. Cardiomegaly. Diffuse bilateral pulmonary infiltrates/edema progressed from prior exam. Small left pleural effusion. No pneumothorax.,1. Prior CABG. Cardiomegaly. 2. Diffuse bilateral pulmonary infiltrates/edema progressed from prior exam. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.62101071546959075707757967067599783462
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43067908252132609192754742627673611964
"The cardiomediastinal contours are normal. Subsegmental atelectasis or scarring in the right midlung zone is unchanged from prior exam. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No acute chest findings.,1.2.826.0.1.3680043.8.498.46293457776056935899037364686343034550
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96597338578191659318844315206786257724
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97739576469866106230517031571820444170
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. The known left anterior tenth rib fracture is not well seen on this film.,No active disease.,1.2.826.0.1.3680043.8.498.77950519923630941683742631587946858448
The cardiac silhouette is within normal limits. Lungs are clear. Pulmonary vasculature is normal in caliber. There is a moderate to large hiatal hernia.,No acute cardiopulmonary process. Hiatal hernia.,1.2.826.0.1.3680043.8.498.40593470198843546974883163417903828479
Cardiothymic shadow normal. Lungs clear. No pleural fluid or osseous lesions.,No active disease.,1.2.826.0.1.3680043.8.498.88545306008062127154753542527975118588
"Single portable AP chest radiograph is provided. There is an endotracheal tube with the tip 5 cm above the carina. Nasogastric tube below the diaphragm. There is bilateral diffuse interstitial thickening likely representing interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.50385521133798417189571333632451800722
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.15467102456431345339870997211443762095
"Since 09/28/06, clearing right middle lobe pneumonia. Lungs are otherwise clear. Heart size normal. Mediastinum, hila, pleura and osseous structures are stable and unremarkable.",1. Resolution right middle lobe pneumonia. 2. No active chest disease.,1.2.826.0.1.3680043.8.498.37875398472735615144655393788106172826
Exam is limited by patient positioning. No definite evidence for free intraperitoneal air is seen on this exam. Lungs are grossly clear. Cardiothymic silhouette is within normal limits.,Limited exam without definite acute findings. No evidence for free intraperitoneal air.,1.2.826.0.1.3680043.8.498.37766206038048093657120438563556034756
Heart is enlarged. There is pulmonary vascular congestion and patchy airspace disease throughout the lungs bilaterally. No definite pleural effusions. No pneumothorax.,Findings consistent with congestive heart failure and pulmonary edema.,1.2.826.0.1.3680043.8.498.40596275186517847556372184755524818276
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.51441406883780154681186720238325444862
Endotracheal tube is 2.5 cm above the carina. Right dialysis catheter is in place with the tip in the right atrium. NG tube enters the stomach. There is cardiomegaly. Moderate to large right pleural effusion with right lower lobe atelectasis or infiltrate. No confluent opacity on the left. No acute bony abnormality.,"Cardiomegaly, moderate to large right effusion, and right lower lobe atelectasis or infiltrate.",1.2.826.0.1.3680043.8.498.95956870984553236147612118365923661602
Portable AP upright view of the chest demonstrates a normal cardiac silhouette. Pulmonary hila and vessels are within normal limits. Pleural spaces are clear. Lungs are clear of any focal mass or consolidation. No pneumothorax. No osseous abnormalities.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.75408827311194820653844399540941574837
There is abnormal opacity in the left mid and lower lung. This may represent pneumonia. Underlying mass is not excluded and follow-up two-view chest x-ray is recommended. There is mild linear atelectasis at the right lung base. The heart is mildly enlarged. Ectasia of the thoracic aorta is noted.,1. Opacity in the left mid and lower lung. Possible pneumonia but cannot exclude underlying mass. Recommend follow-up two-view chest x-ray. 2. Linear atelectasis at the right lung base.,1.2.826.0.1.3680043.8.498.52529408849908003554416489283157658927
There is cardiomegaly. Left AICD is in place. No focal airspace opacities or effusions. No acute bony abnormality.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.37195683074975206872080986330656954948
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58585466685299342763558201632031762112
"Intact sternotomy wires. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91581046761680599228160481803825470959
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.87920476778950635250267798378212667838
Small right pleural effusion. Right basilar airspace disease most likely reflects atelectasis. Left lung is clear. Heart is normal size. No acute bony abnormality.,Small right pleural effusion and right basilar atelectasis.,1.2.826.0.1.3680043.8.498.43669667643321935851631760190090829602
Left-sided pacemaker unchanged. CABG changes. Mild cardiac enlargement. Mild vascular congestion. Mild bibasilar atelectasis. No significant effusion. Negative for pneumonia.,Mild vascular congestion and mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.60535523691584017815618967610488420461
"Cardiomegaly. Status post median sternotomy and aortic valve replacement. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49545425287978917576562538353258067845
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.29672153186170362089082076684689824761
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93863447040088832917942949360937566586
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17733179967135826703796979210150678681
"The heart size and mediastinal contours are within normal limits. Lung volumes are normal. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13948197799448643309664141448480159444
There is a new mass-like opacity in the left mid lung zone. There is also some patchy airspace disease in the left lower lobe. The right lung appears improved in aeration. No effusion. The heart size is normal.,New left mid lung zone mass with left lower lobe airspace disease.,1.2.826.0.1.3680043.8.498.80365107392314994497044195425040619079
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74470342661521447936614570004446613795
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55854487026692082553376470809202231268
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.55302311839375952305037433852693948183
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.32327325925973358738947304189748517373
Cardiac shadow is stable. A right jugular central line is noted with the tip in the superior aspect of the right atrium. No pneumothorax is noted. Minimal left basilar atelectasis is seen. No bony abnormality is noted.,No evidence of pneumothorax following chest wall resection.,1.2.826.0.1.3680043.8.498.54784908805001270029264346777254509225
Low lung volumes. Moderate cardiomegaly. Diffuse bilateral interstitial edema. No pneumothorax. No pleural effusion.,Cardiomegaly with moderate interstitial edema.,1.2.826.0.1.3680043.8.498.85386754707794609014489852561443872333
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47699934559295141700424358743494240038
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.96773903554906498039184629286739659825
The bilateral pleural effusions have resolved in the interval. The lungs are clear. Heart size is normal. The right arm PICC tip remains in the lower SVC. Mild thoracolumbar scoliosis is again noted.,Resolution of bilateral pleural effusions. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77958278950344815032903171680150428319
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11708428409507065218222370177294937483
"LEFT subclavian pacemaker leads project at RIGHT atrium and RIGHT ventricle. Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.32929686305847446473186203628732273946
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58919824606968694757313724600091753217
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The cardiothymic shadow is normal in size. The chest appears mildly hyperexpanded suspicious for reactive airway disease.",1. The lung fields are clear. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.29910043536785413677609266718076542574
Upper-normal size of cardiac silhouette. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. No acute osseous findings.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.12341513094410168670005145451204929671
Endotracheal tube is noted in good anatomic position. The lungs are clear. The previously identified pulmonary edema on 8/25/1999 has cleared. There is cardiomegaly. No evidence of overt congestive heart failure.,1. Findings most consistent with clearing congestive heart failure and pulmonary edema. 2. Endotracheal tube noted in good anatomic position.,1.2.826.0.1.3680043.8.498.80937821121355907777203646539493141807
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23768408955294389882110542172610279792
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and vascularity are normal.,Normal exam.,1.2.826.0.1.3680043.8.498.24750086740067583849697581324155131861
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73052821193414280905258790995975017355
There is airspace opacity in the left lower lobe and also probably the lingula consistent with pneumonia. There is some apical pleural scarring on the left. The right lung is clear. Heart size and vascularity are normal.,Pneumonia in the left lower lobe and lingula.,1.2.826.0.1.3680043.8.498.18451369849366203658702039990074179271
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95909615198640511787677107536068842363
The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15699064409398341542156774073359139453
The tip of the endotracheal tube is approximately 6.2 cm above the carina. A right IJ central venous catheter is now present with the tip seen to the lower SVC. No pneumothorax is noted. The lungs are clear. The heart is within normal limits in size.,1. Endotracheal tube tip 6.2 cm above the carina. 2. Right IJ central venous catheter tip in lower SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.19874077600989850285172840853235491255
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88668571096912563249135752778097878248
Endotracheal tube is 3.5 cm above the carina. Nasogastric tube extends into the abdomen. Both lungs are clear. Heart and mediastinum are within normal limits. Negative for a pneumothorax. No pleural effusions.,No active disease.,1.2.826.0.1.3680043.8.498.83479817339536330916870951752009394844
There is consolidation in the left lower lobe suggestive of pneumonia. The right lung is clear. Heart size is normal. No pleural effusions. No pneumothorax. No osseous abnormality.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.24364899370076382408222254521117218751
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61043237955222523743267423078765309554
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45093459408144783760225878522947385830
There is a hiatal hernia. Opacity at the left lung base is consistent with atelectasis. There are small bilateral pleural effusions. The heart size is normal. The upper lung fields are clear.,1. Small bilateral pleural effusions. 2. Hiatal hernia. 3. Left basilar atelectasis.,1.2.826.0.1.3680043.8.498.19574631817348732464944274003221753996
Portable semi upright AP view at 7017 hours. Dual lead left chest cardiac pacemaker. Sequelae of median sternotomy. There is cardiomegaly. Bilateral pleural effusions. Bibasilar atelectasis. No pneumothorax or pulmonary edema.,Cardiomegaly with bilateral pleural effusions and basilar atelectasis.,1.2.826.0.1.3680043.8.498.41327756058513008748202385714661026281
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67043942617093080562056157614529578647
The heart size and mediastinal contours are within normal limits. Low lung volumes. There is elevation of the right hemidiaphragm. Mild patchy airspace opacities at the lung bases. No pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,"Low lung volumes with patchy airspace opacities at the lung bases, which could reflect atelectasis versus infiltrate.",1.2.826.0.1.3680043.8.498.31380133875514411594030705522259109589
Lung volumes are normal. Diffuse emphysematous changes are noted. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Emphysema.,1.2.826.0.1.3680043.8.498.22982352287706843117323051909723388719
Cardiac and mediastinal silhouettes are within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. Mild scattered peribronchial thickening. No consolidative airspace disease. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures within normal limits.,"Mild scattered peribronchial thickening, which can be seen in the setting of viral pneumonitis and/or reactive airways disease. No focal infiltrates to suggest pneumonia.",1.2.826.0.1.3680043.8.498.39498630683213715510239497702640961157
"Endotracheal tube, right central venous catheter, and enteric tube are unchanged. There are bilateral pleural effusions and interstitial edema consistent with CHF. This is progressive when compared to prior examination. No pneumothorax. Stable cardiomediastinal contours.",1. Progressive CHF. 2. Stable support apparatus.,1.2.826.0.1.3680043.8.498.50916340893031045834634949097133949027
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51183663904392313443500081754036384349
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.75468850193211854258761151751034761568
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31946872164355031026045541394529191363
"PA and lateral chest radiographs are provided. There is right upper lobe airspace disease which is improved from the prior examination. There is no other focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",Improved right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.68664157359833570637641161394597164231
There is no evidence of fracture or other focal bone lesions.,Negative.,1.2.826.0.1.3680043.8.498.16018502374708745399136774306855551534
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.45298820698914817164110400623345571007
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28630387754204880939909517869849294809
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15183481926423018704698114228724425796
Left subclavian pacemaker / ICD device has been placed. Leads are in the right atrium and right ventricle. No pneumothorax. Heart is mildly enlarged. Lungs are clear. Azygos fissure again noted. No effusion. Degenerative changes in the spine.,Left subclavian pacemaker / ICD device without pneumothorax. No CHF.,1.2.826.0.1.3680043.8.498.44795896006440446889127174735896230213
The trachea is midline. The heart size is normal. The lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.91508552357744369154396739231857117077
Cardiomediastinal silhouette unremarkable for age. Airspace consolidation in the posteromedial left lower lobe. Lungs otherwise clear. No pleural effusions. Visualized bony thorax intact.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.95058721603716206944915928557216334776
There is airspace consolidation in the anterior segment of the left upper lobe consistent with pneumonia. The right lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Left upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.73560107492896786840148324305604139185
The heart is mildly enlarged. There is no focal consolidation or pulmonary edema. No pleural effusion or pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.71786206171504985325128214544561192018
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21320618556415405047711897043295623471
Endotracheal tube is in satisfactory position. Nasogastric tube is followed into the stomach. Right IJ central line tip projects over the SVC. No pneumothorax. Heart size is grossly stable. Lungs are low in volume with bibasilar air space disease and probable bilateral pleural effusions.,"1. Right IJ central line placement without pneumothorax. 2. Bibasilar air space disease, as before.",1.2.826.0.1.3680043.8.498.42173987182781603764470916615663703015
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18769826763238256547242178197619077866
Cavitary mass in the right midlung is decreased in size from the prior exam. There is no evidence of pulmonary consolidation or pleural effusion. Heart size and mediastinal contours are within normal limits.,Cavitary right lung mass decreased in size since prior exam. No acute findings.,1.2.826.0.1.3680043.8.498.65561959510162025087913470810676767615
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.68506382507178016615795355699726863081
The cardiac silhouette appears enlarged. Mild patchy airspace opacity at the right lung base may represent atelectasis or developing infiltrate. There is mild blunting of the right costophrenic angle which may represent a small pleural effusion. Again noted is a calcified granuloma involving the left lung. The left lung appears otherwise clear. The left costophrenic angle appears sharp.,1. Mild patchy airspace opacity at the right lung base may represent atelectasis or developing infiltrate. 2. Small right pleural effusion. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.43075780136820168174497635899371535647
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.66868707568012785166246965888417361963
"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89464211310835400422063095232400462659
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57826286760907335645213880138752368668
"Left pacer remains in place, unchanged. Heart is normal size. Left base atelectasis or scarring. Small left pleural effusion. Right lung clear. No acute bony abnormality.",Left base atelectasis or scarring with small left effusion.,1.2.826.0.1.3680043.8.498.86059867014098608776208617007062159815
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32733647191254406129426946595699105386
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70730972958465689963925064275669899729
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11185479133517247767045211107052490334
Right PICC line noted with tip over cavoatrial junction. Heart size normal. Diffuse bilateral pulmonary infiltrates/edema and bilateral pleural effusions. Findings most consistent CHF. No pneumothorax. Surgical clips noted over the right upper quadrant.,1. Right PICC line noted with tip over cavoatrial junction. 2. Cardiomegaly with bilateral pulmonary infiltrates/edema and bilateral pleural effusions. Findings most consistent with CHF.,1.2.826.0.1.3680043.8.498.36240500645593974238933112554259502339
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.12809573741915377949423138899648637433
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. Scoliosis of the thoracolumbar spine is noted. No acute bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80907933928548578774700838164720215125
There is COPD with hyperinflation. There is a left lower lobe pneumonia which was not present previously. The right lung is clear. There is no pleural effusion. The heart size is normal. The bony thorax is unremarkable.,COPD. Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.21693352969967579762035127853371427377
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.38503645742431189259100357007567339544
There is central airway thickening. No focal airspace disease or effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.30221561534627643184030055306588406796
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86392935508448004726436834172177950639
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98256617914275301861424268725554332260
A left chest tube has been placed. There is a small left apical pneumothorax which is now present. The tip is near the left apex. The patient is asymptomatic. I detect no evidence of significant left pleural effusion. The right lung is clear.,Please see comments above.,1.2.826.0.1.3680043.8.498.90351368688446037019234797031968389654
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16175845415341306632276619747625244739
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35045067228601199391458880943425101086
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61459485297037596795823302457942722191
Heart size is normal. No pleural effusion or pulmonary edema. Plate-like atelectasis versus scarring is noted in the right middle lobe. No airspace consolidation. The visualized osseous structures are unremarkable.,Right middle lobe atelectasis.,1.2.826.0.1.3680043.8.498.35663946608508900174288208687560107898
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63680049141226508838850165234093764323
An orogastric tube is in place with the tip located in the region of the mid body of the stomach. The cardiothymic silhouette is within normal limits. The lung fields demonstrate some mild prominence of the interstitial markings with no evidence for focal infiltrate or congestive failure. No pleural fluid is seen. Bony structures appear intact.,Mild prominence of the interstitial markings with no focal or consolidative abnormality suggested.,1.2.826.0.1.3680043.8.498.58070755801299818200816703301925037704
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91642058662212967226773618202234250752
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25184513103538335008813674015942339609
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.18004972727689445765762065943796587390
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.47978551683283842357527635132220705803
"Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified. Negative visible bowel gas pattern.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.25360926853366057567315148234136421141
A left-sided PICC line terminates over the superior vena cava. The heart is moderately enlarged. The pulmonary vasculature is ill-defined and there is some mild interstitial prominence suggesting edema. There is some left base subsegmental atelectasis. There is a left-sided pleural effusion.,1. PICC line terminates over the superior vena cava. 2. Cardiomegaly and pulmonary edema.,1.2.826.0.1.3680043.8.498.39399591951371547687835284493907980686
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40843784333708786261231689206949278839
"Single frontal view of the chest shows adequate inspiration. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. Upright and supine views of the abdomen show a moderate amount of stool throughout the colon. No findings for distention or obstruction. Study is negative for air-fluid levels or pneumoperitoneum. No pneumoperitoneum. No acute osseous findings.",No acute cardiopulmonary process this single view. Moderate amount of stool throughout the colon without distention or obstruction.,1.2.826.0.1.3680043.8.498.31483154217665575489672810705873239154
The lungs are adequately inflated. There is no focal infiltrate. No suspicious pulmonary parenchymal nodules are observed. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease. Cardiomegaly without pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.22701632258897519262320289702484116107
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41350851447645086519958871752555640397
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.74512239434863144933964782732483068154
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39327627198258807256797332700573984972
The cardiac silhouette is within normal limits for size. The mediastinum is not widened or deviated. The lungs are clear with mild chronic interstitial changes. Pacer noted.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.29302882072877226810367001992849442453
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.71413042348080923364921739144711492035
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97077746626609335059562388910500760588
The heart size and mediastinal contours are within normal limits. Both lungs are clear. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77313843721621662244110090474098421088
Cardiomegaly. There has been aortic valve replacement. Right PICC with tip at the SVC. Diffuse interstitial prominence that is similar to prior. No visible effusion or pneumothorax.,Stable mild pulmonary edema.,1.2.826.0.1.3680043.8.498.14005554743212447541912816832083922685
"Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No infiltrate, pleural effusion or pneumothorax. Osseous structures unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.81202969095872059810816662366782576184
The right arm PICC has been reoriented with the tip now at the SVC right atrial junction. The lungs are clear. There is no pleural effusion or pneumothorax. The heart size and mediastinal contours are stable.,PICC line placement as described. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.49803973785850866875215280632817824350
"The heart is normal in size. Endotracheal tube terminates in the mid intrathoracic trachea. The enteric tube courses below the diaphragm. The lung volumes are low. There are bilateral interstitial opacities, right greater than left.","1. Findings which may represent pulmonary edema. In the proper clinical setting, infection would be difficult to exclude. 2. Support apparatus as above.",1.2.826.0.1.3680043.8.498.91756320704085326856286224628971148707
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.71058900682462244051463563592099727418
"The cardiomediastinal silhouette is unremarkable. COPD/emphysema changes again noted. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",COPD/emphysema without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11697113752889813667721428968943009750
No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.50699423331846945012116242924324809674
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69608224565602409132958710137235323717
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10054122694626657189749835899808116185
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. There is postoperative change in the lower cervical spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.38014872432936476135461885808146185558
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45810595496204221661134038868113378240
Stable cardiomediastinal silhouette. No pneumothorax or pleural effusion is noted. Mild patchy opacities are noted in both lung bases concerning for multifocal pneumonia. Bony thorax is unremarkable.,Mild patchy bibasilar opacities are noted concerning for multifocal pneumonia.,1.2.826.0.1.3680043.8.498.47215657462508171708757829922038574271
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20393613373117846813017336719183590466
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.71740491035259348489626175074441523794
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.48989467511649238145979551390751789944
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88670137649039112502794402187905578562
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47713191643316755181818278950866386199
Endotracheal tube tip is 5.5 cm above the carina. Nasogastric tube enters the stomach. The lungs are clear. No edema or effusions. No airspace opacities. No pneumothorax. Heart and mediastinal contours normal.,No acute cardiopulmonary disease. Tubes well positioned.,1.2.826.0.1.3680043.8.498.29245861505224782478249124614893599269
Right-sided Port-A-Cath is again noted with tip over the projection of the superior vena cava. Heart size is enlarged. There are no pleural effusions or pulmonary edema. No airspace consolidation is identified.,1. Cardiomegaly. 2. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.82389292631818976714755200070423051675
"The heart is enlarged. The lungs appear to be clear. There is no edema, infiltrate, effusion or pneumothorax. The bony structures appear intact.",Cardiomegaly. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.24900914910840646345652483776851495490
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17899206658060033448194174203560079941
Cardiothymic silhouette is within normal limits. There is peribronchial thickening and some streaky areas of atelectasis suggesting bronchiolitis. No focal infiltrates. No effusions. Bony structures are intact.,Bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.61837969700438156008391297743177773871
The lungs are well-aerated. Focal left-sided airspace opacity raises concern for pneumonia. A small left-sided pleural effusion is suspected. No pneumothorax is seen. The cardiomediastinal silhouette is borderline normal in size. A significantly displaced fracture through the middle third of the left clavicle is better characterized on concurrent left clavicle radiographs.,1. Suspect small left-sided pleural effusion. Left-sided airspace opacity raises concern for pneumonia. 2. Significantly displaced fracture through the middle third of the left clavicle is better characterized on concurrent left clavicle radiographs.,1.2.826.0.1.3680043.8.498.71195413965207007902434846623567952794
"There are multiple right lateral rib fractures, which appear remote. There is a fracture of the lateral right eighth rib. There is a small right pleural effusion. There is scarring at the right lung base. No definite pneumothorax is identified. Left lung is clear. Heart is normal size.","Multiple old right lateral rib fractures. Fracture of the right eighth rib, age indeterminate. Small right pleural effusion. Right base scarring.",1.2.826.0.1.3680043.8.498.91953464894692590493243043303837317412
"There is mild hyperinflation and central peribronchial thickening. There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",Hyperinflation with mild central peribronchial thickening suggests viral bronchiolitis.,1.2.826.0.1.3680043.8.498.21813094787347143219849451641752194145
There is central airway thickening with bilateral perihilar densities. There is patchy airspace disease in the left lower lobe compatible with pneumonia. No effusion. Heart size is normal.,Central airway thickening with left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.17532586012383046944531649196383497061
PA and lateral chest radiographs are provided. There is a right middle lobe parenchymal opacity. There is a 2.5 cm nodule in the left lower lung. There is a 1.8 cm nodule in the right upper lung. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,"There is a right middle lobe parenchymal opacity which may represent a pneumonia versus atelectasis. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology. There are 2 discrete pulmonary nodules as described above.",1.2.826.0.1.3680043.8.498.45700300454469868239555140875835382557
"Endotracheal tube tip in satisfactory position projecting approximately 6 cm above the carina. External pacing pads. External defibrillator pads. Cardiac silhouette upper normal in size for AP portable technique, unchanged. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax.",1. Endotracheal tube tip in satisfactory position projecting approximately 6 cm above the carina. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45628177729990867228590039126766278029
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37129380930164430362121104366829587162
"Heart is normal size. Diffuse interstitial prominence throughout the lungs, similar to prior study. No confluent opacities or effusions. No acute bony abnormality.","Stable interstitial prominence, likely chronic interstitial lung disease.",1.2.826.0.1.3680043.8.498.99968952318198817671681568062533551417
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74913049780028405095673244165958453509
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36568700451759676566877715001399473735
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.33067274565829406955567109024218850811
"Right chest wall Port-A-Cath is unchanged. The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. Low lung volumes with mild vascular crowding and streaky atelectasis but no infiltrates, edema or effusions. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.83187028103489539142731721095908578881
"The heart is mildly enlarged. The mediastinal contours are normal. The lungs demonstrate mild central airway thickening. No focal airspace disease, pleural effusion, or pneumothorax is seen. There are degenerative changes throughout the thoracic spine.",1. Mild cardiomegaly. 2. Central airway thickening suggesting bronchitis. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.29122653082012054843632940139422927922
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30429672362292271467885239201129971864
An orogastric tube is seen with tip in the mid stomach. Both lungs are clear. There is no evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits.,No active disease.,1.2.826.0.1.3680043.8.498.60699484199056879606501371624242923089
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47907416833712310622110044580834232152
The heart is normal in size. A large hiatal hernia is present. The lungs are clear. No pneumothoraces or effusions are seen.,No acute cardiopulmonary disease. Hiatal hernia.,1.2.826.0.1.3680043.8.498.51576655807531006629870520950314618328
"Right arm PICC line tip in the SVC RA junction. Normal heart size and vascularity. Lungs remain clear. No pneumonia, edema, effusion or pneumothorax. Trachea midline.",Right arm PICC line tip SVC RA junction.,1.2.826.0.1.3680043.8.498.35692865871438673484871337113353600325
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.89173326933561811481902623219442728257
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17703290508137853732695264145685822634
The lungs are mildly hypoinflated. The interstitial markings are increased and have become more conspicuous since 05/24/1991. The cardiac silhouette is enlarged. The pulmonary vascularity is indistinct. The endotracheal tube tip lies approximately 1.5 cm below the inferior margin of the clavicular heads.,The endotracheal tube tip lies approximately 1.5 cm below the inferior margins of the clavicular heads. There is bilateral pulmonary hypoinflation. The interstitial markings of both lungs are increased and have become more conspicuous since the prior study. This may reflect interstitial edema of cardiac or noncardiac cause. A small left pleural effusion is suspected.,1.2.826.0.1.3680043.8.498.64957621143965855285398755535314993294
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55748384767833563596667028487371848534
"There is a comminuted fracture of the right clavicle. The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",No acute process.,1.2.826.0.1.3680043.8.498.16208524227212648173099345924214215527
"No displaced rib fractures are seen. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fracture seen. No acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.62605447494486551849094913347510006061
"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Low lung volumes. No pulmonary edema. Mild curvilinear opacities at the lung bases, favor mild atelectasis. No consolidative airspace disease.","Low lung volumes with mild bibasilar curvilinear lung opacities, favor mild atelectasis.",1.2.826.0.1.3680043.8.498.87653578185527997732840132028697658653
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57126770690466369933106061629705649226
The heart size and mediastinal contours are within normal limits. Both lungs are clear. There is a displaced fracture of the RIGHT posterior third rib. No pneumothorax. No pleural effusion.,1. Displaced RIGHT upper rib fracture. 2. No pneumothorax. 3. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82597543269983894615965703871281418186
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72228637026063195711107118057483098992
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71006154803094614498195919772140812390
"The heart is markedly enlarged, as demonstrated previously. The mediastinal contours are stable. There is vascular congestion with mild pulmonary edema. No significant pleural effusion is seen. There is no pneumothorax. The osseous structures appear unchanged.",Cardiomegaly with mild congestive heart failure.,1.2.826.0.1.3680043.8.498.39934511728577455884920686853662571324
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17951293319967805968349913283654508768
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.45115792411820909623804438628863137915
"The liver is normal in size measuring 16.2 cm in craniocaudal dimension. There is no fatty infiltration of the liver. No focal liver lesions are seen. The gallbladder demonstrates multiple small gallstones. There is no sludge, wall thickening or pericholecystic fluid. The common bile duct is normal at 3 mm. The pancreas is unremarkable. The spleen is normal in size and appearance. The right kidney measures 10.6 cm in length. The left kidney measures 11.9 cm in length. Both kidneys are normal in cortical thickness and echogenicity without evidence of stones or hydronephrosis. The abdominal aorta and IVC are normal in caliber.",1. Cholelithiasis. 2. Pancreas is normal. 3. Normal renal ultrasound.,1.2.826.0.1.3680043.8.498.72635540284600270498385765872227287004
Left central line is been placed with the tip in the SVC. No pneumothorax. Hyperinflation of the lungs compatible with COPD. Heart is normal size. No confluent airspace opacities or effusions.,Left central line tip in the SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.13891505958128869491889178319517637581
Normal cardiothymic silhouette. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74076783021501374091682295226611492152
The heart is normal. The pulmonary vascularity is normal. The lungs are clear acute process. There is no pneumothorax or effusion. Mediastinal contours are unremarkable. Hilar appearance is normal. Bony structures are unremarkable.,No acute process.,1.2.826.0.1.3680043.8.498.32538652794318912670550513487911140856
EKG leads project over the patient's chest. Heart size is difficult to evaluate on the AP projection. Calcification of the aortic knob is seen. There is no evidence of congestive heart failure or acute infiltrates. The costophrenic angles are sharp and the trachea is midline. Hila structures outline normally.,No acute disease.,1.2.826.0.1.3680043.8.498.56977467648324629973020341659219191025
The lungs are mildly hypoexpanded. Mild left basilar opacity may reflect atelectasis or mild pneumonia. Mild vascular crowding is noted. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are seen.,Lungs mildly hypoexpanded. Mild left basilar airspace opacity may reflect atelectasis or mild pneumonia.,1.2.826.0.1.3680043.8.498.25073245878948811486601984664951288214
Heart is normal size. Aortic atherosclerosis. No confluent airspace opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.58958897662356267450098865130050964449
Tracheostomy tube unchanged. Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Increased LEFT basilar opacity question atelectasis versus infiltrate. Remaining lungs clear. No pleural effusion or pneumothorax.,Increased LEFT basilar opacity question atelectasis versus infiltrate.,1.2.826.0.1.3680043.8.498.98824359579123788630297810199646825875
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.48115326804736023612731040892897372546
There is progressive airspace disease within the right lower lobe compatible with pneumonia. Mild peribronchial thickening is again noted. The heart is mildly enlarged.,Progressive right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.35208690734670528504212001412205389414
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.75231447155894633590650206403276691483
The heart size is normal. The endotracheal tube terminates above the carina by approximately 2.5 cm. The NG tube terminates below today's film. Diffuse bilateral airspace opacities are essentially unchanged. There is no pneumothorax. No large pleural effusion.,1. Lines and tubes as above. 2. No change in the diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.34758670344513214752971561303753807669
The cardiomediastinal silhouette and pulmonary vasculature are normal. Lungs are clear. Bony structures are unremarkable.,No acute chest process.,1.2.826.0.1.3680043.8.498.72882262043657999044294911980146120266
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58734310177077163333741889276944392597
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25249690269900170600231102816238141837
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22527131046252946817980668279816914648
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84694808713377008043034246212541724074
Frontal chest as well as oblique and cone-down rib images were obtained. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is no demonstrable pneumothorax or pleural effusion. No rib fractures are evident.,No demonstrable rib fracture. Lungs clear.,1.2.826.0.1.3680043.8.498.86575830983423933094563226385404969052
Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34457748161376364134752844588437806517
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11314699831979524633683937087362249048
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Right jugular Port-A-Cath in place with the tip at the cavoatrial junction. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.11453947291595420447637820337194339035
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.70458643093209363916700187883417643032
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.69847119517875189365398250753372451630
Heart size is normal. No pleural effusion or pulmonary edema. Airspace consolidation within the right midlung is identified compatible with pneumonia. The remaining portions of the lungs are clear. Review of the visualized osseous structures is unremarkable.,Right midlung pneumonia.,1.2.826.0.1.3680043.8.498.12925128751293325851736772615249662587
The lungs are clear. The cardiomediastinal silhouette is stable. No pleural effusion is seen.,No infiltrates or effusions.,1.2.826.0.1.3680043.8.498.76420109710826391592593496481214770022
UVC has been pulled back with the tip now in the lower right atrium approximately 7 mm above the IVC right atrial junction. OG tube is in the stomach. Lungs are clear. Cardiothymic silhouette is within normal limits. No effusions or pneumothorax. Diffuse gaseous distention of bowel without pneumatosis or free air.,UVC tip in the lower right atrium. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56256401330258039943696422826795743814
AP and lateral views of the chest. Enteric tube is removed. Stable lung volumes. Stable cardiac size and mediastinal contours. Continued bilateral perihilar and basilar patchy airspace opacity. Small bilateral pleural effusions. No pneumothorax. No acute osseous abnormality identified.,Continued bilateral airspace disease compatible with pneumonia. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.95533548687991115314994981315909440481
Low lung volumes. Stable enlarged cardiac silhouette. Mild interstitial prominence is similar to comparison exam. No focal consolidation. No pleural fluid. No pneumothorax. No acute osseous abnormality.,Low lung volumes and interstitial edema similar to comparison exam. No focal consolidation.,1.2.826.0.1.3680043.8.498.58412971979582878743390019310005988112
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66734993813174160237649699491511059335
"Shallow inspiration with bibasilar atelectasis similar to prior radiograph. No focal consolidation, pleural effusion, or pneumothorax. Stable cardiac silhouette. Atherosclerotic calcification of the aorta. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.88149903819893561730187192503271113739
There is airspace disease in the left lower lobe consistent with pneumonia. The right lung is clear. No pleural effusion is seen. The heart is within normal limits in size.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.92120789353578771715767404888255257011
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88812633320954300600636422393305118068
Endotracheal tube in good position. Swan-Ganz catheter in the right pulmonary artery. Left chest tube in place. No pneumothorax. Pericardial drain in place. NG tube in the stomach. Bibasilar atelectasis. Negative for heart failure.,Satisfactory chest x-ray following CABG.,1.2.826.0.1.3680043.8.498.55836452348416563058849005605771690489
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.54494982292136925236391061996411235649
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.85892958350216024587347470350436796730
Endotracheal tube is 2.2 cm above the carina. NG tube enters the stomach. Heart is normal size. Aortic atherosclerosis. Linear areas of atelectasis or scarring in the mid and lower lungs bilaterally. No visible effusions. No acute bony abnormality.,Endotracheal tube and NG tube appear to be in satisfactory position. Areas of scarring in the lungs bilaterally.,1.2.826.0.1.3680043.8.498.69236837613562819181547422084090186896
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.78181239538832734809415228427430638027
"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.37197331090974571790492754951549976745
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable. No diagnostic pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.42001393816308373353423609959115909038
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.35733170811848778734058602206145965366
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.24186349913610581637726375642478771784
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Linear density is noted in the right base consistent with atelectasis. No sizable effusion is seen. No bony abnormality is noted.,Right basilar atelectasis.,1.2.826.0.1.3680043.8.498.91841686281867023899048738005344386659
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96458895311775245810915401334926448460
There is a small left pleural effusion. There is no edema or consolidation. Heart is enlarged with pulmonary vascularity within normal limits. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,Small left pleural effusion. No edema or consolidation. There is cardiomegaly.,1.2.826.0.1.3680043.8.498.75155226392473966367269206113911832481
"The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.51464540712257662375965103828199083980
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74585747808841416104690233789193696611
There is a left pleural effusion with left lung base infiltrate or atelectasis. The right lung is clear. The heart is normal. A nasogastric tube passes below the diaphragm.,Left lung base infiltrate or atelectasis with left pleural effusion.,1.2.826.0.1.3680043.8.498.33911168147054970787202880314978320239
Endotracheal tube tip 3.5 cm from the carina. NG tube crosses into the stomach. Swan-Ganz catheter tip is in the right main pulmonary artery. Right chest tube and mediastinal drain. No pneumothorax. Mild atelectasis in the right lung. No edema.,Stable postoperative appearance. No pneumothorax.,1.2.826.0.1.3680043.8.498.22408990605001105887824481195890722381
Umbilical arterial catheter remains in place with tip in the mid descending thoracic aorta. Enteric tube is in place with tip and side-port over the stomach in the left upper quadrant. Lung volumes are low. There are coarse bilateral interstitial opacities with some patchy airspace opacity in the left mid and lower lung. No pneumothorax. No pleural effusion. Cardiomediastinal contours are normal.,1. Support devices as described. 2. Stable coarse bilateral interstitial opacities with patchy airspace disease in the left mid and lower lung.,1.2.826.0.1.3680043.8.498.48955899422704963085059031018446582275
The lungs are emphysematous but clear. No pneumothorax or pleural effusion. Heart size normal. Port-A-Cath is in place.,Emphysema without acute disease.,1.2.826.0.1.3680043.8.498.57965836658873883120389701536707807701
The heart size and mediastinal contours are within normal limits. Both lungs are clear. Mild S-shaped thoracolumbar scoliosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23049146867325023683177299589463882379
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98297862927133398953486049806030189789
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87059249349256849489640559432804992817
The heart is mildly enlarged. A left subclavian pacemaker is stable in position. The single pacemaker lead is intact and unchanged. The patient is status post median sternotomy for CABG. The lungs are clear. A calcified granuloma is again noted at the left base. There is no pneumothorax. Mild degenerative changes are again noted throughout the thoracic spine.,1. Stable positioning of the pacemaker. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95381679512090986165844648178122917079
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43387632380189395283956979413380305028
Calcified granuloma right lung. Patchy atelectasis or infiltrate at the left lung base. Heart size upper limits normal. Atheromatous aortic arch. No definite effusion. No pneumothorax. Visualized bones unremarkable.,Patchy infiltrate or atelectasis at the left lung base.,1.2.826.0.1.3680043.8.498.37151216437213829623364082488473260846
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No pneumothorax.,No acute disease.,1.2.826.0.1.3680043.8.498.24198281731955876242477257000821565500
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50568345548492807567502709861549571940
Cardiac silhouette is unchanged with prior sternotomy. No acute infiltrates are seen. Osseous structures are unchanged.,No evidence for active disease in the chest.,1.2.826.0.1.3680043.8.498.84236721960237658897574082916410738419
"The patient is intubated. The tip of the endotracheal tube is 2.3 cm above the carina. A right IJ central venous catheter is present. The catheter tip overlies the superior cavoatrial junction. A nasogastric tube is present. The tip lies inferior to the diaphragm, presumably within the stomach. Inspiratory volumes are low. Bibasilar opacities are present consistent with atelectasis. No pneumothorax. No pulmonary edema. No definite pleural effusion.",1. Low inspiratory volumes with bibasilar atelectasis. 2. Support apparatus as above.,1.2.826.0.1.3680043.8.498.42517316625355473537666805059299409855
"Multiple right lateral rib fractures are again noted, including the posterior right seventh rib and lateral right eighth rib. These were described on the 3/1/2018 CT. No evidence of hemothorax or pneumothorax. Stable volume loss at the right lung base. Stable mild scarring at the right lung base. The left lung is clear. Stable mediastinal contours. Normal heart size.",1. Stable appearance of right lateral rib fractures since 3/1/2018. 2. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.51760177056436472135928701131626212155
"There is cardiomegaly present with mild pulmonary vascular congestion and small effusions, consistent with mild congestive heart failure. The lungs are hyperaerated consistent with emphysema. Peripheral fibrotic changes are noted particularly at the lung bases, stable since the prior CT of the chest. No acute bony abnormality is seen.",1. Mild CHF with small effusions. 2. COPD with peripheral fibrosis.,1.2.826.0.1.3680043.8.498.80688606358020668925725571827292198792
Cardiomediastinal silhouette unremarkable for age. Marked central peribronchial thickening. localized airspace opacities in the right lower lobe. Lungs otherwise clear. No pleural effusions. Visualized bony thorax intact.,Right lower lobe pneumonia superimposed upon moderate to severe changes of asthma versus bronchitis versus bronchiolitis.,1.2.826.0.1.3680043.8.498.32422184763028052003557718557357416291
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82599859652456856492456134453547215047
The feeding tube is in place. The right internal jugular central line is stable. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and stable. Persistent right lower lobe infiltrate and small right pleural effusion. The left lung is relatively clear. No pneumothorax.,1. Persistent right lower lobe infiltrate. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.26276725558673346026088816220095221629
Cardiomegaly with bilateral pulmonary alveolar infiltrates are noted consistent with congestive heart failure. Bilateral pleural effusions are present. These findings are consistent with congestive heart failure with pulmonary edema and bilateral pleural effusions. Superimposed pneumonia cannot be excluded.,Findings consistent with congestive heart failure with pulmonary edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.36587183012375415705392900869016191924
The cardiac silhouette appears within normal limits. No focal airspace opacity is noted. The costophrenic angles appear sharp.,No evidence of acute pulmonary disease.,1.2.826.0.1.3680043.8.498.55002282613136488914934344006627403237
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60610846773694867789692844214335362772
The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29381860148191130009176522728025360055
The lungs are well-aerated. Mild left basilar airspace opacity raises concern for pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Mild left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.16453481676597495926539297370898687341
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.89150655571539955963565852184058068488
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13320135345739484721892398082101816651
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18564262972369495383193846016708771906
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43222524022756833245624166221387313970
There is no evidence of fracture or other focal bone lesions. No evidence of pneumothorax or pleural effusion.,Negative.,1.2.826.0.1.3680043.8.498.68702647882515317549145382489116338907
Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52887890186373277384140535110159506980
Endotracheal tube tip 2.8 cm above the carina. Nasogastric tube courses below the diaphragm. Tip is not included on the present exam. Diffuse airspace disease asymmetrically involving the left lung. This may represent asymmetric pulmonary edema. Infectious infiltrate not excluded. No gross pneumothorax. Cardiomegaly. Calcified tortuous aorta.,Diffuse airspace disease asymmetrically involving the left lung. This may represent asymmetric pulmonary edema. Infectious infiltrate not excluded.,1.2.826.0.1.3680043.8.498.43731645823275944292676865514275242941
Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality.,No acute findings.,1.2.826.0.1.3680043.8.498.34924735864115055979589791840580726240
There has been some improvement in the patient's pulmonary edema. Small bilateral pleural effusions and basilar airspace disease persist. Cardiomegaly.,Some improvement in pulmonary edema. No new abnormality.,1.2.826.0.1.3680043.8.498.22655083530217167133373303581072776337
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47808430547615957776670666076280178987
The lungs are clear. There is no pleural effusion. Heart size is normal. Clips are noted in the right axilla.,No acute disease.,1.2.826.0.1.3680043.8.498.88002167595779479916139091359381149926
There is an infiltrative density in the left perihilar region extending into the lingula compatible with pneumonia. The right lung is clear. There is no pleural effusion. The heart is normal.,Lingular pneumonia. This is not due to tuberculosis. The lungs are otherwise clear.,1.2.826.0.1.3680043.8.498.49385299499771113034852431351765345609
Heart is normal in size. Lungs are under expanded. There are bilateral lower lobe infiltrates which appear worse. Small effusions are suspected. No pneumothorax.,Increasing bilateral lower lobe infiltrates.,1.2.826.0.1.3680043.8.498.72306986602646749785318545614979148356
There is cardiomegaly. There is ectasia of the thoracic aorta. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,Cardiomegaly. No acute findings.,1.2.826.0.1.3680043.8.498.41178423830554922801893155739397147258
"Right upper extremity catheter tip overlies the proximal SVC. Mild cardiomegaly. Aortic atherosclerosis. Small bilateral pleural effusions, left greater than right. Patchy consolidation at the left base. No pneumothorax.",Small bilateral pleural effusions. Consolidation at the left lung base may reflect atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.38246611212027703604940394643300291200
Cardiac silhouette is mildly enlarged. No mediastinal or hilar masses. No evidence of adenopathy. There are prominent bronchovascular markings. Mild linear opacity is noted at the lung bases consistent with atelectasis. No evidence of pneumonia or pulmonary edema. No pleural effusion or pneumothorax. Skeletal structures are demineralized but grossly intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47907708217094944677203507756120409937
The right IJ sheath has been removed. The heart remains enlarged. Interstitial fibrotic changes are again seen throughout both lungs. A small right effusion is stable. A tiny left effusion is stable. Bibasilar atelectasis is stable. The right pneumothorax has resolved.,1. Resolved right pneumothorax. 2. Stable small effusions and bibasilar atelectasis. 3. Stable interstitial fibrotic changes.,1.2.826.0.1.3680043.8.498.18518186745606046468134500768087389275
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.54684631947407477300730760275817723475
"Upper normal heart size. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No infiltrate, pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.57913179977308533257057117224977810847
The heart is enlarged but stable. The pacer wires are stable. The lungs are clear. No pneumothorax.,Stable cardiac enlargement. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.70647931052599969114763582263905245774
There is thickening of the interstitial markings. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,Pulmonary vascular congestion/mild edema. No focal regions of consolidation are appreciated.,1.2.826.0.1.3680043.8.498.27625016402700002782700549776219322707
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.20422045547222812277145821554240549904
"The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous structures are intact.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.18833706579999659448630609840954347106
There is again noted a persistent area of increased density in the RIGHT upper lobe. This is unchanged. There is also persistent increased density in the LEFT upper lobe which is also unchanged. There is also persistent scarring in the RIGHT lower lobe. COPD changes are noted. No evidence of new areas of infiltrate or new areas of focal consolidation are appreciated. The cardiac silhouette is within normal limits. The visualized bony skeleton is osteopenic.,1) Persistent areas of increased density in the RIGHT upper lobe and also the LEFT upper lobe. Continued follow-up is recommended. 2) COPD changes are noted.,1.2.826.0.1.3680043.8.498.39557116858648062245280835254302885089
Dialysis catheter has been placed via the right jugular vein. The tips of the catheter are in the right atrium. I would recommend withdrawing the catheter approximately 5 cm. Stable cardiomegaly and pulmonary vascular congestion. No pneumothorax. AICD is in satisfactory position.,Dialysis catheter right atrium. Recommend withdrawing catheter 5 cm. No pneumothorax.,1.2.826.0.1.3680043.8.498.74473490672061858053901657963756253278
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89151199810113086135096971187551600894
There is a probable nipple shadow at the left base. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,No edema or consolidation. Probable nipple shadow left base; advise repeat study with nipple markers to confirm.,1.2.826.0.1.3680043.8.498.28257274543777990358033639212604153417
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.16647130618672910453069198603188277389
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23964631455746642677347641790104755973
The heart size and mediastinal contours are within normal limits. Right arm PICC line is identified with distal tip in the SVC. There is no evidence of pneumothorax. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66370813971194373079703850503732526858
Linear densities in the lingula compatible with atelectasis. Right lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Lingular atelectasis.,1.2.826.0.1.3680043.8.498.39109784479406077792587564621153374898
The chest is hyperexpanded consistent with emphysema. The lungs are clear. Heart size is normal. No effusion.,Emphysema without acute disease.,1.2.826.0.1.3680043.8.498.41644503205005014005015037688652577987
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76136931235083797504324735959754922442
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66009621050141181568301043124385479328
The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 07/01/2020.,1.2.826.0.1.3680043.8.498.33349409827754331685389398144737768437
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32964532315891614851658270302165868201
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57645813360531117333360203516014225597
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.35939613143499913191346145548144372031
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24077532864847873554881292058097632124
"Heart size is normal. Atherosclerotic calcification of the aortic knob. No focal airspace consolidation, pleural effusion, or pneumothorax. No displaced fractures.",No active disease.,1.2.826.0.1.3680043.8.498.65063916005905120028632527873392512235
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.29594679809718632477358278393838799846
The heart is enlarged. There is vascular congestion with mild pulmonary edema. No significant pleural effusion is evident. There is no pneumothorax. Feeding tube projects below the diaphragm. The patient is status post median sternotomy and aortic valve replacement.,1. Cardiomegaly with vascular congestion and mild pulmonary edema. 2. No focal airspace disease.,1.2.826.0.1.3680043.8.498.86337921740299970476847803328103458224
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.54641013842564075719311439247376465046
"The Port-a-cath is stable. Heart size is borderline enlarged. Mediastinal and hilar contours are unchanged. Low lung volumes with vascular crowding and streaky basilar atelectasis. No infiltrates, edema or effusions.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.38220254675906600918095520469848593672
There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.18578548147586032506416140214212666618
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93629018377811418480864309888380844774
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.87756705952411821301368580392983257196
There is mild interstitial edema. More confluent airspace opacities are identified in the right upper lobe and right lower lobe and there are bilateral pleural effusions. The heart is enlarged. The aortic arch is calcified again.,1. Mild CHF. 2. Cannot exclude superimposed pneumonia in the right lung.,1.2.826.0.1.3680043.8.498.15260519395615819706078297284397261579
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86720942898907764797708013348562366810
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83256715905223334479515331417116127437
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49313736550443379563562421958622353447
The heart size and mediastinal contours are within normal limits. Both lungs are clear. Right infrahilar opacity noted on prior exam has resolved. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34896844397692548269922187654961477390
Left-sided pacemaker with 2 continuous leads overlies normal cardiac silhouette. No pneumothorax. No pulmonary edema.,1. Pacemaker placement without complication. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.51424615514328146243820978486573105683
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21645319286191590588597993019719400018
Shallow inspiration. Normal heart size and pulmonary vascularity. Calcified and tortuous aorta. Lungs are clear. No blunting of costophrenic angles. No pneumothorax. Degenerative changes in the shoulders.,No active disease.,1.2.826.0.1.3680043.8.498.14066352467927070952205515263478175179
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.87377417767941084251753437209229693861
The heart is enlarged. There is tortuosity and ectasia of the thoracic aorta. Low lung volumes with vascular crowding and atelectasis. No edema or effusions. No focal infiltrates.,1. Cardiac enlargement. 2. Low lung volumes with vascular crowding and atelectasis. 3. No edema or effusions.,1.2.826.0.1.3680043.8.498.35898429456864789308731528385236918209
An endotracheal tube is in place with the tip at the thoracic inlet. The cardiothymic silhouette is normal. The lungs are clear. There is no pleural effusion or pneumothorax. The visualized bowel gas pattern is unremarkable.,1. Endotracheal tube in satisfactory position. 2. Clear lungs.,1.2.826.0.1.3680043.8.498.43250282890797807492748102478906285818
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16974529018843639898144727186111755108
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No pleural effusion or pneumothorax. No acute osseous abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.77759500237720700999437908542177412554
"Single portable AP chest radiograph is provided. There is a dual-lead cardiac pacer noted. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.95081695515490308794723214807053221632
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are hyperinflated consistent with COPD. No infiltrates, edema or effusions. The bony thorax is intact.",COPD but no acute pulmonary findings.,1.2.826.0.1.3680043.8.498.17708522414950372657694941749282253373
"The heart size and mediastinal contours are within normal limits. Lung volumes are normal. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90366342595649749798856153607352465058
"The heart is enlarged. There are moderate-sized bilateral pleural effusions, left greater than right. Bibasilar opacities are present, which may represent atelectasis or airspace disease. There is no evidence of pulmonary edema. No pneumothorax is identified. No acute bony abnormalities are seen.","Cardiomegaly with bilateral pleural effusions, left greater than right. Bibasilar atelectasis and/or airspace disease.",1.2.826.0.1.3680043.8.498.30276908703039889133112920925069972359
Real-time imaging shows normal appearing veins with normal compressibility. Doppler evaluation shows normal venous flow with respiratory variation and augmentation with distal compression.,No evidence for deep venous thrombosis in the visualized veins.,1.2.826.0.1.3680043.8.498.59966286963622507100932690622939304014
OG tube is in place with the side port in the stomach in good position. The lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,No acute disease. OG tube in good position.,1.2.826.0.1.3680043.8.498.97985849279808630118467887174731329990
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51523160623177542312947950123653218050
Heart size is normal. The mediastinum is unremarkable. There is linear atelectasis or scar in the lingula. The right lung is clear. No effusions. No significant bony finding.,Linear atelectasis or scar in the lingula.,1.2.826.0.1.3680043.8.498.83946375769365710972865678777544298220
"Normal cardiac silhouette. Low lung volumes accentuate pulmonary markings. No consolidation, effusion, or pneumothorax. Bones are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36549983658601358283368339684577047410
The heart size and mediastinal contours are within normal limits. Pulmonary hyperinflation noted. Mild central peribronchial thickening also seen. No evidence of pulmonary airspace disease or pleural effusion.,"Pulmonary hyperinflation and central peribronchial thickening, suspicious for viral bronchiolitis or reactive airways disease. No evidence of pneumonia.",1.2.826.0.1.3680043.8.498.86287793782397035259805340699613674915
Prior CABG. Interval removal of right jugular vascular sheath. Midline trachea. Mild cardiomegaly. Small bilateral pleural effusions. Removal of right-sided chest tube. No pneumothorax. Low lung volumes. Persistent bibasilar atelectasis.,1. No pneumothorax after removal of right-sided chest tube. 2. Small bilateral pleural effusions with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.74350690416274159591339810601081479966
The lungs are under inflated. There is no focal consolidation or pleural effusion. The heart is normal in size. The mediastinal contours are within normal limits. The thoracic spine is intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16244392699209413282988483177489871780
"Normal heart size and mediastinal contours. Lungs clear. No gross infiltrate, pleural effusion or pneumothorax. Osseous structures unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.46556959877299756990054859654391454150
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43576112377884519112182502777246757521
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58939541429752103275877652639830556666
Tracheostomy tube in stable position. Diffuse bilateral pulmonary infiltrates/edema and bilateral pleural effusions are again noted. Interim slight progression from prior exam. Cardiomegaly. No pneumothorax. Diffuse dense bone metastatic disease.,1. Tracheostomy tube in stable position. 2. Diffuse bilateral pulmonary infiltrates/edema and bilateral pleural effusions again noted. Interim slight progression from prior exam.,1.2.826.0.1.3680043.8.498.56651780575583880434079958146998426220
There is parenchymal opacity in the right upper lobe consistent with pneumonia. The remainder of the lungs is clear. No effusion is seen. The heart is within normal limits in size.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.24892608513726819112982265834071643095
"An endotracheal tube is present at the level of the sternoclavicular joints. The heart is mildly enlarged. There is no edema, infiltrate or pneumothorax. There is some left lung base atelectasis.",Stable appearance.,1.2.826.0.1.3680043.8.498.37107268002073229256273222518211030575
"Diffuse bilateral airspace disease again noted, not significantly changed. Small bilateral effusions. Heart is borderline in size. No acute bony abnormality.",Stable diffuse bilateral airspace disease and bilateral effusions.,1.2.826.0.1.3680043.8.498.42021039827672802980731897502086603001
Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable. There is mild scoliosis.,No active disease.,1.2.826.0.1.3680043.8.498.98680900353620347023472600542595161800
Heart is normal size. Lungs are clear. No effusions. Moderate size hiatal hernia. No acute bony abnormality. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39823038617341123786539334368229010986
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26537268704956967938028444202492980796
"There is no fracture, dislocation or significant localized bony change. The joint spaces are preserved without arthrosis. The soft tissue silhouettes are unremarkable.",No acute bony process. If there are continued complaints serial clinical and as indicated imaging follow up is recommended.,1.2.826.0.1.3680043.8.498.97082212875088410117790916258030055408
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18214487769551971073306539079671899503
"Swan-Ganz catheter, mediastinal drain and left chest tube have been removed. Right jugular sheath remains. No pneumothorax. Mild left lower lobe atelectasis. Mild right lower lobe atelectasis. No significant effusion.",Mild bibasilar atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.90097956165984708245016524404897934461
There is increased density in the left lower lobe compatible with pneumonia. The right lung field is clear. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.,There is observed left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.65761285954370175481389818756008052981
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37220589390797724866316444402784041962
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44189844396247267870604048949631866966
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99603550366974471562650753500491993830
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21482081946909339412636010108233659666
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.92221167461351531830373532316189018680
ET tube terminates in the mid trachea. Enteric tube courses inferior to the diaphragm. Interval placement of a left subclavian central venous catheter with tip projecting over the superior vena cava. Stable cardiomediastinal contours. Persistent left basilar consolidation and left retrocardiac opacities. Small left pleural effusion. No pneumothorax.,New left subclavian central venous catheter with tip projecting over the superior vena cava. No pneumothorax. Persistent left basilar consolidation and left retrocardiac opacities.,1.2.826.0.1.3680043.8.498.19758882148721403176816295870743920045
"There is central airway thickening. Focal airspace opacity is seen in the right middle lobe, consistent with pneumonia. No evidence of pleural effusion. Heart size is normal.","Right middle lobe airspace opacity, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.54434876312532533846130939267482698315
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67548810101291781515752681190333411323
"Low lung volumes. The heart is at the upper limits of normal in size, likely accentuated by technique. Normal mediastinal contours. Patchy opacity at the left lung base. No pulmonary edema. No pneumothorax or large pleural effusion. No acute osseous abnormalities are seen.","Low lung volumes with patchy opacity at the left lung base, may reflect atelectasis or aspiration.",1.2.826.0.1.3680043.8.498.49555124042554958265839100751254865254
There is a large mass in the left upper lobe compatible with the patient’s history of lung cancer. There is extensive airspace disease in the left lower lobe and also patchy airspace disease in the right lower lobe. There is a left pleural effusion. The Port-a-cath is stable. The bony thorax is intact.,1. Large left upper lobe mass compatible with lung cancer. 2. Left lower lobe and right lower lobe pneumonia. 3. Left pleural effusion.,1.2.826.0.1.3680043.8.498.46344359018988994801053460994492990197
"Low lung volumes. Normal heart size. Normal mediastinal contour. No pneumothorax. No pleural effusion. Vascular crowding due to low lung volumes, without overt pulmonary edema. No acute consolidative airspace disease.","Low lung volumes, without active cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.92067411254803086344163240251171160486
"The lungs are well-aerated. There is a large right-sided pneumothorax, measuring approximately 5-6 cm in size; this is significantly increased in size from the prior PET / CT. There is no significant mediastinal shift. The left lung appears relatively clear. No pleural effusion is seen. The heart is normal in size; the mediastinal contour is within normal limits. A left-sided chest port is noted ending about the mid SVC. No acute osseous abnormalities are seen. Scattered soft tissue air is noted along the right side of the neck.","1. Large right-sided pneumothorax, measuring approximately 5-6 cm in size. 2. No mediastinal shift seen.",1.2.826.0.1.3680043.8.498.34707159586712041766133267102385382019
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.66089248261031404820158147293572323577
The OG tube tip is in the stomach. The cardiothymic silhouette is within normal limits. The lung aeration is stable. Minimal hazy lung opacity persists but has a good appearance. No effusions or pneumothorax.,Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.20419311090939973447639071765812957615
Cardiomediastinal silhouette is stable. Endotracheal tube in place with tip 3.5 cm above the carina. There is NG tube in place with tip in stomach. There is a left IJ central line with tip in SVC. No diagnostic pneumothorax. No acute infiltrate or pulmonary edema.,Stable support apparatus. No active disease.,1.2.826.0.1.3680043.8.498.86454403111234566515775864098079243045
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.89579544004619174143397155065301222498
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.95739172881432607131869521064233104782
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.23946698731528883921062557875850213446
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74462516985246820281292317307481609483
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.26747542653710191658498622933037205913
There is mild scarring in the left base. Elsewhere lungs are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,Scarring left base. No edema or consolidation. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.78760087613197253107854485937150311529
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.90808773479097951692142385510158882175
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.76241431411312082170443823876122680454
Normal heart size and pulmonary vascularity. Tortuous thoracic aorta. Lungs clear. No pleural effusion or pneumothorax. End plate spur formation thoracic spine.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.24918964791626493435487724064940753443
Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.34116427850912600399387384833952137076
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38809675944488400040517324907414253208
"There is no significant pulmonary consolidation, pulmonary edema, pleural effusion, nor pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced rib fracture is noted.",1. No acute cardiopulmonary abnormality is noted.,1.2.826.0.1.3680043.8.498.80191105002447995627381789074833753022
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85877342374054643989409914783231352288
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96121331888350942417218166737449452303
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.49551507710369060875052107099897665005
"The heart size and mediastinal contours are within normal limits. Mild peribronchial thickening is similar to prior study. No focal consolidation, pleural effusion, or pneumothorax. The visualized skeletal structures are unremarkable.",Stable bronchitic changes. No focal consolidation.,1.2.826.0.1.3680043.8.498.22482986391923831151149123154205527563
The heart size and mediastinal contours are within normal limits. Atherosclerosis of thoracic aorta is noted. No pneumothorax or pleural effusion is noted. Large hiatal hernia is noted. Left lung is clear. Stable right basilar opacity is noted most consistent with scarring. The visualized skeletal structures are unremarkable.,Stable right lower lobe opacity is noted most consistent with scarring. No significant change compared to prior exam.,1.2.826.0.1.3680043.8.498.43220851130704246504464626538291918810
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.12904747100442124469801192804765588349
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38535935819782006966033260327527064150
Mediastinum and hilar structures normal. Cardiac pacer noted with lead tips in right atrium right ventricle. Heart size normal. Diffuse bilateral interstitial prominence again noted. Similar findings noted on prior exams. This is most consistent with chronic interstitial lung disease. No acute infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Stable cardiomegaly. 2. Stable bilateral pulmonary interstitial changes. This is most consistent with chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.39500065624492244982668575138131243342
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93442537876146940670369533257944023422
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46120314390242027455410004564172070000
Umbilical venous catheter tip is in the right atrium approximately 1.2 cm above the IVC right atrial junction. Umbilical artery catheter tip is at T7. Lungs are clear. Heart size and vascularity are normal. Normal bowel gas pattern.,Tubes and catheters in position as described.,1.2.826.0.1.3680043.8.498.44999663880445021227330219239550530897
There is a right chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size appears mildly enlarged. There are bilateral pleural effusions and interstitial edema. Aortic atherosclerosis is noted.,1. Mild CHF.,1.2.826.0.1.3680043.8.498.40388325318954696765648686240166934257
Left subclavian AICD lead extends to the right ventricle. Heart size upper limits normal. Atheromatous aortic arch. Lungs are clear. No effusion. No pneumothorax. Spurring in the lower thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12565498434788419684940759020768256527
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52628002322254181283648570016273982738
"There is persistent increased density in the right perihilar region and right lung base. The heart is normal in size. The left lung is clear. There is no edema, effusion or pneumothorax.",Persistent right-sided pneumonia. Follow-up to document complete clearing is recommended.,1.2.826.0.1.3680043.8.498.88374424558266678552184458482696992569
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78325790891271588579883429170434060386
There is central peribronchial thickening. Lung volumes are normal. No consolidative infiltrates or effusions. Heart size and vascularity are normal. No osseous abnormality.,Central airway thickening consistent with bronchitis.,1.2.826.0.1.3680043.8.498.34268961178454872848948379726080923383
Bilateral airspace disease has markedly worsened. There is a moderate right pleural effusion and small left effusion. Central venous catheter is in the SVC. No pneumothorax. Cardiomegaly.,Marked worsening of bilateral airspace disease.,1.2.826.0.1.3680043.8.498.95057767601132122452744338465927796998
The lungs are well expanded. There is no focal infiltrate. The interstitial markings are mildly increased. The cardiac silhouette is top normal in size. There is tortuosity of the descending thoracic aorta.,There are findings consistent with COPD. I do not see evidence of pneumonia. I cannot exclude low-grade compensated CHF. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.92909115040334190682214026059900720049
There has been interval worsening of bilateral air space disease. The patient has had a median sternotomy. The heart is enlarged.,Interval worsening of bilateral air space disease likely representing pulmonary edema. Pneumonia is not excluded.,1.2.826.0.1.3680043.8.498.32548122800367798995558374446033348198
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.58395998971712951246438826688082162857
The heart is enlarged. The pulmonary edema seen on the prior study has resolved. No focal airspace consolidation or pleural effusion is identified. There is no pneumothorax.,Resolved pulmonary edema. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96725682311412646991378014675320976827
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.65474617357057351318520454277209093663
Lung volumes are low. There is some bibasilar atelectasis. No pneumothorax or pleural effusion. Heart size normal.,Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.24551040355761212433841017047310444975
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45660781626508354291880316101259726394
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90249105341684688497767427794940185037
Tip of endotracheal tube projects 2.8 cm above carina. Nasogastric tube extends into stomach. RIGHT arm PICC line tip projects over mid SVC. Upper normal heart size. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Improved aeration in both lungs with minimal residual infiltrate particularly in LEFT upper lobe. No pleural effusion or pneumothorax. Bones demineralized.,Improved pulmonary infiltrates.,1.2.826.0.1.3680043.8.498.13050956168716029715300315058524092528
The umbilical venous catheter tip is in the right atrium and could be withdrawn 1.2 cm. The umbilical arterial catheter tip is at the T7 level. The cardiothymic silhouette is within normal limits. The lungs are clear. No pneumothorax. The bowel gas pattern is unremarkable.,1. The umbilical venous catheter tip is in the right atrium and could be withdrawn 1.2 cm. 2. The umbilical arterial catheter tip is at the T7 level. 3. Clear lungs.,1.2.826.0.1.3680043.8.498.75234354668072458635951326541822493999
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.25350510403779165331074517629336526155
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87491429368870551400331810066816321462
The heart size is normal. There is no pleural effusion. Pulmonary interstitial prominence is identified bilaterally. No focal airspace opacities are noted. There is a surgical clip in the right upper quadrant of the abdomen.,1. Mild interstitial edema. 2. No pneumonia.,1.2.826.0.1.3680043.8.498.58435092905307471707182141375369182262
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34099153635559247983561926310423954381
Endotracheal tube is 3.5 cm above the carina. There is mild cardiomegaly. Minimal right base atelectasis. Left lung clear. No effusions.,"Endotracheal tube 3.5 cm above the carina. Mild cardiomegaly, right base atelectasis.",1.2.826.0.1.3680043.8.498.36841756809251358815862234729241366732
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87482545315102877259967520093312712205
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.88000508165972629012171123061385195066
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80917873278429665198021628849678223677
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.98866507643969234578369733380444398814
An endotracheal tube is again observed. The tip is approximately 1.5 cm above the carina. A nasogastric tube is present with the distal portion in the stomach. A venous catheter is again observed on the right. No pneumothorax is seen. There is increased density at the left base compatible with atelectasis. No pulmonary edema is seen. Heart size is normal.,1. No acute changes are identified. 2. There is increased density at the left base compatible with atelectasis. 3. No pulmonary edema or pleural effusion is seen.,1.2.826.0.1.3680043.8.498.35649025240332092245356434369251745032
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19677120336256450377799685383011681452
Cardiac silhouette is mildly enlarged. No mediastinal or hilar masses. There is opacity at both lung bases consistent with pleural effusions and atelectasis. This is similar to the prior exam. Mild prominence of the interstitial markings is noted consistent with pulmonary edema. No pneumothorax. Bony thorax is demineralized but grossly intact.,"Cardiomegaly, mild pulmonary edema and bilateral pleural effusions with basilar atelectasis. Findings are similar to the prior exam.",1.2.826.0.1.3680043.8.498.42018924226189330141538792434889528397
Heart size is difficult to evaluate on the AP projection. Calcification of the aortic knob is seen. There is no evidence of congestive heart failure or acute infiltrates. The costophrenic angles are sharp and the trachea is midline. Hila structures outline normally.,No acute disease.,1.2.826.0.1.3680043.8.498.45309758938090466614134352501983993767
Patchy airspace disease is seen in the right upper lobe and right base. Left lung is clear. No pneumothorax or pleural effusion. Heart size is normal. No acute or focal bony abnormality.,Patchy right lung airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.90658188324948024835605636936084526150
Stable cardiomediastinal silhouette. Stable bilateral patchy airspace opacities are noted consistent with multifocal pneumonia. No pneumothorax or pleural effusion is noted. Bony thorax is unremarkable.,Stable bilateral patchy airspace opacities consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.30562407591968357449086849410248113346
Right-sided PICC line is unchanged. Lung volumes are low. There is some improvement in aeration of the right lung base. Bilateral pleural effusions and basilar airspace disease remains. No pneumothorax.,Improved right basilar aeration with persistent bibasilar airspace disease and effusions.,1.2.826.0.1.3680043.8.498.60043371381765779310165902397945726828
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85038647771921903767210793544324285129
Dual lead transvenous pacemaker is in place with controller device on the left. The cardiac silhouette is minimally enlarged. The lungs are free of infiltrates. No pleural disease is evident. There is minimal degenerative spondylosis compatible with age.,"Transvenous pacemaker is in place. The cardiac silhouette is minimally enlarged. No pulmonary edema, pneumonia, or pleural effusion is evident.",1.2.826.0.1.3680043.8.498.62655329101436508968690837308289954336
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15366858762598736334184110576822575246
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.89075103606530182591760798663391765822
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49654512738604310813366365892990049595
"The cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28516057018301147204108544760827886025
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Single lead cardiac pacemaker is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96131074211952775911157696194319657067
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96716031963768567249659405557388106399
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72717545735936325650483492929564789602
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.38494779998505546425923737227068231550
Shallow inspiration. Heart size and pulmonary vascularity are normal. Increasing consolidation in the right lung base and perihilar region since prior study. Persistent peribronchial thickening with perihilar infiltrates. No pleural effusions. No pneumothorax.,Increasing pneumonia in the right lung. Persistent perihilar peribronchial thickening and perihilar infiltrates.,1.2.826.0.1.3680043.8.498.17658007209970324925744355303103334406
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.37800514291486510712733709664831098855
The lungs are clear. The heart is mildly enlarged. No bony abnormality is seen.,Cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.53214926467272343398051438137565346324
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97578732264933421832160232776047824409
"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32022061775658421146805145784070719773
"No rib fracture or rib lesion. Heart size, mediastinum and pulmonary vasculature within normal limits. Mild atelectasis left lung base. No pneumothorax.",No rib fracture.,1.2.826.0.1.3680043.8.498.98399260615643754051446601327754755326
Lung volumes are low. There is some bibasilar atelectasis. No consolidative process is identified. No effusion. Heart size is normal.,Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.23385340892099700539123471245092149300
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.11947642137389701465575060650267122802
"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.39643095868354430044159204758490652341
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51088406127720566492798309692582549396
The lungs are well-expanded. The interstitial markings remain increased. There is no alveolar infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,COPD. Chronically increased interstitial markings likely reflect underlying bronchitic changes. There is no alveolar pneumonia nor CHF.,1.2.826.0.1.3680043.8.498.65410147209332813704615493344788954316
Right IJ sheath in good anatomic position. Interim removal of Swan-Ganz catheter. Prior CABG. Cardiomegaly. No pulmonary venous congestion. Mild left base atelectasis. Small left pleural effusion. No pneumothorax.,1. Interim removal of Swan-Ganz catheter. Right IJ sheath in good anatomic position. No pneumothorax. 2. Prior CABG. Stable cardiomegaly. No pulmonary venous congestion. 3. Mild left base atelectasis. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.63080366075903948636215714367095339174
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. No evidence of rib fracture on the left.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55159749646742373443313380531493520648
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.47552875608651215706426908905230152924
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.36290360075832041429729649025723719952
Endotracheal tube tip lies approximately 5 cm above the carina. A left-sided PICC line is again identified with tip overlying the lower SVC. Atelectasis at the right lung base has increased slightly in the interval. Atelectasis at the left base has improved slightly. A small left pleural effusion is suspected. No pneumothorax is seen. The heart is normal in size.,Increasing right basilar atelectasis. Improving left basilar atelectasis. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.23678082459794465450954786567863441310
Lungs are clear. No pleural effusion or pneumothorax. The cardiomediastinal contours are within normal limits. The visualized bones and soft tissues are without significant appreciable abnormality.,No radiographic evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.35367258983412920204152110159882857759
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32044722536682086123006384221206524873
The lungs are adequately inflated. The perihilar lung markings are increased. The cardiothymic silhouette is normal in appearance. I see no pleural effusion. The gas pattern in the upper abdomen is normal.,There are findings consistent with reactive airway disease and acute bronchiolitis. I do not see evidence of focal pneumonia.,1.2.826.0.1.3680043.8.498.80153634432231277151605702419632193577
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20679150467907089697824254411145917543
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54658252270728529648351487831460025359
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43217807059283129898335008758745055843
There is thickening of the perihilar lung markings bilaterally compatible with bilateral perihilar interstitial pneumonia. The peripheral lung fields are clear. The chest is hyperexpanded compatible with reactive airway disease. The heart size is normal.,1. There are noted perihilar infiltrates compatible with pneumonia. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.49918814184713387371729829560435645103
PA and lateral chest radiographs are provided. There is left lower lobe airspace disease. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,"Left lower lobe pneumonia. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.17408707569349151644684636826536235808
"An endotracheal tube is in place with tip 6.6 cm above the carina. A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. Lung volumes are normal. There are patchy areas of interstitial prominence and airspace disease in the mid and lower lungs bilaterally, which may represent areas of atelectasis and/or consolidation. No definite pleural effusions. No evidence of pulmonary edema. Heart size is normal. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Atherosclerosis in the thoracic aorta.","1. Support apparatus, as above. 2. Mid and lower lung airspace disease bilaterally, which may represent areas of atelectasis and/or consolidation. 3. Atherosclerosis.",1.2.826.0.1.3680043.8.498.45434001844348523280040042051298140957
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43508481432462553951421980963038363545
Large left pleural effusion has increased in size since the previous exam. There is associated atelectasis or consolidation in the left upper lobe and left base. The right lung is clear. Heart size is normal. No pneumothorax.,Large left pleural effusion with left upper lobe and left base atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.25590503231400650293786624789875141019
Left subclavian AICD lead projects over right ventricle. Enlargement of cardiac silhouette with pulmonary vascular congestion. Mild diffuse pulmonary edema. No gross pleural effusion or pneumothorax.,Enlargement of cardiac silhouette with pulmonary vascular congestion and mild pulmonary edema.,1.2.826.0.1.3680043.8.498.28922835407774881508041170270070607884
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38730962968839021020662625128242728594
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88615394481059292099788619209677013692
The lungs are well-expanded. The interstitial markings are increased bilaterally. The retrocardiac region is dense. The heart is top-normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,Interval extubation of the trachea and of the esophagus. Increased interstitial edema bilaterally. Persistent left lower lobe atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.56125334691449301342418881905893441331
Endotracheal tube is 2.5 cm above the carina. Right dialysis catheter and left central line are unchanged. Low lung volumes. Cardiomegaly. No confluent airspace opacities or effusions. No acute bony abnormality.,"Endotracheal tube 2.5 cm above the carina. Low lung volumes, cardiomegaly.",1.2.826.0.1.3680043.8.498.54923967750082341842900932574205490223
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.26947200320568175148006883747527127480
Cardiac shadow is at the upper limits of normal in size. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53117602615082495122330892712915681809
Stable cardiomegaly given projection and technique. Aortic atherosclerosis with calcification. Consolidation within the right mid lung zone probably represents pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. Emphysema. No pleural effusion or pneumothorax. Surgical changes of the right upper lung and right anterior chest wall. No acute osseous abnormality is evident.,Right mid lung zone consolidation probably represents pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. Stable cardiomegaly. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.40715110398080458998044227717518671586
There is a large hiatal hernia. There is bilateral airspace disease which is most likely due to edema. There are small bilateral effusions and bibasilar atelectasis. There is no acute bony abnormality.,1. Large hiatal hernia. 2. Bilateral airspace disease which is most likely due to edema. Small bilateral effusions and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.76639720051898062167180485588697548092
Normal heart size and mediastinal contours. RIGHT upper lobe infiltrate consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.,RIGHT upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.38126673999622299245578515229955455156
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68990114835763393916384219862367048766
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.40201500137950332348240306993498012199
Normal sized heart. Clear lungs. Minimal thoracic spine degenerative changes.,No acute abnormality.,1.2.826.0.1.3680043.8.498.98088106374982351476345653092834728200
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52638847123989676864512827480916211365
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.22035919345639732269311235917629052480
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.54901036331501543748129678991038883102
Stable appearance of the thoracic aortic stent graft. Stable cardiomegaly. No pulmonary edema. No pleural effusion or pneumothorax. Left retrocardiac atelectasis or scarring is similar to the prior study.,Stable appearance of the thoracic aortic stent graft. Stable cardiomegaly. No pulmonary edema. Left basilar atelectasis.,1.2.826.0.1.3680043.8.498.19911109041985601001408860419757907585
Stable mediastinum and cardiac silhouette. There is fine air space disease in the bilateral lower lobes similar to prior. No pleural fluid. No pneumothorax.,Bibasilar air space disease suggests pulmonary edema.,1.2.826.0.1.3680043.8.498.83076315537628144779929720732996338446
The heart size is at the upper limits of normal. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.32723052782830591260818874717376832426
The lungs are clear. There is no evidence of a significant pleural effusion. No evidence of a pneumothorax. The cardiac silhouette is mildly enlarged. The mediastinal contour is normal. No significant osseous abnormalities are identified.,No evidence of an acute abnormality. There is cardiomegaly which could be secondary to cardiomyopathy and/or a pericardial effusion. Remainder of findings as described above.,1.2.826.0.1.3680043.8.498.20926921393697134391129589150300064148
The heart is enlarged. The mediastinal contour is normal. There is linear density in the left mid lung and left base. There is no pulmonary edema or pleural effusion. The bony structures are normal.,Cardiomegaly. Linear density is identified in the left lung. This is probably due to scar. Comparison with prior chest x-ray is suggested. If none are available CT scan of the chest is suggested.,1.2.826.0.1.3680043.8.498.71534322817297746261599751107381195434
Right IJ dialysis catheter is present with tip at the right atrium. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68904032420310744341682070158610810149
"AP view at 9556 hours. UVC has been advanced, tip now at the level of the diaphragm. Mediastinal contours remain normal. Lung volumes in ventilation remain within normal limits. No pneumothorax.",1. UVC advanced to the level of the diaphragm. 2. Otherwise stable chest.,1.2.826.0.1.3680043.8.498.14445015059657781022270165188244767791
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34740138289759639381533247181923320681
"The heart size and mediastinal contours are within normal limits. There is evidence of moderate congestive heart failure and bilateral pleural effusions, right greater than left. The visualized skeletal structures are unremarkable.",Moderate CHF with bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.18251132148466952618171486130336578442
"The heart size and mediastinal contours are within normal limits. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active disease.,1.2.826.0.1.3680043.8.498.21290235298150625252022412776333514194
Endotracheal tube and nasogastric tube have been removed. Swan-Ganz catheter tip is in the main pulmonary artery. Left chest tube and mediastinal drain are unchanged in position. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy.,Tube and catheter positions as described without pneumothorax. Left base atelectasis. No edema. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.24864762641178691103266877840471040880
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.99343750451066437083980295717942118659
The lungs are adequately inflated. There is no focal infiltrate. There is linear density lateral to the right heart border that suggests subsegmental atelectasis. The heart is not enlarged. I see no pleural effusion.,I do not see definite evidence of a bulla at the right base yet I do not detect a definite bulla on this exam. There is subsegmental atelectasis on the right. Followup imaging is available upon request.,1.2.826.0.1.3680043.8.498.74492046382058135604966227646820598241
Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.44346308423906306683322270929177838000
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.58748581683630191096787103215834102684
The cardiac silhouette is within normal limits for size. The mediastinum is not widened or deviated. The lungs are clear with mild chronic interstitial changes. Colonic gas is seen throughout the abdomen which is nonspecific. No bowel distention or evidence of obstruction is seen. No free air is seen on the supine view.,Nonspecific bowel gas pattern. No evidence of bowel obstruction or free air.,1.2.826.0.1.3680043.8.498.58046044857223198726186826598444516685
The lungs are clear. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.42788136835915770409540739662985089100
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.33769567818937479969060513052519946404
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.32492064286057359058617997885575063287
There is central peribronchial thickening. There is a right upper lobe infiltrate. The cardiothymic silhouette is within normal limits. The bony thorax is grossly intact. There is no pneumothorax.,Central peribronchial thickening with right upper lobe infiltrate likely representing pneumonia.,1.2.826.0.1.3680043.8.498.25942550991467945690414318117321949241
Cardiomediastinal silhouette within normal limits. No evidence of central vascular congestion. No pneumothorax or pleural effusion. No confluent airspace disease. No displaced fracture. Left shoulder arthroplasty.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21887634574799575317929034507975682304
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.50104922044037944469714633168189531526
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.80678801238393743589942645624165007028
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25340101454438914349874728410500807116
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97594707431591661319306887416615936891
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24358896084470080035245568531820628264
Low lung volumes with bibasilar atelectasis. Heart is normal size. No effusions or pneumothorax. No acute bony abnormality.,"Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.77355980773124305750738556391242911110
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is upper thoracic levoscoliosis.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.10775514932345825116901387014016345585
NG tube courses into the stomach and below the inferior margin of the film. There is cardiomegaly. Patchy airspace disease in the right mid and lower lung zones is identified. The left lung appears clear. No pneumothorax or pleural effusion.,Patchy right side airspace disease compatible with pneumonia. Cardiomegaly.,1.2.826.0.1.3680043.8.498.60228009900898127013537176871226728066
"Stable cardiomegaly and mediastinal contours. Small bilateral pleural effusions are stable. No pneumothorax, pulmonary edema, or acute pulmonary opacity. Stable visualized osseous structures.",Stable small pleural effusions.,1.2.826.0.1.3680043.8.498.51304219816218051225106492490563149582
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.81062052898244243211357994654796615400
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63114106527078822315011038778067604075
There is extensive emphysematous change on the left with extensive apical bullous disease on the left. There is scarring in the right upper lobe. There is opacity in the left lung base which is similar to the prior study and is probably due to scarring. There is a small left pleural effusion. There is no evidence of adenopathy. The heart is normal in size. The bony structures are unremarkable.,1. Extensive scarring in the left lung. 2. Extensive emphysematous change on the left. 3. No evidence of adenopathy.,1.2.826.0.1.3680043.8.498.57826667727797626823121496337240916203
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.58688110992412227609422152636261938526
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.67333824715034991774214316858091928298
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17177928939950322785042440815897496560
Heart size and mediastinal contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78626904017822639968979581652869370939
There are bilateral hazy airspace lung opacities most evident in the right upper lobe and left mid lung consistent multifocal pneumonia. No evidence of pulmonary edema. No pleural effusion or pneumothorax. Cardiac silhouette is normal in size. No mediastinal or hilar masses. Skeletal structures are grossly intact.,New multifocal airspace lung opacities consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.47357228433620191614465911534460630671
There is airspace consolidation in the posterior segment of the right upper lobe. There is patchy infiltrate in the anterior right base. Left lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Right upper lobe and right base pneumonia.,1.2.826.0.1.3680043.8.498.40720323951087405406385783709427294379
The heart size and mediastinal contours are within normal limits. Subtle airspace opacities at the left lung base. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,"Subtle airspace opacities at the left lung base, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.97616675816019399354704295095883644508
There is scarring in the right base region. There is no edema or consolidation. The heart size is normal. The pulmonary vascularity reflects underlying emphysema. No adenopathy. No bone lesions. No pneumothorax.,Scarring right base. No edema or consolidation. Evidence of a degree of emphysema noted.,1.2.826.0.1.3680043.8.498.35317357896697312026319024537559058209
Semi upright AP and lateral views of the chest. Slightly shallow lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.88411934774259505308316213938687964363
Heart: Normal. Lungs: Bilateral airspace opacities. No pneumothorax or pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,Bilateral airspace opacities. Differential includes infection versus edema.,1.2.826.0.1.3680043.8.498.64301078234448815923077368028721258161
Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No soft tissue or bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.36989227948168943716070466707379988565
The lungs are clear but hyperaerated consistent with COPD. No active infiltrate or effusion is seen. The heart is within upper limits of normal. No acute bony abnormality is seen.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.80598981611269937407499097145494804361
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24652455741882418041270031482415093117
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions.,No active disease.,1.2.826.0.1.3680043.8.498.18893724024087180758211845725563116518
Heart size and vascularity normal. Lungs are clear without infiltrate or effusion. No acute skeletal abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81781800391808668905182480783865539068
There is a left chest wall pacer with leads in the right atrial appendage and right ventricle. The heart is enlarged. The patient has had a median sternotomy. There is no evidence for CHF. No focal airspace opacities are identified. There is no evidence of pleural effusion or pneumothorax.,1. Cardiomegaly. 2. COPD.,1.2.826.0.1.3680043.8.498.19160631360314450075677410058904111456
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.39450812324388032067440568529218412340
"There is cardiomegaly. Pulmonary vascular congestion is noted. No consolidative process, pneumothorax or effusion. No acute or focal bony abnormality.",Cardiomegaly and pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.23671638807854623845638825461942456230
Mediastinum and hilar structures are normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax. No acute bony abnormality.,"1. Cardiomegaly, no CHF. 2. Low lung volumes with mild basilar atelectasis.",1.2.826.0.1.3680043.8.498.20424562298851186490793043928701818987
"There is hyperinflation and chronic interstitial thickening. There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact. There is evidence of prior sternotomy. A nasogastric tube is appreciated with the distal portion in the stomach.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.51531235551537002592344210788266345541
There is cardiomegaly. Diffuse osseous metastatic disease is identified. Small bilateral pleural effusions are noted. There is no evidence of pneumothorax. Atelectasis at the right lung base is noted.,1. Small bilateral pleural effusions. 2. Diffuse osseous metastatic disease.,1.2.826.0.1.3680043.8.498.20138569071332237609190671147294847945
Single portable AP chest radiograph is provided. There is a moderate right pleural effusion. There is no focal parenchymal opacity. There is no pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,No right pneumothorax status post right thoracentesis.,1.2.826.0.1.3680043.8.498.48924118554106243372649205123631054768
Stable cardiomegaly. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84507573707424022259850092931416856702
Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Pulmonary vasculature is unremarkable. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.78369501254349982833081945649102656595
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94106195407868785859683386396451343346
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73185024883703493354003331468478568756
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.40841037687463011619843223948856789686
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29462642788931481623667145833811387491
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26406897450062165247665616476950246163
LEFT subclavian AICD with leads projecting at RIGHT atrium and RIGHT ventricle. Enlargement of cardiac silhouette with pulmonary vascular congestion. Infiltrates identified at the mid to lower RIGHT lung likely representing pneumonia. Remaining lungs clear. No gross pleural effusion or pneumothorax. Bones demineralized.,Enlargement of cardiac silhouette with pulmonary vascular congestion post AICD. RIGHT lung infiltrates question pneumonia.,1.2.826.0.1.3680043.8.498.13367555994267287162276803565326612245
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusion. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97370360696673570861148386442698456233
The heart is mildly enlarged. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,Mild cardiac enlargement. No acute cardiopulmonary process. No radiographic evidence for active tuberculosis.,1.2.826.0.1.3680043.8.498.86156185638452211139830717336331066574
"Right central line is been placed with the tip in the right atrium. No pneumothorax. Cardiomegaly. No confluent opacities, effusions or edema. No acute bony abnormality.",Right central line tip in the right atrium. No pneumothorax. Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.60276487178797948220191347321284684627
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78422999121301480926323588213720415330
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82946583789605309867365652093929795712
Heart is upper limits normal in size. Lungs are clear. No effusions. Degenerative changes in the thoracic spine. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24540376816246992025799695543306081026
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.58992286729034894955054650066722890840
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.45851427989854603161754389651453986229
"The trachea is midline. The cardiac, mediastinal and pulmonary vascular shadows are normal. There is consolidation/atelectasis in the left lower lobe. The right lung is clear. No pleural effusion or pneumothorax is present.",Left lower lobe atelectasis/consolidation,1.2.826.0.1.3680043.8.498.88148619984966263707057381347886997652
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63144042705229582760692492144002363520
There is dense airspace consolidation in the left lower lobe. The cardiac and mediastinal contours are within normal limits. The right lung is clear. No pneumothorax. No acute osseous abnormality.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.67939851954049745638470117180007799803
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.43809719981074501010524607196690080624
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41734476730624883883796718122844320017
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30122387070325323524141335845413510246
Multiple right-sided rib fractures are again noted. No gross pneumothorax. Cardiomegaly. Central pulmonary vascular prominence. No segmental infiltrate.,Multiple right-sided rib fractures are again noted. No gross pneumothorax. Cardiomegaly. Central pulmonary vascular prominence. No segmental infiltrate.,1.2.826.0.1.3680043.8.498.21232096113008751072637199497118718711
"Portable AP supine view at 9385 hours. Endotracheal tube tip in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, tip not included. Low lung volumes. Mediastinal contours are within normal limits. No pneumothorax or pleural effusion evident on this supine view. No confluent pulmonary opacity. No acute osseous abnormality identified.",1. ET tube and enteric tube appear appropriately placed. 2. Low lung volumes. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.83723660193227992951522923525509464979
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.71544096708733177214779594688028442770
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65384651795143967491436420873376231879
"Left IJ central venous catheter tip overlies the superior vena cava. Heart and mediastinum are stable. Aorta is mildly tortuous. Minimal left basilar opacities likely represent atelectasis. Otherwise, no focal pulmonary opacities. No pneumothorax.",1. Left IJ central venous catheter tip overlies the superior vena cava. 2. Minimal left basilar atelectasis.,1.2.826.0.1.3680043.8.498.33222373326377924868868339774241267908
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11088102182549343278617502611844339822
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21253353750880533410455628874713430710
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97487148795512480284105489707854489821
The heart size and mediastinal contours are within normal limits. Low lung volumes. Both lungs are clear. No pneumothorax. No pleural effusion. The visualized skeletal structures are unremarkable.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.61059105488328801060464246841874218684
Nasogastric tube is in place. Distention of small bowel loops appears to have increased compared to prior study. There is no evidence of free intraperitoneal air. There is no pathologic calcification. There are no fluid collections.,Nasogastric tube in place. Distention of small bowel loops which appears to have increased.,1.2.826.0.1.3680043.8.498.15440384752510813699657178723913623768
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.92989427110707790776018672778533337580
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48328258823715646330213503202940302475
Cardiac shadow is at the upper limits of normal in size. Aortic calcifications are seen. The lungs are hypoinflated without focal infiltrate or sizable effusion. No bony abnormality is noted.,No active disease.,1.2.826.0.1.3680043.8.498.41475854927707734051854162959429906779
The heart size is within normal limits. The lungs are clear. Hilar and mediastinal structures are normal. Bones appear normal. There are no effusions.,Negative chest x-ray.,1.2.826.0.1.3680043.8.498.82787459746594974481008306875664245557
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Left subclavian Port-A-Cath is noted with distal tip in expected position of the SVC. The visualized skeletal structures are unremarkable.,Left subclavian Port-A-Cath is noted with distal tip in expected position of the SVC. No pneumothorax is noted.,1.2.826.0.1.3680043.8.498.84135939949425045904650444789419203379
Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.94318663594229375497951105760670387552
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97480369439870790447889677746519229889
There is central airway thickening. There is a focal airspace opacity in the left lower lobe consistent with pneumonia. No pleural effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Central airway thickening with left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.34889856759797400276570483477546103871
The endotracheal tube is in stable position. A nasogastric tube has been placed. The tip is in the stomach. A left IJ central venous catheter has been placed. The tip is in the SVC. No pneumothorax is seen. Bilateral pleural effusions and basilar atelectasis are again noted.,1. New left IJ central venous catheter without pneumothorax. 2. New nasogastric tube. 3. Stable endotracheal tube.,1.2.826.0.1.3680043.8.498.68229564760707055234932144913615818388
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.99129614414694582239789440642143949606
The endotracheal tube has been removed. Aeration has diminished with increase in basilar atelectasis. Swan-Ganz catheter and left chest tube remain and no pneumothorax is seen. Cardiomegaly is stable.,Endotracheal tube removed. Slight decrease in aeration.,1.2.826.0.1.3680043.8.498.53557285238514330968655282049659760254
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Aortic atherosclerosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67945425036632235054755037302656074721
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27456712622331648496266755925163893545
Cardiothymic silhouette is within normal limits. There is diffuse hazy opacities throughout the lungs. No effusions. No bony abnormality.,Diffuse hazy opacities throughout the lungs which could reflect atelectasis or edema.,1.2.826.0.1.3680043.8.498.50048181271513091545544029511788839720
There is airspace disease bilaterally primarily involving the mid and lower lung fields with probable right and possibly left pleural effusions. This pattern is most consistent with edema although pneumonia particularly at the right lung base cannot be excluded. There is cardiomegaly present. A left central venous line is present with the tip seen to the lower SVC. No bony abnormality is noted.,Probable CHF with edema and effusions. Cannot exclude pneumonia at the right lung base. Left central venous line tip in lower SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.35908355947976350659736359749109367475
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13490926692485266355786882776958890167
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21155064264103611704199062976323457605
"Cardiac silhouette appears moderately enlarged, even with consideration to this low inspiratory examination with crowded vasculature markings. Fullness of the hila with bibasilar strandy densities. Small RIGHT pleural effusion. No pneumothorax. Large body habitus. Osseous structures are nonsuspicious.",Stable cardiomegaly. Small RIGHT pleural effusion. RIGHT lung base atelectasis. Fullness of the hila concerning for pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.41669999861561145010263582915058665393
An endotracheal tube is appreciated with tip at the level of the clavicles. A right-sided internal jugular catheter is appreciated with tip at the level of the superior vena cava. There is no evidence of a pneumothorax. An area of increased density projects within the left lung base. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,1. Support lines and tubes as described above. 2. Atelectasis versus infiltrate left lung base. 3. Surveillance evaluation recommended.,1.2.826.0.1.3680043.8.498.96318449653380690363900987159116695203
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No acute findings.,1.2.826.0.1.3680043.8.498.71682286872680444733820158617016641957
The heart is normal in size. The mediastinal and hilar contours are within normal limits. There is an ill-defined airspace process in the left lower lobe consistent with pneumonia. No pleural effusion. The bony thorax is intact.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.17869415237681977722555674329499156318
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70463798995663190511744397899237344493
An enteric tube is again identified with distal tip overlying the expected region of the duodenal bulb. Normal bowel gas pattern is noted. Both lungs are clear. Cardiothymic silhouette is within normal limits.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68133733361853131665767136992481969047
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71883564184971053288803050689590366539
The heart is enlarged. Diffuse interstitial and airspace opacities are present bilaterally. There is no significant consolidation. Postoperative changes are evident. Degenerative changes are noted at the shoulders bilaterally. No definite acute fractures are evident. There is no pneumothorax. No definite pleural effusions are seen.,1. Cardiomegaly with moderate to severe pulmonary edema. 2. No definite acute traumatic findings. 3. Postoperative changes of the chest.,1.2.826.0.1.3680043.8.498.42708483892514941801416934456876384420
Heart and mediastinal contours are within normal limits. Lung fields appear clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures appear intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.71522504403215116321948521638613757192
An AP semierect portable film of the chest made 1/14/10 at 1205 hours is compared to previous study of 1/14/10 at 4005 hours and now shows a right PICC line with tip in the superior vena cava an estimated 5 cm above the right atrium. There is no pneumothorax. There is mild cardiomegaly. The lungs show mild diffuse peribronchial thickening but no active infiltrate. There is no pleural effusion.,Right PICC line tip in superior vena cava 5 cm above right atrium. No pneumothorax. Mild cardiomegaly. No acute infiltrate.,1.2.826.0.1.3680043.8.498.50147917531084096711571874100890374110
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.31432707075653111241867262205072048480
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are hyperinflated. No infiltrates, edema or effusions. The bony thorax is intact.",COPD. No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.12774286103710846827187137688278862109
The cardiomediastinal silhouette is stable. Lungs grossly clear without acute infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. There are no acute bony findings.,No significant interval change. No acute process.,1.2.826.0.1.3680043.8.498.91460697025631580812522121147550407072
"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93099040443257630848462184268543950003
"There is no evidence of acute infiltrate, pleural effusion or pneumothorax. The cardiac silhouette is markedly enlarged and unchanged in size. The visualized skeletal structures are unremarkable.",Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.48064974311757707346801638188531419842
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69068871968564658026124690177852488052
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10128488930956924908810398991106904394
Normal sized heart. Clear lungs. Minimal scoliosis.,No acute abnormality.,1.2.826.0.1.3680043.8.498.11515302690781091925969050125002833209
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.57804588874681192261831778909079825271
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72367009250022755335565363528895679168
There is abnormal soft tissue density in the left paratracheal and left hilar regions. The right lung is clear. There is no pleural effusion or pneumothorax. The heart and pulmonary vascularity are normal. The bony thorax exhibits no acute abnormality.,Abnormal mediastinal and left hilar and paratracheal densities worrisome for lymphadenopathy or mass. Contrast-enhanced chest CT scanning is recommended.,1.2.826.0.1.3680043.8.498.27107351141858530181363756008543912884
The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.74703632053993988609499333993551389713
Patchy opacity in the right upper lobe suspicious for pneumonia. Left lung is clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.92974200037434124516349624841880742450
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen. No bullet fragments are identified.",No acute cardiopulmonary process seen. No displaced rib fractures identified.,1.2.826.0.1.3680043.8.498.15525371142731110865491658030023416962
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.41395553384577537298046446656404997764
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73908551882278163326296972771756368803
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18748138489800168728554080863057806745
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13832168005688824341325301855745379544
"There is cardiomegaly present with mild pulmonary vascular congestion and small effusions, consistent with mild congestive heart failure. The lungs are hyperaerated consistent with COPD. No acute bony abnormality is seen.",Mild CHF with small effusions. COPD.,1.2.826.0.1.3680043.8.498.21290716840873311166140549494990570672
Endotracheal tube and NG tube in stable position. Left PICC line stable position. Heart size stable. Diffuse bilateral pulmonary infiltrates/edema again noted. Slight worsening from prior exam. No pleural effusion or pneumothorax.,1. Lines and tubes in stable position. 2. Diffuse bilateral pulmonary infiltrates/edema again noted. Slight worsening from prior exam.,1.2.826.0.1.3680043.8.498.65276364327442484592345491165133133054
"The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. Again noted is bilateral diffuse interstitial markings, which may be secondary to chronic interstitial lung disease. There is no definite evidence of acute infiltrate. The bilateral costophrenic angles appear sharp. The visualized bony thoracic cage appears intact.","Stable diffuse bilateral interstitial markings, which may be secondary to chronic interstitial lung disease. No definite focal infiltrate or pleural effusion.",1.2.826.0.1.3680043.8.498.28559204916565729877584673255830680055
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34852416363244206997968072417022240177
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.15405785477130691342526478079128412898
Linear scarring or atelectasis at the right lung base. Mild elevation of the right hemidiaphragm. No consolidation or mass. No pneumothorax or pleural effusion. Cardiomediastinal silhouette within normal limits. No acute osseous abnormality.,Linear scarring or atelectasis at the right lung base.,1.2.826.0.1.3680043.8.498.69412317910056504015617159772428284292
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86405372895862222829113655910819822138
"Heart size is normal. The mediastinum is unremarkable. There is bronchial thickening but there is no infiltrate, collapse or effusion. No significant bony finding.",Bronchitis without consolidation or collapse.,1.2.826.0.1.3680043.8.498.64801128938621302324958992430774771915
Cardiac shadow is within normal limits. Elevation of left hemidiaphragm is noted. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85201282062975857972588297261849377285
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32312593025933142535680072160726397323
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.87381775754703863218083049728116840602
Endotracheal tube is in satisfactory position. Left IJ central line tip projects over the right atrium. Nasogastric tube enters the stomach. The heart size and mediastinal contours are stable. There is persistent patchy airspace disease at both lung bases which may reflect atelectasis or pneumonia. Small bilateral pleural effusions are suspected. There is no pneumothorax.,1. No significant change in bibasilar airspace disease or small pleural effusions. 2. Support system and lines are unchanged in position.,1.2.826.0.1.3680043.8.498.25306003692526391146210746507800644716
The lungs are clear. No pneumothorax is seen. Mediastinal contours appear normal. The heart is mildly enlarged. Median sternotomy sutures are noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.94404619641145664099174456398187728665
Heart and lungs normal. No rib fractures or lesions. No pneumothorax or hemothorax.,No acute or significant findings.,1.2.826.0.1.3680043.8.498.78404410809677152157738054615785711143
The lungs are clear. There is no evidence of a significant pleural effusion. No evidence of a pneumothorax. The cardiac silhouette is normal in size. The mediastinal contour is normal. No significant osseous abnormalities are identified.,No evidence of an acute abnormality. Remainder of findings as described above.,1.2.826.0.1.3680043.8.498.72704029007683374018095426276996888220
Enteric tube courses inferior to the diaphragm. Stable cardiomegaly. Moderate right and small left pleural effusions with underlying pulmonary consolidation. No pneumothorax. Regional skeleton is unremarkable.,Stable cardiomegaly. Persistent moderate right and small left pleural effusions with underlying opacities.,1.2.826.0.1.3680043.8.498.42613862503444277763702143513725527205
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87884064971484854789433425265047654250
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87672329375900823178417859952612013056
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56172840350505277737949076874154671562
Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized skeletal structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27894426836281191174853105272064515438
Stable right apical pneumothorax. Small right pleural effusion is unchanged. Port-A-Cath is in the SVC.,Stable right apical pneumothorax.,1.2.826.0.1.3680043.8.498.44066172926077470389352929553470498554
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.67466848424012238600546713487801117371
The cardiomediastinal contours are within normal limits. The lungs are clear. No pneumothorax or pleural effusion. No acute finding in the visualized skeleton.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.50513963748618527381498787601400059073
"Portable AP semi upright view at 9555 hours. Endotracheal tube tip in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, tip not included. Chronic moderate right pleural effusion with veiling opacity in the right lung. Evidence of right lung base atelectasis. No pneumothorax. Stable pulmonary vascularity without overt edema. Stable cardiac size and mediastinal contours.",1. Stable lines and tubes. 2. Stable ventilation with moderate right pleural effusion and right lung base atelectasis.,1.2.826.0.1.3680043.8.498.41493229440911612660501619425031624174
Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99114286899466581198969812768302262670
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.66772027930221648379893594776449817324
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones appear mildly demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.19730262745214463285578756735758666492
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.81486345813724389626919021439076361395
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58698435315154684555983937853983342379
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73522605844599094949947531572369210563
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.31095774367604006112429089200045222073
Lungs are clear. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74601916257424091218003280077633183767
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10266704468268281300462631973539074680
Single portable AP chest radiograph is provided. There is bilateral diffuse interstitial thickening likely representing interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology. There are bilateral small pleural effusions. There is no pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,Please see above.,1.2.826.0.1.3680043.8.498.65473998129138343596673428747455017167
"The heart is enlarged. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Cardiomegaly. No acute chest findings.,1.2.826.0.1.3680043.8.498.50149069602520022692367886273653006331
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is upper thoracic levoscoliosis.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.19536176140904582349787741419992372055
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.24072301468712504856657611912216806209
"Right subclavian Port-A-Cath, tip SVC. Left subclavian pacemaker stable. Right lower lobe lung mass unchanged. No pneumothorax. No pleural effusion.",No pneumothorax following Port-A-Cath placement.,1.2.826.0.1.3680043.8.498.92291837555359923227030558151092645812
There is peribronchial thickening. Heart size and pulmonary vascularity are normal. No focal airspace consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.42028226019446764663556907358373763688
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. Aortic atherosclerosis is noted. No acute bony abnormality.,No acute disease. Atherosclerosis.,1.2.826.0.1.3680043.8.498.79694985484004073349339983122999768839
"Right PICC line is in place. The tip is in the mid SVC, unchanged. Tracheostomy tube is in place. Heart is normal size. No focal airspace opacities or effusions.",Right PICC line tip mid SVC. Otherwise no change.,1.2.826.0.1.3680043.8.498.75759834166793217515981083494869891057
The lungs are clear. The heart size is upper normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.59109382459475196231833871214882774569
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40059082762691631620342365674929009969
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82441117193960085335441589135015564575
The heart size and mediastinal contours are within normal limits and stable. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51405135076345497386441267189584225198
There is chronic elevation of the right hemidiaphragm. The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.77699969501170512524840199359518933360
The right pleural effusion has decreased in size. No pneumothorax is identified. A moderate left effusion is again seen. There is vascular congestion. The heart is enlarged. Pacemaker is stable.,Decrease in size of right effusion after thoracentesis. No pneumothorax.,1.2.826.0.1.3680043.8.498.57958582572480145486535751981565455673
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63513538003042852157834464802715533717
"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50306457498774032423517244331474987186
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31788643394097599133794298006818827312
"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.82222772203579869446014403270751110499
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59920551944615110287842139754544614792
Left upper extremity catheter tip overlies the proximal right atrium. Mild cardiomegaly. Diffuse bilateral interstitial opacities. No focal consolidation or pulmonary edema. No pleural effusion or pneumothorax.,"1. Diffuse bilateral interstitial opacities, possibly due to interstitial edema or atypical/viral pneumonia. 2. Mild cardiomegaly.",1.2.826.0.1.3680043.8.498.86864292112458716220447883023854131642
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36787975840195260292858472427518481092
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27235798949009462836067507451614451882
"Endotracheal tube terminates 5.5 cm above the carina. Left subclavian venous catheter terminates in the mid SVC. No pneumothorax. Cardiomegaly with left basilar opacity, likely atelectasis.",Endotracheal tube terminates 5.5 cm above the carina. Left subclavian venous catheter terminates in the mid SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.84739447003019394569664280242582367544
Calcified granuloma in the right lower lobe is stable. Lungs are otherwise clear. No pneumothorax or effusion. Heart is normal in size.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82996720210107867913542537046322731802
Endotracheal tube is 3.5 cm above the carina. NG tube enters the stomach. Mild cardiomegaly. Bibasilar atelectasis. No visible effusions or edema. No acute bony abnormality.,"Endotracheal tube and NG tube in expected position. Mild cardiomegaly, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.25965984804848357055376404283331433772
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33868928820709861582732463335132399377
Portable AP semi upright view at 3975 hours. Larger lung volumes. Stable cardiomegaly and mediastinal contours. Calcified aortic atherosclerosis. Allowing for portable technique the lungs are clear. No pneumothorax or pleural effusion. Negative visible bowel gas pattern. No acute osseous abnormality identified.,1. No acute cardiopulmonary abnormality. 2. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.70090308573626359615574206974495794380
The heart and mediastinal contours are within normal limits. The lung fields appear clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures appear intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.28083840532507633623606850214214418478
Heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. Tortuosity of the thoracic aorta is noted.,1. No acute cardiopulmonary abnormalities. 2. Tortuosity of the thoracic aorta.,1.2.826.0.1.3680043.8.498.40370550329938871347089414297025653713
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Patchy infiltrative changes are noted in the right upper lobe consistent with acute pneumonia. No sizable effusion is seen. No bony abnormality is noted.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.29563266588083633698901570746240207009
Mediastinum and hilar structures normal. Right base atelectasis and or infiltrate. Left lung is clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Mild right base atelectasis and or infiltrate.,1.2.826.0.1.3680043.8.498.86285228488817263557983852515795380284
The cardiomediastinal silhouette is stable. There is no active infiltrate or pleural effusion. There is a left central venous catheter with tip in the SVC. There is no diagnostic pneumothorax.,No acute infiltrate or pleural effusion. No pulmonary edema.,1.2.826.0.1.3680043.8.498.14725583737724981906249515952007675816
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.18817800462322538668064388555566315372
"There is patchy opacity at the lung bases, left greater than right. Although this may represent atelectasis, pneumonia is a definite consideration. The lungs are hyperaerated consistent with COPD. The heart is mildly enlarged.","Patchy opacities at the lung bases, left greater than right. Possible atelectasis but cannot exclude pneumonia. COPD.",1.2.826.0.1.3680043.8.498.13519284091512391912560887303411454243
Heart/Mediastinum: Cardiomediastinal silhouette appears grossly unremarkable. Lungs: No dense consolidation or definite acute infiltrate. No pneumothorax. Pleural effusions: No definite significant effusion seen. Bones: Grossly unremarkable. Visualized upper abdomen: Grossly unremarkable.,No definite acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.88354670267680410156257041626532479582
Diffuse bilateral interstitial opacities and small right pleural effusion again noted. There has been little interval change since the prior study. No pneumothorax. Heart size is normal. No acute bony abnormality.,Unchanged appearance of the chest with diffuse bilateral pulmonary opacities and small right pleural effusion.,1.2.826.0.1.3680043.8.498.69148528745413668470484004044711790528
No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.55987309331109998250538355373747481293
There is no evidence of fracture or other focal bone lesions. The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax.,Negative.,1.2.826.0.1.3680043.8.498.88625243480583352446277963446610511296
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96084044466521452970635428372235444317
Endotracheal tube is seen 18 mm proximal to carina. Nasogastric tube is seen coursing into the stomach with stable right internal jugular Swan-Ganz catheter ending at the main pulmonary artery. Mediastinal drains and right chest tube are in satisfactory position. Low lung volumes with subsegmental atelectasis at the lung bases. No pneumothorax. No edema. Heart size is accentuated by low lung volumes and portable technique. Post CABG changes.,1. Post CABG with satisfactory support devices as described. 2. Low lung volumes with mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.14737097433526133652467040299221106872
There is central peribronchial thickening. No consolidation or pleural effusion. Cardiothymic silhouette is normal. No adenopathy. No bone lesions.,Central bronchiolitis. No consolidation.,1.2.826.0.1.3680043.8.498.66516800533593673513890011911495855730
Cardiac pacemaker. Shallow inspiration. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,No active disease.,1.2.826.0.1.3680043.8.498.96681621008293434332196321195556680186
Patient is rotated. Heart size is accentuated by technique. Mediastinal contours are within normal limits. No pneumothorax or pleural effusion. No acute displaced rib fracture.,No acute findings.,1.2.826.0.1.3680043.8.498.25011058043505081843801429888073567421
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99781974873402092529156273347825717017
"There is diffuse haziness of the mid and lower lung fields. There is prominence of the pulmonary vasculature. There are no focal air space infiltrates. There is no pneumothorax. Heart is enlarged, hilum and mediastinal structures are unremarkable. There is evidence of prior sternotomy. Visualized osseous structures are without fracture.",Pulmonary edema. Cardiomegaly. Status post sternotomy.,1.2.826.0.1.3680043.8.498.89948410105990751686142629235197471599
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable. Specifically, no definite sternal abnormalities identified.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.89192572433089166162499927707370343441
Lungs are clear. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81799802775449634167635761619769550296
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Status post coronary artery bypass graft. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97490342726111607166740186593035803467
"Shallow inspiration. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31396465980191567876063435839746082875
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.49579280121543767490532878270592987490
New airspace disease noted in the left mid and lower lung concerning for pneumonia. Right lung clear. Heart is upper limits of normal in size. Patient is status post MVR. No effusions.,Left mid and lower lung airspace disease concerning for pneumonia.,1.2.826.0.1.3680043.8.498.51769692087147313444124525973436587853
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94064100041681507318514821004503490342
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57184442115789040905752303442118115953
The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29165630930599216124722733873853151072
The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.82523539416069720869788097513656469295
The lungs are clear. No pneumothorax or pleural effusion is seen. The heart size is normal. The aorta is tortuous and uncoiled. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.21235768191454561742659118006960539152
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32737501307358745867850602743055198351
There is no edema or consolidation. Heart is enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions. No pneumothorax.,Cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.22203028553456348406838617686203756653
Heart and mediastinal contours normal. Lungs hyperaerated consistent with COPD. No active airspace disease or pleural fluid. Osseous structures intact.,COPD - no active disease.,1.2.826.0.1.3680043.8.498.48726348817104127582727585625597880618
The cardiac silhouette is normal size and shape. Mediastinal and hilar contours appear normal. No pulmonary infiltrates or masses are evident. No pleural abnormality is evident. Bones appear average for age.,No acute or active cardiopulmonary or pleural abnormalities are identified.,1.2.826.0.1.3680043.8.498.88175167342731586645122018867410303731
There is scarring in the left base. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,Scarring left base. No edema or consolidation.,1.2.826.0.1.3680043.8.498.40072014433715590215846528540492506646
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.37423231769782990839410925361827055453
There is again noted increased density at the lung bases compatible with bibasilar atelectasis. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. The heart is enlarged. The general appearance of the chest is consistent with congestive heart failure. No definite pneumonia is identified. No new infiltrates are seen as compared to the prior exam.,1. The chest again shows changes consistent with congestive heart failure. 2. There is increased density at the lung bases consistent with atelectasis. 3. No new pulmonary infiltrates are seen.,1.2.826.0.1.3680043.8.498.97808115567184686846220379393463140573
Cardiothymic shadow within normal limits. No definite pulmonary infiltrates or pleural fluid. Lung volumes are normal. No significant peribronchial thickening.,No active disease.,1.2.826.0.1.3680043.8.498.64158777542380329155334991025175014924
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51583431972941123609016408749677009140
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40846814397218840189562162371942475507
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20177004693679871616465521408636116717
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14477348455488516030952454123733651940
"The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. There is interval placement of a left-sided central line catheter noted, with distal tip overlying the SVC. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.","No evidence of acute pulmonary disease. Interval placement of a left-sided central line catheter, with distal tip overlying the SVC. No pneumothorax.",1.2.826.0.1.3680043.8.498.30105961448153457286677216659025727189
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26159838962390058167562161271779402831
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24694864931003910906269543518104869963
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.94270039692634389918330931774363603210
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.89691517847567455256809579011906641512
Cardiomediastinal silhouette is normal. No pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,Normal chest.,1.2.826.0.1.3680043.8.498.78028814452826993767633192067152714513
"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.70229042629226662219846579062660061970
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16374862896559013084566902668484974716
There is increased density at the left base compatible with a left pleural effusion. Underlying atelectasis and pneumonia may also be present. The right lung field is clear. The heart is enlarged. No pulmonary edema is seen.,1. There is increased density at the left base compatible with a left pleural effusion. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.61920924486620752878263432510148706591
"Dual lead pacemaker is in place with leads in the region of the right atrium and right ventricle. The heart is enlarged. Mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",1. Pacemaker in place. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.45675088425875672357150463375266555705
Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Right subclavian central venous catheter tip is in the SVC. No pneumothorax. There is mild left lower lobe atelectasis.,Satisfactory tube and line placement. No pneumothorax. Mild left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.93121922920223039806048068032528916386
"Two right chest tubes are stable. No pneumothorax. The cardiac silhouette, mediastinal and hilar contours are stable. Persistent small right pleural effusion and overlying atelectasis. Stable surgical changes involving the right lung. The left lung remains relatively clear. There is minimal streaky left basilar atelectasis.",1. Stable right chest tubes. No pneumothorax. 2. Persistent small right pleural effusion and overlying atelectasis.,1.2.826.0.1.3680043.8.498.81258863892770617755640595393916935772
Endotracheal tube is 3.5 cm above the carina. NG tube enters the stomach. Swan-Ganz catheter is in the main pulmonary artery. Intra-aortic balloon pump is in place with the tip at the aortic arch. There is cardiomegaly with vascular congestion and mild interstitial edema. No effusions.,Mild CHF. Support devices in expected position.,1.2.826.0.1.3680043.8.498.34957932411880023528847716404101915596
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49216881662156954493742273344061162381
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.86468422593016543330210619860834593497
The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.22226214034896415167736840651750664860
The heart is moderately enlarged. Pulmonary vascularity is within normal limits. Mild interstitial edema is present. Tiny bilateral pleural effusions are suspected. There is no evidence of focal consolidation or pneumothorax. No acute osseous abnormalities are seen.,Cardiomegaly with mild interstitial edema and probable tiny bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.32959836320147546719309074005866640299
Cardiac shadow is stable. A pacing device is again seen. The lungs are well aerated bilaterally with minimal left basilar atelectasis. No sizable effusion is seen. No acute bony abnormality is noted.,No acute abnormality seen.,1.2.826.0.1.3680043.8.498.78412219176899918706543274185681681170
The patient's endotracheal tube is seen ending 2-3 cm above the carina. An enteric tube is noted extending below the diaphragm. A right-sided central venous line is noted ending about the distal SVC. The lungs are well-aerated. Right-sided pneumonia is again noted. There has been no significant change from the prior study. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are seen.,1. Endotracheal tube seen ending 2-3 cm above the carina. 2. Right-sided pneumonia again noted.,1.2.826.0.1.3680043.8.498.91007096884067909391482215536503273217
Low lung volumes. No appreciable edema or consolidation. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions.,Low lung volumes. No edema or consolidation. Heart upper normal in size.,1.2.826.0.1.3680043.8.498.85798508615987831904085502892765153960
Lower lung volumes from prior exam. Increased hazy opacity in the left lung base consistent with pleural effusion and associated atelectasis/consolidation. Small right pleural effusion is similar to prior exam. Vascular congestion with mild progression from prior exam. Unchanged heart size and mediastinal contours. No pneumothorax.,1. Increased hazy opacity in the left lung base consistent with combination of pleural effusion and atelectasis/consolidation. Small right pleural effusion is similar to prior exam. 2. Vascular congestion with mild progression from prior exam.,1.2.826.0.1.3680043.8.498.66316743084091468805873636950180211630
The lungs are mildly hyperinflated. There is no focal infiltrate. There is no pleural effusion. The interstitial markings are coarse. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,COPD. No pneumonia nor CHF. The known right upper lobe mass is not evident on this study.,1.2.826.0.1.3680043.8.498.80583897616581358390953736750498689406
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.53893233043718918877820605737779148287
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.79343175668682445683223954899320338388
Single portable AP chest radiograph is provided. The endotracheal tube is in unchanged position. There is a left-sided central venous catheter with the tip projecting over the SVC. There is bilateral diffuse interstitial thickening likely representing interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology. There is a small right pleural effusion. Stable heart and mediastinum. The osseous structures are unremarkable.,Please see above.,1.2.826.0.1.3680043.8.498.62396317953860073517831514286890986308
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76175253420963889864135692023991516560
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18056019358322984423023861720894051803
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48527417140620794819734659369795896202
Left-sided pacemaker device in place with lead tips projecting over the expected location of the right atrium and right ventricular apex. Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36590747492877884027134033716415822599
No pneumothorax or focal pleural thickening is present. No depressed rib fracture is identified.,No acute findings.,1.2.826.0.1.3680043.8.498.96526182339661280970409427400645186858
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57831973511515226088046203022440909295
Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. No pneumothorax. Visualized skeletal structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51519257873628782493458752346255230623
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.76070625272291677374089443866172522021
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. The lungs are hyperinflated. The previously noted subcutaneous emphysema has resolved.,1. No acute cardiopulmonary abnormalities. 2. COPD.,1.2.826.0.1.3680043.8.498.31702447421536500483382202628540569871
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.73527439845855664092495432985693917654
"Normal heart size, mediastinal contours, and pulmonary vascularity. Minimal peribronchial thickening. No pulmonary infiltrate or pleural effusion. Bones unremarkable. No pneumothorax.",Peribronchial thickening which could reflect bronchitis or asthma. No acute infiltrate.,1.2.826.0.1.3680043.8.498.63976020268688520465900679092091739876
"Left upper lobe mass is again noted, similar to the prior study. Right lung is clear. Heart is normal size. No effusions or acute bony abnormality.",Stable left upper lobe mass. No active disease.,1.2.826.0.1.3680043.8.498.81397979263042258161185699666786375476
The heart is markedly enlarged. There is vascular congestion without overt failure or focal airspace consolidation. The previously seen basilar airspace disease has resolved in the interval. No pneumothorax.,1. Cardiomegaly with vascular congestion. 2. Improved basilar airspace disease.,1.2.826.0.1.3680043.8.498.40301599598448311273414840844570031141
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21365772362297105436293544528935396990
"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62750881825707455207178540419091499797
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.90898303660673149188534534136852750993
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No radiopaque foreign body.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21809973328754346182030761527450711080
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93277201822035155267127153025528950435
Patient is rotated. Monitoring leads overlie the patient. Stable cardiac and mediastinal contours. Low lung volumes. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Thoracic spine degenerative changes.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.41199410946474589604385118551891940401
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11884379653210663592404806892543845707
"The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",No radiographic evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.27603390047165257958084406808166091661
Cardiac and mediastinal contours appear normal. The lungs appear clear. No pleural effusion is identified.,No significant abnormality identified.,1.2.826.0.1.3680043.8.498.23267718365756899857033098583949445138
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86766318358527512186309287548105910365
"Normal heart size and mediastinal contours. Low volume chest without opacity. No edema, effusion, or pneumothorax.",Negative low volume chest.,1.2.826.0.1.3680043.8.498.71089332546089767778895824717054985126
"The lungs are well-aerated. Small bilateral pleural effusions are noted, with bibasilar airspace opacity, concerning for mild pulmonary edema. No pneumothorax is seen. The heart is borderline normal in size. No acute osseous abnormalities are seen.","Small bilateral pleural effusions, with bibasilar airspace opacity, concerning for mild pulmonary edema.",1.2.826.0.1.3680043.8.498.93419270633930834446976479379263974745
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20022441557470357030750190449114169623
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87843828565636951656004649548823730898
There is cardiomegaly present. There does appear to be a small right pleural effusion present. No definite bony abnormality is seen. A permanent pacer is present with AICD lead.,Cardiomegaly and small right effusion with AICD.,1.2.826.0.1.3680043.8.498.67865878515117404396874739181597459745
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84476720161733728886366610272289129986
Elevated right diaphragm with atelectasis at the right base. Probable small right pleural effusion. No consolidation. Stable cardiomediastinal silhouette. No pneumothorax.,1. Elevated right diaphragm with probable atelectasis at the right base. Small right pleural effusion. 2. No interval consolidation.,1.2.826.0.1.3680043.8.498.65314146745163742816750774519667906705
"There is cardiomegaly present with mild pulmonary vascular congestion and small effusions, most consistent with mild congestive heart failure. No bony abnormality is seen.",Mild CHF with small effusions.,1.2.826.0.1.3680043.8.498.70484560022420723793411157884675119612
There is elevation of the left hemidiaphragm. There is gaseous distention of the visualized portions of the stomach. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is within normal limits. The visualized bony skeleton is unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease. Elevated left hemidiaphragm.,1.2.826.0.1.3680043.8.498.32135701307125001079240089754828955436
The trachea is midline. The heart size is normal. The lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.64558357842638747283152046996968729460
"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78142388099668424118695512403658401913
Stable cardiomediastinal silhouette with mild cardiomegaly. No pneumothorax. No pleural effusion. No pulmonary edema. Multiple calcified pleural plaques are similar. No acute consolidative airspace disease.,Stable mild cardiomegaly without pulmonary edema. No active pulmonary disease.,1.2.826.0.1.3680043.8.498.98690052358197738337779944150160890549
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.55831529786333307715692382146955717090
"The lungs are hypoexpanded. Vascular crowding and vascular congestion are seen. Mild left basilar opacity may reflect atelectasis or mild pneumonia. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is borderline normal in size; calcification is noted within the aortic arch. No acute osseous abnormalities are seen. Clips are noted within the right upper quadrant, reflecting prior cholecystectomy.",Lungs hypoexpanded; mild left basilar opacity may reflect atelectasis or mild pneumonia. Lungs otherwise grossly clear. No displaced rib fractures seen.,1.2.826.0.1.3680043.8.498.75465031050311792184500551773053794595
Endotracheal tube and enteric tube are unchanged. Prior CABG. Stable heart size. Diffuse bilateral airspace opacities are similar to prior study. Small right pleural effusion. No pneumothorax.,Stable diffuse bilateral airspace disease. Findings may represent edema or a diffuse inflammatory process.,1.2.826.0.1.3680043.8.498.21119718387230343529556467901255325964
The lungs are adequately inflated. There is increased density at the right lung base. There is a small right pleural effusion. The left lung is clear. The heart and pulmonary vascularity are normal. There is tortuosity of the ascending and descending thoracic aorta. There is calcification in the wall of the aortic arch. The mediastinum is normal in width. There is multilevel degenerative disc disease of the thoracic spine.,Right lower lobe pneumonia. Small right pleural effusion. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. Thoracic aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.46585223007981951786518879244886202818
There are low lung volumes with bibasilar atelectasis. Heart is mildly enlarged. No effusions. Degenerative changes in the thoracic spine.,"Low volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.35642857222713715334712197693357999120
The lungs are well-expanded. There is no focal infiltrate. There is linear density at the left lung base which suggests atelectasis or scarring. The cardiac silhouette is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,"There is no evidence of CHF nor of pneumonia. There is minimal linear density at the left lung base which suggests atelectasis or scarring. When the patient can tolerate the procedure, a PA and lateral chest x-ray would be of value.",1.2.826.0.1.3680043.8.498.66677727975149932042342898388978974606
Lungs are adequately inflated without focal consolidation or effusion. There is no evidence of consolidation in the lungs. Cardiomediastinal silhouette is within normal. There are degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70144407330968738137462740617197493832
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94364165651156431312201765077582133007
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76000565993892957180769650242051641444
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78472944043320430616908096368336402218
"The heart is normal in size. The aorta is calcific. The lungs are under expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Underexpanded lungs but no acute process.,1.2.826.0.1.3680043.8.498.35969625094940440991490560704285532102
A single portable view of the chest was obtained. There are scattered interstitial opacities in the central portions of the lungs. There is a linear area of opacity in the right lung base. There is mild cardiomegaly. The pulmonary vasculature is normal. There is no pneumothorax. There is no acute bone lesion. Postop changes of the right shoulder are noted.,There is a linear area of opacity in the right lung base which may represent atelectasis or scarring. There are chronic interstitial opacities in the central portions of the lungs which may represent chronic bronchitis. There is no evidence of pneumonia. There is no evidence of CHF.,1.2.826.0.1.3680043.8.498.40750562502398740163186275445752381504
Two views of the chest demonstrate emphysematous changes of the lungs. Few linear densities at the left lung base are suggestive for atelectasis. Heart size is within normal limits. The trachea is midline. No evidence for pleural effusions.,No acute chest findings.,1.2.826.0.1.3680043.8.498.11424121653625034903309850123547436449
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.58231879132844779934064171010761956260
"Umbilical venous catheter has been pulled back, tip now overlying the level of T8. Orogastric tube is in place, tip overlying the level of the stomach. Cardiothymic silhouette is normal. The lungs are clear. Bowel gas pattern is nonobstructive.",Repositioned umbilical venous catheter.,1.2.826.0.1.3680043.8.498.44336176034635646446737478224303955435
Heart size is normal. There is dense opacity at the LEFT lung base consistent with infiltrate and atelectasis. Small LEFT pleural effusion is identified. The RIGHT lung is clear. No pulmonary edema.,LEFT LOWER lobe infiltrate and atelectasis.,1.2.826.0.1.3680043.8.498.89990732356902980243621435537243862367
The lungs are clear. Mediastinal contours appear normal. The heart is within upper limits of normal. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.49061709630073803197421116142121800528
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13726923411731790465821916847767223254
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.42045856526709182995992651015361735457
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23605579617990922973448219780179046356
An orogastric tube is in place with the tip located in the region of the mid body of the stomach. Slightly worsening aeration of the lungs bilaterally. The lungs are hyperinflated. Cardiothymic silhouette is within normal limits. The lung fields demonstrate some mild prominence of the interstitial markings with mild bibasilar volume loss. No pleural effusions are seen. Bony structures are intact. The visualized portion of the bowel gas pattern is unremarkable.,Findings compatible with mild RDS with some areas of focal volume loss as noted above.,1.2.826.0.1.3680043.8.498.28764102452794814793737218885523620225
Right lung is clear. No pleural effusion or pneumothorax. The heart is normal in size.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85073099703884366523756950942230506263
"Endotracheal tube is 3.5 cm above the carina. NG tube enters the stomach. Right central line tip is in the SVC. There is cardiomegaly with diffuse bilateral airspace disease and bilateral effusions, slightly improved since prior study. No acute bony abnormality.",Slight improvement in bilateral airspace disease and bilateral effusions.,1.2.826.0.1.3680043.8.498.85610405824372937333105312494677913048
The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.61709493427034680667769918074106317961
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.96855839532578633328025760539340009133
The heart size is within normal limits. There is marked tortuosity of the thoracic aorta. The patient is status post left mastectomy and left axillary dissection. There is marked hyperinflation. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,1. COPD. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.17815965217530286496646129009451220884
Cardiomediastinal silhouette unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pleural effusions. No pneumothorax. Visualized bony thorax intact.,Normal chest.,1.2.826.0.1.3680043.8.498.57716525042876827531974832480267454146
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.71121887592238863948777969974019451919
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Atherosclerosis of thoracic aorta is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43074406029785789545148904906406865178
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.52446228630758831441780488698064077673
The heart size is normal. The lungs are clear. The visualized soft tissues and bony thorax are unremarkable.,Negative one-view chest.,1.2.826.0.1.3680043.8.498.59647475881420559851833241676101539875
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.15350199038426226764856410964867682302
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66822419837961096319746342232445664822
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84601862844304634736184631416419967888
OG tube is in place with the tip in the stomach. There is mild gaseous distention of the stomach. The bowel gas pattern is otherwise unremarkable. No evidence of pneumatosis or free air.,Mild gaseous distention of the stomach. The remainder of the bowel gas pattern is unremarkable.,1.2.826.0.1.3680043.8.498.16484831762037966469889613424301202541
Portable AP upright view of the chest demonstrates a normal cardiac silhouette. Pulmonary hila and pulmonary vessels are within normal limits. Pleural spaces are clear. Lungs are clear of any focal mass or consolidation. No pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.53805616829696421779838618090543644840
The lungs are clear. Heart size is normal. Aortic atherosclerosis is noted. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No acute disease. Atherosclerosis.,1.2.826.0.1.3680043.8.498.51180992218039430905398928707198490779
Heart size is at the upper limits of normal. Lung volumes are low but clear. No pleural effusion. No edema.,No acute disease,1.2.826.0.1.3680043.8.498.76735877949259875882991826797727453609
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59886548369417118231319166281806731420
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.42896053651288193989788466789634502399
"Interval removal of Swan-Ganz catheter. Left chest tube remains in place, as well as mediastinal drains. No pneumothorax. Changes of CABG and valve repair. Mild cardiomegaly. Bibasilar atelectasis.",Interval removal of Swan-Ganz catheter. Bibasilar atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.27336163660373916450169966707728653302
There is linear atelectasis in the left lung base. The lungs are otherwise clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.75191878352955358171484924344942442638
"Left chest port terminates in the mid SVC. Small bilateral pleural effusions, left greater than right. Mild cardiomegaly. Diffuse bilateral interstitial opacities, likely edema. No pneumothorax.",Mild cardiomegaly with mild interstitial edema and small bilateral effusions.,1.2.826.0.1.3680043.8.498.15750276515544500386170907777790251510
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.18517590057834269231363202062371981444
"Endotracheal tube tip is 2.5 cm above the carina. Nasogastric tube enters the stomach. Bilateral pleural effusions persist, larger on the right than the left. Bilateral areas of pulmonary opacity persist, worse on the left than the right. No worsening is seen since the prior study.",Endotracheal tube and nasogastric tube well positioned. Persistent bilateral pulmonary opacities and bilateral effusions.,1.2.826.0.1.3680043.8.498.67571143116361307692761252058394392988
Stable normal sized heart and changes of COPD and chronic bronchitis. Stable ill-defined opacity in the right upper lobe. Stable diffuse peribronchial thickening. Stable mild scoliosis and mild thoracic spine degenerative changes.,Stable right upper lobe pneumonia or patchy ill-defined mass. Followup chest radiographs are recommended after completion of antibiotics to ensure clearing. Stable COPD and chronic bronchitis.,1.2.826.0.1.3680043.8.498.49547892026831098951517430125775093845
"The heart size and pulmonary vascularity are normal. The mediastinal and hilar structures are grossly unremarkable. There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures are age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.68652443841307909137848948861498793820
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.56730457204775557099267203883282354909
Patchy bilateral airspace opacities. No pneumothorax or pleural effusion. Cardiac silhouette is mildly enlarged. No acute osseous abnormality.,Patchy bilateral airspace opacities compatible with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.21587461128180079238190985161381726170
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42438628831516061095205831599554411310
Shallow inspiration. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.49423107921540804174324122467151634941
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10371670508143600121782335545775082663
There is atelectatic change in the lung bases. There is also a degree of interstitial edema. There is a small right pleural effusion. Heart is enlarged with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,"Evidence a degree of congestive heart failure. Bibasilar atelectasis. Superimposed pneumonia in the bases, however, cannot be excluded radiographically.",1.2.826.0.1.3680043.8.498.21345468552845871931370773660007599288
Right arm PICC line tip is in the SVC. Heart size is normal. There is no pleural effusion or pulmonary edema. Atelectasis is identified at the left lung base. No airspace consolidation.,1. Right arm PICC line tip is in the SVC. 2. Left base atelectasis.,1.2.826.0.1.3680043.8.498.17941116777438698280442495141687260679
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91859848649193652128192337006228732734
The heart size and mediastinal contours are within normal limits. Small hiatal hernia is noted. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21306188216433086648834808441584926021
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.49004552804152487462508184192388412378
There is no edema or consolidation. Heart is enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.19711457781226056113839698310381436729
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen. No bullet fragments are identified.",No acute cardiopulmonary process seen. No displaced rib fractures identified.,1.2.826.0.1.3680043.8.498.83254501089263335900739969585861485164
There is diffuse interstitial opacity throughout the lungs bilaterally. Heart size is normal. No pulmonary edema. No pleural effusions. Degenerative changes are seen in the thoracic spine.,1. Diffuse interstitial lung disease. 2. No pulmonary edema.,1.2.826.0.1.3680043.8.498.13165579889143192213505898819839185721
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22423856857418168155098001494140161385
The lungs are adequately inflated and clear. The cardiac silhouette is top-normal in size. The pulmonary vascularity is normal. There is a large hiatal hernia. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84738829567138963695159056720366440551
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.37352001806826552792399272174184987045
"Cardiomediastinal silhouette unremarkable and unchanged. Prominent central peribronchial thickening, unchanged. Prominent central lymph nodes, unchanged. Lungs otherwise clear. No pleural effusions. Visualized bony thorax intact.",Stable changes of sarcoidosis and/or bronchitis. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14803552329898590644585281395617595210
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.56248190091731157557498533953359456401
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44789261081485997512566324786051430700
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.95985676028272574011222332947024063333
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84310950164712926665969818200266320875
Endotracheal tube tip is 1.8 cm above the carina. Nasogastric tube tip and side port are in the stomach. Umbilical venous catheter tip is in the inferior vena cava. No pneumothorax. Lungs are clear. The cardiothymic silhouette is normal. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. No edema or consolidation.,1.2.826.0.1.3680043.8.498.91178094513626959840684427549615807424
The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,Negative exam.,1.2.826.0.1.3680043.8.498.78345248061383058116199156049662323372
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48961602706366951352189199415268131453
Right IJ central venous line with tip over central SVC. No pneumothorax. There is a diffuse hazy airspace density consistent with multifocal pneumonia. Clinical correlation is recommended. No pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,1. Right IJ central venous line with tip over central SVC. No pneumothorax. 2. Diffuse bilateral airspace densities.,1.2.826.0.1.3680043.8.498.59174223603948752332092216646910942255
There is diffuse interstitial prominence throughout both lungs. There is a small left pleural effusion. There is a small right pleural effusion. The heart is not enlarged. Atherosclerotic calcification is present. The bony structures show osteopenia.,Bilateral pulmonary edema with bilateral pleural effusions. The appearance is a dramatic change from the previous erect view of the chest.,1.2.826.0.1.3680043.8.498.34500717959750552098833812340838743017
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48778204406073079803022254191634261727
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33601261649053492685964795863995536396
Endotracheal tube is present with the tip 3.5 cm from the carina. Lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,1. Endotracheal tube in good position. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34859019270113586525425055958927308363
There is a power port present with the tip of the catheter in the superior vena cava. There is increased density in the RIGHT upper lobe consistent with a mass or infiltrate. Fibrosis is not excluded. The lungs otherwise appear to be clear. There is no effusion or pneumothorax. The heart is normal in size.,RIGHT upper lobe pneumonia versus mass. Fibrosis is not excluded.,1.2.826.0.1.3680043.8.498.82797958045835185740099151408702997195
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55748919089556764132547725768778268702
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26640622554356251034645869200158664738
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27659467433013093547036940141388446997
There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.66096522203297605844752695634017847114
"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81232165102929727029935699297165212623
Patient is rotated. Increased opacities in the left mid lower lung zone with pleural effusion. Right lung is clear. Unchanged heart size and mediastinal contours allowing for differences in technique. No pneumothorax.,Increased left lung opacities consistent with pneumonia and pleural effusion.,1.2.826.0.1.3680043.8.498.93165488731464754545950127152190981181
There is increased atelectasis at the left lung base. Low lung volumes are present. Heart size is within normal limits. There is no evidence of pulmonary edema. No definite pleural effusions.,Increased left basilar atelectasis.,1.2.826.0.1.3680043.8.498.91012838593259912518272772281065032454
The lungs are hypoinflated. There is no focal infiltrate. There is linear density lateral to left heart border suggesting atelectasis. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There is bilateral pulmonary hypoinflation. I do not see evidence of pneumonia. There may be subsegmental atelectasis or scarring lateral to the cardiac apex.,1.2.826.0.1.3680043.8.498.58138163721000195792523116582326651614
There is elevation of the left hemidiaphragm. The heart is mildly enlarged. Aortic calcifications are present. The lungs are clear. No pneumothorax. No pleural effusion.,Cardiomegaly without edema.,1.2.826.0.1.3680043.8.498.54349814256575897108973161868388327652
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.84677043844386822742180553084923668404
"There is a left-sided pacemaker generator noted with atrial and ventricular leads in place. The heart is enlarged. The aorta is tortuous. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is elevation of the left hemidiaphragm. Degenerative changes are seen in the spine.",No acute process. Elevated left hemidiaphragm.,1.2.826.0.1.3680043.8.498.28090848679709897236443224004706386392
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43294273999981683025342549726903173183
There is focal airspace disease in the right middle lobe consistent with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.29452432048817631414928412742771144874
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.86564109275736871867433662007695904538
The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.50479054494255480091973363485701978097
"The nodular density previously observed is no longer seen and is consistent with the nipple markers. The lung fields are clear. No pneumonia, pneumothorax, or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No significant abnormalities are noted.,1.2.826.0.1.3680043.8.498.43704958724531320469224251250473704402
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87334366413802744137244578771418259078
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13711435987096957543899165220645195897
Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,Normal one view chest,1.2.826.0.1.3680043.8.498.81700406352177812089673677309643769956
The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.69484610100859635860218814667089076283
"The cardiac silhouette is moderately enlarged. The mediastinal contour and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",Cardiomegaly. No active pulmonary disease.,1.2.826.0.1.3680043.8.498.10011310081109727355634887848394525992
There is central airway thickening with focal airspace disease in the right lower lobe compatible with pneumonia. No pleural effusion. Lung volumes are normal.,Central airway thickening with right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.73961741349002680226696820950988317523
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.42119974866156260601613532179217566096
The heart size is normal. There is no pleural effusion or pulmonary edema. Lung volumes are low. There is patchy opacity in the left lung base which may represent atelectasis or early infiltrate.,1. Low lung volumes. 2. Suspect left base opacity which may represent atelectasis or early infiltrate.,1.2.826.0.1.3680043.8.498.26743941756482573777725968184290141750
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusion. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99826458287250606673727682910222889748
Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92500226015216214865241077691729564858
Post CABG. Heart enlarged. No congestive heart failure. Lungs clear. No definite rib fractures. No pneumothorax.,1. Post CABG. 2. Cardiomegaly. 3. No active disease.,1.2.826.0.1.3680043.8.498.36350474139062133539496740358781220226
Endotracheal tube and NG tube in stable position. Cardiomegaly with bilateral pulmonary infiltrates/edema again noted. Interim improvement from prior exam. Small left pleural effusion. No pneumothorax.,1. Lines and tubes in stable position. 2. Persistent bilateral pulmonary infiltrates/edema. Interim improvement from prior exam. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.72713958042014202582685125931982202100
The lung volumes are low. The heart size is enlarged. There is mild interstitial edema. Atelectasis is noted at the lung bases. No consolidation is evident.,1. Cardiomegaly and mild edema compatible with congestive heart failure. 2. Low lung volumes and mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.31686452265731900164469342418011905215
"Right internal jugular central venous catheter with tip terminating at the superior cavoatrial junction. Lung volumes are low. There are bibasilar opacities which may reflect areas of atelectasis and/or consolidation. Small left pleural effusion. Pulmonary venous congestion, without frank pulmonary edema. Mild cardiomegaly. Upper mediastinal contours are within normal limits. Atherosclerosis in the thoracic aorta.","1. Support apparatus, as above. 2. Low lung volumes with bibasilar areas of atelectasis and/or consolidation and small left pleural effusion. 3. Mild cardiomegaly with pulmonary venous congestion, but no frank pulmonary edema.",1.2.826.0.1.3680043.8.498.89450211605807209094154783452158578591
Confluent right perihilar opacity on the frontal view appears to primarily affects the right upper lobe. No pleural effusion. Lung parenchyma elsewhere within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. Normal for age visible bowel gas and osseous structures.,Right upper lobe pneumonia/bronchopneumonia. No pleural effusion. No other confluent pulmonary opacity. No definite peribronchial thickening. Normal for age visible bowel gas and osseous structures.,1.2.826.0.1.3680043.8.498.11989636876418946775609696998667549805
Trachea is midline. Heart size normal. There is bilateral hilar adenopathy. Right upper lobe air space consolidation is most prominent in the right perihilar region. Lungs are otherwise clear. No pleural fluid.,1. Right upper lobe pneumonia. 2. Bilateral hilar adenopathy.,1.2.826.0.1.3680043.8.498.88109890659282387941666130331558430277
There is no edema or consolidation. Heart is mildly enlarged with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,No edema or consolidation. Stable cardiomegaly. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.12265245947748295203891317701284943201
There is bibasilar atelectasis. Heart is normal size. No effusions. No acute bony abnormality.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.48884192518460494427922812769173769871
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21734096155932849154036531666825222899
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.96109129233851579269719098071640563847
Cardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. No pulmonary edema. Stable degenerative changes thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54495724537370460628449953097293504940
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94001680562064107134579577673630670646
Low lung volumes. Streaky atelectasis at the bases. No consolidation. Normal heart size. No pneumothorax.,Low lung volumes with streaky bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.81916778267998675127912419778366587889
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13792143263965840375416524136371244696
There is interval development of left lower lobe consolidation obscuring the left hemidiaphragm and left cardiac border. Left effusion is also suspected. Lung volumes are decreased. No pneumothorax.,1. New left lower lobe airspace disease concerning for pneumonia with associated effusion. 2. Decreasing lung volumes.,1.2.826.0.1.3680043.8.498.53397967355899076549583955664034885513
There is improvement in the previously seen pulmonary edema with the exception of a very small residual interstitial pattern. There are small bilateral pleural effusions with bibasilar atelectasis. The heart is enlarged. No pneumothorax.,1. Interval improvement in congestive heart failure pattern with small effusions and bibasilar atelectasis persist. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.33360506733936875919974787125314675426
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.39169090495300075512956227983946326342
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27314327520006686113830380293615252758
There is hyperinflation of the lungs compatible with COPD. Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,COPD. No active disease.,1.2.826.0.1.3680043.8.498.51578504751708794735736931381683034787
No active infiltrate or effusion is seen. The heart is within normal limits in size. No bony abnormality is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.75087886138515504621074639057549396648
The lungs are reasonably well inflated. There remain bilateral pleural effusions. The left hemidiaphragm remains obscured. The cardiac silhouette is top normal in size. The pulmonary vascularity is mildly prominent centrally. A dual-lumen dialysis type catheter is in place with the tip in the region of the right atrium.,There has been mild interval improvement in the appearance of both lungs since the previous study. Bilateral pleural effusions remain.,1.2.826.0.1.3680043.8.498.85575557822185004525678985784121122000
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43014306057202251810394999230300397893
Upper normal heart size. Emphysematous and bronchitic changes compatible with COPD. Right lower lobe mass and adenopathy again identified. Small right pleural effusion. Minimal right basilar atelectasis. No pneumothorax. Bones demineralized.,COPD changes with right lower lobe mass and adenopathy again identified. Small right pleural effusion and minimal right basilar atelectasis.,1.2.826.0.1.3680043.8.498.68266795716081071415305734271760272015
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.42442958146372656636078105186869934297
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72558275259680945683302554370787234351
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous mineralization normal. BB placed at site of symptoms lower LEFT chest. No rib fracture or bone destruction.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.99765730017430939741074174702845278419
"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Elevation of the left hemidiaphragm with associated atelectasis. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60355702341770083572882141948295937194
There is a small RIGHT apical pneumothorax. A RIGHT chest tube remains in place. There is noted a mass in the RIGHT upper lobe as seen on previous exam. There is increased density in the RIGHT lung base which may represent atelectasis and/or infiltrate. The LEFT lung field is clear. A Port-A-Cath is present with its tip in the superior vena cava.,1. Small RIGHT apical pneumothorax. 2. Mass in the RIGHT upper lobe. 3. Increased density in the RIGHT lung base which may represent atelectasis and/or infiltrate.,1.2.826.0.1.3680043.8.498.17923030839517340733308027106056328899
"Linear scarring or atelectasis in the lingula. Stable lung volumes. Stable cardiac size and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion, or acute airspace opacity. Stable visualized osseous structures.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.42852327849134378382366033699707891782
"Mild cardiomegaly, stable. Mediastinal silhouette within normal limits. Aortic atherosclerosis. Lungs are hypoinflated. Chronic scarring at the left lung base. Mild elevation of the right hemidiaphragm. No focal infiltrates identified. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality. Surgical clips overlie the right upper quadrant.",1. Chronic left basilar scarring. No superimposed active cardiopulmonary disease identified. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.68149134452344947499284275345383535761
"There is emphysematous changes of the lungs. There is no focal consolidation, pleural effusion, or pneumothorax. Stable cardiac silhouette. Atherosclerotic calcification of the aorta. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.37619509372691341525973719158422073803
"Cardiothymic silhouette within normal limits in size and contour. Lung volumes adequate. No confluent airspace disease pleural effusion, or pneumothorax. Mild central airway thickening. No displaced fracture. Unremarkable appearance of the upper abdomen.",Nonspecific central airway thickening may reflect reactive airway disease or potentially viral infection. No confluent airspace disease to suggest pneumonia.,1.2.826.0.1.3680043.8.498.63911743003988904659601551063791853302
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23889367672898367806979248533413406033
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.21175771100342881445256330227076936306
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21811599149979290572586924666972158572
The right subclavian central venous catheter tip is in the distal SVC. There is no pneumothorax. Diffuse bilateral airspace disease is again noted and appears worsened.,1. Central line tip in distal SVC. No pneumothorax. 2. Worsening aeration to the lungs.,1.2.826.0.1.3680043.8.498.27539590980110304668838374994764989479
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.88834360486451002130186280404677770893
There is a new area of consolidation in the right lower lobe compatible with pneumonia. Also new area of atelectasis in the left lower lobe. Heart is normal size. No effusions. No acute bony abnormality.,Bibasilar atelectasis and right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.70791351045302388471475149496399280774
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93759646516442961898349804396731415104
"Portable AP upright view at 4589 hrs. Left chest dual lead transvenous pacemaker appears stable. Sequelae of median sternotomy. Stable cardiac size and mediastinal contours. Calcified aortic atherosclerosis. Mildly increased density at the left lung base most resembles atelectasis. Elsewhere, no pneumothorax, pulmonary edema, or consolidation. Small left pleural effusion not excluded.",Mildly increased left lung base opacity most resembles atelectasis. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.95717655412775766903912740949575974399
There is opacity within the left lower lobe consistent with pneumonia. The lungs are hyperaerated consistent with COPD. The heart is within upper limits of normal. There are degenerative changes throughout the thoracic spine.,Left lower lobe pneumonia. COPD.,1.2.826.0.1.3680043.8.498.11985881535901013139428258910762862935
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52404473908117273978042131318085360317
The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.44220928059383000797439514912841889381
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58262070956484053154019728217801615478
Endotracheal tube is appreciated with the tip at the level of the clavicles. The patient has taken a shallow inspiration. There is thickening of the interstitial markings. An area of increased density projects within the LEFT lung base. The cardiac silhouette is moderately enlarged. The patient is status post median sternotomy and coronary artery bypass grafting. The visualized bony skeleton is unremarkable.,1. Endotracheal tube at the level of the clavicles. 2. Atelectasis versus infiltrate versus possible scarring LEFT lung base. 3. Findings likely representing an element of pulmonary fibrosis.,1.2.826.0.1.3680043.8.498.27745933737245011171219414150814013194
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98537828559707959958419909919767666745
Stable cardiac and mediastinal contours. Left chest tube has been removed. Left apical pneumothorax has resolved. Persistent linear opacities left lung base. Right lung is clear. No pleural effusion. Regional skeleton is unremarkable.,Interval removal left chest tube. Small left apical pneumothorax has resolved. Persistent scarring or atelectasis left lung base.,1.2.826.0.1.3680043.8.498.47647773760554907047382023501734623717
Mild cardiomegaly is noted. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86448573685571834215946549638897537362
"There is patchy opacity at the lung bases, most consistent with atelectasis and/or pneumonia. There are prominent interstitial markings present which may also indicate a degree of interstitial edema. The heart is mildly enlarged. No bony abnormality is seen.",Patchy opacities at the lung bases most consistent with atelectasis and/or pneumonia. Question of interstitial edema.,1.2.826.0.1.3680043.8.498.61474553800676899261855733734392527419
"No focal consolidation, pleural effusion, pneumothorax. Mild cardiomegaly. Atherosclerotic calcification of the aorta. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.94402436995872141240159487756863476989
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Right-sided PICC line is unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13807804737697979638898383408743825343
"Again noted is chronic interstitial coarsening and bronchiectasis. Patchy airspace disease is seen at the right lung base, improved since prior study. No significant consolidation. No pleural effusion or pneumothorax. Heart size is normal.","Improved aeration at the right lung base with continued patchy opacities, likely due to scarring and atelectasis.",1.2.826.0.1.3680043.8.498.95955597110234868685855305216098178259
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71117030665207521097114558615585015367
"Heart is normal size. Increasing bibasilar opacities, likely atelectasis. No effusions. No acute bony abnormality.",Increasing bibasilar atelectasis or infiltrates.,1.2.826.0.1.3680043.8.498.62286398739805526030766157177641596237
The heart size is normal. The lungs are clear. No consolidation identified. No pleural effusion is seen.,"Normal chest. No evidence of acute process; specifically, no consolidation.",1.2.826.0.1.3680043.8.498.76827865752195463243906385770196987522
"Portable upright AP view 6061 hours. Stable sequelae of median sternotomy. Stable tortuosity of the thoracic aorta. Stable cardiac size and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion, or confluent airspace opacity. Stable visualized osseous structures.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.47798450332536567870477235065672846835
There is cardiomegaly. No pleural effusion or pulmonary edema. No airspace consolidation identified.,Cardiomegaly.,1.2.826.0.1.3680043.8.498.14422806850306657741358131375894935710
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. There is upper thoracic levoscoliosis.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.10723008223060629701987215450350235775
"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.80411774744957875002540107501024876325
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.33662392889191683551368773350635312572
"Endotracheal tube is 5.5 cm above the carina. Mild vascular congestion. No confluent opacities, effusions or edema. Heart is normal size. No acute bony abnormality.",Endotracheal tube 5.5 cm above the carina. Mild vascular congestion.,1.2.826.0.1.3680043.8.498.25210754902074157662402689992589073783
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34159883239174063448901052706238244340
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.49516774530410270005668655482947465108
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51494797537530073717306562487815577176
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59217238111969414941247707917294298381
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93193708620080779484895061735406838695
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98271380708537706025947446840050241807
There is airspace consolidation in the right middle lobe compatible with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Right middle lobe pneumonia. Recommend followup films to clearing.,1.2.826.0.1.3680043.8.498.45543210126442133306533593170865753367
Cardiac shadow is within normal limits. Postsurgical changes are noted. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98805568917144202802642711878469284731
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.34909745441151801448153997676810610063
There is central airway thickening. Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.61533386523552292792285272267166335247
There remains increased density at the RIGHT lung base consistent with pneumonia. The infiltrate at the LEFT lung base has improved somewhat. The lungs are otherwise clear. The heart is not enlarged.,There are findings consistent with pneumonia at the RIGHT lung base and to a lesser extent at the LEFT lung base. There has not been dramatic change since the study of 30 December. Continued follow-up films are recommended.,1.2.826.0.1.3680043.8.498.40804220839340784700414671057364119606
"Heart enlarged. No definite heart failure. There are prominent markings at the right lung base which were not present previously. This could be acute or chronic. In addition, however, there is a possible right lower lobe pneumonia. This needs clinical correlation.",1. Cardiomegaly without definite heart failure. 2. Cannot rule out right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.32652879970193980068553835158291363058
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.15283451850596420242195926306383504571
"Interval removal of Swan-Ganz catheter. Left chest tube remains in place, unchanged. No pneumothorax. Cardiomegaly. Bibasilar atelectasis. Mild vascular congestion.",Interval removal of Swan-Ganz catheter. No pneumothorax. Vascular congestion and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.52994876542430475883510592108008227604
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.27456718431703027044267563800119254187
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.31651451338448240056864099704280250681
"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.16697132028503979216240743342889075834
"The heart is normal. No focal consolidation, pleural effusion or pneumothorax. No aggressive osseous lesions.",No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.99259853402779761015247102242785766149
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29251306319684643280862274495518822415
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17973836296830051199159700953502461430
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51465255254232147115445959017565640411
Small left pleural effusion and left basilar airspace disease persist. The right lung is clear. There is cardiomegaly. No pneumothorax. Atherosclerosis noted.,No change in left effusion and left basilar airspace disease. No new abnormality.,1.2.826.0.1.3680043.8.498.21794864797918762918592561449363498439
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17326595977620687646415157990922949200
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82054892316149615087101779221353068147
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92326437482234760895420174459647478157
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31907531735019081383511598854913505241
Heart size is normal. The patient has had prior CABG. There is abnormal density in both lung bases that could be due to atelectasis and/or pneumonia. Upper lobes are clear. No evidence of heart failure. No significant pleural effusion.,Bibasilar atelectasis and/or pneumonia.,1.2.826.0.1.3680043.8.498.88390120745327985430693504927549374449
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64149994027351382726677266416661235951
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. There is an area of ill-defined airspace opacity in the left lower lobe consistent with pneumonia. The right lung is clear. No pleural effusion. The bony thorax is intact.",Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.15602293015946650144451767162441727683
The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58543313401819565105700682616801858199
Trachea is midline. Heart size normal. Thoracic aorta is tortuous. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.80420927694489438618652258827535387769
Cardiomediastinal silhouette unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pneumothorax. No pleural effusions. Visualized bony thorax intact.,Normal examination.,1.2.826.0.1.3680043.8.498.91703902025698669103595299987538080641
Endotracheal tube and NG tube in stable position. Left upper lobe mass lesion again noted. Progressive right upper lobe infiltrate. Bibasilar atelectasis. No pleural effusion or pneumothorax. Heart size stable.,1. Lines and tubes in stable position. 2. Left upper lobe mass again noted. Progressive right upper lobe infiltrate. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.14612083451202588468856706657953044486
The lungs are well-expanded. The interstitial markings remain diffusely increased. The hemidiaphragms are obscured. The heart is normal in size. The pulmonary vascularity is not engorged. The endotracheal tube tip lies 3.5 cm above the carina. The esophagogastric tube tip projects below the inferior margin of the image. The right-sided PICC line tip projects over the midportion of the SVC.,Stable appearance of the lungs with diffuse interstitial and alveolar opacities compatible with pneumonia or CHF. The support tubes are in reasonable position.,1.2.826.0.1.3680043.8.498.84901220142998436221340734870102772730
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14908155513946688142190422529980466928
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.69578846375559219254211445036905624687
There is little change in cardiomegaly and pulmonary vascular congestion with edema. Aeration has improved slightly. A permanent pacer remains.,Slightly better aeration. Persistent edema.,1.2.826.0.1.3680043.8.498.62282668124604957993440398246354857066
Small left pleural effusion and left basilar airspace disease have worsened since the examination 3 days ago. The right lung is clear. Heart size is normal. No pneumothorax. No acute bony abnormality.,Worsened left lower lobe pneumonia and associated small left effusion.,1.2.826.0.1.3680043.8.498.83522482600798339429529813059381906571
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87545468806470307010783161157978822629
Right arm PICC line tip is in the SVC. Heart size is normal. There is plate-like atelectasis in the right midlung. No airspace disease is identified. There is no pleural effusion or edema.,1. PICC line tip is in the SVC. 2. Right midlung atelectasis.,1.2.826.0.1.3680043.8.498.12362840742718813109079226608623003269
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55817430041465500297661217604370270401
The lungs are well-expanded. The interstitial markings are increased. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. I see no pleural effusion.,The findings are consistent with congestive heart failure with mild pulmonary interstitial edema.,1.2.826.0.1.3680043.8.498.69295072554610835812283840248396013539
Low lung volumes. Cardiomegaly. Pulmonary venous congestion and bilateral pulmonary infiltrates/edema again noted. Similar findings noted on prior study. No pleural effusion or pneumothorax.,1. Cardiomegaly. Pulmonary venous congestion bilateral pulmonary infiltrates/edema again noted. Similar findings noted on prior study. Findings consistent with CHF. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.84724613627297319354317209544687181884
Lungs are clear. No pneumothorax or pleural effusion. Heart size is normal.,No acute disease.,1.2.826.0.1.3680043.8.498.63258830535538267180880891910490684791
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64941926369248592261394615203446978989
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98708222858744206181717414675923487338
Lung volumes within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pleural effusion or consolidation. No confluent airspace opacity. No osseous abnormality identified.,No focal pneumonia identified.,1.2.826.0.1.3680043.8.498.37669043331550099375454637889645412918
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72290504680825955457429446881066381979
Cardiomegaly with pulmonary venous congestion with bilateral interstitial prominence. Right lower lobe infiltrate. Small right pleural effusion. No pneumothorax. No acute bony abnormality.,1. Cardiomegaly with pulmonary venous congestion and bilateral interstitial prominence. Findings suggest mild CHF. 2. Right lower lobe infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.95550246634454471777904609019440068207
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.26494280571057529151285319579744269839
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96465087998776112848199324382986412889
Right central venous line is identified with distal tip in the superior vena cava. No pneumothorax identified. Normal heart size. No pleural effusion or edema. No airspace densities.,1. Right central venous line tip is in the superior vena cava. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.88889527610278390161883738548767671273
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size; a pacemaker is noted at the left chest wall, with leads ending at the right atrium, right ventricle and coronary sinus. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.18049973421402414505362072734227523894
The heart size is normal. The lungs are clear. No free intraperitoneal gas is seen. Surgical clips are noted in the right upper quadrant. Nonspecific nonobstructive bowel gas is present. No suspicious bowel wall thickening is seen. No pneumatosis is present. No portal venous gas is identified.,Unremarkable bowel gas. No acute cardiopulmonary abnormality or suspicious bowel gas pattern.,1.2.826.0.1.3680043.8.498.67867500388543702656617305843202637015
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54416114560295045638271965952877717197
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Central airway thickening is noted.,1. No evidence for pneumonia. 2. Central airway inflammation.,1.2.826.0.1.3680043.8.498.31101580487916328983032307206845837036
"Normal heart size, mediastinal contours, and pulmonary vascularity. Biapical scarring greater on LEFT. Central peribronchial thickening. No acute infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Bronchitic changes with biapical scarring greater on LEFT. No acute infiltrate.,1.2.826.0.1.3680043.8.498.82627976474302642846513496494885121743
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22513836711607119246217111813538284826
"Normal heart size and mediastinal contours. No edema, effusion, or pneumothorax. No osseous findings.",No evidence of acute disease.,1.2.826.0.1.3680043.8.498.85415300459421112279255529878871616784
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71579983664281505142934391046581110266
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,1. Cardiomegaly. No pulmonary venous congestion. 2. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.68933394744054513798626397118977941612
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70159418257584883200703651093213391424
"The endotracheal tube terminates approximately 3.6 cm above the carina. The enteric tube extends below the left hemidiaphragm. The heart size is normal. There are bilateral hazy airspace opacities, slightly worse on the right. There is no pneumothorax. No large pleural effusion.",1. Lines and tubes as above. 2. Worsening bilateral airspace opacities consistent with the patient's history of viral pneumonia.,1.2.826.0.1.3680043.8.498.82982165458538167387159993823309612631
"The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.83926560652684662704827380773139789458
"The heart size and mediastinal contours are within normal limits. Pulmonary hyperinflation again seen, consistent with COPD. Both lungs are clear. No evidence of pleural effusion. No mass or lymphadenopathy identified. Surgical clips again seen in the upper abdomen.",COPD. No active disease.,1.2.826.0.1.3680043.8.498.97820704308152329327695116402068910997
"Lung volumes at the upper limits of normal. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion, or confluent pulmonary opacity. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.35810613385375645956008794504484827907
Shallow lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. The lungs are clear. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.90297751319992599264219822902109369309
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46141807047364309214231972090316738132
There is a new airspace infiltrate involving the right upper lobe compatible with pneumonia. The left lung is clear. There is no pleural effusion. The heart size and mediastinal contours are stable.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.77165757956959728371035818591440417933
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.75916174207731321753562750478629285567
There is again noted increased density bilaterally in both lungs. The findings are compatible with bilateral pneumonia. There has been little or no appreciable interval change since the prior exam. No definite pulmonary edema is seen. No pleural effusion is noted. The heart is upper limits for normal in size.,There are bilateral interstitial and alveolar infiltrative changes consistent with pneumonia.,1.2.826.0.1.3680043.8.498.59209531858987859933622148318055439463
The heart size and mediastinal contours are within normal limits. Previously seen bilateral pulmonary infiltrates have resolved since previous study. No evidence of pleural effusion.,Resolution of bilateral pulmonary infiltrates. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99080491017494800569384552795304329325
The lungs are clear. No pneumothorax or pleural effusion. There is cardiomegaly. Atherosclerosis noted. No fracture is identified.,Negative for fracture. Cardiomegaly without acute disease.,1.2.826.0.1.3680043.8.498.26895266709742457329664642947014547639
"Two views of the chest show a normal size cardiomediastinal silhouette. There is no evidence of consolidation, mass or pleural effusion. The bones are unremarkable.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13177371775939085737915893355784642150
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89422533140780273028436544512806824739
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.88233078042041160139371511261880399090
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21027525100715779972562231236400440547
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. There is blunting of the left costophrenic angle.,Small left pleural effusion versus pleural scarring. No edema or consolidation.,1.2.826.0.1.3680043.8.498.18620336057646757423085165855764538083
"Low lung volumes are present, causing crowding of the pulmonary vasculature. The heart is mildly enlarged. There is central airspace opacification suggesting pulmonary edema. No pleural effusions are identified. There is no pneumothorax.",1. Cardiomegaly and mild pulmonary edema. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.94629175397395020209474147703976793749
Small left pleural effusion with left lower lobe atelectasis or infiltrate. No pneumothorax. Stable cardiomediastinal silhouette. No acute bony abnormality.,Small left pleural effusion with left lower lobe atelectasis or infiltrate. No change.,1.2.826.0.1.3680043.8.498.33064421462241471937825802418034685931
Cardiomegaly is noted with the patient status post CABG. Mild bilateral interstitial prominence is present unchanged from prior exam. These changes could be related to mild congestive heart failure or chronic interstitial lung disease. Mild basilar atelectasis is present. Small bilateral pleural effusions cannot be excluded.,1. Mild congestive heart failure versus chronic interstitial lung disease. 2. Mild basilar atelectasis. 3. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.73852957113254425223421051299599274002
Lungs are adequately inflated without focal consolidation or effusion. No evidence of pneumothorax. Cardiomediastinal silhouette is within normal. There are degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84238719681898283154188771823669640314
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.90975274781253670139248783615896752667
There is a large hiatal hernia present. This is unchanged. Bilateral air space disease is again noted and may have worsened slightly. There is cardiomegaly.,Large hiatal hernia. Probable slight worsening of bilateral air space disease.,1.2.826.0.1.3680043.8.498.21930001887561395280034759125163533970
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The bony thorax is intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63466098540633173760330831283740684453
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98575077946533926886630439950778962101
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.41410692686438824785549961494211442262
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.28859435595919208574891277115355592065
"Multiple lateral right rib fractures are identified which were not seen previously. These involve the fourth, fifth, sixth, seventh, eighth and ninth ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.",Multiple right lateral rib fractures.,1.2.826.0.1.3680043.8.498.79231171761439765363755220663119908341
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion.,No acute findings.,1.2.826.0.1.3680043.8.498.85242653942358074009309187361503966421
There is central airway thickening. No focal airspace opacities or effusions. Cardiothymic silhouette within normal limits. Bony structures unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.59691669220706362011334997386473017410
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or pleural effusion. Bone mineralization is within normal limits. No displaced right rib fracture identified. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality or displaced right rib fracture identified.,1.2.826.0.1.3680043.8.498.67711326424239614257795392272662805986
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84122129817549110545918235353357410294
Central catheter tip is in the superior vena cava. No pneumothorax. There is no edema or consolidation. Heart is enlarged with pulmonary vascularity within normal limits. No adenopathy. There is atherosclerotic calcification in the aortic arch. No bone lesions.,Central catheter tip in superior vena cava. No pneumothorax. No edema or consolidation. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.32617352112560131653992016567275093216
Endotracheal tube placed with tip measuring 4.9 cm above the carina. Right central venous catheter with tip over the cavoatrial junction region. No pneumothorax. Heart size and pulmonary vascularity are normal. Increasing opacity in the left upper lung suggesting pneumonia. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,Appliances appear to be in satisfactory location. Left upper lung infiltrate.,1.2.826.0.1.3680043.8.498.69611950835577999962293416342922928028
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53454573058332716584553325449395745629
An endotracheal tube is appreciated with the tip at the level of the clavicles. A left sided central venous catheter is appreciated with the tip at the level of the superior vena cava. There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the lung bases. There is blunting of the costophrenic angles. The cardiac silhouette is within normal limits. The visualized bony skeleton is unremarkable.,1. Support lines and tubes as described above. 2. Findings consistent with pulmonary edema. 3. Atelectasis versus infiltrate versus asymmetric edema within the lung bases as well as small effusions. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.12978897351124143884841497084458966939
Trachea is midline. Heart size stable. Lungs are somewhat low in volume with minimal bibasilar atelectasis. No pleural fluid. Degenerative changes are seen in the spine.,No acute findings.,1.2.826.0.1.3680043.8.498.27176651286882005059388345250816359730
There is increased opacity at the left lung base which may be due to atelectasis or pneumonia. Mild linear scarring in the mid upper lung fields is stable. Cardiomegaly is stable.,Increasing opacity at left lung base. Atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.85900277788832401171433272083984398556
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Surgical clips in the right chest wall.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93179618896752130877006923693732528906
There is atelectatic change in the lung bases. There is a small right pleural effusion. There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions.,Bibasilar atelectasis with small right pleural effusion. No edema or consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.94086132508453421781538865354840354865
Mediastinum and hilar structures normal. Cardiomegaly with pulmonary venous congestion bilateral interstitial prominence. Findings consistent with CHF. Similar findings noted on prior exam. No prominent pleural effusion. No pneumothorax. No acute bony abnormality.,Stable cardiomegaly. Diffuse bilateral interstitial prominence again noted. Findings most consistent with CHF. Similar findings noted on prior exam.,1.2.826.0.1.3680043.8.498.93074201127590946586537741188354326631
Eventration of the left hemidiaphragm is unchanged. Elevated right diaphragm. Cardiac enlargement with vascular congestion. Negative for edema or effusion. No focal consolidation.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54072156651869375725338634167698215892
There is no evidence of intracranial hemorrhage or extra-axial fluid collection. There is no mass-effect or midline shift. No evidence of acute infarction. Mild to moderate parenchymal volume loss is again noted. The ventricles are not significantly changed in size or configuration. The calvarium is intact.,No acute intracranial pathology. No significant change from,1.2.826.0.1.3680043.8.498.95583054113481069455714521945481415085
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. No significant pleural effusion. The visualized skeletal structures are unremarkable.,No pneumothorax.,1.2.826.0.1.3680043.8.498.62400817110092168972044166201743140054
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43449075470752237120149342490300239258
There is increased density at the left lung base suggestive of atelectasis or minimal infiltrate. There is no effusion or pneumothorax. The cardiac silhouette is normal. The bony structures appear to be intact.,Left lung base atelectasis.,1.2.826.0.1.3680043.8.498.48009063991435443302691709049584211063
The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30428349794440269967102395981742304398
Tracheostomy tube appears well positioned. Left-sided pacemaker is unchanged in position. Vascular congestion is seen. Increased interstitial markings raise concern for pulmonary edema. No pleural effusion or pneumothorax is identified. The cardiomediastinal silhouette is borderline enlarged. No acute osseous abnormalities are identified.,1. Tracheostomy tube appears well positioned. 2. Vascular congestion and borderline cardiomegaly. Suspect mild interstitial edema.,1.2.826.0.1.3680043.8.498.72849855684940645830403561034156101992
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27535941575193376564516185528379074070
The lungs are mildly hyperinflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. There is tortuosity of the descending thoracic aorta. There is moderate thoracolumbar scoliosis. There are degenerative changes of the shoulders.,COPD. There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10715671633769400593730556788594558716
Examination of the chest in single portable upright view with comparison to examination 3/29/1996 demonstrates for left lower lobe infiltrate or atelectasis obscuring left hemidiaphragm. There is a right-sided pacemaker with two leads. Poststernotomy changes are identified. The heart is enlarged. The aorta is atherosclerotic. The lungs are hypoinflated. There is no pneumothorax. The bones are unremarkable.,1. Cardiomegaly. 2. Hypoinflation. 3. Left lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.50362080610164275811051456787865986824
Low lung volumes with bibasilar atelectasis. Mild vascular congestion. Heart is accentuated by the low volumes and portable study. No visible effusions. No acute bony abnormality.,"Low lung volumes, worsening since prior study. Bibasilar atelectasis. Mild vascular congestion.",1.2.826.0.1.3680043.8.498.68655121262598406115924242750504777581
"Endotracheal tube, NG tube, right PICC line stable position. Mediastinum and hilar structures normal. Heart size stable. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax.",1. Lines and tubes in stable position. 2. Low lung volumes with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.97221436491932048379099019033542986276
"Small left apical pneumothorax is again noted, not significantly changed since prior study. Left base atelectasis present. Right lung is clear. Heart is normal size. No effusions.",Stable small left apical pneumothorax. Left base atelectasis.,1.2.826.0.1.3680043.8.498.28038449322947522411941611229565456455
Mediastinum and hilar structures normal. Lungs are clear. Previously identified left mid lung field infiltrate has cleared. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53273110194974584190806649005440235616
Cardiomediastinal silhouette unremarkable. Improved aeration in both lungs with increased lung volumes. Interval development of focal airspace consolidation in the right upper lobe. No pleural effusions. OG tube tip in the fundus of the stomach.,1. Right upper lobe atelectasis. 2. Improved RDS pattern since the examination 2 days ago.,1.2.826.0.1.3680043.8.498.67316001233323302249912715385869068079
There is a patchy infiltrate in the right lower lobe which is similar to the prior study. The lungs are hyperinflated. Heart size and vascularity are normal. Left lung is clear. No significant bony abnormality.,Persistent right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.74277936091251101909956877099753321343
"Two views of the chest show a normal size cardiomediastinal silhouette. A right sided Port-A-Cath is seen with its tip in the superior vena cava. There is no evidence of consolidation, mass or pleural effusion. The bones are unremarkable.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93144270578756617955958103782970149361
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions.,No active disease.,1.2.826.0.1.3680043.8.498.92374893785745301027135963366217007898
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36323358340808874141334934442935059793
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74261802211630835374294615462604591849
Right central line is been placed with the tip in the SVC. No pneumothorax. Cardiomegaly. Lungs clear. No effusions or edema. No acute bony abnormality.,Right central line tip in the SVC. No pneumothorax. No acute findings.,1.2.826.0.1.3680043.8.498.99134116269309066957815027867464471078
There is consolidation of the left lung base with associated pleural fluid. The right lung is clear. No pneumothorax. Heart size is normal. The patient is status post CABG.,Left lower lobe pneumonia and associated small left pleural effusion.,1.2.826.0.1.3680043.8.498.66239873215777734975723948277370329611
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77970875121245994315977630645597952903
The heart appears normal in size. Mild bilateral hilar prominence. Mild peribronchial thickening. No gross pneumothorax. There is no dense consolidation. No acute fracture.,Mild bronchitis. No dense consolidation.,1.2.826.0.1.3680043.8.498.34707314626198354483584430255780180372
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23483739525834983864147934444418674528
The cardiac silhouette is within normal limits. The lungs are clear. The pulmonary vasculature is normal in caliber.,No acute cardiopulmonary process. Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.31373199336955068849961351247032841874
Single portable AP chest radiograph is provided. There is a hazy opacity of the right lower lung concerning for an infiltrate. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,"Right lower lung hazy opacity concerning for pneumonia. Recommend followup radiography is recommended to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.78745327583011648064254438646880303826
There is an endotracheal tube present with the distal tip at the level of the aortic knob. There is mild cardiomegaly. There is mild pulmonary venous congestion. There is no evidence of an pleural effusion or pneumothorax. No acute infiltrate.,Mild congestive heart failure.,1.2.826.0.1.3680043.8.498.72391843824162278648776158626152857546
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31627755093895467204315819878861147990
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94466303090845920854361819812042448905
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30030219875970707565624653394407541299
Endotracheal tube is 2.5 cm above the carina. Right jugular catheter tip is in the SVC. There is a left chest wall pacer device with leads in the right atrial appendage and right ventricle. The heart size is enlarged. Bilateral pleural effusions and interstitial edema is again noted. There is atelectasis at both lung bases.,"1. Stable appearance of the chest. 2. Cardiac enlargement, pulmonary edema and bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.94056161023908585072532566643133115177
"Cardiomediastinal silhouette unremarkable and unchanged. Mild hyperinflation. Prominent central peribronchial thickening, more so than on the prior examination. Lungs otherwise clear. No pleural effusions. Visualized bony thorax intact.",Hyperinflation and moderate changes of acute bronchitis and/or asthma.,1.2.826.0.1.3680043.8.498.22026682172186231449074309108198551037
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16297200380652973177920817401245590599
The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.28422307395050177613512310854092195887
"The heart size and mediastinal contours are within normal limits. Atherosclerosis of thoracic aorta is noted. No pneumothorax or pleural effusion is noted. Mild patchy airspace opacities are noted in both lungs, right greater than left, concerning for multifocal pneumonia. The visualized skeletal structures are unremarkable.","Mild patchy bilateral lung opacities are noted, concerning for multifocal pneumonia. Aortic Atherosclerosis (ICD10-I70.0).",1.2.826.0.1.3680043.8.498.28664149245748651797162165619038554401
Heart/Mediastinum: The cardiomediastinal silhouette appears grossly unremarkable. Lungs: No visualized consolidation or acute infiltrate. No pneumothorax. Pleural effusions: No visualized effusion. Bones: Mild thoracic spondylosis. Visualized upper abdomen: Grossly unremarkable.,No definite acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.61031789469920921180559935402232692506
There is mild atelectasis at the lung bases. The lungs are otherwise clear. No effusions. Heart size is normal.,Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.63741112646856569975200017419247307937
There is a left sided pacemaker present. There is increased density at the right lung base which could be secondary to fibrosis or atelectasis. There is no effusion or pneumothorax. The lungs are hyperinflated consistent with COPD. CABG changes are present. The heart is normal in size.,1. COPD. 2. Fibrosis. 3. Linear density at the right lung base. Follow-up is recommended.,1.2.826.0.1.3680043.8.498.97812767482648200539272625123784013769
"Patchy bilateral airspace opacities in a mid lower lung zone predominant distribution, left greater than right, increased from prior exam. Unchanged heart size and mediastinal contours. No pneumothorax or evidence of pneumomediastinum. No pleural fluid. No pulmonary edema. No acute osseous abnormalities are seen.","Patchy bilateral airspace opacities in a mid-lower lung zone predominant distribution, left greater than right, increased from prior exam. Pattern consistent with COVID-19 pneumonia.",1.2.826.0.1.3680043.8.498.47471606696830422570651727979904630107
Cardiac shadow is enlarged. Aortic calcifications are again seen. The right-sided pleural effusion has increased in the interval from the prior exam. Underlying atelectasis is likely present as well. The left lung remains clear. No bony abnormality is noted.,Increasing right-sided pleural effusion with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.98851260569199150956242499595718126657
There is a right arm PICC line with tip in the projection of the SVC. The lung volumes are low. There is atelectasis at both lung bases. No airspace consolidation. No pleural effusions or pulmonary edema.,1. Low lung volumes. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.96923827978537204656591425499894557838
Endotracheal tube is 2.2 cm from the carina. The lungs are clear. Heart size and mediastinal contours are normal. No pleural fluid or pneumothorax. No pulmonary edema. No osseous abnormalities.,Endotracheal tube in place. Clear lungs.,1.2.826.0.1.3680043.8.498.89000488666519566125687682297440417739
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. New left-sided pacemaker device in place with lead tips projecting over the expected location of the right atrium and right ventricular apex.,"1. New left-sided pacemaker in place, as above. 2. No pneumothorax or other acute complicating features.",1.2.826.0.1.3680043.8.498.54906879840508993536314914045968514104
"The cardiomediastinal contours are normal. Low lung volumes with bibasilar atelectasis. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.66601494001514351757170674531449763787
Cardiac shadow is enlarged. A right-sided jugular central line is again seen and stable. The lungs are well aerated with evidence of central vascular congestion and mild interstitial edema. Small bilateral pleural effusions are noted as well as left basilar atelectasis.,Changes consistent with CHF and left basilar atelectasis.,1.2.826.0.1.3680043.8.498.90330812527728132310217387997721698459
Cardiac shadow is stable. Tracheostomy tube and right jugular central line are again seen and stable. Diffuse bilateral airspace opacities are again identified and stable. No new focal abnormality is seen. No bony abnormality is noted.,Stable airspace opacities bilaterally.,1.2.826.0.1.3680043.8.498.26697758911897142682928444342907657432
Mediastinum and hilar structures normal. Lungs are clear. Previously identified right lower lobe infiltrate has cleared. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77498092099681674850227366381379803281
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24082162824541703045553755806049804332
The previously noted right lower lobe pneumonia has now cleared. No new infiltrates are seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.,1. The lung fields are clear. 2. The previously present right lower lobe pneumonia has now cleared.,1.2.826.0.1.3680043.8.498.35449052333732067488318984497185282055
"The lungs are well-aerated. Increased central lung markings may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Increased central lung markings may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.36956130819572753089008477941310234847
Tracheostomy remains in good position. Diffuse bilateral airspace disease unchanged. No pneumothorax. Small left pleural effusion.,No significant change in diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.18835252260779961850984965336386418406
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43653209159930195949531388076914124485
There is mild peribronchial thickening. Small retrocardiac consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Small retrocardiac consolidation concerning for pneumonia. This is best seen on the lateral view. There is background bronchial thickening which may be viral or reactive small airways disease.,1.2.826.0.1.3680043.8.498.21557325571892656843672221265510114686
Heart: Normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal. Left chest port in place.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.26370788592661159631926337469020218238
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. Postoperative changes of prior CABG are observed. A double lumen venous catheter is now present with the tip projected over the superior aspect of the right atrium. No pneumothorax is seen.",1. The lung fields are clear. 2. A venous catheter is now present. 3. No pneumothorax or pleural effusion is seen.,1.2.826.0.1.3680043.8.498.77925623815099717356041447392830441928
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.18890602185064324579469249335110237518
The heart size is normal. There is mild aortic tortuosity. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are demonstrated.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.67105206160917755667422949386117589850
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71497126893637604460995370978071308311
The heart and mediastinum are within normal limits. No focal pulmonary opacities. Previously noted nodular density overlying the right lower lung is not seen on today's exam.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19660064621902940178407933067633274768
Postoperative changes in the right upper lobe are stable. Left upper lobe scarring is stable. Volume loss in the left lung is stable. The heart is normal in size. No pneumothorax. No pleural effusion.,No significant change.,1.2.826.0.1.3680043.8.498.54684557021394762673387445343574819544
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.29887812752259331668040986729455997382
"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.49936580617724581592800772028144536852
Right internal jugular central venous catheter terminates at the cavoatrial junction. No pneumothorax. Lungs are essentially clear. No pleural effusion. The heart is normal in size.,No pneumothorax. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66628479674174054256009153274648413859
There is cardiomegaly with mild vascular congestion and bibasilar atelectasis. Pacemaker is unchanged.,Cardiomegaly and mild vascular congestion. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.29081780227241752579910997385171877861
There is no fracture or dislocation. There are no significant localized bony changes. The joint spaces are preserved. The soft tissue silhouettes are unremarkable.,No acute bony process.,1.2.826.0.1.3680043.8.498.41700807866468669013755402883839757034
Cardiomegaly. Tortuous ectatic thoracic aorta. No pulmonary vascular congestion or active lung process. No pleural effusion or pneumothorax. No acute osseous abnormality.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32018953588844045332888936885533610568
"The heart is enlarged. There has been a previous median sternotomy. There is no heart failure, infiltrate or edema.",Cardiomegaly. No acute abnormality.,1.2.826.0.1.3680043.8.498.86236492809971652106388747949696535259
The lungs are reasonably well inflated. The interstitial markings are increased diffusely. Confluent density in the right upper lobe is present. The cardiac silhouette is top normal in size. The pulmonary vascularity is indistinct. I see no pleural effusion.,There are findings consistent with interstitial and alveolar edema of both lungs. This may reflect pneumonia or CHF. I see no pleural effusion. Followup films are recommended.,1.2.826.0.1.3680043.8.498.79705359077820661093742097390986553869
Heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.94228571679029479314290118816005287442
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38893439531426376225257512120420194817
The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. No foreign body is identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50685111257405111834102862341653318686
The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.88128805463165211762931318566633419455
Mediastinum and hilar structures normal. Heart size normal. Lungs are clear. No pleural effusion or pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41706079742964104650551150424556418931
There is peribronchial thickening. Suspect left lower lobe opacity concerning for pneumonia. Right lung clear. Heart is normal size. No effusions or bony abnormality.,Central airway thickening. Suspect left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.58234635026356340998605067363907213733
There is mild cardiomegaly. The lungs are well expanded. Bilateral infiltrates in the right lung and left lower lobe appear similar. There is a small right pleural effusion.,Bilateral infiltrates appear similar. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.14791436748463026491434864890687535298
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84861012085220344495988817021098961215
Two views of the chest show a small to moderate size right pleural effusion with associated air space opacity that likely represents compressive atelectasis. The heart is enlarged with a prominent left ventricle. The interstitial markings are increased bilaterally. The mediastinal contours are normal. The patient is status post median sternotomy and CABG. A pacemaker is present with the leads overlying the right atrium and ventricle.,Right pleural effusion with associated compressive atelectasis. Mild interstitial pulmonary edema. Pneumonia not excluded.,1.2.826.0.1.3680043.8.498.54693228811125101631294133490705691339
Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.64078816050990795646275045059482763535
The lungs are well-expanded. The interstitial markings are increased. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. I see no pleural effusion. The mediastinum is normal in width. The bones are osteopenic.,There are findings consistent with low-grade CHF. I do not see evidence of pneumonia.,1.2.826.0.1.3680043.8.498.72559152041892658508975969446944769099
The patient has had median sternotomy and CABG. The heart is enlarged. There is interstitial pulmonary edema and small bilateral pleural effusions. No focal consolidation or pneumothorax identified.,1. Cardiomegaly and pulmonary edema. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.31629516258329188560566791118668011260
The heart size is normal. There is no pleural effusion or pulmonary edema. Atelectasis is identified at the left lung base. Diffuse osseous metastatic disease is identified. There is no evidence of subdiaphragmatic free air.,1. Left base atelectasis. 2. Diffuse osseous metastatic disease.,1.2.826.0.1.3680043.8.498.91051377220617610386249439748521374514
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.65647509634374695577294746737021260023
There is cardiomegaly. COPD changes are present. Bibasilar scarring or atelectasis present. No effusions. No acute bony abnormality. Severe degenerative changes in the shoulders.,"Cardiomegaly, COPD. Bibasilar atelectasis or scarring.",1.2.826.0.1.3680043.8.498.11794496272022747666882317158607673251
Two left chest tubes are stable. A tiny left pneumothorax is stable. The left pleural effusion and left lower lobe consolidation are stable. The right lung is clear.,No significant interval change.,1.2.826.0.1.3680043.8.498.27048591964569959857388492530179433022
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68882336571621623172056773821889519563
There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. Mild cardiac failure.,1.2.826.0.1.3680043.8.498.32069564146120402828774807014376697963
Heart and mediastinal contours normal. Lungs clear. No change in Port-A-Cath.,No active disease.,1.2.826.0.1.3680043.8.498.12651431411671425608823459307853915344
Small right-sided pneumothorax is similar. 2.0 cm of apical pleural retraction. The visceral pleural line extends to the right lateral chest wall. Pneumomediastinum is unchanged. Midline trachea. Normal heart size. Atherosclerosis in the transverse aorta. Possible trace right pleural fluid. Right base atelectasis is similar. Subcutaneous emphysema in the right chest wall is decreased.,1. No significant change in approximately 5% right apical pneumothorax. 2. Similar pneumomediastinum. 3. Similar right base atelectasis.,1.2.826.0.1.3680043.8.498.44881022550229108302293212306794524675
There is continued elevation of the left hemidiaphragm. Left basilar atelectasis present. Heart is normal size. Right lung is clear. No effusions. No acute bony abnormality.,Left basilar atelectasis.,1.2.826.0.1.3680043.8.498.26170282453209483933778715344634307350
The current exam shows increased density at the lung bases compatible with bibasilar atelectasis. No definite pleural effusion is seen. No pulmonary edema is noted. Heart size is normal.,1. No pleural effusion is identified. 2. There is increased density at the lung bases consistent with atelectasis.,1.2.826.0.1.3680043.8.498.31953826979517540703073742980219234170
Swan-Ganz catheter has been removed. Right internal jugular venous access sheath remains in place. Bilateral chest tubes and mediastinal drain have been removed. No visible pneumothorax. Mild atelectasis in the lower lungs. No edema or effusion.,Mild bilateral lower lobe atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.84703055895329212456253438228876393663
"Stable cardiomediastinal silhouette with top-normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active disease.,1.2.826.0.1.3680043.8.498.61330735965751980895455965289882139094
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25503029128208127062527907892856184095
Interval removal of left chest tube. No pneumothorax. Swan-Ganz catheter has been removed with the introducer left in place. Changes of CABG. There is cardiomegaly with vascular congestion and low lung volumes. Increasing left base atelectasis. Small left effusion.,Interval removal of left chest tube without pneumothorax. Increasing left base atelectasis. Small left effusion.,1.2.826.0.1.3680043.8.498.29317908490934275735705795320703788704
"Upper limits normal heart size again noted. There is blunting of the left costophrenic angle on today's examination. Minimal left basilar atelectasis/scarring again noted. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, or pneumothorax. No acute bony abnormalities are identified.",Probable small left pleural effusion with minimal left basilar atelectasis/scarring.,1.2.826.0.1.3680043.8.498.63731053550438739788950065124217878333
The heart is mildly enlarged. The mediastinal contour is normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.71155625140214004466120402038085298139
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87968105601836684738907514730523589180
"There is again noted density about the LEFT hilum. This density has decreased in size since the prior exam. There is also noted a substernal density to the LEFT of the trachea. This is suspicious for mass or adenopathy. The RIGHT lung field is clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. There is a slight thoracic scoliosis.",1. There is again noted density at the LEFT hilar area. The findings are compatible with mass or adenopathy although atelectasis could produce similar findings. 2. No pneumonia is seen. 3. No pleural effusion is noted. 4. Heart size is normal.,1.2.826.0.1.3680043.8.498.33329658509762257822421971942865893222
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. Clips are noted within the right upper quadrant, reflecting prior cholecystectomy.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.17103026959672244542195474500090861600
There is improvement in the bilateral lower lobe infiltrates. There is no infiltrate or heart failure. The lungs are otherwise clear.,Improvement in bilateral lower lobe infiltrates.,1.2.826.0.1.3680043.8.498.37905283904997624422282912750668560669
The heart is enlarged. The mediastinum is unremarkable. The hila show no obvious abnormalities. Diffuse interstitial changes are seen throughout the lungs with some patchy changes in the right lower lobe. Small bilateral effusions are present. No pneumothorax is seen.,1. Cardiomegaly with diffuse interstitial changes throughout the lungs with patchy right basilar changes suggesting superimposed atelectasis or infiltrate. 2. Small bilateral effusions.,1.2.826.0.1.3680043.8.498.71434643945349811322823596597984662578
Patchy bilateral airspace disease in a peripheral predominant distribution. Heart is normal in size. No pneumothorax or pleural effusion. No acute osseous abnormalities are seen.,Patchy bilateral airspace disease in a peripheral predominant distribution consistent with pneumonia. Pattern of airspace opacities can be seen with COVID-19 pneumonia.,1.2.826.0.1.3680043.8.498.39004149388326681460748206993153109187
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20010160836193448324403386878930001107
"There is patchy density in the left midlung. The right lung is clear. The heart is at the upper limits of normal in size. Atherosclerotic calcification is present. There is no edema, effusion or pneumothorax.",1. Findings suggest left midlung pneumonia. Follow-up is recommended. 2. Degenerative changes are present in the spine. 3. Old left rib fractures.,1.2.826.0.1.3680043.8.498.59149722788542070604363229376428568915
The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.58128522196726774124371999580387909957
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.91304282000488277033330229217115633946
The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Osteophytes are seen in the spine.,No acute or active cardiopulmonary process is identified.,1.2.826.0.1.3680043.8.498.86822550269639022388590525510438042733
The cardiac silhouette is within normal limits for size. The mediastinum is not widened or deviated. The lungs are clear with mild chronic interstitial changes. Pacer noted.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.61940441478713771561352609021423808407
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20971554836398276739751840976396395404
Heart size is normal. There is no pleural effusion or pulmonary edema. Chronic asymmetric elevation of the right hemidiaphragm is again noted. Scar versus plate-like atelectasis is identified at the left lung base. No airspace consolidation.,1. Scar versus plate-like atelectasis at the left lung base. 2. No evidence for pneumonia.,1.2.826.0.1.3680043.8.498.73487453622981490344825236514963809765
The cardiothymic silhouette is within normal limits. The lung fields demonstrate a mild increase in density at the right lung base which may represent an area of focal atelectasis. No definite pleural fluid is seen. The left lung appears clear. No pneumothorax is identified. Bony structures appear intact. The visualized portion of the bowel gas pattern is unremarkable.,No definite pneumothorax identified. Question mild right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.21973238467417182213945802923262891271
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.69700620318893402107810678110875607419
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The chest is hyperexpanded compatible with a history of COPD.",1. The lung fields are clear. 2. COPD.,1.2.826.0.1.3680043.8.498.45252201659286441236141737884360985044
Normal cardiac silhouette given projection and technique. Aortic atherosclerosis with calcification. Clear lungs. No pleural effusion or pneumothorax. Enteric tube tip extends below the field of view into the abdomen. No acute osseous abnormality is evident.,No acute pulmonary process identified.,1.2.826.0.1.3680043.8.498.99686232374000961131137853577654641359
Single portable AP chest radiograph is provided. There is an endotracheal tube with the tip 6.5 cm above the carina. There is a right-sided central venous catheter in satisfactory position. There is left upper lobe and left lower lobe airspace disease most concerning for pneumonia. There is no pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,Left upper and left lower lobe airspace disease most concerning for pneumonia.,1.2.826.0.1.3680043.8.498.45233678272667325492250909648550099791
Bilateral pulmonary infiltrates are more prominent/widespread in the interval. Stable cardiomegaly. The hila and mediastinum are normal. No pneumothorax. No other changes.,Worsening bilateral pulmonary infiltrates consistent with worsening multifocal pneumonia.,1.2.826.0.1.3680043.8.498.98510086352225693037282606809242339912
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.27313724493450008026874937932064271525
"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.59097113637246407505416895162272797676
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.34937161824353600607945978402891112629
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35020428580510053179711854372641437530
There is diffuse bilateral interstitial thickening. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.,"1. Diffuse bilateral interstitial thickening, which could be due to pulmonary edema, interstitial pneumonia, or interstitial lung disease.",1.2.826.0.1.3680043.8.498.61642448939592061226657790771539985100
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.94306301362286433884214153713768050780
"An AP erect portable film of the chest made on 1/27/6 at 7333 hours is compared to a previous routine study of 02/24/07 and shows cardiomegaly and a pacer defibrillator system which appears to be in good position within the right atrium, right ventricle, and coronary sinus. There is no edema. There is no pneumothorax. There is no consolidation. Heart is moderately enlarged.",Cardiomegaly. No edema. No acute infiltrate. Defibrillator system appears to be in good position.,1.2.826.0.1.3680043.8.498.89563119189195314252216125295509356702
"Tracheostomy tube is present. The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20839815294945563878430796471082830910
An umbilical venous catheter is in place and the tip is located at the inferior cavoatrial junction. An orogastric tube is in place and the tip is located in the region of the mid body of the stomach. The cardiothymic silhouette is within normal limits. The lung volumes are low and there are diffuse hazy opacities throughout both lungs. No definite pleural effusions are seen. The bowel gas pattern is unremarkable.,1. Support apparatus as above. 2. Low lung volumes with diffuse hazy opacities compatible with RDS.,1.2.826.0.1.3680043.8.498.22341040132534339671623110302971016855
No change in hazy opacities at the lung bases attributed to pleural effusions. The heart mediastinum and hilar structures are unchanged. The osseous structures are normal.,No interval change.,1.2.826.0.1.3680043.8.498.45086366093250573783326223951230767738
"Cardiothymic silhouette is normal. There is bronchial thickening. There is mild pulmonary hyperinflation. No infiltrate, collapse or effusion.",Bronchitis and bronchiolitis.,1.2.826.0.1.3680043.8.498.57699760202439300694442679901961969960
"Right PICC line is in place with the tip at the cavoatrial junction. Left pacer is unchanged. Cardiomegaly with vascular congestion. No confluent opacities, effusions or edema. No acute bony abnormality.","Right PICC line tip at the cavoatrial junction. Cardiomegaly, vascular congestion.",1.2.826.0.1.3680043.8.498.14469586916529371703419599795521127184
"Lungs remain clear. Heart size normal. Mediastinum, hila, pleura and osseous structures appear intact (anchor sutures proximal visualized currently visualized proximal superior vena cava visualized on 5/1/1994 CT visualized currently.",Stable - no active disease.,1.2.826.0.1.3680043.8.498.46779744206526338667651286591698496147
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92190819260663801623003823240558648690
There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.52953199452159651876391721463544376799
The lungs are hyperinflated consistent with COPD. There is no focal infiltrate. There is no effusion. There is no pneumothorax. The bones are osteopenic. There is no evidence of edema.,COPD. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13115439268992085981959009358971152587
"The heart size and mediastinal contours are stable. There is aortic atherosclerosis. Diffuse chronic interstitial lung disease appears unchanged. There is no superimposed airspace disease, edema, pleural effusion or pneumothorax. The bones appear unchanged.",Stable chronic interstitial lung disease. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.29251795134740007947125337664860191179
"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. No significant skeletal abnormality is detected.",No significant radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.67453204054330578292933044875539264842
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41247930636946941195228903080366816560
Interval removal of right IJ sheath. Sternotomy wires are unchanged. Interval removal of Swan-Ganz catheter. Lungs are somewhat hypoinflated with continued bibasilar opacification likely atelectasis and small effusions. No evidence of pneumothorax. Stable cardiomegaly. Remainder of the exam is unchanged.,Persistent bibasilar opacification likely atelectasis and small effusions. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.77655437535516908695794945359733126015
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14008441741781733295315984147321499223
"Normal heart size, mediastinal contours, and pulmonary vascularity. Subtle linear infiltrate at the RIGHT lung base. Remaining lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.","Subtle linear infiltrate at the RIGHT lung base, improved since previous exam.",1.2.826.0.1.3680043.8.498.38034029782187923890070467427542122218
"The endotracheal tube, nasogastric tube, right IJ central venous catheter are stable. Bilateral airspace disease is stable. No pneumothoraces are seen.",No significant interval change.,1.2.826.0.1.3680043.8.498.57508579893896682570569961411815848281
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.56622219737253326681788536960618624203
The lungs are mildly hyperinflated. There is no focal infiltrate. The perihilar lung markings are mildly prominent. The cardiothymic silhouette is normal. The trachea is midline. There is no pleural effusion or pneumothorax. The bony thorax is unremarkable.,Hyperinflation consistent with reactive airway disease and acute bronchiolitis. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.60632412427332664209982833814633864759
Cardiothymic silhouette is normal. There are mild streaky perihilar densities. Lung volumes are normal. There are no focal consolidations or pleural effusions. Visualized osseous structures have a normal appearance.,Findings consistent with retained fetal fluid.,1.2.826.0.1.3680043.8.498.77636345452192933751667226300928548523
The heart size and mediastinal contours are within normal limits. Previously seen bilateral pulmonary infiltrates have resolved since previous study. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40018186645562022681501405705435215740
"Left single lead pacer remains in place, unchanged. There is cardiomegaly. Left lower lobe atelectasis or infiltrate. Mild vascular congestion. No overt edema. Small left effusion. No acute bony abnormality.","Cardiomegaly, vascular congestion. Left lower lobe atelectasis or infiltrate with small left effusion.",1.2.826.0.1.3680043.8.498.42952509100246578370585008348283076754
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86601852976127388305247402821360692637
There are atelectatic changes in both lower lungs. No evidence for pulmonary edema. Heart size normal. No pleural effusions.,Bilateral atelectasis - new since prior study.,1.2.826.0.1.3680043.8.498.54856549520486542432204243357407330352
"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.99722073906856849728545710943210373880
The trachea is midline. The heart is at the upper limits of normal in size. The lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.75233956294632540026712356664444925206
"Cardiac silhouette normal in size, unchanged. Left subclavian biventricular pacemaker unchanged and intact. Hilar and mediastinal contours otherwise unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax. Visualized bony thorax intact.",1. No acute cardiopulmonary disease. 2. Stable left subclavian biventricular pacemaker since 10/11/2012.,1.2.826.0.1.3680043.8.498.41835507175781638791094058040666273797
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Endotracheal tube is noted in satisfactory position. No bony abnormality is noted.,No acute abnormality seen.,1.2.826.0.1.3680043.8.498.63459021453422593502306858337105437274
"Compared to chest x-ray from yesterday, the patient is slightly rotated, but no definite pneumonia is seen. The aorta is mildly elongated and dilated. The heart size is stable.",No active lung disease.,1.2.826.0.1.3680043.8.498.96097556615098732673533171146276889118
"Endotracheal tube is 2.2 cm from the carina at the thoracic inlet. Enteric tube in place with tip and side-port below the diaphragm. Low lung volumes. The heart is normal in size. Normal mediastinal contours. No pulmonary edema, focal airspace disease, pleural effusion or pneumothorax. No acute osseous abnormalities are seen.",1. Endotracheal tube at the thoracic inlet. Retraction of 2.5 cm would place it at the thoracic inlet. Tip and side-port of the enteric tube in the stomach. 2. Low lung volumes without acute abnormality.,1.2.826.0.1.3680043.8.498.67407933085301460331539353198336638674
The heart is moderately enlarged. The pulmonary vasculature is within normal limits. The lungs are hyperaerated consistent with COPD. A small left effusion is present. No pneumothoraces are seen. No focal consolidation is seen.,Cardiomegaly without CHF. Small left effusion. COPD.,1.2.826.0.1.3680043.8.498.42712476188766410765564993004354568616
The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Right lung is clear. New ill-defined opacity is seen in left midlung concerning for pneumonia. The visualized skeletal structures are unremarkable.,Probable left upper lobe pneumonia. Followup radiographs are recommended after antibiotic therapy to ensure resolution and rule out underlying neoplasm.,1.2.826.0.1.3680043.8.498.78138626915397619834742230601423004489
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78726758009494624471128024960768013627
Low lung volumes. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46424567671099928922523495815269533973
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30026417740417054115058530916354518560
The heart is enlarged. The pulmonary vascularity is normal. The mediastinal and hilar structures are grossly unremarkable. There are infiltrates in the right mid and lower lung unchanged from prior study. No pleural effusion is present. There is a scoliosis of the lumbar spine.,1. Unchanged appearance of right mid and lower lung infiltrates consistent with pneumonia. 2. Cardiomegaly. There is no evidence of CHF.,1.2.826.0.1.3680043.8.498.43694627787446831807225183217604126230
The ET tube tip is stable. The Swan-Ganz catheter tip is in the right pulmonary artery. A left IJ central line tip is at the cavoatrial junction. There is no pneumothorax. Mild atelectasis is present at both lung bases.,Left-sided central line tip at cavoatrial junction. No pneumothorax.,1.2.826.0.1.3680043.8.498.32691351971781624123604807081649887752
"The lungs are clear. The heart is within normal limits in size. However, there is prominence of the left hilum and left paratracheal region. Adenopathy is a definite consideration and CT of the chest with IV contrast media is recommended to assess further. No bony abnormality is seen.",1. No active lung disease. 2. Prominent left hilum. Cannot exclude adenopathy. Recommend CT of the chest with IV contrast media.,1.2.826.0.1.3680043.8.498.82428178685816652498958395535475411492
The heart size and mediastinal contours are within normal limits. There is linear scarring or atelectasis at the right lung base. No focal consolidation. No pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25497146485971035142065043592574349920
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.29810573107783182729984354974510713614
The lungs are clear. Heart size is normal. There is no pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.25939006803861706920279405866464307116
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.44860252357457062674301736425833269171
The heart is enlarged. There is a left pleural effusion. There is a left lower lobe infiltrate. The upper lungs are clear.,1. Left lower lobe infiltrate. 2. Left effusion. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.50054399246907788370731178906132307213
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66691522882374560067405338659197061976
"Prior CABG. Cardiomegaly with bilateral perihilar and lower lobe opacities, likely edema. Layering effusions. Findings are worsened since prior study. No acute bony abnormality.","Cardiomegaly with bilateral perihilar and lower lobe opacities, likely edema/ CHF. Layering effusions.",1.2.826.0.1.3680043.8.498.70230184158317172009167875804383556330
Lung volumes are low. There are bibasilar opacities which may reflect areas of atelectasis and/or airspace consolidation. Moderate to large right and small left pleural effusions. No evidence of pulmonary edema. Heart size is mildly enlarged. Upper mediastinal contours are within normal limits. Aortic atherosclerosis. Orthopedic fixation hardware in the lower cervical spine.,"1. The appearance of the chest suggests mild congestive heart failure, as above. 2. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.11514274749744209229169069578415434074
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93157932957076332943478125929050651060
Right-sided PCVC tip is oriented in a cephalad direction over the right IJ vein. No pneumothorax. Lungs are mildly hyperaerated.,Right PCVC tip over IJ vein.,1.2.826.0.1.3680043.8.498.48838343962631837811838043964202134365
Small to moderate left pleural effusion and small right pleural effusion are again seen and appear decreased in size. Basilar airspace disease on the left also appears improved. No pneumothorax. Heart size upper normal.,Decrease in small to moderate left effusion and small right effusion. Improved basilar airspace disease.,1.2.826.0.1.3680043.8.498.32871310458967401639951657228438949378
There is chronic elevation of left hemidiaphragm. Bowel distention in the upper abdomen is again noted. Heart size is normal. Right-sided power port remains in place. No focal airspace disease is seen. No evidence of pulmonary edema.,No evidence of acute cardiopulmonary disease. Chronic elevation of left hemidiaphragm.,1.2.826.0.1.3680043.8.498.94596854602029522790944148371973549186
PA and lateral views of the chest obtained on two images. The heart is normal in size. The lungs are clear without focal consolidation or confluent infiltrate. No pleural effusion or pneumothorax. No acute osseous abnormality.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.22524769571576271221228961961462528438
"Left-sided PICC line with the tip projecting over the SVC. Small bilateral pleural effusions, right greater than left. Bilateral diffuse interstitial thickening. No pneumothorax. Stable cardiomegaly. No acute osseous abnormality.",1. No left pneumothorax status post left thoracentesis. 2. Findings concerning for mild pulmonary edema.,1.2.826.0.1.3680043.8.498.72507338546491154272270095033510089679
"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. New patchy opacities throughout the mid to lower lungs bilaterally, most prominent in the peripheral mid right lung.",New patchy opacities throughout the mid to lower lungs bilaterally compatible with COVID-19 pneumonia.,1.2.826.0.1.3680043.8.498.91455745105216243613748071243875192972
"There is a dual lead left-sided pacemaker in place. The heart size is top-normal. The mediastinal contour is unremarkable. Aortic atherosclerosis is noted. There is no focal infiltrate, pulmonary edema, or pleural effusion. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90022124608120412696934392497433395872
Prior CABG. Cardiomegaly with normal pulmonary vascularity. Mild bibasilar atelectasis and/or infiltrates with small bilateral pleural effusions. No pneumothorax.,1. Prior CABG. Stable cardiomegaly. 2. Mild bibasilar atelectasis and/or infiltrates with small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.41086956497784869074000474958369878167
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83978919774077369805386285019175375190
Left effusion and airspace disease have worsened. There is new airspace opacity in the right lung. Heart size is normal. No pneumothorax.,Increased left effusion and basilar airspace disease. New patchy airspace opacity right lung base also identified which could be due to atelectasis or progressive pneumonia.,1.2.826.0.1.3680043.8.498.28398975965359111200927635257486864312
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18360728694206169901141458479061845429
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.56360074618900954601385796107842233785
Right upper lobe mass and right perihilar mass/adenopathy again noted. Patchy right lower lobe airspace disease is unchanged. There are small bilateral pleural effusions. No evidence of pneumothorax. The heart is normal in size. Stable appearance of the mediastinum. The osseous structures are unremarkable. Stable right chest wall port catheter.,No significant change in appearance of the chest since the prior exam. Persistent right upper lobe and right lower lobe airspace disease. Stable right hilar mass/adenopathy.,1.2.826.0.1.3680043.8.498.35969025115248261839610181245080883620
There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the left lung base and the cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Findings consistent with pulmonary edema. 2. Asymmetric edema versus focal infiltrate left lung base as well as possibly a small left effusion. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.36515414735222570520455339930250954776
Cardiothymic silhouette is within normal limits. Lungs are clear. No pneumothorax. No pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52583687355487095820709958079500693595
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77725682689341430495055361792981605362
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16885639798756389702630423111653734159
Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.39351366868773659535401446477939836644
Normal cardiac silhouette. Chronic elevation of the RIGHT hemidiaphragm. Linear atelectasis at the RIGHT lung base. The LEFT lung is clear. No pulmonary edema. No pneumothorax.,1. Chronic elevation of the RIGHT hemidiaphragm with linear atelectasis at the RIGHT lung base. 2. No pulmonary edema or pneumonic consolidation.,1.2.826.0.1.3680043.8.498.89394566651812866217891062251404553624
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82289486206120542401299639132686740439
"Heart: Normal. Lungs: There is suggestion of bilateral perihilar/ infrahilar peribronchial thickening, as well as suggestion of minimal scattered reticulonodular airspace opacities throughout both lungs. Mediastinum: Normal. Pleural effusions: None. Bones: There is no suspicious lytic or sclerotic lesions throughout the visualized bony structures. Visualized upper abdomen: Normal.","Findings suggestive of minimal congestive heart failure/pulmonary edema, however, cannot entirely exclude atypical infectious process.",1.2.826.0.1.3680043.8.498.49850233258431966605605209151728276162
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38488616472809397408538334083614717631
Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Swan-Ganz catheter has its tip in the right main pulmonary artery. Left chest tube is in place. No pneumothorax. There is mild basilar atelectasis.,Satisfactory postoperative radiograph.,1.2.826.0.1.3680043.8.498.23378258151856476963550450731076301868
"Endotracheal tube, left central venous catheter, and nasogastric tube are unchanged. There has been interval increase in pulmonary edema and bilateral pleural effusions. Bibasilar atelectasis is again noted. Cardiomegaly is unchanged.",Increasing pulmonary edema and bilateral effusions.,1.2.826.0.1.3680043.8.498.35331249892230900284072788021616034999
Left-sided pacemaker overlies normal cardiac silhouette. The cardiac silhouette is mildly enlarged. Small bilateral pleural effusions are present. There is interstitial edema. No focal consolidation. No pneumothorax.,"Mild cardiomegaly, interstitial edema and small effusions suggest congestive heart failure.",1.2.826.0.1.3680043.8.498.76438755948574794090954110778725970445
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Atherosclerotic calcification aorta. Bibasilar atelectasis and small pleural effusions. Remaining lungs clear. No pneumothorax. Bones demineralized.,Bibasilar atelectasis and small pleural effusions.,1.2.826.0.1.3680043.8.498.86947556296275751667252760908693521488
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51618632011746983385265127724578303249
The heart size and mediastinal contours are within normal limits. Both lungs are clear.,No active disease.,1.2.826.0.1.3680043.8.498.62689169550666508390044166759483496146
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable.,No acute disease.,1.2.826.0.1.3680043.8.498.15566397628487079070272722793662172290
The cardiac silhouette is normal. Hilum are unremarkable. Lungs are well aerated. Trachea is midline. Diaphragms are well visualized. Osseous structures unremarkable. No pleural thickening. No pleural effusions.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.36972977925851777688659791732264424844
The lungs are clear. The heart is within normal limits in size. Mild thoracolumbar scoliosis is again noted.,Stable chest x-ray. No active lung disease.,1.2.826.0.1.3680043.8.498.91203917529094154859476560083354804115
Shallow inspiration. Heart size and pulmonary vascularity are normal. Diffuse interstitial changes throughout both lungs with peribronchial thickening. Findings are new since previous study and likely represent interstitial pneumonia or possibly edema. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,New diffuse interstitial changes in the lungs.,1.2.826.0.1.3680043.8.498.12161474094666943420308068900993505301
Mediastinum and hilar structures normal. Nodular density noted over the left lung base most likely nipple shadow. Repeat PA lateral chest x-ray with nipple markers suggested. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,"1. Questionable nodular density left lung base, most likely nipple shadow. Repeat PA lateral chest x-ray with nipple markers suggested. 2. No acute cardiopulmonary disease otherwise noted.",1.2.826.0.1.3680043.8.498.43026589014398964872695769325683882456
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77023124829727680137117248956806311940
The lungs are mildly hyperinflated but clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,Hyperinflation consistent with COPD or reactive airway disease. There is no pneumonia nor CHF.,1.2.826.0.1.3680043.8.498.36327390630828532303412383122889252449
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.47614786502231016396041993025161665093
The airspace consolidation throughout the right lung is present. Patchy airspace opacities are present in the left lung base. The right lung apex is obscured by the patient's head. The heart is mildly enlarged but stable.,1. Asymmetric right greater than left patchy airspace opacities. Pneumonia is suspected. 2. Stable mild cardiomegaly.,1.2.826.0.1.3680043.8.498.59286364360398914803313204936116706507
The heart is enlarged. There is no evidence for pulmonary edema. Interstitial markings are diffusely coarsened. No focal airspace consolidation.,Cardiomegaly with chronic interstitial lung changes.,1.2.826.0.1.3680043.8.498.37063809770858871442729225448597851718
Tracheostomy tube is midline. Heart size is grossly stable. Lungs are somewhat low in volume with mild interstitial prominence bilaterally. No definite pleural fluid. No pneumothorax.,Mild interstitial prominence may be due to vascular crowding. Mild edema cannot be excluded.,1.2.826.0.1.3680043.8.498.29898012265048799368099148490439073524
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60143799686840985605876622609163653935
"Patchy opacities in the left upper and lower lung, suspicious for pneumonia. Suspected small left pleural effusion. No frank interstitial edema. No pneumothorax. The heart is top-normal in size. Postsurgical changes related to prior CABG.",Multifocal pneumonia in the left lung.,1.2.826.0.1.3680043.8.498.50027901498458253555588151569242249009
Low lung volumes. Bibasilar opacities likely reflect atelectasis. Heart is normal in size. No pneumothorax. No pleural effusion.,Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.51914749269207100852381930063429694974
"The heart is enlarged. There has been prior open heart surgery. There is no heart failure, infiltrate or effusion.",Cardiac enlargement. No acute abnormality.,1.2.826.0.1.3680043.8.498.45644285506289736910548762796909036838
Right internal jugular central venous sheath has tip over the SVC. Lungs are adequately inflated with minimal linear density over the lung bases likely atelectasis. No effusion. Cardiomediastinal silhouette and remainder of the exam is unchanged.,Mild bibasilar linear atelectatic change.,1.2.826.0.1.3680043.8.498.20899018351840661023338749689078777792
There is mild cardiomegaly. Calcified mediastinal nodes are noted. Scattered granulomas are seen. No acute infiltrates are seen. No concerning osseous lesions are identified.,No acute infiltrates throughout the chest.,1.2.826.0.1.3680043.8.498.92269957237393604672570059540017095759
Portable upright AP view 6067 hours. Severe cardiomegaly. Pulmonary vascular congestion without overt edema. No pneumothorax. No consolidation or definite effusion. Atherosclerotic calcification of the aortic arch. Osteopenia.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.64493335171911299440664904430122177819
Endotracheal tube terminates 3.5 cm above the carina. Nasogastric tube is followed into the stomach. Heart is enlarged. There is mild interstitial edema. No definite pleural fluid.,1. Endotracheal tube and nasogastric tube in satisfactory position. 2. Cardiomegaly with mild interstitial edema.,1.2.826.0.1.3680043.8.498.65221129470996954831037319794095796344
"Left AICD remains in place, unchanged. Prior CABG. Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.16760873687530936634297039232534494346
The lungs are adequately inflated. The interstitial markings are increased. The cardiac silhouette is top normal in size. The pulmonary vascularity is not clearly engorged. I see no pleural effusion.,There are mildly increased interstitial markings which may reflect interstitial edema of cardiac or noncardiac cause. A followup PA and lateral chest x-ray would be of value when the patient can tolerate the procedure.,1.2.826.0.1.3680043.8.498.15283365129827500975888588721897386100
Mediastinum and hilar structures normal. Cardiomegaly with pulmonary vascular prominence and mild interstitial prominence. Mild congestive heart failure cannot be excluded. No pleural effusion or pneumothorax. No acute bony abnormality.,Cardiomegaly with mild pulmonary venous congestion and interstitial prominence. Mild congestive heart failure cannot be excluded.,1.2.826.0.1.3680043.8.498.75219860817406334621012627128283984919
There is opacity at the lung bases consistent with atelectasis and small effusions. No pneumothorax is seen. The heart is within normal limits in size. Subcutaneous air is noted in the left lower neck.,Basilar atelectasis and small effusions. No pneumothorax.,1.2.826.0.1.3680043.8.498.67281407983516604920368087205682743821
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.96335310854321332528515523858692151002
There is a small right pleural effusion with right base atelectasis. Left lung is clear. Heart is normal size. No acute bony abnormality.,Small right pleural effusion with right base atelectasis.,1.2.826.0.1.3680043.8.498.17286166466070543815617634245296593051
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.10280823775200107138415991367270804751
"Normal heart size, mediastinal contours, and pulmonary vascularity. Minimal peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.27620120295964773954875279674291336701
"Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.64265366099768073214345619228517277025
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57078830152968481779804107313404093747
There is a right subclavian pacemaker. The heart size is normal. Atherosclerotic calcifications are noted at the aortic arch. The lungs appear clear. There is no evidence of pneumothorax. No acute bony abnormalities are identified.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52419170672986818615802231397942412000
There is bibasilar atelectasis. No pneumothorax. No significant effusion. Heart size is mildly enlarged. Vascularity is normal. Multiple right rib fractures are noted.,Mild bibasilar atelectasis. No significant effusion or pneumothorax.,1.2.826.0.1.3680043.8.498.38690952551543627990494575395023677156
Endotracheal tube and enteric tube have been removed. Swan-Ganz catheter terminates in the main pulmonary artery. Intact sternotomy wires. Left chest tube and mediastinal drain are in place. Stable cardiomediastinal silhouette with top-normal heart size. No pneumothorax. No pleural effusion. No pulmonary edema. Mild left basilar atelectasis.,1. No pneumothorax. 2. Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.72386795467507351394852505668928527021
"Cardiomegaly, stable. Mediastinal silhouette within normal limits. Aortic atherosclerosis. Lungs normally inflated. Patchy multifocal airspace opacities seen involving the right upper and lower lobes, suspicious for pneumonia. Superimposed pulmonary edema seen involving the upper lungs. Small bilateral pleural effusions. No pneumothorax. No acute osseous finding. Surgical changes related to prior CABG.","Patchy multifocal airspace opacities involving the right upper and lower lobes, suspicious for pneumonia. Superimposed pulmonary edema involving the upper lungs. Stable cardiomegaly. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.17540416100888085621604056196003019040
There is no edema or consolidation. Heart is mildly enlarged with pulmonary vascularity normal. There is aortic atherosclerosis. Patient is status post mitral valve replacement. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation. Stable cardiac prominence. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.69331802886850208850293276102434629871
Prior aortic valve replacement. Cardiomegaly. Mild left base atelectasis. Right lung is clear. No effusions or edema. No acute bony abnormality.,Mild left base atelectasis. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.70444345790387592794723003316600128567
The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.29018806049842798395510528679081152275
The endotracheal tube tip lies approximately 2.0 cm above the carina. The interstitial markings of both lungs remain increased. The heart is not enlarged. The pulmonary vascularity is indistinct. A permanent pacemaker is in place. The esophagogastric tube tip lies in the region of the gastric cardia or proximal stomach.,"1. There are persistent bilateral alveolar infiltrates in both lungs. These are not greatly changed since the study of 24 August, 2000. 2. The endotracheal tube tip lies approximately 2.0 cm above the carina.",1.2.826.0.1.3680043.8.498.40083824866256200423079551209044580922
Cardiac shadow is stable. Diffuse bilateral airspace opacities are noted consistent with acute infiltrative change. A right-sided PICC line is noted in satisfactory position. No bony abnormality is noted.,Bilateral airspace opacities consistent with acute infiltrate.,1.2.826.0.1.3680043.8.498.89584955216727060035735328969680274246
Heart is normal size. Lungs clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.10490360160726929007941811081472847859
Rotated to the LEFT. Enlargement of cardiac silhouette post CABG. Mediastinal contours and pulmonary vascularity normal. Patchy infiltrates in the mid to lower lungs bilaterally consistent with multifocal pneumonia and history of COVID-19. No gross pleural effusion or pneumothorax. Bones demineralized.,Patchy BILATERAL pulmonary infiltrates consistent with multifocal pneumonia and history of COVID-19.,1.2.826.0.1.3680043.8.498.22198066198487352579984726857219821166
Grossly unchanged cardiac silhouette and mediastinal contours. The lungs remain hyperexpanded with mild diffuse slightly nodular thickening of the pulmonary interstitium. No focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. No acute osseus abnormalities.,"Mild lung hyperexpansion of bronchitic change without acute cardiopulmonary disease. Specifically, no evidence of pneumonia.",1.2.826.0.1.3680043.8.498.77985313492383575979721696292854715816
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Mild atelectasis at the left lung base. The lungs are otherwise clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.22157387117600823333447543101876495601
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43849418569472649960690787234349945186
Low lung volumes. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99175655739229495817700880910940424749
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.18193698554083339642014134973445661727
Two views of the chest were obtained. The lungs are clear. The heart size and pulmonary vascularity are normal. There is a moderate size hiatal hernia. There is mild thoracic spondylosis.,There is a moderate size hiatal hernia. There is no acute appearing radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.79481613040067355976413932963236049797
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67960307112504277540151186210903260453
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66080543375007349728623768078772821579
There is a right chest wall port a catheter with tip in the projection of the SVC. The heart size appears normal. No pleural effusion or edema. No airspace consolidation.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97585715412079270457476979082794982348
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37811060402141808718340946360553094497
There is a new large right-sided pneumothorax with complete collapse of the right lung. Endotracheal tube tip is 1.5 cm above the carina. Orogastric tube is in place with its tip in the mid stomach. Left-sided chest tube is unchanged in position. There is improved aeration of the left lung with mild perihilar atelectasis.,1. New large right pneumothorax with complete collapse of the right lung. 2. Improved left lung aeration.,1.2.826.0.1.3680043.8.498.65203291460014111992192199887059993291
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. EKG leads and wires overlie the chest. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.72937664769697489828960191369071793019
The lungs are clear. There is no pleural effusion. Heart size is upper normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.91254352427654249468765075506407362716
Right IJ dialysis catheter in similar position. Interval removal of the endotracheal tube and enteric tube. There are bilateral pleural effusions and associated atelectasis of the lower lobes. Pneumonia is not excluded. Clinical correlation is recommended. There is no pneumothorax. There is stable cardiomegaly. No acute osseous pathology.,1. Interval removal of the endotracheal tube and enteric tube. 2. Stable bilateral pleural effusions and associated atelectasis.,1.2.826.0.1.3680043.8.498.54596644461620627140234323291598317983
Two views of the chest demonstrate a normal cardiomediastinal silhouette. Pulmonary hila and pulmonary vessels are within normal limits. Pleural spaces are clear. Lungs are clear of any focal mass or consolidation. No pneumothorax. No osseous abnormalities.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.90371862182691910518978463460047816275
The heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. There is a scoliosis deformity which is convex to the right. The visualized osseous structures are otherwise unremarkable.,1. No acute cardiopulmonary abnormalities. 2. Scoliosis.,1.2.826.0.1.3680043.8.498.78890548074351224702286577687196792842
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61121710488195374190445609196946128727
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30417969571593954318527438580514852661
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.47077788213289357133416692682073233345
There is patchy airspace disease in the left upper lobe and left lower lobe most consistent with pneumonia. Right lung is clear. Heart is normal size. No effusions. No acute bony abnormality.,Patchy left upper and lower lobe airspace opacities most consistent with pneumonia.,1.2.826.0.1.3680043.8.498.16326642344386030943762664598198734614
The heart size and mediastinal contours are stable. There is aortic atherosclerosis. The basilar airspace opacities have mildly worsened compared with the most recent examination. There is no edema or significant pleural effusion. There is no pneumothorax. There are stable degenerative changes throughout the spine.,Mild worsening of basilar airspace opacities consistent with pneumonia.,1.2.826.0.1.3680043.8.498.77593107599523654287898151398402542009
Heart size is normal. There is no pleural effusion or pulmonary edema. The lung volumes are low. Patchy opacities are identified at both lung bases. There is a more focal opacity in the right upper lobe.,1. Low lung volumes. 2. Bilateral lower lobe opacities which may represent atelectasis or infection. 3. Right upper lobe opacity which may represent atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.14639834204587922388172820542879784942
The lungs are clear. There is no pleural effusion or pneumothorax. Stable cardiomegaly. Median sternotomy wires and CABG vascular clips. No acute osseous pathology.,No active disease.,1.2.826.0.1.3680043.8.498.80133538333123662853971303458759818227
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72909414923070224278756956142899310375
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98624988639486144100773545960223094614
Endotracheal tube is in place with the tip 2.2 cm from the carina. There is cardiomegaly. Aortic atherosclerosis is noted. There is pulmonary vascular congestion with mild pulmonary edema. No pneumothorax or pleural effusion. No acute bony abnormality.,1. Endotracheal tube in good position. 2. Cardiomegaly and mild edema.,1.2.826.0.1.3680043.8.498.38352485918536697486410149148437767390
There is peribronchial thickening. No focal consolidation. No pleural effusion or pneumothorax. Heart and mediastinal contours are unremarkable. No acute osseous abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.62668663423174380343040416421409459328
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24212280162589616669223177909359278723
Linear atelectasis in the lingula. Right lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Lingular atelectasis. No active disease.,1.2.826.0.1.3680043.8.498.80663844499262796134918969889669569368
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54478387910867861964944387822635632966
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34965876975560455659639356960753467202
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72856292247953393397341081241210681622
"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. Mild degenerative change is noted along the thoracic spine.",Mild vascular congestion; lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.87533389726023494526388256603441856350
The heart and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. The bony thorax is intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56939720079543157721144589153936943368
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44498923441157475063957585871607239487
Normal sized heart. Clear lungs. Normal appearing right ribs without fracture or pneumothorax.,No acute abnormality.,1.2.826.0.1.3680043.8.498.22417585420272965050256638038349492168
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.48319751920813140943372338782321294709
"Enlargement of cardiac silhouette. Mediastinal contours and pulmonary vascularity normal. Minimal atelectasis at RIGHT base. Lungs otherwise clear. No acute infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Enlargement of cardiac silhouette with minimal RIGHT basilar atelectasis.,1.2.826.0.1.3680043.8.498.94881626893212889085139748149807711440
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50500635160277089765556019081954309742
Both lungs are clear. Cardiothymic silhouette is within normal limits. There is no evidence of pleural effusion or pneumothorax. The bowel gas pattern is normal.,No active disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.21194607488806596536146443911032168033
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Mild dextroscoliosis of the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18303583218420039337466598569872828303
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85908112684401299047179794813254367586
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54240308911614694981341177710464634524
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71725988096333681255761155310670892685
Heart: Normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.97890678914578134372446848889650412402
Right IJ dialysis catheter is unchanged. Prior CABG. Cardiomegaly. Bilateral pleural effusions with bibasilar atelectasis. Mild vascular congestion. No acute bony abnormality.,"Stable cardiomegaly, vascular congestion and bilateral effusions with bibasilar atelectasis. Findings are similar to prior study.",1.2.826.0.1.3680043.8.498.95982250661841495959626377447640604327
No pneumothorax. No pleural effusion. Nodular opacity at the right lung base. Borderline cardiomegaly. No edema.,No pneumothorax post bronchoscopy. Nodular opacity at the right lung base corresponding to the pulmonary nodule on chest CT.,1.2.826.0.1.3680043.8.498.33000550889864238331778380971134695454
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55699630556276505661459340930887629066
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23504824489178567541191365526835555498
"Endotracheal tube, nasogastric tube, and right internal jugular central line are stable. Lungs are clear. No pneumothorax.",Stable chest.,1.2.826.0.1.3680043.8.498.37714443903086695589386579047947883193
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.57625206180763893974541516110150192296
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.70224480440756510689207421079048125749
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.79694803453960211874188014604216693166
"Patient showed normal heart, mediastinum and central vascularity. Lungs are clear. No acute bony findings identified.",No active cardiopulmonary findings,1.2.826.0.1.3680043.8.498.88381131229243419154711802440472237188
Patient is rotated. Heart is normal in size. Thoracic aorta is calcified. Left basilar airspace opacification. Lungs are otherwise clear. No definite pleural fluid. No pneumothorax.,Left basilar airspace opacification may represent atelectasis. Pneumonia is not excluded.,1.2.826.0.1.3680043.8.498.69808467373406969085615232361134135167
The heart is mildly enlarged. The aorta is tortuous. There is COPD with scarring in the lung bases. There is no acute infiltrate or edema. There is no effusion. Multiple thoracic compression fractures are noted of indeterminate age.,COPD. Cardiac enlargement. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12965650150906520345661461314862106602
Normal heart size and mediastinal contours. No acute infiltrate or edema. No effusion or pneumothorax. No osseous findings.,Negative chest.,1.2.826.0.1.3680043.8.498.30438255680370876969354645372180262889
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45980164743025318038509830917205067094
Semi upright AP and lateral views of the chest. Small to moderate left pleural effusion appears stable. There is improved ventilation at the left lung base. Small right pleural effusion is suspected. Stable cardiomegaly and mediastinal contours. No pneumothorax or pulmonary edema. No acute osseous abnormality identified.,1. Small to moderate left pleural effusion appears stable. 2. Suspect small right pleural effusion. 3. Otherwise stable chest with mild atelectasis.,1.2.826.0.1.3680043.8.498.60045809243644169821087663086314947162
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Mild interstitial changes are again identified and stable. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,Stable interstitial changes. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.68962140037210388876987872575629652442
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78399801756354011905344465977195668421
Endotracheal tube tip is about 3.8 cm superior to the carina. Esophageal tube tip is below the diaphragm but incompletely visualized. Right subclavian central venous catheter tip over the SVC. Similar appearance of bilateral interstitial and alveolar airspace opacities. Small pleural effusions. No pneumothorax. Stable cardiomediastinal silhouette.,1. Similar appearance of bilateral airspace disease which may reflect edema or infection. 2. Support lines and tubes as above.,1.2.826.0.1.3680043.8.498.91165307667020997037386363216509663200
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14959248862647001828883878550636290823
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44614264139402313338018999478158585779
Heart size and mediastinal contours are normal. Both lungs are clear. There is no evidence of pneumothorax or pleural effusion. A comminuted fracture through the mid left clavicle is noted.,1. No active cardiopulmonary disease. 2. Comminuted left mid clavicle fracture.,1.2.826.0.1.3680043.8.498.47876882807866839690061004646106479808
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions.,No active disease.,1.2.826.0.1.3680043.8.498.50172936096653127767341990022338905797
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62068037376033907647189877365193028692
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48856794127804384831065693889018966971
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51484534565616747738554548134389868491
No fracture or other bone lesions are seen involving the ribs. No fracture or other bone lesions are seen involving the ribs.,Negative.,1.2.826.0.1.3680043.8.498.38458174091448358266524495679862200623
"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48639541726142694547993216016919691000
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81660130205630591101178447246572541496
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.41812224975519293217963939647220662620
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21378627197369522152628825289592016166
The heart is enlarged. The mediastinal silhouette is normal. The lungs are clear. No effusions. No bony abnormalities.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.91891798564769919650568705548704402284
Cardiac shadow is stable. Endotracheal tube is noted in satisfactory position. Gastric catheter is noted coiled within the stomach. Diffuse bilateral infiltrative changes are noted consistent with the patient's given clinical history of metastatic disease. Small right-sided pleural effusion is noted. No pneumothorax is seen.,Bilateral infiltrative changes consistent with metastatic disease. Small right-sided pleural effusion is noted. Endotracheal tube and gastric catheter are noted in satisfactory position.,1.2.826.0.1.3680043.8.498.51864630033205087609962318960728226767
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15878559140106816319848840394221638346
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62225851581217998026016676609106939719
"Stable large right lung bulla. Stable cardiac size and mediastinal contours. Stable patchy airspace opacity in the right mid and lower lung. No pneumothorax, pulmonary edema, pleural effusion or new pulmonary opacity. Stable visualized osseous structures.",Stable chest with right lung bulla and residual right mid and lower lung airspace opacity. Favor residual pneumonia. Recommend post-treatment radiographs to document resolution.,1.2.826.0.1.3680043.8.498.35545924643098379622921393008974932221
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart, mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.68141818238190307842776873210884113166
"The heart is normal in size. The lungs are under expanded. Linear atelectasis at the right base is similar. There is no acute infiltrate, effusion or pneumothorax.",Underexpanded lungs with linear atelectasis at the right base.,1.2.826.0.1.3680043.8.498.54546800375269786541157971259642754750
There is multifocal airspace disease in the right upper lobe and left mid and lower lung zones consistent with pneumonia. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Multifocal pneumonia, most notably in the superior segment of the left lower lobe. Heart size normal. No adenopathy. These results will be called to the ordering clinician or representative by the Radiologist Assistant, and communication documented in the PACS or Clario Dashboard.",1.2.826.0.1.3680043.8.498.30307396042676965772361115917209333876
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72595519701601094802947683403644089320
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69042959355365062455070862451833635461
"Heart: Normal. Lungs: There is suggestion of bilateral perihilar, peribronchial thickening and borderline hyperinflated lungs. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.",Findings suggestive of transient tachypnea of the newborn.,1.2.826.0.1.3680043.8.498.58438681737095184053463227314906558884
The heart is enlarged. There is left lower lobe atelectasis. No pneumothorax is seen.,1. No pneumothorax post bronchoscopy. 2. Left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.32996008271837053789882625575446189285
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.53467728763783484930070740380023646522
"There is no significant pulmonary consolidation, pulmonary edema, pleural effusion, nor pneumothorax. The cardiomediastinal silhouette is within normal limits. No grossly displaced rib fracture is noted.",1. No acute cardiopulmonary abnormality is noted.,1.2.826.0.1.3680043.8.498.71866161059870370267207940421218997103
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.90689116779312439227372701527861437854
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91815682296434113789518827190763389327
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50647436850388250288641671152067681237
"There is underlying emphysematous change. There is persistent airspace consolidation in the left lower lobe with patchy infiltrate in the right middle lobe. Compared to most recent study, there is slightly more consolidation in the left lower lobe. Elsewhere lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.",Persistent airspace consolidation in the right middle lobe and left base consistent with pneumonia with slightly more infiltrate in the left base compared to most recent study. There is also a small area of infiltrate in the right upper lobe. There is a degree of underlying emphysema.,1.2.826.0.1.3680043.8.498.62462808445538849398985012754163671452
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.93415355750004052254616233520646479953
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94991434750378130804427788221899120825
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51740911263693214964818630529410076394
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99582973686082602621327226811010917328
"Left chest tube remains in place with no pneumothorax currently seen. Left basilar atelectasis and probable small left pleural effusion are stable. The lungs are otherwise clear. Stable slight cardiomegaly noted. Mediastinum, hila, remaining pleura and osseous structures are stable and unremarkable.",1. Stable left basilar atelectasis. 2. Stable slight cardiomegaly. 3. Otherwise no active disease.,1.2.826.0.1.3680043.8.498.73226452346975532070426871490958579640
The lungs are well-expanded. The interstitial markings are increased. The cardiopericardial silhouette is enlarged. The pulmonary vascularity is engorged. I see no pleural effusion.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. Followup films are recommended following therapy to assure improvement.,1.2.826.0.1.3680043.8.498.35803257492747963468409422758595613949
Left arm PICC has its tip in the SVC 2 cm above the right atrium. The lungs are not as well aerated with mild basilar atelectasis. Heart size is stable.,Left arm PICC tip in SVC 2 cm above right atrium.,1.2.826.0.1.3680043.8.498.92923316875969530331103206723005625423
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45017628590604549437638627446574350984
"Normal heart size, mediastinal contours, and pulmonary vascularity. Bronchitic changes with right middle lobe and lingular bronchiectasis again identified. Minimal linear scarring in right upper lobe. No acute infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Bronchitic changes with stable appearance of bibasilar bronchiectasis.,1.2.826.0.1.3680043.8.498.28893508107827226468726972112323874013
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57683413088059642228569342218921080034
Lungs are clear. Lung volumes are normal. No pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.57044688776920016381539561334530309594
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.70483502899590416095291311519086581270
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98894825421255366622875745326638282440
Moderate to large right pleural effusion with right lower lobe atelectasis or infiltrate again noted. Interim improvement from prior exam. Left lung is clear. Heart is normal size. No acute bony abnormality.,Moderate to large right pleural effusion with right lower lobe atelectasis or infiltrate. Interim improvement from prior exam.,1.2.826.0.1.3680043.8.498.49761737484444739376802874288085803298
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Calcified pulmonary nodule left lung base consistent with granuloma. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65069442474767630198316983718690379770
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42868541261119903910418245182951100047
Left jugular central line tip is in the SVC. No pneumothorax is identified. The lungs are clear. Heart size is normal.,1. No acute cardiopulmonary disease. 2. Tip of the central line is in the SVC.,1.2.826.0.1.3680043.8.498.42748517808251582981613043839266813421
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Mild right basilar infiltrate is seen projecting in the right lower lobe. No bony abnormality is noted.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.36215360854145455744906436534540913298
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51975784039417948742188291106352343960
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen; no displaced rib fractures identified.,1.2.826.0.1.3680043.8.498.51003702938383133912184850774984298226
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23366516959197387528478043825831413701
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30565687764914091951644556835328041266
PA and lateral view of the chest demonstrate a normal cardiac silhouette. Pulmonary hila and vessels are within normal limits. Costophrenic angles are clear. Lungs are clear of any focal mass or consolidation. There is no pneumothorax. There are no osseous abnormalities.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.27243268035216416673174440156132269607
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.34103646721670985371117763109642010875
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.44172087993586901916539521113150863327
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.12622594760882957938692303818731429011
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.93492158138195245365695709238369963080
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.52197938283286438689411491363685235410
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.58648432114018027371162796355090382701
Central catheter tip is in the superior vena cava. No pneumothorax. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Central catheter tip in superior vena cava. No pneumothorax. No edema or consolidation.,1.2.826.0.1.3680043.8.498.17596211850587179339800094275212808495
There is a focal area of patchy density in the left lower lobe posteriorly consistent with pneumonia. The lungs are otherwise clear. Heart size and pulmonary vascularity are normal. No bone abnormality.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.92230715615210921890013545745881075547
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34827190640930347948473811984531533080
"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10275758825355127914606857520376066511
Port-A-Cath tip is in the superior vena cava. No pneumothorax. There is scarring in the right upper lobe. There is a small right pleural effusion. There is atelectatic change in the left base. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. There is atherosclerotic calcification in the aorta.,Scarring right upper lobe. Small right pleural effusion with atelectasis left base. No consolidation. Heart upper normal in size. Port-A-Cath tip in superior vena cava.,1.2.826.0.1.3680043.8.498.57165005913973264814296134910383026888
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66289658550836587601496569372739554989
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62094812175952865302208376952336138231
No pneumonia is seen. There are somewhat prominent perihilar markings with some peribronchial thickening which can be seen with bronchitis. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Possible bronchitis.,1.2.826.0.1.3680043.8.498.72502128665459266486293439767271656428
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81463595479174404504015708446173151788
Stable enlarged cardiac silhouette. There is increase in patchy airspace disease compared to prior. No pneumothorax.,1. Increase in bilateral patchy airspace disease suggests pulmonary edema over multifocal pneumonia. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.87420511170194286511520591449752158938
"There is a persistent large mass in the right mid lung, not significantly changed compared to the earlier chest x-ray of 02/24/2000. No pneumothorax seen. Left lung remains clear. Heart size and mediastinal contours are stable. Osseous structures about the chest are unremarkable.",1. No evidence of pneumothorax status post bronchoscopy. 2. Persistent large mass in the right mid lung.,1.2.826.0.1.3680043.8.498.35119154684805141083167419765890362215
The chest is hyperexpanded consistent with emphysema. The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,Emphysema without acute disease.,1.2.826.0.1.3680043.8.498.33310329762587913192601422424221729015
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Thoracolumbar scoliosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67780528374755214437532306721296439684
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44773557353961220064733975040480769033
There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is enlarged. There are small bilateral pleural effusions. Multifocal airspace opacities are identified within the right upper lobe and right lower lobe. There is also a left lower lobe opacity.,1. No change in aeration the lungs compared with previous exam. 2. Findings are consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.67904176671646907514544664555204036547
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18311761897330976739008345357384681929
There is a right chest wall porta-catheter with tip in the SVC. Heart size is normal. No pleural effusion or edema. No airspace consolidation. Spondylosis is noted within the thoracic spine.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.76208940856848143791532220509026576713
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart is enlarged but appears stable as compared to the prior exam. The mediastinal and osseous structures show no significant abnormalities.",1. No acute changes are identified. 2. There is stable cardiomegaly.,1.2.826.0.1.3680043.8.498.25111209513635321442426702892464574039
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.58147851446432893148783662174853589476
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23763957329285900890189051720786063670
The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Increasing consolidation in the left lower lobe likely reflects a combination of pulmonary contusion and atelectasis. Small left pleural effusion. Multiple left-sided rib fractures again noted. No pneumothorax. Unchanged comminuted displaced left mid clavicle fracture.,1. Increasing left lower lobe consolidation likely reflects a combination of pulmonary contusion and atelectasis. 2. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.11203692974180290357740604956907617508
"Stable lung volumes. Regressed patchy opacity at the right lung base, but there are residual streaky opacity. No pneumothorax or pulmonary edema. Small right pleural effusion is regressed. Stable cardiac size and mediastinal contours. Calcified atherosclerosis of the aorta. Osteopenia. Stable visualized osseous structures.",1. Regressed but not completely resolved right pleural effusion and patchy opacity at the right lung base. Residual right lung base opacity could reflect atelectasis or scarring. 2. No new cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.52319890431441856066503205662238310867
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31773356060274990366842599242430364058
There is peribronchial thickening bilaterally consistent with bronchitis. No consolidative infiltrates or effusions. Heart size and vascularity are normal. No osseous abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.70536974768077929462395303474000699752
Single portable AP chest radiograph is provided. There is right middle lobe airspace disease most concerning for pneumonia. There is a right-sided Port-A-Cath in satisfactory position. There is left lingular airspace disease which may reflect atelectasis versus developing infiltrate. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,"Right middle lobe and left lingular airspace disease concerning for multilobar pneumonia. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.79287388844234989962213218602718033068
"Endotracheal tube terminates in the mid intrathoracic trachea. Left IJ central venous catheter tip overlies the superior vena cava. Enteric tube courses inferior to the diaphragm. The heart and mediastinum are stable. There are mild heterogeneous opacities at the lung bases, left greater than right. These are increased from prior.","1. Stable support apparatus. 2. Increased basilar opacities, left greater than right, may represent atelectasis. Early infection or aspiration not excluded.",1.2.826.0.1.3680043.8.498.54978013909886590163299537399813928566
"The lung fields are clear. The heart, mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.75088953920159160858524697216063383089
Endotracheal tube terminates 3.5 cm above the carina. Enteric tube courses into the stomach. The heart size is normal. The lungs are hyperinflated. There are no large pleural effusions. There is no pneumothorax. There is no acute osseous abnormality.,Stable support devices. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.57505384525641785315232384357894414712
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.33173407053214160722864266587306161905
"PA view of the chest demonstrates a left upper lobe opacity, which may represent pneumonia. Heart size is normal. No pleural effusion or pneumothorax. No free air under the diaphragms. Air-filled loops of bowel in the abdomen are noted.",1. Left upper lobe opacity may represent pneumonia. 2. Non-obstructive bowel gas pattern.,1.2.826.0.1.3680043.8.498.34484562371493320936450269351819793574
"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16411569173502178086720610171764372283
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20810467092104130814590919621672803476
Heart size is normal. There are no effusions or edema. No focal airspace opacities are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33130205206639752209278692391931742583
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28063001606835487378204596133856808414
Trachea is midline. Cardiothymic silhouette is within normal limits for size and contour. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.87174426114970348731423028416359738579
"Low volumes and atelectasis. No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.",Low volumes and atelectasis. No other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.13750286881116468883049342990977880873
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. The review of the visualized osseous structures is unremarkable. Hiatal hernia is again noted.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.16393025618060151914379423481258223605
The cardiothymic silhouette is within normal limits. There is peribronchial thickening and some streaky areas of atelectasis suggesting bronchiolitis. No focal infiltrates. No effusions. Bony structures are intact.,Bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.85942086097895118552081568987953837137
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82608448324297597399560023672535033801
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51717538333274601808764260272684531143
The endotracheal tube tip lies approximately 1.0 cm below the inferior margin of the clavicular heads. The lungs are reasonably well inflated. The interstitial markings are increased. The retrocardiac region on the LEFT is increased in density and the LEFT hemidiaphragm is obscured. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is indistinct.,There are findings which likely reflect atelectasis or developing infiltrate at the LEFT lung base. There are findings which likely reflect an element of low-grade CHF. Continued followup films would be of value.,1.2.826.0.1.3680043.8.498.21016404163171557133540900988851073131
There is airspace consolidation in the left lower lobe and also patchy airspace disease in the right lower lung. Findings are consistent with pneumonia. No associated pleural effusion. Heart size is normal.,"Bilateral lower lobe airspace disease, left greater than right. Findings are consistent with pneumonia.",1.2.826.0.1.3680043.8.498.20255257358805126466044460892015628005
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.12656244019243944099180801091213755641
"ET tube is present with the distal tip at the level of the aortic knob. The heart is normal in size. The aorta is tortuous and calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.43227017598572762344941373420222252243
Unchanged elevation of the right diaphragm. Linear atelectasis at the right base. No consolidation or pleural effusion. Normal cardiomediastinal silhouette. No pneumothorax.,No active disease. Linear atelectasis at the right base.,1.2.826.0.1.3680043.8.498.61881799512861600056354553301006559643
The lungs are mildly hyperinflated. There is no focal infiltrate. The interstitial markings are increased bilaterally. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. There is a hiatal hernia present. I see no pleural effusion. The bones are osteopenic.,There are findings consistent with COPD. I do not see evidence of CHF nor pneumonia. There may be an element of low grade compensated CHF present.,1.2.826.0.1.3680043.8.498.86082173661381894721899975999274905302
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62387428776977427932107533307558099439
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.29024595835658360620969844951177783289
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.21575394392194921449726760657225849646
Portable semi upright AP view 3268 hours. Stable cardiomegaly and mediastinal contours. Pulmonary vascular congestion with increased interstitial markings and peripheral lines. No pneumothorax or pleural effusion. No consolidation.,Slight interval progression of pulmonary interstitial edema.,1.2.826.0.1.3680043.8.498.28671785566289975718995149461750245772
Extensive airspace opacity throughout the left upper and mid lung. The right lung is relatively clear. Inspiratory volumes are low. Stable cardiac and mediastinal contours. No pneumothorax. No acute osseous abnormality.,1. New extensive airspace opacity in the left upper and mid lung concerning for pneumonia. Asymmetric pulmonary edema is also possible. 2. Low inspiratory volumes.,1.2.826.0.1.3680043.8.498.18458804317692953210901622672593252923
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50214292544811184962857174670662971189
EKG leads project over the patient's chest. Heart size is difficult to evaluate on the AP projection. Calcification of the aortic knob is seen. There is no evidence of congestive heart failure or acute infiltrates. The costophrenic angles are sharp and the trachea is midline. Hila structures outline normally.,No acute disease.,1.2.826.0.1.3680043.8.498.27602063421215175172428600946836612832
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.46999187139592157624514360768960388910
Cardiothymic silhouette is within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.14075106263729164957484472586833028127
"Cardiovascular: The heart is normal sized. The pulmonary vascularity appears normal. Mediastinum: The mediastinal contour and hilar configuration are within normal limits. Lungs: There are no consolidating infiltrates, pleural effusions, or pneumothoraces. No noncalcified lung nodules are identified. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.68501787029288007878415722542773682207
"Lungs are adequately inflated with mild prominence of the perihilar markings with peribronchial thickening. No focal consolidation or effusion. Cardiothymic silhouette, bones and soft tissues are normal.",Findings which can be seen in a viral bronchiolitis versus reactive airways disease.,1.2.826.0.1.3680043.8.498.19727058309307814498829255876361470669
Lung volumes are low. Patchy opacities at both lung bases are suggestive for pneumonia. There is no evidence for pulmonary edema. Heart size is probably within normal limits for portable technique. No pleural effusions.,"Low lung volumes with patchy bibasilar infiltrates, left side greater than right.",1.2.826.0.1.3680043.8.498.68460523605177254436970264325385353767
Tracheostomy tube is in place. There are patchy airspace opacities in the mid and lower lungs bilaterally. No pneumothorax. No pleural effusion.,1. Tracheostomy tube in place. 2. Patchy airspace opacities in the mid and lower lungs which may reflect atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.93311793071695935340838879691912225812
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38078987084093798366941376920901950378
The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.13593571733144300367935593118382879064
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50873005642397607940201274713171501741
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38169383461401653694933839297937754729
"Endotracheal tube tip at the clavicular heads. The orogastric tube reaches the stomach. Left PICC with tip at the upper cavoatrial junction. Bilateral pneumonia which is mildly improved. No edema, effusion, or pneumothorax. Normal heart size.",1. Unremarkable hardware positioning. 2. Mild improvement in bilateral pneumonia.,1.2.826.0.1.3680043.8.498.83075191470301543521296847409945121835
Cardiomediastinal silhouette is within normal limits. Lungs are clear. Bony thorax is unchanged.,No evidence for active disease in the chest.,1.2.826.0.1.3680043.8.498.97501566435365283983430677063253900958
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15025591143024461525139721194211548133
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96209604999496094080576781844877786677
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.42016958211404547328380663994510346308
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14899990095442802575984072634944668438
"Normal heart size, mediastinal contours, and pulmonary vascularity. Chronic elevation of RIGHT diaphragm. Lungs clear. No pleural effusion or pneumothorax. Multiple RIGHT rib fractures again identified.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.97829945716540909859862986677259121397
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. Degenerative changes thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58940732007213805887853544745329713066
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64956146363175759909519816040951539671
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. VP shunt is identified over the right chest.,No active disease.,1.2.826.0.1.3680043.8.498.63782457590754888537038822666602708300
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.79937640727797718856500324197845132919
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27230232584045943075784134555778938511
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.58124668652624252573030657661351001768
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50663613850704200219716576711801340384
Lungs are clear. Cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.55527911784419741461271895092005610116
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39926200280770849289999987965430330602
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16062057331609697999530545311378355426
Cardiothymic silhouette within normal limits. Tracheal air column midline and patent. Lungs are normally inflated with symmetric lung volumes. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality. Orogastric tube extends into the mid body of the stomach.,1. No radiographic evidence for active cardiopulmonary disease. 2. Orogastric tube within the mid body of the stomach.,1.2.826.0.1.3680043.8.498.19441620936491690815529697540926759049
"Left subclavian Port-A-Cath, tip at high SVC. No pneumothorax. Enlargement of cardiac silhouette. Pulmonary vascular congestion. Bibasilar atelectasis. Underlying COPD. No gross failure or consolidation.",No pneumothorax following Port-A-Cath insertion. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.10208511406413972844554892736436461580
The lungs are adequately inflated. There is no focal infiltrate. The heart is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67273832381469961496086261417514082816
Left lower lobe consolidation has partially cleared. Right lung remains clear. Heart is normal size. No effusions or acute bony abnormality.,Partial clearing of left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.45502897879904583858157683590930224704
The endotracheal tube has been removed. Aeration has improved slightly with little change to slight improvement in basilar atelectasis. Swan-Ganz catheter and left chest tube remain. Cardiomegaly is stable.,Endotracheal tube removed. Slightly better aeration.,1.2.826.0.1.3680043.8.498.11560546672335468049786116643621618121
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27181128091157306326318545237705229726
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.36888227543529728111870210889836026963
The orogastric tube tip overlies the gastric bubble. Both lungs are clear. The cardiothymic silhouette and pulmonary vasculature are within normal limits. There is no evidence of pneumothorax or pleural effusion bilaterally. The visualized upper abdomen is unremarkable.,"Stable, good aeration bilaterally.",1.2.826.0.1.3680043.8.498.84522189611339920204677072618636252939
There is airspace disease in the left lower lobe consistent with pneumonia. The right lung is clear. No pleural effusion or pneumothorax. Heart size normal.,Left lower lobe pneumonia. Recommend followup films to clearing.,1.2.826.0.1.3680043.8.498.65288490727405317891117340718060125123
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38398583572341836709601258156886847517
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. No pneumothorax. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.51571942484081360193824604446653381484
The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.77245877628819845903452587613606770060
Interval placement of a left internal jugular central venous catheter with the tip in the proximal SVC. Endotracheal tube is in place with the tip 2.6 cm above the carina. Enteric tube in place with the distal side port in the stomach. Stable cardiomediastinal silhouette. Normal pulmonary vascularity. Unchanged patchy opacity at the left lung base. No pleural effusion or pneumothorax. No acute osseous abnormality.,1. New left internal jugular central venous catheter with the tip in the proximal SVC. 2. Unchanged left lower lobe atelectasis versus infiltrate.,1.2.826.0.1.3680043.8.498.39009322797118293549594422981732936185
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23185715428394797109080937347959572599
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.36907626075221895982502449970469076112
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.67908926285353616820223449328386087589
"There is no evidence of intracranial hemorrhage. The extra-axial CSF spaces are grossly normal. There is no evidence of midline shift, and the ventricular system is normal in size and configuration. There is no evidence of skull fracture. Moderate partial opacification of the paranasal sinuses and mastoid air cells is noted. The paranasal sinuses are normally aerated. The subcutaneous tissues appear unremarkable and symmetric.",No evidence of intracranial hemorrhage. No evidence of acute intracranial abnormality. Remainder of findings as described above.,1.2.826.0.1.3680043.8.498.14077022896209766476131788754086431152
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.97380499947917630203200461409438857160
There is persistent increased density in the left lung base as well as blunting of the left costophrenic angle. No new focal regions of consolidation or new focal infiltrates are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable. A right sided central venous catheter is appreciated with the tip projecting in the region of the superior vena cava.,1. Persistent left lower lobe infiltrate versus atelectasis. 2. Small left effusion versus chronic scarring. Continued surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.12811971947612752330985638425993584079
Endotracheal tube is 3.5 cm above the carina. Nasogastric tube extends into the abdomen. Right jugular Swan-Ganz catheter tip in the proximal right pulmonary artery region. Right chest tube is in place. No evidence for a pneumothorax. Right basilar densities suggest atelectasis. Left lung is clear. Heart size is within normal limits.,Postoperative chest with right chest tube and no evidence for a pneumothorax. Right basilar densities suggest atelectasis. Support apparatuses as described.,1.2.826.0.1.3680043.8.498.45686752848273291192621655147932657328
Endotracheal tube is 1.8 cm above the carina. UVC catheter tip is in the right atrium approximately 7 mm above the IVC right atrial junction. OG tube tip is in the stomach. Diffuse hazy opacities throughout the lungs compatible with RDS. No effusions or pneumothorax. Cardiothymic silhouette is within normal limits.,Endotracheal tube 1.8 cm above the carina. Diffuse hazy opacities throughout the lungs compatible with RDS.,1.2.826.0.1.3680043.8.498.52527261708684282064974669177204372267
"Enlargement of cardiac silhouette post CABG. Mediastinal contours and pulmonary vascularity normal. Atherosclerotic calcification aorta. Moderate LEFT pleural effusion with significant atelectasis of the lower LEFT lung. Minimal central peribronchial thickening. No acute infiltrate, RIGHT pleural effusion or pneumothorax. Bones demineralized.",Moderate LEFT pleural effusion and basilar atelectasis. Enlargement of cardiac silhouette post CABG.,1.2.826.0.1.3680043.8.498.55846321137800903247669476332798123384
"Endotracheal tube terminates 2.5 cm above the carina. The heart is normal in size. Aortic atherosclerosis. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",1. Endotracheal tube terminates 2.5 cm above the carina. 2. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15033993432730595258104012411292739149
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43857601483342807057903261697306094505
Cardiac and mediastinal silhouettes are within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. Mild scattered peribronchial thickening. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures and soft tissues within normal limits.,"Mild scattered peribronchial thickening, which can be seen in the setting of acute bronchiolitis and/or reactive airways disease. No focal infiltrates to suggest pneumonia.",1.2.826.0.1.3680043.8.498.95960430996318497690796019567491193791
"Patient is rotated. Heart size is grossly stable. There is severe emphysema. Linear opacities are again seen in both lung bases, consistent with atelectasis or scarring. No definite airspace disease. No evidence of pleural effusion. No pneumothorax.",1. No acute findings. 2. Stable bibasilar scarring or atelectasis. 3. Severe emphysema.,1.2.826.0.1.3680043.8.498.68885588275941473361945457486117485209
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.66527801592020466071245541386956144521
The lungs are well-expanded and clear. The cardiac silhouette is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormalities.,There is no evidence of pneumonia nor CHF.,1.2.826.0.1.3680043.8.498.58090812038365183408492065903095205530
"Since 1/2/3 portable chest x-ray, no right pneumothorax is seen with lesser inspiration. Right fifth rib fracture is again noted. The lungs are otherwise clear. Heart size is normal.",Since 1/2/3: 1. Submaximal inspiration. 2. No pneumothorax. 3. Right fifth rib fracture.,1.2.826.0.1.3680043.8.498.55015924773385116907339706996324488739
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.28961426105074092729356135303962844006
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.85580779732298417189626945669208866348
"Endotracheal tube, NG tube, right IJ line in stable position. Heart size normal. Low lung volumes with basilar atelectasis. No pleural effusion or pneumothorax.",1. Lines and tubes in stable position. 2. Low lung volumes with basilar atelectasis.,1.2.826.0.1.3680043.8.498.49315859536571871414854194266851928823
Multiple right rib fractures are again noted. There is pleural thickening along the right lateral chest wall. Atelectasis at the right lung base. Heart is normal size. Left lung is clear. No effusions. No pneumothorax.,Multiple right lateral rib fractures with pleural thickening. Right basilar atelectasis.,1.2.826.0.1.3680043.8.498.59297768296725725596943769818383786869
There is airspace disease in the right mid and lower lung. There is mild airspace disease on the left. There is cardiomegaly. There is no pleural effusion. The findings are most consistent with acute pneumonia. Followup chest x-ray is recommended to exclude underlying malignancy.,"Bilateral airspace disease, right greater than left. Findings most consistent with pneumonia.",1.2.826.0.1.3680043.8.498.74899992922219656708949305367619472354
"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal.",No significant radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.28506634986684099071751597421825793829
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.71517712042255948852069709467365003428
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35571869381571834267625524549687781037
Heart size is normal. Mediastinal shadows are normal. The lungs are clear. The vascularity is normal. No effusions. Ordinary degenerative changes affect the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31627810555336704893019755262643937956
The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86353975822460912865834985027974685235
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48393727832252242714274638347107388094
There is opacity within the right middle lobe consistent with pneumonia. The lungs are hyperaerated consistent with emphysema. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. No bony abnormality is seen.,1. Right middle lobe pneumonia. 2. Emphysema.,1.2.826.0.1.3680043.8.498.49050784394835469690166803530980685347
Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No effusions. No bony abnormalities.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58281187415851301719498138832947222878
Heart is upper limits normal in size. Lungs are clear. No effusions. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69173076589768194370799083866087209074
Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild elevation of the left hemidiaphragm. There is gaseous distension of the stomach.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94835360806523350868920094212085322572
There is a mid inspiration. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.47393807764944207023656497685186271049
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33338592298716016411248565305636580887
Low lung volumes are present and taking this into consideration heart size is upper limits of normal. Some crowding of the basilar bronchovascular markings is seen and no focal infiltrates or signs of focal airspace disease are suggested. No pleural fluid is seen. Bony structures appear intact.,Low lung volumes with crowded basilar vascular markings. No definite focal infiltrates seen.,1.2.826.0.1.3680043.8.498.13587293343496043121064869948307854123
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33581655472071750114847211654553333092
"Endotracheal tube is well positioned with tip approximately 3 cm above the carina. Enteric tube passes below the diaphragm. Heart size and mediastinal contours are grossly stable. Bilateral perihilar and bibasilar opacities, stable compared to the most recent exams, compatible with pulmonary edema. Probable bilateral pleural effusions. No pneumothorax seen.","1. Stable pulmonary edema. 2. Probable bilateral pleural effusions. 3. Stable opacities at each lung base, likely atelectasis.",1.2.826.0.1.3680043.8.498.76444262983999818122255845546841257844
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98300402732852981850996784170240867320
There is atelectasis at the right lung base. The heart size is enlarged. Pulmonary vascularity is normal. No effusions. No acute osseous abnormality.,Cardiomegaly. Atelectasis at the right lung base.,1.2.826.0.1.3680043.8.498.45277220386570218314238985999056196356
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54880517737133482077916275166764793982
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.25747764747379047256597078710137099373
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68698193782457711779233041404124538405
The heart is normal in size. The lungs are under expanded. There are bilateral infiltrates which appear worse. Small effusions are suspected.,Worsening bilateral infiltrates.,1.2.826.0.1.3680043.8.498.35189375384600530529690948660775334438
There is a right-sided PICC line with tip in the projection of the superior vena cava. The heart size is enlarged. There is no pulmonary edema. No pleural effusions are noted.,1. Cardiomegaly. 2. No evidence for CHF.,1.2.826.0.1.3680043.8.498.34944646527496685622695882744703907444
"Lung volumes are low. There are bibasilar opacities which may reflect areas of atelectasis and/or consolidation, with superimposed small bilateral pleural effusions. Pulmonary venous congestion, without frank pulmonary edema. Mild cardiomegaly. Upper mediastinal contours are within normal limits. Atherosclerosis in the thoracic aorta. Right upper extremity PICC with tip terminating in the superior cavoatrial junction.",1. Low lung volumes with bibasilar areas of atelectasis and/or consolidation and superimposed small bilateral pleural effusions. 2. Mild cardiomegaly. 3. Atherosclerosis.,1.2.826.0.1.3680043.8.498.51267872928651050801244519495097804512
Lung volumes are stable and within normal limits. Stable mild scarring at the lung bases. No consolidative airspace disease. No pleural effusions. No evidence of pulmonary edema. Heart size is normal. Upper mediastinal contours are within normal limits. Aortic atherosclerosis.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.89578171133807804187249502291279897657
The heart size and mediastinal contours are within normal limits. Atherosclerosis of the aortic arch. Both lungs are clear. No visible pleural effusions or pneumothorax. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77607996768119869461347207008026224236
Cardiothymic silhouette within normal limits. No definite focal airspace opacity suspicious for bacterial pneumonia. Central airway thickening is present. Hyperinflation. No pleural effusion.,Central airway thickening is consistent with a viral or inflammatory central airways etiology.,1.2.826.0.1.3680043.8.498.41706052348652554753819666109964880261
The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.92724327750108287456095959025790372602
ET tube is in place with the tip in good position at the level of the clavicular heads. Left-sided pacemaker is again noted. There is cardiomegaly. No pneumothorax. Small left effusion and basilar atelectasis noted.,1. ET tube in good position. 2. Cardiomegaly. 3. Small left effusion and basilar atelectasis.,1.2.826.0.1.3680043.8.498.19816178819225709589063348518840175021
Right IJ approach dialysis catheter is in place with the tip in the lower superior vena cava. No pneumothorax. The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,Right IJ approach dialysis catheter in good position. No acute disease.,1.2.826.0.1.3680043.8.498.42200198092327716377573136546130767074
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29525567856621701175573751968176408914
"No evident fracture or dislocation. Appearance suggests rotator cuff pathology involving both the right and left. Visualized ribs and lung well-inflated and well-aerated. Lungs are well-aerated without focal consolidation, pleural effusion or pneumothorax.",1. No acute cardiopulmonary process. 2. Suggestion of rotator cuff pathology involving the shoulder.,1.2.826.0.1.3680043.8.498.29236935795512028265236862169785054573
Cardiothymic silhouette is within normal limits. Lungs are under aerated. Patchy airspace opacities are noted in the right lower lobe. Left lung is clear. No pneumothorax or pleural effusion.,Right lower lobe consolidation. Follow-up studies until resolution are recommended after appropriate antibiotic therapy.,1.2.826.0.1.3680043.8.498.80135950968285981405908063516930654051
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75871433879250211470109046769638171383
The lungs are clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation. Heart upper normal in size.,1.2.826.0.1.3680043.8.498.76243169026914749824605023515158305483
The heart size is normal. A large hiatal hernia is again noted. The previously demonstrated left lung base pneumonia has resolved. No new infiltrate or pleural effusion. The visualized skeletal structures are unremarkable.,1. No acute cardiopulmonary process. 2. Hiatal hernia. 3. Resolution of left basilar pneumonia.,1.2.826.0.1.3680043.8.498.26971514578046252869201021025146140308
There is a right chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is enlarged. There are postop changes of median sternotomy and CABG procedure. There is mild interstitial edema. There is asymmetric airspace opacity within the right upper lobe which may represent asymmetric edema or pneumonia.,1. Cardiac enlargement and pulmonary edema. 2. Asymmetric airspace disease right upper lobe may represent asymmetric edema or pneumonia.,1.2.826.0.1.3680043.8.498.27289834557850637139494455262650104807
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.16513209625918680159491790772303674738
Right arm PICC line is unchanged. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality. Degenerative changes in the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36352262716540629153112522899687700313
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.11121135652655382236558168201262692703
"The cardiomediastinal silhouette is within normal limits. Hyperexpansion of the lungs is again seen, consistent with COPD. There is no evidence of focal infiltrate or pulmonary edema. No pleural effusion is seen. Mild degenerative changes are noted in the thoracic spine.",COPD. No acute cardiopulmonary disease identified.,1.2.826.0.1.3680043.8.498.80610183556964273765419072887246113565
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35411393249490360496310931336945892136
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83031446543687151659945661760374816221
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88724427027885425525627349809264160090
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46828949405715708199536841212292068760
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.28958263602265463284604748020871419473
The lungs are adequately inflated. There is no focal infiltrate. No pneumothorax or pneumomediastinum is observed. The cardiothymic silhouette is normal. The trachea is midline. The bony thorax exhibits no acute abnormality. The gas pattern in the upper abdomen is normal.,There is no evidence of pneumonia nor CHF. No pneumothorax or pneumomediastinum is observed.,1.2.826.0.1.3680043.8.498.27953614922148599877685296585546180860
The cardiopericardial silhouette is within normal limits for size. The lungs are clear. Dedicated views of the right ribs demonstrate no evidence for acute fracture. There is no pneumothorax.,No acute cardiopulmonary disease or right-sided rib fracture.,1.2.826.0.1.3680043.8.498.23037770020359940398889375966441132508
There is cardiomegaly. There is a moderate left pleural effusion. There is interstitial pulmonary edema. There is a focal airspace opacity in the left upper lobe concerning for pneumonia. Patchy airspace opacities are also noted at the right lung base.,1. Cardiomegaly and interstitial edema. 2. Left pleural effusion and left upper lobe airspace disease. Question pneumonia.,1.2.826.0.1.3680043.8.498.98288933984029421430313734658382850171
The heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.53264493985871643321130147312975718798
The lungs are clear. No pleural effusion. Heart size normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.26218582770990401680696734153773343962
Heart size and pulmonary vascularity are normal and the lungs are clear. Slight tortuosity of the thoracic aorta. No osseous abnormality.,No significant abnormalities.,1.2.826.0.1.3680043.8.498.23105631089405534123951903262375433678
Right PICC line and feeding tube are unchanged. Stable cardiomegaly. Low lung volumes. Left base atelectasis. No visible effusions or acute bony abnormality.,"Low lung volumes, left base atelectasis. Stable cardiomegaly.",1.2.826.0.1.3680043.8.498.61510181418822251023258163992937158199
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88713760437586570526524118518825186232
Patchy left lower lobe retrocardiac opacity is suspicious for pneumonia. Right lung is clear. Normal heart size and vascularity. No effusion or pneumothorax. No osseous abnormality.,Possible left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.41624033110911922620646054416671576577
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.14414656824858700369595989426920215579
There is elevation of the right hemidiaphragm. Right base atelectasis is noted. The lungs are otherwise clear. No pneumothorax or pleural effusion. Heart size is normal. Dual lead pacing device is in place. Leads terminate in the right atrium and right ventricle.,1. No acute cardiopulmonary disease. 2. Right base atelectasis. 3. Pacemaker in place without complicating features.,1.2.826.0.1.3680043.8.498.94934296537580052995759529187797856679
"Lung volumes are stable and within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No osseous abnormality identified.","Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.12631460710127848234295473303618183945
There is increased density in the LEFT hemithorax suggestive of a diffuse infiltrate versus atelectasis. There is thickening of the interstitial markings as well as peribronchial cuffing. The cardiac silhouette is enlarged indicative of cardiomegaly. The patient is rotated to the LEFT. The visualized bony skeleton is osteopenic.,"1. Findings consistent with pulmonary edema. 2. Asymmetric edema versus infiltrate, LEFT hemithorax. 3. Repeat evaluation is recommended if clinically warranted.",1.2.826.0.1.3680043.8.498.41492532430609102605203377318919213685
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80826449661584685605589255052396834183
"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. Aortic atherosclerosis in the transverse aorta. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease. Aortic Atherosclerosis (ICD10-170.0),1.2.826.0.1.3680043.8.498.70841374793118004977829343830282255982
There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. Pacemaker leads are attached to the right atrium and right ventricle. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.75079344240117777081411285165270675332
The heart is enlarged. There is no pleural fluid or pulmonary edema. No airspace opacities are identified.,1. Cardiac enlargement without heart failure. 2. No active disease.,1.2.826.0.1.3680043.8.498.58224603724923829054462516463047554903
An orogastric tube is seen with tip in the mid stomach. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.,No active disease.,1.2.826.0.1.3680043.8.498.44109014564052160220866972809329726437
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.71211466416199399483205494951215909713
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21073170648677497901555826421678133358
Endotracheal tube tip is at the thoracic inlet. Normal cardiothymic silhouette. Lungs are clear. Normal appearing bones.,Endotracheal tube tip at thoracic inlet.,1.2.826.0.1.3680043.8.498.45413676472055735753527214854462283908
Endotracheal tube is 2.2 cm from the carina at the thoracic inlet. The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,Endotracheal tube in place. Clear lungs.,1.2.826.0.1.3680043.8.498.46835492021121749760327545118567388314
"Heart is normal size. Aortic atherosclerosis. Linear densities at the left base, likely atelectasis. Right lung clear. No effusions. No acute bony abnormality.",Left base atelectasis.,1.2.826.0.1.3680043.8.498.83644495099307953969324979347249597074
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59011448955328377914389119538646170500
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47656976848635941625855990396969566270
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43007194232771698351135977303539023558
No fracture or other bone lesions are seen involving the ribs.,Negative.,1.2.826.0.1.3680043.8.498.39392947411213255979391539104752780394
"The heart size is normal. There is a right-sided pneumothorax, measuring approximately 2.2 cm in thickness. There is a linear opacity in the right midlung zone, which may represent atelectasis or possibly a pulmonary laceration. There is subcutaneous emphysema along the right lateral chest wall. The left lung is clear. There is no significant pleural effusion.",1. Small right-sided pneumothorax. 2. Right midlung zone opacity is likely atelectasis.,1.2.826.0.1.3680043.8.498.92916122511593601922822447056172453374
Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33393019802581720289651274371648366949
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47787047674070020693573955773738918213
Heart size is normal. Mediastinal shadows are normal. There is bronchial thickening. There is patchy infiltrate in the right lower lobe consistent with pneumonia. No dense consolidation or lobar collapse. No effusions. No bony abnormalities.,Bronchitis and right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.67871514423741350973607056269548184720
Heart size is normal and the vascularity is normal. The lungs are clear without infiltrate or effusion. There is no mass or adenopathy.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29066604504774457267075916345004075693
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70832905075374287164415961364749705493
Endotracheal tube is in place with tip 5.5 cm above carina. Nasogastric tube is in place with tip off the film. Right-sided PICC line tip overlies the level of the superior vena cava. Heart size is normal. The lungs are free of focal consolidations and pleural effusions. No evidence for pneumothorax.,No evidence for acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17430839299886879139558410987878892119
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19631617492330667242425709802746795301
Lungs are clear. Cardiothymic silhouette is normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.43116668843197647351241662142969636522
Heart is normal size. There is peribronchial thickening. No confluent opacities or effusions. No acute bony abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.19583615360887723456558304231623476956
Grossly unchanged enlarged cardiac silhouette and mediastinal contours. Lung volumes remain reduced with associated bibasilar opacities favored to represent atelectasis. No focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. No acute osseus abnormalities.,"Similar findings of hypoventilation and bibasilar atelectasis without superimposed acute cardiopulmonary disease. Specifically, no evidence of edema or pneumonia.",1.2.826.0.1.3680043.8.498.66368765220455384060397158716292722204
"There is central airway thickening. No consolidative process, pneumothorax or effusion. Lung volumes are normal. Heart size is normal. No bony abnormality.",Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.82339105447695209488742950971100889537
"Lungs appear clear. Cardiothymic image appears normal. Mediastinum, hila, pleura and osseous structures appear normal for age.",Stable - no active disease.,1.2.826.0.1.3680043.8.498.85078238586268511839648620782865695526
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20770782087232950438651235362368888947
"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.97371100884676269386188582637752767424
There is central airway thickening with some atelectasis in the right lung base. No consolidative process. No effusion. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.26115230453387113544275219682481784411
The heart size and mediastinal contours are within normal limits. Endotracheal and nasogastric tubes are unchanged in position. No pneumothorax is noted. Stable bibasilar opacities are noted concerning for atelectasis or infiltrates with minimal associated pleural effusions. The visualized skeletal structures are unremarkable.,Stable support apparatus. Stable bibasilar opacities as described above.,1.2.826.0.1.3680043.8.498.40826935023839136745841176463452118912
Heart size is normal. Mediastinal shadows are normal. The left lung is clear. There is abnormal density in the right middle lobe consistent with atelectasis or pneumonia. No effusions. No bony abnormalities seen.,Right middle lobe atelectasis and or pneumonia.,1.2.826.0.1.3680043.8.498.13327975534031834292198863343282548650
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,Negative. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70195950481863686200298677549415848541
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12883261618898194574282767601369733071
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24306934192839918171124669395927550327
"There is central airway thickening. Focal airspace opacity is seen in the right upper lobe, consistent with pneumonia. Mild lingular opacity is also seen, which may be due to atelectasis or infiltrate. No evidence of pleural effusion. Heart size is normal.","Right upper lobe airspace opacity, consistent with pneumonia. Mild lingular atelectasis versus infiltrate.",1.2.826.0.1.3680043.8.498.10852907616978874125218878094899974502
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92524657177347231458618274298018596020
The heart is moderately enlarged. Diffuse interstitial infiltrates are seen suspicious for interstitial edema. No focal consolidation is identified. There is no evidence of pleural effusion on this single frontal view. No pneumothorax is identified.,Cardiomegaly and diffuse interstitial edema.,1.2.826.0.1.3680043.8.498.31788566212762708070846127006665562080
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Right-sided PICC line.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26590142802410384716860596911366256731
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75048956028719327392042518284801090962
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.32067474859492037615160050896902686947
"Endotracheal tube terminates 3.5 cm above the carina. Enteric tube courses into the abdomen with tip and side port within the stomach in the left upper quadrant. Left-sided PICC line terminates over the lower SVC. The cardiomediastinal silhouette is within normal limits. Bilateral airspace consolidations are again noted, greatest in the left lung base, not significantly changed from the prior study. No sizable pleural effusion or pneumothorax is identified.","1. Unchanged bilateral airspace disease, greatest in the left lung base. 2. Support devices as above.",1.2.826.0.1.3680043.8.498.29111099330909091609326170931991043823
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The bony thorax is intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63816457094122471499489422410511352289
An area of increased density projects within the LEFT hilar region extending along the fissure. This is appreciated best on the PA view. This finding is consistent with a focal infiltrate likely within the superior segment of the LEFT lower lobe. The cardiac silhouette and visualized bony skeleton are unremarkable. There is no evidence of a pleural effusion or pneumothorax.,Findings consistent with a focal infiltrate likely within the superior segment of the LEFT lower lobe. Repeat surveillance evaluation is recommended if clinically warranted.,1.2.826.0.1.3680043.8.498.23666873024628649881931485374120730287
The heart size and mediastinal contours are within normal limits. Patchy opacities are noted in both lungs. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,Patchy bilateral lung opacities suspicious for multifocal pneumonia.,1.2.826.0.1.3680043.8.498.21377887595490011288989527366378662675
There is more opacity now occupying the left hemithorax with shift of the mediastinum to the left. This is most consistent with progression of left lung collapse. A left pleural effusion is again noted. The right lung is clear. Heart size is difficult to assess. Port-A-Cath remains.,Increase in opacity of the left hemithorax consistent with progression of left lung collapse.,1.2.826.0.1.3680043.8.498.65508777776810180021796321959458372927
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.27633826982342488858862130186422644420
"Right chest tube remains in place, unchanged. Small right apical pneumothorax again noted, unchanged. Right lung atelectasis again noted. Subcutaneous emphysema on the right. Left Port-A-Cath is unchanged. Left lung is clear. Heart is normal size.",No significant change. Small right apical pneumothorax with right chest tube in place.,1.2.826.0.1.3680043.8.498.33399600258416466777645846861392914306
Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Mild linear opacity at the lung bases consistent with atelectasis. Lungs otherwise clear. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.25372655935310468810790331893654745893
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.34554200377038396307064215284964031838
There is parenchymal opacity at both lung bases right greater than left most consistent with atelectasis and effusion. Pneumonia particularly at the right lung base cannot be excluded and follow-up chest x-ray is recommended. There is a small pleural effusion present. The heart is within normal limits in size. No bony abnormality is seen.,Basilar opacities right greater than left most consistent with atelectasis and effusion. Cannot exclude pneumonia at the right lung base. Recommend follow-up.,1.2.826.0.1.3680043.8.498.28587626666552150509869498163371056954
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.33699587128976432708621169933001784472
There is patchy infiltrate in the right middle lobe and lingula consistent with pneumonia. Heart size is normal. No pleural effusions or pulmonary edema.,Lingular and right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.64555560571002381718672771500688362876
Heart: Normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.86867079798402520208692400618533400106
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No pneumothorax.,No acute disease.,1.2.826.0.1.3680043.8.498.36556107275286574320176596098860244672
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.70054175265521214239112727556630639474
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.35179560587778550493763164673104979860
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Small hiatal hernia noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease. Small hiatal hernia.,1.2.826.0.1.3680043.8.498.93332338125143799941883288441284380231
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84468331015816470669509472395792893029
Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92506520442647658197885673086371149601
"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95539528658044747472462001283836388167
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40055113378937856289394298873813674750
There is no significant displacement of the sternum. There is no significant retrosternal hematoma. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is normal in size.,No evidence of displaced fracture.,1.2.826.0.1.3680043.8.498.18629890294926521961025303119768936708
"Endotracheal tube terminates 5 cm above the carina. Right IJ venous catheter terminates in the mid SVC. No pneumothorax. Enteric tube courses into the stomach. Multifocal patchy opacities in the right upper and lower lobes, suspicious for pneumonia. Left lung is essentially clear. The heart is normal in size.",Endotracheal tube terminates 5 cm above the carina. Right IJ venous catheter terminates in the mid SVC. No pneumothorax. Multifocal pneumonia in the right lung.,1.2.826.0.1.3680043.8.498.82615028415542950110034058776235703539
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified. The sternum appears intact.,No evidence of sternal fracture or other active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.77025465987978692657592889462562362349
Heart size is normal. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No acute findings.,1.2.826.0.1.3680043.8.498.39836307610354707900142241881289380008
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18228549970713095697600188409090120711
The lungs are hypoinflated. The interstitial markings are coarse. There is no alveolar infiltrate. There is no pleural effusion. The cardiac silhouette is top-normal in size. The pulmonary vascularity is not engorged. There is tortuosity of the descending thoracic aorta. There is multilevel degenerative disc disease of the thoracic spine.,"Chronic bronchitic changes. No definite acute pneumonia nor CHF. If the patient's cough and hemoptysis persist, chest CT scanning would be a useful next imaging step.",1.2.826.0.1.3680043.8.498.89446018528694040163728178369944540046
Lungs are clear. Cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.54184241492472127530835833299724832188
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39475764712749265092739619888249617110
There is a right chest wall port a catheter with tip in the right atrium. Left chest wall AICD is noted with leads in the right atrial appendage and right ventricle. The heart size appears normal. There is no pleural effusion or edema. Chronic interstitial lung disease is identified compatible with the patient's history of COPD. Superimposed scarring and fibrosis is identified within the right upper lobe. There is a new opacity within the right upper lobe which is suspicious for pneumonia.,1. New right upper lobe opacity suspicious for pneumonia. 2. Chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.40276845048142577509247562397555572846
Normal cardiothymic silhouette. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93152912132176842449430128204214396623
"The cardiac and mediastinal contours are unremarkable. There is no evidence of acute consolidation, congestion, or pleural effusions. No acute displaced fracture.",Mild peribronchial thickening. No dense consolidation.,1.2.826.0.1.3680043.8.498.61434748442082104601683487426757531186
Cardiac silhouette is moderately enlarged. No mediastinal or hilar masses. Clear lungs. No convincing pleural effusion and no pneumothorax. Bony thorax is grossly intact.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62967189592477898421103647989628891136
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52141444715986006435154720759535760178
AP portable semi upright view 6976 hours. Stable feeding tube which is looped in the stomach. Stable right PICC line. Stable cardiac size and mediastinal contours. Stable lung volumes. Patchy airspace opacity throughout the right lung and at the left lung base is not significantly changed. No pneumothorax. Small right pleural effusion.,Stable lines and tubes. Stable bilateral airspace disease.,1.2.826.0.1.3680043.8.498.30914740602136046200091562437371425865
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43942242992262416787153328323736643692
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.30258792238471870778698694676659166423
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33588044102250114180072767576955571693
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.59437491251826752356097835948390183749
The lungs are reasonably well inflated. The interstitial markings remain increased bilaterally. There are bilateral pleural effusions layering posteriorly. The cardiac silhouette remains enlarged. The pulmonary vascularity is engorged. The right internal jugular venous catheter tip projects over the midportion of the SVC. The bony structures are unremarkable.,CHF with pulmonary interstitial edema and bilateral pleural effusions. There has not been significant interval change since the previous study.,1.2.826.0.1.3680043.8.498.52254772147028909873243511191101280436
There is increased density at the LEFT lung base which can be consistent with LEFT basilar pneumonia. Some atelectasis at the RIGHT lung base is present. There is pulmonary vascular congestion. Atherosclerotic calcification is noted in the aortic arch. The bones are osteopenic.,1. Findings suggestive of LEFT basilar pneumonia. 2. Atelectasis at the RIGHT lung base. 3. Osteopenia. 4. Atherosclerotic calcification.,1.2.826.0.1.3680043.8.498.33605871071563336637043974153631114259
There has been some improvement in the alveolar density of both lungs. Chronic interstitial disease persists. No worsening or new findings.,Improved.,1.2.826.0.1.3680043.8.498.66682091556766238668456623093951180995
"There is a right-sided dual lumen central venous catheter with its tips in the right atrium. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.37626633643365338133923374431944298913
The lungs are well-aerated. Mild peripheral left-sided airspace opacity could reflect overlying soft tissues. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.74939511589912638714835831866667245803
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35674017340143673770660494228321234147
The lungs remain very low in volume with areas of atelectasis bilaterally. No confluent airspace opacities are seen. There is no evidence of pleural effusion. The heart is normal in size and contour. The upper abdomen and osseous structures are normal. VP shunt catheter along the right anterior chest is unchanged.,Low lung volumes with areas of scattered atelectasis. No other significant interval change.,1.2.826.0.1.3680043.8.498.38568364441611042607208550155118389326
Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18764389714302346556077064410081969634
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11392534566649057264959313466130252673
Heart size is normal. No pleural effusion or pulmonary edema. There is airspace consolidation within the left lower lobe and right lower lobe consistent with pneumonia. Central airway thickening is noted. The visualized osseous structures are unremarkable.,Bilateral lower lobe airspace consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.19714489881930728096022456642490472361
Cardiac shadow is stable. The lungs are well aerated bilaterally. Mild granular changes are again identified throughout both lungs consistent with RDS. Nasogastric catheter is noted within the stomach. Umbilical venous catheter is again noted at the inferior aspect of T7 relatively stable from the prior exam. The bowel gas pattern is within normal limits. No free air is noted.,Stable appearance of the chest and abdomen when compared with the prior day.,1.2.826.0.1.3680043.8.498.76999064846664415170830869924084305583
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95269152814732953507168547999245697505
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56890541196686028813601402688847015620
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18944704240198542436779288032966828699
Normal heart size and mediastinal contours. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.68849800777505346003748971890366138649
Endotracheal tube is now 3.5 cm above the carina. Nasogastric tube enters the stomach. The lungs are clear. No effusions.,Tubes well positioned. Lungs now clear.,1.2.826.0.1.3680043.8.498.89754349487625254948079395255330475148
The heart size and mediastinal contours are normal. There is no pleural effusion or pulmonary edema. Lung volumes are low. There is central airway thickening. Airspace disease within the right lower lobe is noted.,Right lower lobe airspace disease worrisome for pneumonia.,1.2.826.0.1.3680043.8.498.21747053806667298550873540450111646597
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62303140187180259399311600254899564167
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98888591444536474322886190730092541041
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10940583559531415977731271836309622626
"Single portable AP chest radiograph is provided. There is interval placement of a right-sided central venous catheter with the tip projecting over the cavoatrial junction. There is no pneumothorax. There is elevation of the right hemidiaphragm. There is right basilar atelectasis. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.52121897705845238259078263614720082031
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32734917185632164714066451539063131995
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.50594938667733090848369030732631830565
LEFT chest wall pacemaker/ICD apparatus appears stable in position. Stable cardiomegaly. Central pulmonary vascular congestion and mild bilateral interstitial prominence. Probable small LEFT pleural effusion. No pneumothorax seen. Osseous structures about the chest are unremarkable.,1. Cardiomegaly with central pulmonary vascular congestion suggesting some degree of CHF/volume overload. 2. Probable small LEFT pleural effusion.,1.2.826.0.1.3680043.8.498.24534050495276237993355976345495725937
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.54529640250966305515455623463632314751
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46100729161383475792899520666173512533
There is improvement in aeration of both lungs. Bibasilar atelectasis remains. There is no pneumothorax. The heart size is stable.,Improved aeration with residual bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.98967160711619811201739334880188484705
The heart size is normal. There is no heart failure. The lungs are clear and there is no infiltrate or mass.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53215473587342530800518052712363590434
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.75653980381717876883595184431156243664
The heart is enlarged. The pulmonary vascularity is congested. Diffuse interstitial infiltrates are present. Patchy basilar airspace infiltrates are seen. There is no pneumothorax. A small right pleural effusion is present.,1. Cardiomegaly with pulmonary vascular congestion. 2. Diffuse interstitial infiltrates with patchy basilar airspace infiltrates. Small right effusion.,1.2.826.0.1.3680043.8.498.62036607776763618553816492672097874955
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73994998111044034545892527800546231116
Mediastinum and hilar structures are normal. Cardiomegaly with normal pulmonary vascularity. Right middle lobe atelectatic changes and/or infiltrate noted. No pleural effusion or pneumothorax. No acute bony abnormality.,"1. Right middle lobe atelectatic changes and/or infiltrate. 2. Cardiomegaly, no CHF.",1.2.826.0.1.3680043.8.498.93747489628957276166016159703428562141
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.77131824681519823610260169405558895500
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.49482555751801988397525416103056156905
The cardiomediastinal silhouette appears to be stable. There is evidence of a CABG. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. Again noted is a left-sided cardiac pacing device in place.,No evidence of acute pulmonary disease. Stable cardiomegaly. Status post CABG. No significant change compared to prior study done on 1/53/2006.,1.2.826.0.1.3680043.8.498.44555679285865205555014738420525599462
"The umbilical venous catheter tip is in the right atrium. The umbilical artery catheter tip is at T8-9 level. The cardiothymic silhouette is within normal limits. No confluent airspace opacities, effusions or pneumothorax. The bowel gas pattern is unremarkable.",Umbilical venous catheter tip in the right atrium. Umbilical artery catheter tip at T8-9. No acute findings.,1.2.826.0.1.3680043.8.498.72637850893172486269416205898488146194
The cardiothymic silhouette appears within normal limits. No focal airspace disease suspicious for bacterial pneumonia. Central airway thickening is present. No pleural effusion.,Central airway thickening is consistent with a viral or inflammatory central airways etiology.,1.2.826.0.1.3680043.8.498.31298498250157945323998603100175534523
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61275877752027908853111756700213304813
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.70801604598516726018154883254316224452
The heart is enlarged. There is pulmonary vascular congestion without overt edema. No effusions are seen. No focal airspace opacities are identified.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.20769769418034794711316988461878963552
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93273344781704450684024032458310341251
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97384067990127485539105287011601185409
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19563061364749510344824624476524725207
The lungs are adequately inflated. There is no focal infiltrate. The interstitial markings are mildly increased. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,There is no evidence of pneumonia. I cannot exclude acute bronchitis in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.30473007111208191895437441013004028396
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93110476480749474241638418390799280150
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36811770662558033810286426819821427334
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75952131741458048075918923396966254012
Patchy opacities in the left upper lobe and bilateral lower lobes concerning for pneumonia. Heart is normal size. No effusions or acute bony abnormality.,Patchy bilateral airspace opacities concerning for pneumonia.,1.2.826.0.1.3680043.8.498.89405423312279885764775171261467291988
"PA and lateral chest radiographs are provided. There is bilateral diffuse interstitial thickening likely representing chronic interstitial disease, but superimposed mild interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology cannot be excluded. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.75937756338780479456269018377827984868
The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.33942799314073570213630696885028531770
Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No acute or significant findings.,1.2.826.0.1.3680043.8.498.64273858823494704435512408047259028302
The left-sided rib fractures described on the CT scan are not well demonstrated on this chest x-ray. Midline trachea. Normal heart size. No pleural effusion or pneumothorax. Mild left base atelectasis.,Left-sided rib fractures described on CT of the chest not well visualized on this chest x-ray. No pneumothorax. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24563539899106052029694764596862658489
"Continued plate-like opacity at the left lung base, favoring atelectasis. Stable lung volumes. Stable cardiac size and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion or consolidation. Stable surgical clips in the left chest. Visualized tracheal air column is within normal limits. No acute osseous abnormality identified.","Stable plate-like opacity at the left lung base, favor atelectasis. Otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.86878975814457724191921445572309789992
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Elevated left hemidiaphragm is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69706545511585530421769538515869779245
There is mild atelectasis at the left lung base. No major atelectasis is identified. The endotracheal tube tip is 2.5 cm above the carina. Nasogastric tube enters the stomach. Right jugular central venous catheter tip is in the superior vena cava.,Mild left base atelectasis. No major atelectasis.,1.2.826.0.1.3680043.8.498.85083090551342158645101298374478810621
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.32671641511679285610429508286730971686
Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,Negative chest.,1.2.826.0.1.3680043.8.498.20410406756459289781694500280642232756
There is mild peribronchial thickening. There are no focal consolidations or pleural effusions. No pulmonary edema. Visualized osseous structures have a normal appearance.,Findings consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.42757506798456079650149713853467440085
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94469085392488850684399276081590081626
There is increased density at the left base compatible with pneumonia or atelectasis. The right lung field is clear. Heart size is normal. The chest is hyperexpanded compatible with reactive airway disease.,1. There is increased density at the left base compatible with pneumonia or atelectasis. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.30335592034281757320508306476550759074
There is an infiltrative density seen in the left upper lobe. The infiltrative density is rounded which would favor pneumonia. No pleural effusion is seen. The cardiac silhouette is normal size and shape. Bones appear average for age.,There is a rounded infiltrative density with rounded margins seen in the left upper lobe. This density most commonly reflects round pneumonia but I cannot exclude mass or neoplasm. Recommend follow-up after therapy to ensure clearing and resolution of the density.,1.2.826.0.1.3680043.8.498.86127469577509692053809163803702639344
Endotracheal tube and nasogastric catheter are again noted in satisfactory position. Persistent bibasilar infiltrates are identified right greater than left slightly increased when compared with the prior exam. No new focal infiltrate is seen. No bony abnormality is noted.,Slight increase in basilar infiltrates.,1.2.826.0.1.3680043.8.498.57223568871757869079213192525216244478
Lungs are clear. Cardiothymic silhouette is normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.99327308869062217286729848483771252981
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24050997675601876051012829598266356661
"Portable upright AP view 6061 hours. Stable left chest AICD. Stable cardiomegaly and mediastinal contours. Pulmonary vascular congestion without overt edema. No pneumothorax, pleural effusion, or consolidation.",Stable. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.11424431554592198455968291387278375783
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18891056429716788390242062824032525182
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.67347168893103408601681496461173534031
Low lung volumes. There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.89476365115268810157602538393103106120
Endotracheal tube is 2.5 cm above the carina. Right jugular catheter is in the right atrium. Heart size is normal. There is no pneumothorax. There is mild vascular congestion. No effusions.,Endotracheal tube in good position. Central line tip in the right atrium. No pneumothorax. Pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.65715967204020224335165177575336030599
Lungs clear. Cardiopericardial silhouette within normal limits. No airspace disease or effusion. Bones appear unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17249294838168326490716551070121990140
"Cardiac silhouette, mediastinal and hilar contours are within normal limits. There is peribronchial thickening and some streaky areas of atelectasis suggesting bronchiolitis. No focal infiltrates. No effusions. Bony structures are intact.",Findings suggest bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.12195793353800035751622755111714309119
"Stable cardiomegaly. Prior CABG. Aortic atherosclerosis. Resolution of the previously seen right upper lobe consolidation. No new airspace disease. No pulmonary edema, pleural fluid or pneumothorax. No acute osseous abnormalities.",Stable cardiomegaly. No acute abnormality. Resolution of previously seen right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.91406981470689996072567680670762316326
There is a large hiatal hernia. Bilateral pleural effusions are present. There is interstitial pulmonary edema. Lung volumes are low. Basilar atelectasis.,1. Large hiatal hernia. 2. Interstitial edema and bilateral effusions consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.66852136473853251719052211341767019653
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97034576349785430640425270869410063791
The cardiomediastinal silhouette is within normal limits. The lungs are well inflated and clear. There is no evidence of pleural effusion or pneumothorax. No acute osseous abnormality is identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15648986691102256222256661791796333400
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58925745313080199888206002999838614881
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21214227756535052944096199007736637330
The cardiomediastinal silhouette appears to be unremarkable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. There is a remote healed left-sided clavicular fracture noted. There is a questionable 1.2 cm nodular density at the left upper lung field noted.,"No evidence of acute pulmonary disease. Questionable 1.2 cm nodular density at the left upper lung field. A pulmonary nodule cannot be excluded. If clinically indicated, a follow-up noncontrast CT scan of the chest may be obtained for further evaluation.",1.2.826.0.1.3680043.8.498.49272548982802356884768476978935585916
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.43852082062160643194072725362759481058
Patchy opacity at the left lung base. The right lung is clear. Normal heart size and mediastinal contours. No pleural fluid or pneumothorax. No acute osseous abnormalities are seen.,"Patchy left lung base opacity, may reflect atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.25937814082569108219616786029842032420
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.95846667948939475357995493950844543553
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Prior CABG noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54459939190835205223790063314180269753
Left arm PICC line is in place. The tip is in the SVC. Heart is normal size. There is bibasilar atelectasis. No effusions. No acute bony abnormality.,Left PICC line tip in the SVC. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.70636666716903915214159111224455136608
Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. No pneumothorax. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52749575976815140781095153786450055799
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Subtle patchy left basilar infiltrate. Remaining lungs clear. No pleural effusion or pneumothorax.,Subtle left basilar infiltrate.,1.2.826.0.1.3680043.8.498.50899205269828003084378918765367105558
"Right IJ approach tunneled hemodialysis catheter. Catheter tips project over the distal SVC. Stable cardiomegaly. Mediastinal contours are within normal limits. Atherosclerotic calcification present in the transverse aorta. No pulmonary edema, focal airspace consolidation, pleural effusion or pneumothorax. No acute osseous abnormality.",1. Stable cardiomegaly. 2. Right IJ tunneled hemodialysis catheter in good position. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.35061034188424213929985812229157892364
The peripheral venous catheter has been pulled back and the tip is now located at the inferior cavoatrial junction. This is stable in position. The cardiothymic silhouette is within normal limits. The lung fields demonstrate an underlying pattern of mild RDS. No areas of focal atelectasis or infiltrate are seen.,Peripheral venous catheter placement as above.,1.2.826.0.1.3680043.8.498.47458154875748909226881195354052246556
Cardiac shadow is stable. Large left-sided pleural effusion is again seen. No pneumothorax is noted following right-sided thoracentesis. The right-sided effusion has improved somewhat in the interval from the prior exam. No bony abnormality is noted.,No pneumothorax following thoracentesis.,1.2.826.0.1.3680043.8.498.74735858927408530210698379910307806523
Endotracheal tube with tip approximately 4 cm above the carina. Enteric tube extends below the diaphragm with tip beyond the inferior margin of the image. Diffuse bilateral pulmonary opacities similar to prior radiograph. No large pleural effusion or pneumothorax. Stable cardiomediastinal silhouette. No acute osseous pathology.,1. Endotracheal tube above the carina and enteric tube extends into the left upper abdomen with tip beyond the inferior margin of the image. 2. Diffuse bilateral pulmonary opacities.,1.2.826.0.1.3680043.8.498.59061299345654794473896901912432626099
There is infiltrate in the lingula. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Lingular infiltrate, likely pneumonia. Lungs elsewhere clear. No adenopathy evident.",1.2.826.0.1.3680043.8.498.87858598283614693603849707842942279698
The right internal jugular venous sheath has been removed. The cardiac silhouette is upper range of normal size. The patient is status post median sternotomy and CABG. There is a small left pleural effusion with left basilar atelectasis. There is minimal atelectasis in the right lung base. No pulmonary edema is seen. There is no evidence of pneumothorax.,There is a small left pleural effusion with left basilar atelectasis. There is minimal right basilar atelectasis.,1.2.826.0.1.3680043.8.498.24694462141774274718418886950584944791
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45364281904849943831827681749910222551
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10889146197694387636104443824846159389
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51215006085460192677330738127324698027
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.19803275596951352961234580947214889317
The cardiac silhouette is normal. The lungs are clear. Colonic gas is unchanged. Mild-to-moderate small bowel gas is present. There is no free air.,Unchanged chest x-ray with no evidence of bowel obstruction.,1.2.826.0.1.3680043.8.498.87541059985521546643493770766131250823
There is perihilar airspace disease most compatible with pulmonary edema. Lung volumes are low. Small bilateral pleural effusions are present. There is atelectasis at both lung bases. Cardiopericardial silhouette is mildly enlarged.,Moderate pulmonary edema with bilateral pleural effusions and basilar atelectasis. This constellation of findings is new compared to 06/28/2002.,1.2.826.0.1.3680043.8.498.90277545427050154745198267509923454216
The heart size appears normal. Aortic atherosclerosis is noted. Small bilateral apical pneumothoraces are again noted and appear relatively unchanged from previous exam. Atelectasis is noted in the lung bases. No pleural effusion or edema.,Stable appearance of the bilateral apical pneumothorax.,1.2.826.0.1.3680043.8.498.23911712828619673455596830125704534412
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62912984326060269813746050146745929745
The cardiothymic silhouette is within normal limits. The pulmonary vasculature is normal in caliber. The lungs are hyperinflated and there is central peribronchial thickening consistent with viral pneumonia versus reactive airways disease and acute bronchiolitis. The costophrenic angles are sharp. The aortic arch is left-sided. The bony structures appear unremarkable.,Hyperinflation and peribronchial thickening consistent with acute bronchiolitis versus viral pneumonia.,1.2.826.0.1.3680043.8.498.42089193093200961144284532177254064787
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. No effusion. No displaced fracture identified.,No acute disease.,1.2.826.0.1.3680043.8.498.29626788741292899862183273818018910315
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.36144219619880391232504318550386492210
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63503223828275028967550093355811695417
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36385313102846587641160758129365983136
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42537988830881279857222703462266381700
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.78867635646613518835482860673830287328
There is central airway thickening but no focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.72838578546627812528044151864595375797
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87051397405004240109486786470859672772
The cardiac silhouette remains mildly enlarged. Lung volumes remain low with slight elevation of the right hemidiaphragm. Interstitial and ill-defined airspace opacities in both lungs have mildly improved. No sizable pleural effusion or pneumothorax is identified.,Mild improvement of bilateral lung opacities compatible with pneumonia.,1.2.826.0.1.3680043.8.498.66642906126368379558157860502764754475
Right arm PICC remains in place with its tip in the SVC above the right atrium. The heart is mildly enlarged. The aorta is unfolded. The lungs are clear. No effusions. No significant bony finding.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63813306427602252298959936692243985525
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42119479770770337642919230281956767392
Lungs are clear. Cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions. Trachea appears normal.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.26651489811474760876907039445370912907
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21125682238761275436722612270458504089
Cardiac silhouette normal in size. Thoracic aorta minimally tortuous. Hilar and mediastinal contours otherwise unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20608406905249659455874880975884974171
The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease. The visualized portions of the right thoracic cage is unremarkable.,1.2.826.0.1.3680043.8.498.65019240552085403108531375526033985986
"Lung volumes are within normal limits. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified. No acute displaced fracture identified.",No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.98084926093204663361132477608968186179
"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92871160455491721848673029154197658330
There is peribronchial thickening and abnormal perihilar aeration suggesting viral bronchiolitis. No focal infiltrates. No effusions. The heart size is normal. The visualized bony structures are unremarkable.,Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.16595580284250849537321070133811987472
Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Previously seen infiltrative changes in the right lung have resolved in the interval. No focal infiltrate is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59807328281883536502363862241076932394
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14272545943529538144552962081135553267
"The lungs are mildly hyperinflated. On the RIGHT, there is increased density at the lung base. On the LEFT, there is adequately versus fibrosis that is not greatly changed from the prior study. The heart is not enlarged. I see no pleural effusion.",1) There is increased density at the RIGHT lung base that suggests atelectasis or developing infiltrate. 2) I do not see evidence of CHF.,1.2.826.0.1.3680043.8.498.11318798386520762182366442917854531911
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92070413169081606314174805523999222774
Lungs are clear. The cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions. Trachea appears normal.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.12824332328192178271412301883411793036
Right PICC line is in place. The tip is in the mid to lower SVC. The heart is enlarged. There is no evidence for pulmonary edema. No pneumothorax is seen. Postoperative changes are noted.,Right PICC line tip in the mid to lower SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.92775980375504899601302385726911507957
There is COPD. There is increased density in the right upper lobe which is felt to be due to pneumonia. There is no effusion. The left lung is clear.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.66875875205496042531487155053471807828
Stable heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No acute pulmonary process identified.,1.2.826.0.1.3680043.8.498.62364268954913491204591574293032634699
The lungs are mildly hyperinflated. There is no focal infiltrate. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of CHF nor pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.89121653994641263896358660350588941608
"There are new patchy opacities in the right lower lobe, suspicious for pneumonia. Mild left perihilar and lower lobe interstitial opacities are also new. No pleural effusions. No pneumothorax. Heart is normal in size. Stable calcified mediastinal lymph nodes. Visualized osseous structures have a normal appearance.","New patchy infiltrates at the right lung base, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.38093961026155378957736096065811406920
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66649695893456844317454813124168087854
Lung volumes are normal. There are diffuse hazy opacities throughout the lungs bilaterally. No definite pleural effusions. Cardiothymic silhouette is within normal limits. Pulmonary vasculature is normal. Visualized bowel gas pattern is unremarkable.,Diffuse hazy opacities throughout the lungs bilaterally. Findings are suggestive of RDS.,1.2.826.0.1.3680043.8.498.94003552079197665489306418692777060975
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63264799341854034932734295421134184714
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41958555343102813688321959799607431850
The cardiac silhouette is mildly enlarged. The mediastinum is not widened or deviated. The lungs are clear with mild chronic interstitial changes.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.74040307735482984703398778731891521988
"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51188110561732943001051704474967434213
"Normal heart size. Normal mediastinal contour. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema. Visualized osseous structures appear intact.",No active disease.,1.2.826.0.1.3680043.8.498.28809231145631221646460532617471625589
Tip of intra-aortic balloon pump projects 2.8 cm below aortic arch. Swan-Ganz catheter with tip projecting over proximal right pulmonary artery. Stable heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax.,No pneumothorax following intra-aortic balloon pump placement. Tip of Swan-Ganz catheter projects over proximal right pulmonary artery.,1.2.826.0.1.3680043.8.498.84252943274596244764591784313959742960
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30485358916729151717660122965154955203
"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. Right-sided chest port-A-cath is noted. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.45986250223926840138345920469829372553
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.44017183875261566573139036185725731813
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14401767820665047132482573298162953516
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.55890498053976354163315110735327904709
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.70840978794372824097068607891994469165
"Left-sided AICD/AICD in place. Stable cardiomegaly. Mediastinal silhouette within normal limits. Lungs hypoinflated. Diffuse vascular congestion with indistinctness of the interstitial markings, compatible with pulmonary edema. Superimposed right basilar infiltrate could reflect pneumonia. No definite pleural effusion. No pneumothorax. No acute osseus abnormality.","1. Cardiomegaly with pulmonary edema. 2. Superimposed right basilar infiltrate, which could reflect pneumonia.",1.2.826.0.1.3680043.8.498.73679157487818321470160971172090453463
Shallow inspiration. Normal heart size and pulmonary vascularity. Tortuous aorta. Lungs are clear. No pneumothorax. No blunting of costophrenic angles. Degenerative changes in the spine and shoulders.,No evidence of active pulmonary disease.,1.2.826.0.1.3680043.8.498.60647632732492187335798547111592335549
Mediastinum and hilar structures normal. Heart size stable. Low lung volumes. No pleural effusion or pneumothorax. No acute bony abnormality.,"Low lung volumes, no acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.94584189486272240588911310461914171801
Mediastinum and hilar structures normal. Cardiomegaly with pulmonary vascular prominence and bilateral interstitial prominence with small right pleural effusion. Findings consistent with congestive heart failure. No pneumothorax. Right IJ line in stable position.,1. Cardiomegaly with bilateral from interstitial prominence and pulmonary vascular prominence consistent with congestive heart failure. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.20844962710665311722490105910957021164
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. There is linear atelectasis or scarring in the lingula. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.93166907056627368753192873970592818413
Multiple pulmonary metastatic lesions throughout both lungs. This appears grossly similar to the prior CT scan allowing for differences in technique. No definite acute infiltrate although that is difficult to completely exclude given the extent of disease. Small left pleural effusion. Heart size and vascularity are normal.,Extensive metastatic disease in both lungs. No acute infiltrates.,1.2.826.0.1.3680043.8.498.73739926665486300644386131627973581950
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48032427975920614940210290084440488264
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10004824712896617214337779992443467800
Heart size is normal. The mediastinum is unremarkable. There is bronchial thickening but no consolidation or collapse. No effusions. No significant bony finding.,Bronchitis without evidence of consolidation or collapse.,1.2.826.0.1.3680043.8.498.66876917191386972124963627522103763366
"There is a left lower lobe opacity, which is new since the previous study and concerning for pneumonia. No pneumothorax or pleural effusion is seen. The heart is normal in size. The mediastinum appears intact.",Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.94919598578063676263503621349103219729
The left upper extremity PICC has been retracted with the tip at the cavoatrial junction. Bibasilar atelectasis is stable. The heart remains enlarged.,Left upper extremity PICC retracted into the SVC.,1.2.826.0.1.3680043.8.498.33891713485778763630815589602459704611
Persistent opacity in the left lower lobe consistent with pneumonia. No pleural effusion. Normal heart size. No pneumothorax.,Persistent left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.55237053523224619535346748570447142341
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.23113459692457835324567735012463426048
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.62976278887989325903177839491476399419
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69983956541552391135093308869866188794
"The cardiac and mediastinal contours are unremarkable. There is no evidence of acute consolidation, congestion, or pleural effusions. No acute displaced fracture.","No acute consolidation, congestion, or pleural effusions.",1.2.826.0.1.3680043.8.498.32783154593355992597017307825558161652
Endotracheal tube is 5.6 cm above the carina. Right central line is been placed with the tip in the SVC. No pneumothorax. Right lower lobe airspace opacity is unchanged. No effusions.,Right central line tip in the SVC. No pneumothorax. Stable right lower lobe opacity.,1.2.826.0.1.3680043.8.498.52763200745862347716376870701591962707
The lungs are clear. Heart size is upper normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.90250730873073583902429095039470038063
There is airspace disease in the left lower lobe with a small left pleural effusion. There is mild right basilar atelectasis. The lungs are otherwise clear. Heart size and pulmonary vascularity are normal. No bone abnormality.,Left lower lobe pneumonia. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.21647324116405752317880328019879874820
The cardiothymic silhouette is normal. The lungs are suboptimally inflated but clear. There is no pleural effusion or pneumothorax. The osseous structures appear normal.,No active cardiopulmonary process demonstrated.,1.2.826.0.1.3680043.8.498.17139105701395926294179090467680420897
"Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Right internal jugular central line has its tip in the SVC above the right atrium. Extensive airspace consolidation is again seen in the right lung, probably worsened since the earlier study. Left lung is clear. No pneumothorax.","Lines and tubes satisfactory. Extensive right lung airspace consolidation, probably worsened since the earlier study.",1.2.826.0.1.3680043.8.498.89694010060947549245152794027285591228
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43104478996302012556521882106395651286
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pleural effusion or consolidation. No confluent pulmonary opacity. No definite central peribronchial thickening. Negative for age visible bowel gas and osseous structures.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.91542077877048761658576500034889873866
Left upper extremity PICC line tip is in the mid superior vena cava. Stable cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Thoracic spine degenerative changes.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.67668471053776854911732983241415360465
Endotracheal tube and nasogastric tube have been removed. Swan-Ganz catheter tip is in the proximal right pulmonary artery. Mediastinal drains and left chest tube are in place. No evidence for pneumothorax. Left basilar atelectasis. Heart size is enlarged.,Status post extubation. No evidence for pneumothorax.,1.2.826.0.1.3680043.8.498.51401039681561729853575893116416779404
Portable semi upright AP view 6836 hours. Stable left chest tube. Small volume left chest wall subcutaneous emphysema. Interval worsening of left lung ventilation with confluent perihilar and basilar opacity. No definite pneumothorax. Probable left pleural effusion. Bullet fragment projects over the left upper quadrant. Stable cardiac size and mediastinal contours. The right lung is grossly clear.,"1. Stable left chest tube. No pneumothorax. 2. Worsening left lung opacity, favor atelectasis and pleural effusion.",1.2.826.0.1.3680043.8.498.53833561492038516726508793403685756972
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60941859633838072877744007749709206832
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.35658229289286676210402162251605169553
"Mild diffuse granular pulmonary opacity is again seen bilaterally, consistent with mild RDS. There is no evidence of focal consolidation or pleural effusion. Heart size is normal. Orogastric tube is seen with tip in the mid stomach.","Mild RDS, without significant change.",1.2.826.0.1.3680043.8.498.47419402372038310538344515787674191753
There is a mass in the right upper lobe with post-obstructive pneumonitis of the right upper lobe. The left lung is clear. No effusion. The heart size is normal.,Right upper lobe mass with post-obstructive pneumonitis. Findings are worrisome for neoplasm.,1.2.826.0.1.3680043.8.498.91581062848297009156164651140287361653
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.46700784231759540908216403658270090076
Shallow inspiration. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,No active disease.,1.2.826.0.1.3680043.8.498.38035041596414574229133307375371340121
There is airspace consolidation in the right upper lobe with volume loss. There are small bilateral pleural effusions. There is mild left base atelectasis. There is mild cardiomegaly. Pulmonary vascularity is normal. No adenopathy. There is atherosclerotic change in the aorta. There is degenerative change in the thoracic spine.,Right upper lobe consolidation with volume loss. This area of consolidation is concerning for neoplasm as there has been some volume loss in this area. Small pleural effusions bilaterally. Mild cardiomegaly. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.46503425835170422266991869255111904823
Nasogastric tube is in place with the tip located in the region of the mid body of the stomach. A left IJ central line is stable in position. The lung volumes are low. The left hemidiaphragm remains elevated. There is bibasilar atelectasis with a probable right pleural effusion. The heart size is stable.,1. Stable appearance of the chest with low lung volumes and basilar atelectasis. 2. Probable right pleural effusion. 3. Support apparatus stable.,1.2.826.0.1.3680043.8.498.58586406348551609581703773618566361678
The heart and mediastinum are within normal limits. There are mild perihilar reticular opacities. No focal pulmonary opacities.,Findings of reactive airways disease.,1.2.826.0.1.3680043.8.498.16204379833212219593372767406065475014
"Upper normal heart size post CABG. Mediastinal contours and pulmonary vascularity normal. Minimal scarring at lingula. Lungs otherwise clear. No infiltrate, pleural effusion or pneumothorax. Bones appear demineralized.",Post CABG. No acute abnormalities.,1.2.826.0.1.3680043.8.498.13643993414832155481241939901868233018
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29326109843023506061307421129814842930
"The cardiomediastinal silhouette is unremarkable. This is a low volume film. LEFT basilar atelectasis/scarring noted. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute abnormality.,1.2.826.0.1.3680043.8.498.59165567356060703294571311304115160611
"Patchy airspace disease is seen in the right upper lobe and right middle lobe, suspicious for pneumonia. Left lung is clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.","Right upper and middle lobe airspace disease, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.38018826302678283488048931791898768666
Left PICC line in stable position. Cardiomegaly with diffuse bilateral pulmonary infiltrates/edema and bilateral pleural effusions again noted. Interim improvement from prior exam. No pneumothorax.,1. Left PICC line stable position. 2. Persistent cardiomegaly. Diffuse bilateral pulmonary infiltrates/edema and bilateral pleural effusions again noted. Interim improvement from prior exam. Findings consistent with improving CHF.,1.2.826.0.1.3680043.8.498.59830253802812078778725604205655380851
There is infiltrate in the right lower lobe consistent with pneumonia. The heart size is normal. The left lung is clear. No pleural effusion or pneumothorax. No acute osseous abnormality.,Right lower lobe pneumonia. Follow-up to clearing is recommended.,1.2.826.0.1.3680043.8.498.67075864072589679456466945666222984137
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60271555076582416829820527882496731346
The heart is enlarged. There is pulmonary venous hypertension with mild interstitial edema. A small right pleural effusion is noted. There is right base atelectasis. The left lung is clear. The bony structures are unremarkable.,1. Cardiomegaly and mild edema. 2. Small right effusion and right base atelectasis.,1.2.826.0.1.3680043.8.498.11386263676986983955933149533539951564
An endotracheal tube is appreciated with the tip at the level of the clavicles. There is thickening of the interstitial markings as well as an element of peribronchial cuffing. No focal regions of consolidation are demonstrated. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Endotracheal tube in an appropriate position. 2. Findings consistent with an element of pulmonary edema.,1.2.826.0.1.3680043.8.498.48338481289282892516137413791661465763
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58448043824638179675046215383035460639
"The heart is enlarged. There are postsurgical changes of median sternotomy. There is a cardiac pacemaker. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is a right internal jugular Port-A-Cath with the tip in the SVC.",Cardiomegaly. No acute process.,1.2.826.0.1.3680043.8.498.37195716886475428123107617249878194929
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98155474625776937191935875221248929478
A new enteric tube is seen with tip in the mid stomach. Heart size is normal. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The bowel gas pattern is normal.,New enteric tube in appropriate position. No active lung disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.88327049973162486901001479254471287181
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.79877657802902519437122895955657338433
OG tube is in the stomach. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax. No bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.15858480466240658155528679707213002156
The lung volumes are low. Heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified.,Low lung volumes.,1.2.826.0.1.3680043.8.498.50493684971057299161233399263409481033
The heart is enlarged. There is no evidence for failure. The lungs are clear. There is no evidence for pneumonia. Degenerative changes are seen in the shoulders.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86057604110371503214809863969332543193
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42519460426800034896969833913174937766
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20538790876881798081687526321679982296
"There is cardiomegaly. Bilateral pleural effusions are again noted, right greater than left. There is vascular congestion and mild interstitial edema. The findings are similar to prior study, with slight improvement in the upper lung zones.","Mild CHF pattern, stable to slightly improved from prior. Bilateral effusions, right greater than left.",1.2.826.0.1.3680043.8.498.21957868145543580488165350572032344526
Heart size within normal limits. No definite congestive heart failure. There are chronic lung changes with some scarring at the bases. No acute process. No pleural fluid or osseous lesions.,Chronic lung changes - no active disease.,1.2.826.0.1.3680043.8.498.57641203893058036385400346951913679872
Cardiac shadow is enlarged. Increasing consolidation is noted in the right lung consistent with the recent bronchoscopy. No pneumothorax is noted. Increasing left basilar infiltrate is seen as well. No bony abnormality is noted.,No pneumothorax following bronchoscopy. Increasing bilateral infiltrates right greater than left.,1.2.826.0.1.3680043.8.498.26346148565354672648883493601118655182
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.38301698525904254695869158432468416474
"Heart size is normal. No pleural effusion or pulmonary edema. There is central airway thickening. Airspace opacity is identified within the right middle lobe, suspicious for pneumonia.",1. Right middle lobe pneumonia. 2. Central airway inflammation.,1.2.826.0.1.3680043.8.498.51612526909002870000394563293860757234
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80562770653363354367334935871377565301
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96562910569129625563582581665211025866
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57713158988735280922403731550279084883
Stable normal cardiac silhouette. Left upper lobe opacity again noted consistent with mass. Small left pleural effusion. No new consolidation or pneumothorax. Stable right port catheter tip projects over lower SVC. Bones are unremarkable.,Left upper lobe mass and small left pleural effusion. No new consolidation identified.,1.2.826.0.1.3680043.8.498.14565940658465189747840260505226736419
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.81062304088335121834870468218949772173
Small bilateral pleural effusions. Patchy airspace disease at the left base. Normal heart size. No pneumothorax.,"Small bilateral pleural effusions and patchy airspace disease at the left base, unchanged. This may represent atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.12630441819996436792883038809421654935
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Moderate scoliosis of thoracic and lumbar spine is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20061178347713603996167688641463704655
Tracheostomy tube and right PICC line in stable position. Cardiomegaly. Diffuse bilateral pulmonary infiltrates/edema again noted. No pleural effusion or pneumothorax.,1. Lines and tubes in stable position. 2. Persistent bilateral pulmonary infiltrates/edema.,1.2.826.0.1.3680043.8.498.72362017398802445528659788188169494836
Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.20098878641672918962155087813146687985
"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20998999580479396484232781205766461786
Cardiomediastinal silhouette within normal limits. No evidence of central vascular congestion. No pneumothorax or pleural effusion. No confluent airspace disease. No displaced fracture.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.51838969226454139151673099196738958358
"There is persistent opacity at the right lung base, likely atelectasis and chronic interstitial coarsening. Opacity at the left lung base has improved, likely due to resolving pneumonia. There is no pulmonary edema. No pleural effusion or pneumothorax. Stable cardiomegaly.",1. Resolved left lower lobe pneumonia. Continued followup is suggested. 2. Chronic interstitial coarsening. 3. Mild atelectasis at the right lung base.,1.2.826.0.1.3680043.8.498.81869500612294402210872089084799790831
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.80172710992493244459854457839362215550
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. Bilateral perihilar infiltrates are noted. No lung mass, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",No change in bilateral infiltrates.,1.2.826.0.1.3680043.8.498.40000481164840776713791879520753030231
Cardiac and mediastinal silhouettes are within normal limits. Lungs normally inflated. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95483965255530883017794381356476978666
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.88755119797166652397077125185127055970
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75650588951063416800208141900932597141
"The lungs are clear. There is no evidence of pulmonary infiltrate or pleural effusion. A 3.5 cm opacity is seen in the right upper lung field, which is suspicious for pulmonary neoplasm. Chest CT without contrast is recommended for further evaluation. The heart size is within normal limits. No evidence of pneumothorax.",1. No acute findings. 2. Right upper lobe mass-like opacity. Chest CT without contrast recommended for further evaluation.,1.2.826.0.1.3680043.8.498.77084609628902450924430071576640607061
Endotracheal tube tip is 2.2 cm above the carina. Nasogastric tube enters the stomach. Low lung volumes. There is patchy infiltrate in the lung bases. No dense consolidation. No effusion. Heart size upper limits normal. Regional bones unremarkable.,1. Endotracheal tube and nasogastric tube in expected location. 2. Patchy basilar infiltrate.,1.2.826.0.1.3680043.8.498.77640348878721375289971178949895328861
The heart size and mediastinal contours are within normal limits. Atherosclerosis of the aortic arch. No pneumothorax or pleural effusion is noted. Left lung is clear. Mild right basilar opacity is noted concerning for pneumonia or atelectasis. The visualized skeletal structures are unremarkable.,Mild right basilar pneumonia or atelectasis. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.16209074048161871879584860390153659540
There is diffuse airspace opacity involving the right lung. Minimal left lung base atelectasis noted. No pleural effusion or pneumothorax. Top-normal cardiac size. No acute osseous pathology.,Right lung airspace disease likely represents pneumonia. Asymmetric edema is not excluded. Clinical correlation is recommended.,1.2.826.0.1.3680043.8.498.95110129080030168757040840915093528937
UVC tip is at the IVC right atrial junction. UAC tip is at T7-8. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax. Normal bowel gas pattern. No bony abnormality.,No acute findings.,1.2.826.0.1.3680043.8.498.19481798111266795559484884609860544669
Endotracheal tube tip is 2.2 cm above the carina. Nasogastric tube tip and side port are in the stomach. Central catheter tip is in the superior vena cava. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Persistent left base atelectasis. No new opacity. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.39705837666351822161222546083293665374
"The patient has had median sternotomy and CABG. The heart is normal in size. The lungs are clear. No edema, infiltrate or pneumothorax.",No active disease.,1.2.826.0.1.3680043.8.498.48323460963028866053484024533934018821
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32209768714391638925423187561023355348
Single view of the chest demonstrates bilateral calcified pleural plaques. There are additional areas of patchy opacities in the right mid and lower lung. No pneumothorax. No significant pleural effusion. Cardiac silhouette is enlarged. Postsurgical changes of the mediastinum are demonstrated.,Patchy opacities in the right mid and lower lung may represent atelectasis or developing infiltrate.,1.2.826.0.1.3680043.8.498.38325669475118349457814272784396334583
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13358533225500753997062854661614810111
"A metallic foreign body is seen in the midline at the level of the thoracic inlet, consistent with the patient's history of swallowed pen. The heart size and mediastinal contours are within normal limits. Both lungs are clear.","Metallic foreign body in the midline at the level of the thoracic inlet, consistent with the patient's history of swallowed pen.",1.2.826.0.1.3680043.8.498.24302598163520771263817237305095625319
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58139618209588350282639374056870467272
The lungs are adequately inflated. There is increased density in the right infrahilar region anteriorly. The left lung is clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,Right lower lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.71510461116725516495697623727446564320
OG tube is in place with the side port in the stomach in good position. There is mild diffuse haziness the chest which could represent mild atelectasis or edema. No pneumothorax or pleural effusion. Cardiac silhouette appears normal. No bony abnormality.,Mild diffuse haziness of the chest compatible with atelectasis or edema. OG tube in good position.,1.2.826.0.1.3680043.8.498.45038688204276713874768984600186701986
"Cardiovascular: The heart size and pulmonary vascularity are normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.18710032200681066229875213537430263458
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.55268977930070189514450380219502687749
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33283734803498477014422604265990860280
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99226930237905928851650512655617409607
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.45730386519881146780948414572176550022
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.68771357256806107464452176964485916492
The patient has developed bibasilar airspace disease since the prior study. Small bilateral pleural effusions are present. There is vascular congestion. The heart is mildly enlarged.,1. New bibasilar airspace disease worrisome for pneumonia. 2. Small bilateral effusions and mild vascular congestion.,1.2.826.0.1.3680043.8.498.42808749539850266051537534521501500147
"Mild cardiomegaly. Normal mediastinal contours. Mild vascular congestion. No pulmonary edema. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Cardiomegaly with vascular congestion.,1.2.826.0.1.3680043.8.498.65411150074596351252625340375077654678
The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.71501961412818427082943506207634222209
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81670045041196228299065163703966515001
"The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.17671505562880572500987333783219066279
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.26867665414471182657367021255570734473
The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.53779878307942046701538699385074531567
"Portable AP view at 4899 hours. Enteric tube placed, tip at the level of the gastric body. Stable cardiothymic silhouette. Larger lung volumes. Diffuse increased granular pulmonary opacity. No pneumothorax, pleural effusion or consolidation. Visible bowel-gas pattern and osseous structures are within normal limits.",1. Enteric tube placed into the stomach. 2. Larger lung volumes with diffuse pulmonary granular opacity compatible with RDS.,1.2.826.0.1.3680043.8.498.45069570121907951009109014856065541899
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.54992613892685066752374873179540039070
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67851682817970222074146701593839535396
The heart is enlarged. There is no heart failure. The lungs are clear without infiltrate or effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62314811217561055781040332710941726348
The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions.,No active disease.,1.2.826.0.1.3680043.8.498.37416792001971977230181848483195877380
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79510429551287812064089399610966688185
Lung volumes and mediastinal contours are stable and within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. Bone mineralization is within normal limits. Oblique views of the left ribs. Bone mineralization is within normal limits. No displaced left rib fracture identified. Other visible osseous structures appear intact (no other left rib fracture identified). Negative visible bowel gas pattern.,1. No displaced left rib fracture identified. 2. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.25461830607358415651632230361561388058
The heart size and mediastinal contours are normal without evidence of mediastinal hematoma. The lungs are clear. There is no pleural effusion or pneumothorax. No acute fractures are identified.,No evidence of acute chest injury.,1.2.826.0.1.3680043.8.498.53782979526234075118592659361226276904
The lungs are clear. Cardiomegaly is stable. There is no evidence of congestive heart failure.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.50774653743628837200586724171804807014
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39905871096921314830624144971965520368
The lungs are under-inflated. There is no pneumothorax. The heart is enlarged. There is mild vascular congestion. Bibasilar atelectasis is noted.,Low lung volumes. No pneumothorax. Mild vascular congestion. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.45381797880677615676037217781505810069
"Stable cardiac and mediastinal contours. Mild bronchitic changes are present in the lungs. No focal airspace consolidation, pleural effusion or pneumothorax. No evidence of pulmonary edema. No acute osseous abnormality.",1. No acute cardiopulmonary process. 2. Mild bronchitic changes.,1.2.826.0.1.3680043.8.498.15656995700323656453145151595498744399
Cardiomediastinal silhouette is stable. There is hazy airspace disease probable infiltrate/pneumonia in left upper lobe. Right lung is clear. There is right Port-A-Cath with tip in distal SVC. No pneumothorax.,Hazy airspace disease probable pneumonia in left upper lobe. Follow-up to resolution after appropriate treatment is recommended.,1.2.826.0.1.3680043.8.498.43319272266804652301289622440909402600
Large right pleural effusion has increased in size. There is a moderate left pleural effusion which is stable. There is vascular congestion. The heart is enlarged. Mitral valve prosthesis is unchanged. Left-sided pacemaker is unchanged.,Interval increase in right effusion.,1.2.826.0.1.3680043.8.498.19728331998134325808677070936127877111
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.43024172812727955659422527770706487152
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41764760754030455523876027518167718129
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78071332099994248805456631029348701282
There is a new moderate size left pleural effusion with left lower lobe atelectasis. The right lung is clear. There is no pneumothorax. The heart size and mediastinal contours are stable with aortic atherosclerosis. There is no evidence of heart failure.,New moderate left pleural effusion with left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.25262586137633540730567865142754629236
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14263265795885348149904573261618300551
Central catheter tip is in the superior vena cava. No pneumothorax. There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aortic arch.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.44456123860711712502690774412991777801
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33887687029842234135233809638676250992
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.88332612117355902787459852374685117472
There is cardiomegaly. The patient is status post CABG. Left basilar atelectasis present. No effusions. No edema. No acute bony abnormality.,"Cardiomegaly, left base atelectasis.",1.2.826.0.1.3680043.8.498.28819428489228030658752115759751330078
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits. Calcified granulomas in the right lung and calcified mediastinal lymph nodes.,Negative.,1.2.826.0.1.3680043.8.498.20827710753552079418671556244166286559
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83107819342285318931992073170611660761
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38571533034412491112773972760743750965
Heart size is stable. Aortic atherosclerosis again noted. Interstitial and airspace opacities are stable in the left lung but improved throughout the right lung. No pleural effusion or pneumothorax. No acute bony abnormality.,"1. Interstitial and airspace disease, improved throughout the right lung but stable in the left lung. Findings may reflect asymmetric edema or infection. 2. Stable cardiomegaly. 3. Aortic Atherosclerosis (ICD10-I70.0).",1.2.826.0.1.3680043.8.498.21409495221854465789041454443964574162
Shallow inspiration. Cardiac enlargement. No pulmonary vascular congestion. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,Shallow inspiration. Cardiac enlargement. No active disease.,1.2.826.0.1.3680043.8.498.23977755127338112249185253811101221353
The heart is enlarged. There are perihilar congestive changes and bilateral pleural effusions. There is no pneumothorax. A pacemaker is present. The lungs are well expanded.,Congestive changes and bilateral pleural effusions appear similar.,1.2.826.0.1.3680043.8.498.15568700460486481931377138746814630154
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61897106022777423596766306919257924524
The patient has taken a shallow inspiration. Areas of increased density project within the right and left lung bases. There is thickening of the interstitial markings as well as peribronchial cuffing. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Shallow inspiration. 2. Atelectasis versus infiltrate within the lung bases. 3. Findings likely representing a component of pulmonary edema. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.57151918964920676968079702925730671924
Right-sided PICC line has been inserted and the tip is in the superior vena cava. Heart size and vascularity are normal and the lungs are clear. No bony abnormality.,"PICC line in the superior vena cava. Otherwise, normal chest.",1.2.826.0.1.3680043.8.498.39453701364925645245776756668933805919
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20967532319536685718618309102252410098
"The lungs are hyperinflated. Honeycomb changes are seen at the lung bases, consistent with chronic interstitial fibrosis. There are also patchy areas of lung opacity in the right mid lung and right lower lobe, which are stable. The left lower lobe opacity has improved.",1. COPD. 2. Chronic interstitial changes at the lung bases. 3. Stable areas of abnormal lung opacity on the right. The left lower lobe is improved.,1.2.826.0.1.3680043.8.498.68322627532969471484824487323951787220
"Single frontal view of the chest demonstrates an unremarkable cardiac silhouette. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.73870354993918768427715005795675613629
The heart is normal. The lungs are clear. Osseous structures intact.,No active disease.,1.2.826.0.1.3680043.8.498.24825811343607735513444604096279065257
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.81541817924993432813534756017812459235
"AP portable chest demonstrates clear lungs, without consolidation, edema, effusion or pneumothorax. The cardiothymic silhouette is normal. The bones and soft tissues are also normal.",Normal chest.,1.2.826.0.1.3680043.8.498.68221624194050547231512199405217497179
Endotracheal tube is 4.6 cm above the carina. NG tube enters the stomach. Heart size and vascularity are normal. Interstitial markings are accentuated bilaterally. No discrete infiltrates or effusions. No acute osseous abnormality.,Endotracheal tube and NG tube appear to be in good position. Chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.29965592095990392479163142700512254306
The right IJ catheter sheath has been removed. The heart size is enlarged. The patient is status post median sternotomy and CABG procedure. Bilateral pleural effusions are again noted. There is no significant pulmonary edema. There is atelectasis at both lung bases.,1. Bilateral pleural effusions with overlying atelectasis. 2. No evidence for pneumothorax.,1.2.826.0.1.3680043.8.498.68221133992627692082374343203514531922
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.27081508455307994851294413491587452983
There is elevation of the left hemidiaphragm with left basilar atelectasis. Right lung is clear. Heart is upper limits normal in size. No effusions. No acute bony abnormality.,Elevated left hemidiaphragm with left base atelectasis.,1.2.826.0.1.3680043.8.498.53943199979180531913211950349818760238
Lung volumes are low. There is linear atelectasis at both lung bases. The lungs are otherwise clear. No pleural effusions. Pulmonary vasculature is normal. Hilar and mediastinal contours are unremarkable and unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54788463632529551028627068223484591374
Low lung volumes. No consolidation or effusion. Normal heart size. No pneumothorax.,Low lung volumes. No acute infiltrate.,1.2.826.0.1.3680043.8.498.21300725212295660130091807753917072083
"EKG leads project over the patient's chest. The patient is status post coronary artery bypass graft surgery. Heart size is difficult to evaluate on the AP projection. Congestive heart failure persists, but appears to be slightly improved. Small bilateral pleural effusions are present.","Congestive heart failure, slightly improved.",1.2.826.0.1.3680043.8.498.39130215995153262881871982507891186739
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs minimally hyperinflated but clear. No pulmonary infiltrate, pleural effusion, or pneumothorax. Osseous mineralization normal. No definite sternal abnormalities identified.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.17460967780319372767875484247762862186
The heart is mildly enlarged. The lungs are clear. No pneumothoraces or effusions are seen. Pulmonary vascularity is within normal limits.,Cardiomegaly without CHF.,1.2.826.0.1.3680043.8.498.88222712313129466705110186679920683880
There is elevation of the right hemidiaphragm. Both lungs are clear. No evidence of pleural effusion. Heart size is normal. No mass or lymphadenopathy identified.,Elevation of right hemidiaphragm. No active disease.,1.2.826.0.1.3680043.8.498.61814372046771845191303206720513546303
Mild cardiomegaly stable. Both lungs are clear. No evidence of pulmonary edema or other infiltrate. No evidence of pleural effusion. Ectasia and atherosclerotic calcification of the thoracic aorta is unchanged. Old right posterior rib fracture deformities again seen.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.71816519497828529069256391202883410211
"There is emphysematous changes of the lungs. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41349809618933206742658645708061940304
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50343017825179784069931095715224361262
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.16091484156025912804163886243281699470
The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.23380773675752397444790054907601818659
The heart is normal in size. The lungs are clear. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84190558966443795301835322489832255536
The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.29043773197047072648567366683811473070
"The heart is normal in size. The aorta is tortuous and calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.68161224804637154260681362499841149096
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38886060454185942609161075436512685364
Normal sized heart. Clear lungs. No fracture or pneumothorax seen.,No acute abnormality.,1.2.826.0.1.3680043.8.498.27995570771763024822813115255564507067
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99111244468208964423694848985941545934
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71285516104883423090907270745878927434
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.35247409486329019471296169217186225709
There is a new implanted defibrillator with lead overlying the right ventricle. There is no evidence of pneumothorax. Both lungs are clear. There is no evidence of pleural effusion. The heart size is normal.,New implanted defibrillator in appropriate position. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42600221855581931781270375537468834045
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37368099570928481535237104992323858519
There is patchy airspace disease bilaterally primarily in the upper lobes but also in the right middle lobe and possibly the lingula. There does appear to be a small left effusion and possibly a small right one as well. The heart is mildly enlarged. The bones are osteopenic.,Patchy airspace disease bilaterally. Favor pneumonia. Cannot completely exclude edema. Small left effusion.,1.2.826.0.1.3680043.8.498.11339050454658555579882537380036500914
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30067965483078391274169092388063584670
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60797929047674827696571171979130923735
There is again noted increased density at the RIGHT base compatible with a RIGHT pleural effusion. The effusion appears slightly less prominent than on the prior exam. No new pulmonary infiltrates are seen. No pulmonary edema is noted. The heart is mildly enlarged but stable as compared to the prior exam. A cardiac pacemaker is present.,1. There is a RIGHT pleural effusion which obscures approximately the lower 20% of the RIGHT lung field. The effusion appears slightly less prominent than on the prior exam. 2. No new pulmonary infiltrates are seen. 3. A cardiac pacemaker is present.,1.2.826.0.1.3680043.8.498.92080300539611001659227867208047168079
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12123247241045719057762298392001300403
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Patchy ill-defined airspace opacity in the right lower lobe suspicious for pneumonia. Streaky left basilar atelectasis. No pleural effusions. The bony thorax is intact.",Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.14231155731507711946613114418251639629
Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease,1.2.826.0.1.3680043.8.498.97164897970474063991776415039537018421
"AP portable upright view 8886 hours. Slightly shallow lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. Allowing for portable technique, the lungs are clear. No pneumothorax or pleural effusion.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.44371616402147343899314072901251440807
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98568555147887544143208226668766962832
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.63960411679499075511860770408626753095
"Heart size is normal. The mediastinum is unremarkable. There is bronchial thickening but no infiltrate, collapse or effusion. No significant bony finding.",Bronchitis without consolidation or collapse.,1.2.826.0.1.3680043.8.498.29191400945301782581049912163141801733
The heart is upper normal in size. The lungs are clear. Pulmonary vascularity is within normal limits. No pneumothoraces or effusions are seen. Multiple surgical clips are seen at the left axilla.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52686839106487243247828858704403466570
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78174253225264209721493752709760150937
There is thickening of the interstitial markings as well as peribronchial cuffing. An area of consolidative density projects within the left lung base. There is blunting of the right costophrenic angle. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Findings consistent with pulmonary edema. 2. Atelectasis versus infiltrate left lung base as well as possibly a small left effusion. 3. Small right effusion. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.25077262635696523536887520252564573315
The lungs are mildly hyperinflated. There is no focal infiltrate. The heart is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of CHF nor pneumonia.,1.2.826.0.1.3680043.8.498.86183808626692829209072886529264789213
There has been interval removal of the endotracheal tube and nasogastric tube. Right-sided Port-a-cath remains in place. There are low lung volumes with bibasilar atelectasis and bilateral pleural effusions. No pneumothorax.,Bibasilar atelectasis and effusions.,1.2.826.0.1.3680043.8.498.38781874624703143282339316010744942396
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.30251319830502673649339210755763996350
There is confluent alveolar opacity in the posterior aspect of the right upper lobe. The remainder of the right lung is clear. The left lung is clear. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,Right upper lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.63494263919397107080834058641815868987
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68439910819001270998527780282883281161
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.57776164946115204022646853596060784698
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60338138499887776513307309320588835926
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.96793337288508469548205155280189224148
"There is a left-sided pacemaker with leads overlying the right atrium and right ventricle. There is a moderate size left pleural effusion, increased from the prior exam. This obscures the left base. No pneumothorax is identified. The right lung appears clear. Heart size is difficult to evaluate given the left basilar airspace disease. No pulmonary edema.","Moderate left pleural effusion with left basilar airspace disease, likely atelectasis. Cannot exclude pneumonia.",1.2.826.0.1.3680043.8.498.54760022704496308370913000381512977555
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25492107412127052020419217423049148831
There is a large pneumothorax on the right. There is atelectatic change in the right upper lobe. There is no appreciable tension component. There is underlying emphysema. There is mild scarring in the left upper lobe. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Large right pneumothorax without tension component. Areas of atelectasis on the right. Underlying emphysema. No edema or consolidation. Heart size normal.,1.2.826.0.1.3680043.8.498.95216928551246181064444971081580459608
Moderate left pleural effusion with adjacent atelectasis. Small right pleural effusion. Improved interstitial edema. No pneumothorax. Cardiomegaly.,1. Moderate left pleural effusion that is similar to 3 days ago. 2. Small right pleural effusion. 3. Improved pulmonary edema.,1.2.826.0.1.3680043.8.498.92189408680519879124320831987930654011
Right chest tube in place. Small right apical pneumothorax. Mild right upper lobe atelectasis. The left lung is clear. Normal heart size and mediastinal contours. No pleural fluid.,Small right apical pneumothorax with chest tube in place.,1.2.826.0.1.3680043.8.498.34958427507540599576346438848013550386
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72221305830373249656009899846842605589
Interval placement of left subclavian pacemaker with leads terminating over the right atrium and right ventricle. No pneumothorax. The heart size and mediastinal contours are stable status post CABG. The lungs are clear. There is no pleural effusion.,1. Pacemaker placement as described. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.26942521401450145047825019863881344143
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54980628890025835003474809192870736945
Right arm PICC line is in place with the tip in the SVC. The lungs are clear. No effusions. Heart is normal size.,Right arm PICC line tip in the SVC. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50288758519504625817720801138811525520
Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.85034556931454243211304825747611634015
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31251280878174923742116977698684590461
Endotracheal tube tip is 5.6 cm above the carina. Nasogastric tube enters the stomach. Swan-Ganz catheter tip is in the right main pulmonary artery. Pacemaker leads appear the same. Left chest tube is in place. No pneumothorax. Left lower lobe atelectasis. Mild right base atelectasis.,Lines and tubes well positioned. No pneumothorax. Left lower lobe atelectasis. Mild right base atelectasis.,1.2.826.0.1.3680043.8.498.95754174675374554560939772129504163757
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.29325156831727762924238032822474405498
Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Large hiatal hernia. Pulmonary vasculature and the cardiomediastinal silhouette are otherwise within normal limits.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Large hiatal hernia.,1.2.826.0.1.3680043.8.498.95049529122911683198743889650646346734
There is increased density at both lung bases suggestive of atelectasis versus pneumonia. There is no effusion or pneumothorax. The heart is normal. The bony and mediastinal structures are unremarkable.,Bibasilar pneumonia versus atelectasis. Correlate for clinical and laboratory data.,1.2.826.0.1.3680043.8.498.86180965919348737667651038430193296475
There is perihilar peribronchial thickening. Focal opacity at the left lung base is consistent with atelectasis or developing infiltrate. No pleural effusions are identified. No pulmonary edema.,1. Bronchitic changes. 2. Left lower lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.87650172110636533354586585932569285488
Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. No pneumothorax. Visualized skeletal structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23593840653746346234523024391027278203
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.13335564634317875912622326643702609993
Right-sided central venous port tip overlies the SVC. Low lung volumes. Elevation of the right hemidiaphragm with right basilar atelectasis. No consolidation. No pneumothorax.,Low lung volumes and elevation of the right hemidiaphragm with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.27143693980800120251501405593115121006
"Left subclavian Port-A-Cath extends to the mid SVC. No pneumothorax. Left upper lobe mass appears slightly smaller, probably by technique. Prominent left hilar region adenopathy. Right lung clear. Heart size normal. Pulmonary vascularity normal. No effusion. Visualized bones unremarkable.",Port-A-Cath to mid SVC without pneumothorax. Left upper lobe mass and left hilar adenopathy.,1.2.826.0.1.3680043.8.498.95446290163757752685289760999000707634
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25014893595245738632958708748602842653
"The lungs are well-aerated. Mild peribronchial thickening may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild peribronchial thickening may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.94868420535684581479381373430484283750
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81104694671363951259869930168774412898
"There is central airway thickening. Lung volumes are normal. No consolidative process, pneumothorax or effusion. Heart size is normal. No focal bony abnormality.",Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.64292085765886304620405867402269295018
There is patchy airspace consolidation throughout the lungs bilaterally. There is cardiomegaly with pulmonary venous hypertension. There is slight interstitial edema. No adenopathy. No bone lesions.,Findings indicative of congestive heart failure. Superimposed pneumonia in the lungs cannot be excluded. Both alveolar infiltrates are relatively symmetric.,1.2.826.0.1.3680043.8.498.30150910239075027660877703782097120474
The heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Bony structures are intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.26324511109142743313196936060790668902
"The cardiomediastinal silhouette is unremarkable. This is a mildly low volume film. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active disease.,1.2.826.0.1.3680043.8.498.18961828520535816115647865612575503906
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37884211769959553562905047745900378898
A right IJ central venous catheter is present with the tip in the mid SVC. No pneumothorax is seen. Mild basilar atelectasis is noted. The lungs are otherwise clear. The heart size is normal.,1. Right IJ central venous catheter tip in mid SVC. No pneumothorax. 2. Mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.10173926025316954105761278134204269836
There is focal airspace opacity in the left lower lobe consistent with pneumonia. The lungs are otherwise clear. No pleural effusions. No pneumothorax. Heart size and pulmonary vascularity are normal. Mediastinal contours appear intact.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.56963342039590514200549816366926713991
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen. Subcutaneous air is noted overlying the left chest wall, and at the left side of the neck.",1. No acute cardiopulmonary process seen. 2. Subcutaneous air overlying the left chest wall and left side of the neck.,1.2.826.0.1.3680043.8.498.46554990543613148980447983937297682728
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Azygos fissure incidentally noted.,No active disease.,1.2.826.0.1.3680043.8.498.28024110514954651795597204075190239783
Cardiac shadow is stable. Increasing vascular congestion is noted with evidence of bilateral pulmonary edema as well as bilateral pleural effusions. No acute bony abnormality is noted.,Increasing CHF with bilateral effusions.,1.2.826.0.1.3680043.8.498.56089916706578182050470042715524826723
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Subsegmental atelectasis at left base. Lungs otherwise clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.28147796221249798463574615937809950459
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95383140072916601423397666535375895248
Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No effusions. No bony abnormalities.,Normal chest,1.2.826.0.1.3680043.8.498.87562687586300550879095913618731747145
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No radiopaque foreign body.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56939135775244037131945143512576674638
"Stable cardiomediastinal silhouette with top-normal heart size. No pneumothorax. No pleural effusion. Severe elevation of the right hemidiaphragm, not convincingly changed. No pulmonary edema. No acute consolidative airspace disease.",Stable elevated right hemidiaphragm. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13232318728052982643085635731158612576
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26691483199630465797583176265235704122
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40053340612307080831718319172713027248
There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is normal. There are no effusions or edema. No air space opacities are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91196067732362565767011164500670773602
"The heart is normal in size. The aorta is tortuous and calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.19316738612730940683521058371864453671
Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78415447815514424490293229360011379510
There has been interval worsening of pulmonary edema. Small bilateral pleural effusions are noted. Cardiomegaly is present.,1. Increasing pulmonary edema. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.84050945874046347688061066391351534189
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46119806412910693171900211048950035526
The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.26323931284327738333925843240929821203
The lungs are well-aerated. Right basilar airspace opacity raises concern for pneumonia. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are seen.,Right basilar airspace opacity raises concern for pneumonia.,1.2.826.0.1.3680043.8.498.45926774927957818605179345089970394804
"Low lung volumes with vascular crowding and atelectasis. Possible mild interstitial edema. Bilateral lower lobe opacities, likely atelectasis. No pneumothorax. Left PICC line is in place with the tip at the cavoatrial junction. Heart is mildly enlarged.","Low lung volumes with vascular crowding and atelectasis. Bilateral lower lobe opacities, likely atelectasis. Mild interstitial edema is suspected.",1.2.826.0.1.3680043.8.498.68574882461016689160933753593932558040
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.94191975076274806736714980221212006898
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13453744818193982786107454701511894525
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.77331495397810527667454396639142698006
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26321749300381951096401370497609902056
Right chest port is in place with tip in the SVC. The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95594185616991385841274105234269529795
There is cardiomegaly and pulmonary edema. The patient has a left-sided transvenous pacemaker with leads overlying the right atrium and right ventricle. The patient is status post median sternotomy and CABG.,Cardiomegaly and pulmonary edema.,1.2.826.0.1.3680043.8.498.90035802336541404441466076802024521183
"No radiographically apparent pleural effusion, consolidation, or pneumothorax. Low lung volumes. The cardiomediastinal silhouette is normal in size. The osseous structures are without an acute osseous abnormality. Shrapnel in the right upper quadrant.",No radiographic evidence of an acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.12740313396439499182798577995524286536
New left chest wall pacemaker is noted with leads in the right atrial appendage and right ventricle. No pneumothorax is seen. The overall inspiratory effort is poor with minimal bibasilar atelectasis. Mitral annular calcifications are seen. The cardiac shadow is stable.,No pneumothorax following pacemaker placement.,1.2.826.0.1.3680043.8.498.48761292699733553427263336452855695931
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.32166561708920334174823864714987927891
Cardiothymic silhouette is within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72124202258080788542063374988158192830
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69085505522778505480673960228558403968
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93143694915837928517962856076821617640
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.81913717786030566718664402224098645361
"There is left upper lobe collapse and consolidation, increased since the prior study. The right lung is clear. There is no pleural effusion or pneumothorax. The heart size and mediastinal contours are stable. No osseous metastatic disease is identified.",Interval development of left upper lobe collapse and consolidation concerning for postobstructive pneumonia. Correlate clinically for underlying malignancy.,1.2.826.0.1.3680043.8.498.83544756985594584040718049876975885357
The heart is enlarged. There is tortuosity and calcification of the thoracic aorta. The lungs demonstrate chronic lung changes with areas of pulmonary fibrosis. No definite pleural effusions or pneumothorax. The bony thorax is grossly intact.,Chronic lung changes but no definite acute overlying pulmonary process.,1.2.826.0.1.3680043.8.498.77136067162034190310664818120834746584
An orogastric tube is seen with tip in the mid stomach. Both lungs are clear. There is no evidence of pleural effusion. Cardiothymic silhouette is within normal limits.,No acute findings.,1.2.826.0.1.3680043.8.498.84788945281142379175806771378651540303
There is airspace consolidation in the lingula. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Airspace consolidation consistent with pneumonia in the lingula. Lungs elsewhere clear.,1.2.826.0.1.3680043.8.498.30810253685803431248526584715295092310
Tracheostomy tube and feeding tube in stable position. Cardiomegaly with bilateral pulmonary infiltrates/edema again noted. Small left pleural effusion again noted. No pneumothorax.,1. Tracheostomy tube and feeding tube in stable position. 2. Persistent cardiomegaly and bilateral pulmonary infiltrates/edema. Small left pleural effusion again noted. Findings suggest CHF. Persistent left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.48441234583340429631110280153833097230
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.19434213905211069750602882368278182043
The heart size is normal. The aorta is mildly tortuous. The lungs are clear. There is no heart failure or pleural fluid.,No active disease.,1.2.826.0.1.3680043.8.498.41563144967735528919483459491388632876
"Endotracheal tube tip remains in satisfactory position approximately 4 cm above the carina. Left jugular central venous catheter tip remains in the upper SVC. Right arm PICC tip remains in the lower SVC. Nasogastric courses below the diaphragm into the stomach. Bilateral pleural effusions persist, right greater than left, unchanged. Airspace opacities throughout the right lung and in the left lung base are unchanged. No new abnormalities are detected.",Tubes and lines satisfactory. Stable bilateral pleural effusions and pneumonia throughout both lungs.,1.2.826.0.1.3680043.8.498.94114996631755996378081380552105801996
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94883756229697919020669179165108601338
"The heart is mildly enlarged. The aorta is tortuous. The lungs are clear. There is no infiltrate, effusion or edema. No lung nodules are identified.",Cardiomegaly. No acute abnormality.,1.2.826.0.1.3680043.8.498.39685672539945932381119506180562567535
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.21996409076117518777147795609589529546
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74868416908817453554693996095617431614
"Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Minimal peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Peribronchial thickening which may reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.97018432171043878331141437541167474243
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32610735005724590728297987557377679621
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77326707278259666737669810660364790270
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.24860343526211982872412956955359367519
There is an orogastric tube with its tip in the stomach. There is persistent opacity at the right lung base which is probably due to atelectasis. The lungs are otherwise clear. There is no effusion. Heart size is normal.,New area of right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.66967433527538026465960999329328974698
Portable AP upright view of the chest demonstrates magnification cardiac silhouette which is felt to be due to portable technique. Pulmonary hila and pulmonary vessels are within normal limits. Pleural spaces are clear. Lungs are clear of any focal mass or consolidation. No pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.27212183819471412637886503723610426176
"Heart is normal size. Aortic atherosclerosis. Linear densities in the left base, likely atelectasis. Right lung clear. No effusions or acute bony abnormality.",Left base atelectasis.,1.2.826.0.1.3680043.8.498.78899189251241345543326824631261606386
There is peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Bronchial thickening consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.27860234023290943172237199305349107779
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.61947339891416144420580327388200870717
"Extensive airspace opacities throughout both lungs, worse on the right, with low lung volumes. Stable elevation of the right hemidiaphragm. Heart mildly enlarged but stable. No visible pleural effusions.",Stable severe pneumonia throughout both lungs.,1.2.826.0.1.3680043.8.498.72161202185089515086218644475563988793
The right upper extremity PICC is stable. The heart is normal in size. Linear opacities at the left base are stable. The lungs are otherwise clear. No pneumothoraces or effusions are seen.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58843732796668192316594636644443154830
The patient has a nasogastric tube in place with the side port in the stomach. There is a small right effusion and right basilar air space disease. The left lung is clear. The lungs are emphysematous. The heart size is normal.,1. Right effusion and right basilar air space disease worrisome for pneumonia. 2. Emphysema.,1.2.826.0.1.3680043.8.498.28834341723023520185319999468060186344
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61585338260087880642806273828939492137
Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality. Aortic atherosclerosis. Degenerative changes in the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50785221141173277317388946530737009946
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.38791288318828097320307788013290928004
"Right upper lobe mass is again noted. There is no pneumothorax, pneumomediastinum or pleural effusion. The lungs are otherwise clear. The heart size is normal. A right IJ catheter is in place with its tip in the superior vena cava.",Right IJ catheter tip in the superior vena cava. No pneumothorax.,1.2.826.0.1.3680043.8.498.12237978342864203419388137928049548758
The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.81840305086731444290565510212933864711
"The heart size and mediastinal contours are within normal limits. Stable right middle lobe calcified granuloma. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57109493238143762362243545913622061604
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60765787754397343655736872026056377207
Single view of the chest without comparison examination shows the cardiac silhouette is mildly enlarged in size. There is no pulmonary vascular congestion. There are bibasilar reticular markings without focal lung consolidation seen. There is no pleural effusion or pneumothorax seen. Visualized osseous structures show no acute findings. Surgical changes are seen of the mediastinum with sternotomy wires.,1. Chronic lung findings with mild superimposed bibasilar atelectasis. 2. No focal lung consolidation seen.,1.2.826.0.1.3680043.8.498.81868457177078799205469241820526438681
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22695640630561873117271946677569729074
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53415677786939405316706011794109786854
The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.34753282422406939879297361611990688974
A right upper extremity PICC line is present with the tip seen to the lower SVC. No pneumothorax is noted. Mild basilar linear atelectasis is present. The heart is within upper limits of normal.,Right upper extremity PICC line tip in lower SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.73215003473450528056947667698586454188
There is patchy airspace disease in the left mid lower lung most consistent with pneumonia. The right lung is clear. No pleural effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,Left mid and lower lung airspace disease most consistent with pneumonia.,1.2.826.0.1.3680043.8.498.28237416622322265464182638613336283254
Umbilical venous catheter is seen with tip overlying the expected level of the intrahepatic IVC. Umbilical artery catheter is seen with tip at level of T7-8. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal. Bowel gas pattern is normal.,Umbilical artery and venous catheters in appropriate position. No active lung disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.93596668662936441265771748479307408331
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36805750562495197354579885301973477544
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15425243580680609040132840706801161080
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12152083337394064157889095871580657089
A right upper extremity PICC has been placed. The tip is in the mid SVC. Bilateral air space disease is not significantly changed. No pneumothorax is seen.,Right upper extremity PICC placement with the tip in the mid SVC. No change in bilateral air space disease.,1.2.826.0.1.3680043.8.498.74302368990044568407698740062600557619
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71728892095883267604423608345163326772
Low lung volumes. No focal consolidation or effusion. Normal heart size. No pneumothorax.,Low lung volumes without acute infiltrate.,1.2.826.0.1.3680043.8.498.63905507340932252913771350011723520007
There is no pneumothorax after bronchoscopy. Prominent left hilar and mediastinal adenopathy is again noted. There is no pleural effusion. The lungs are clear.,No pneumothorax after bronchoscopy.,1.2.826.0.1.3680043.8.498.23881665793684696514462588912081940769
Trachea is midline. Heart is enlarged. Lungs are low in volume with diffuse interstitial and airspace disease. No definite pleural fluid.,1. Diffuse interstitial and airspace disease can be seen with pulmonary edema or a viral pneumonia. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.48791305107830584223013544937112238446
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50821601938463756767815059597557070167
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25604655464920439484201076180571870041
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.97623350516585430798431727047747814140
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.63242929992460934504054408464976137910
There is central airway thickening consistent with reactive airways disease versus lower respiratory tract viral infection. No air space opacities are identified. The heart size is normal. There are no effusions or edema. Review of the visualized osseous structures is unremarkable.,Central airway thickening consistent with reactive airways disease versus lower respiratory tract viral infection.,1.2.826.0.1.3680043.8.498.26208616196459772796087105394442844635
Normal sized heart. Clear lungs. No fracture or pneumothorax seen.,No acute abnormality.,1.2.826.0.1.3680043.8.498.54160350559606876593175222037474960561
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.34455708832248139891932809363358328878
The heart is moderately enlarged. Pulmonary vascularity is within normal limits. Bibasilar atelectasis is noted. There may be a small right pleural effusion. No pneumothoraces are seen.,Cardiomegaly without CHF. Bibasilar atelectasis. Small right effusion.,1.2.826.0.1.3680043.8.498.75742656454436085078050826319156489628
The lungs are reasonably well inflated. The interstitial markings remain increased. The retrocardiac region on the left is dense and the left hemidiaphragm is obscured. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is indistinct. There are bilateral pleural effusions. There is calcification in the wall of the aortic arch.,There are findings consistent with congestive heart failure with bilateral pleural effusions and left lower lobe atelectasis. There has not been dramatic improvement since the earlier study.,1.2.826.0.1.3680043.8.498.99603557980757101287781227871208556509
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77315599244904261232484491377805074816
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.90743054824159319503429280224432408360
Endotracheal tube 5.5 cm above the carina. Nasogastric tube extends into the stomach. The lungs are clear. No pneumothorax. No effusion. Visualized bones unremarkable.,Support hardware appears in satisfactory position. No acute disease.,1.2.826.0.1.3680043.8.498.81754589308973862818752587619893938649
The heart size and mediastinal contours are within normal limits. Both lungs are clear. Mild lower thoracic spine degenerative changes.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11006977885486026090600211522108482331
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.67206299161579723309668514608799880640
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26122104462724942502877153442124341559
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.48658072144829315223342890194620296262
No active infiltrate or effusion is seen. Mild peribronchial thickening is noted. Linear scarring at the right lung apex is stable. The heart is within normal limits in size. No bony abnormality is seen.,Stable chest x-ray. No active lung disease.,1.2.826.0.1.3680043.8.498.25707133532905304765276882673212148656
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66221818071024279093068821716166741574
"Stable cardiomediastinal silhouette with normal heart size. Moderate left pleural effusion, not significantly changed. No right pneumothorax. No right pleural effusion. Hazy opacities throughout the left lung are not significantly changed. Improved aeration at the left lung apex.","1. Stable moderate left pleural effusion. 2. Hazy opacities throughout the left lung, not significantly changed, suggesting aspiration or pneumonia. 3. Improved aeration at the left lung apex.",1.2.826.0.1.3680043.8.498.15346664941392023158051374164315781050
Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or pleural effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.93206829699437621397138401111138447987
There is elevation of the left hemidiaphragm. Linear areas of increased density project within the left lung base. No focal regions of consolidation are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,1. Atelectasis versus scarring left lung base. 2. Elevated left hemidiaphragm. 3. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68085246283657779543868934383076991527
There is increased density at the left lung base consistent with atelectasis/infiltrate. There is also a small left pleural effusion. The right lung is essentially clear. Heart size is stable. Elevation of the left hemidiaphragm is unchanged.,Increased left lower lobe atelectasis/ infiltrate and small left effusion.,1.2.826.0.1.3680043.8.498.68763946438128416115229718553819815261
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59973032829398330222041020615756439599
The heart is at the upper limits of normal in size. The mediastinal and hilar contours appear normal. The lungs are clear. No pleural effusion. The bony thorax is intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76210892788850427377603735502753319403
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32198890931898952654979592789224830854
Cardiac shadow is stable. Elevation of left hemidiaphragm is again noted and stable. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No acute abnormality noted.,1.2.826.0.1.3680043.8.498.62835155428524226011140618265913018042
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44550328022772068058074220210418948452
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12790796644915579316376113426884272484
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion. Bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.76246563485965438927001018767629053800
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17136672090184315116516817752450978638
Shallow inspiration. Heart size and pulmonary vascularity are normal. Prominent mediastinal shadow likely representing thymus. Central peribronchial thickening and perihilar opacities likely representing bronchiolitis or reactive airways disease. No focal consolidation. No blunting of costophrenic angles. No pneumothorax.,Peribronchial changes suggesting bronchiolitis versus reactive airways disease. No focal consolidation.,1.2.826.0.1.3680043.8.498.43569636108947829620509603267425744337
"The cardiomediastinal silhouette is unremarkable. There is elevation of the RIGHT hemidiaphragm. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active disease.,1.2.826.0.1.3680043.8.498.99697487959989686086007840799044595252
Swan-Ganz catheter has been removed. The right internal jugular sheath remains in place. Left chest tube and mediastinal drains are in place. No pneumothorax. Mild atelectasis at the lung bases. No pulmonary edema.,Mild bibasilar atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.95697209590094289764649213512198933277
"NG tube has been pulled back and is now in the mid esophagus. The heart is enlarged. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",NG tube in the mid esophagus.,1.2.826.0.1.3680043.8.498.57713765146281320237203220154989086081
Lung volumes are low. There is central airway thickening with patchy airspace disease in the right lower lobe. No effusion. Cardiothymic silhouette is normal.,Central airway thickening with right lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.21612187898138380781577270916079066143
Cardiac and mediastinal contours are within normal limits given portable AP technique. There are subtle perihilar and bibasilar opacities. Pleural spaces are normal. The visualized osseous structures are unremarkable.,Subtle perihilar and bibasilar opacities which could be due to atelectasis. Consider follow-up PA and lateral view chest radiograph.,1.2.826.0.1.3680043.8.498.47733807558219553003378625223504645562
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51676392268327752798120378427154621275
The heart is mildly enlarged. The aorta is tortuous. Prior CABG. A hiatal hernia is noted. The lungs are clear. No effusions. Ordinary degenerative changes affect the spine.,1. Mild cardiomegaly. 2. Hiatal hernia. 3. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34172497564400965486975663748795090166
The heart size and mediastinal contours are within normal limits. No focal consolidation. No pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.27969797305275564996157066484162430563
The patient has had a median sternotomy. The heart is mildly enlarged. There is no heart failure. The lungs are hyperinflated with changes of COPD. There is no infiltrate or effusion. No acute fracture is identified.,COPD. No acute abnormality.,1.2.826.0.1.3680043.8.498.38388124446624407027123197403624034792
"Endotracheal tube and nasogastric tube have been removed. Cardiomegaly is unchanged. Diffuse pulmonary edema pattern is again seen and pulmonary edema has mildly improved since previous exam. Small bilateral pleural effusions are again noted as well as atelectasis or consolidation in the lower lobes, left side greater than right. No pneumothorax visualized.",Mild improvement in congestive heart failure. Atelectasis and/or infiltrate in the lower lobes persists. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.87617762996353519547785135150478046240
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72629185953257529362764499509097885866
Cardiac shadow is stable. A pacing device is again seen. The lead is intact and stable in appearance. Bibasilar atelectatic changes are noted. Small effusions are seen posteriorly. No bony abnormality is noted.,Small bilateral pleural effusions and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.93540650790225169375263430553780550575
Stable cardiomediastinal silhouette. Large hiatal hernia is again noted. No pneumothorax or pleural effusion is noted. No acute pulmonary disease is noted. Bony thorax is unremarkable.,No active cardiopulmonary disease. Large hiatal hernia.,1.2.826.0.1.3680043.8.498.35334350936788555062806987582731324267
Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43262717783123666452731834623617630487
The heart is enlarged but appears stable. Stable tortuosity and calcification of the thoracic aorta. Chronic lung changes with areas of pulmonary scarring. No definite superimposed infiltrates. No pleural effusions. The bony thorax is intact.,Chronic lung changes but no definite acute overlying pulmonary process.,1.2.826.0.1.3680043.8.498.48641479567645556131504893616340177592
The right PICC line tip is in the mid to distal SVC. The feeding tube is stable. The lung bases appear slightly better aerated with persistent areas of atelectasis. No pneumothorax is seen.,1. Right PICC line tip in the mid to distal SVC. 2. Slightly improved basilar aeration.,1.2.826.0.1.3680043.8.498.27678566150847921851009012747631925469
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No radiopaque foreign body identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59353787032182505360842319173292641222
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30522673144328729690297957715087572693
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.20444797963375303929816770298294110546
"The cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75154492934721794114558605817990862492
There is airspace consolidation in the right lower lobe. There is mild patchy infiltrate in the anterior segment of the left lower lobe. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Bibasilar airspace consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.10365670233509958648984090312622282128
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25948913212911110527459793022578967013
There is improved aeration of the left lung base with residual atelectasis and effusion. There is also mild right lower lobe atelectasis and a small right effusion. The heart is normal in size. There is no pneumothorax.,Improved aeration of the left lung base. There is persistent left lower lobe atelectasis and left effusion. There is also mild right lower lobe atelectasis and small right effusion.,1.2.826.0.1.3680043.8.498.11910496211868049807432289358173187589
"There is marked cardiomegaly. A left-sided pacemaker is present with leads projecting over the right atrium and ventricle. The thoracic aorta is tortuous and atherosclerotic. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",1. No acute pulmonary process. 2. Cardiomegaly. 3. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.80566414387946911000700971659529749802
There is a feeding tube with tip in the stomach. The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.74813376560577153752326768066954659276
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No acute cardiopulmonary abnormality seen.,1.2.826.0.1.3680043.8.498.32538584967517557141845704782725688292
The heart and mediastinal contours are within normal limits. The lung fields appear clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures appear intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.41189616091091517734154353670370816378
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85452093780249281575045947933143655314
Chest: Single view of the chest shows the cardiac silhouette and mediastinal structures are within normal limits. There is no pulmonary vascular congestion. No focal lung consolidation is seen. There is no pleural effusion or pneumothorax seen. Visualized osseous structures show no acute findings. Right ribs: Three views of the right ribs without comparison shows no acute fracture or dislocation.,1. No radiographically evident acute right rib fracture. 2. No radiographically evident acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.74990765583654161566988493411745505638
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73930023760389579252200227250228621562
"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. The lungs remain hyperinflated with emphysematous changes and coarsened interstitial markings at the lung bases, similar to prior study. Right lower lobe airspace disease has improved. Small right pleural effusion has decreased in size. No left pleural effusion. No pneumothorax. No acute osseous abnormality.",1. Improving right lower lobe pneumonia. 2. Decreasing small right pleural effusion. 3. Emphysema.,1.2.826.0.1.3680043.8.498.22571307057722353819241970967256437068
Heart is upper limits normal in size. Lungs are clear. No effusions. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68787782425459550276560496974391247857
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91479030518490679663954089157254014053
There is a large left pleural effusion with associated atelectasis. A small right pleural effusion is noted. The upper lungs are clear. There is no pneumothorax. The heart size is difficult to assess but is likely enlarged. There is no acute osseous abnormality. Aortic calcifications are noted.,1. Large left pleural effusion with associated atelectasis. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.41842602393595054970439991094663487191
Upper normal heart size consistent with pregnancy. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. No fractures identified.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.37551055140194946276862534260110172653
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39785072664199511889353330751567082390
The patient is rotated to the right. Both lungs are grossly clear. Heart size is within normal limits allowing for patient positioning. No evidence of pneumothorax.,No acute findings.,1.2.826.0.1.3680043.8.498.15540699035321177793250576470418607529
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92311470921989873177713932034112018109
"The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis at the arch without aneurysm. Emphysematous hyperinflation of the lungs without pneumonic consolidation, CHF, effusion or pneumothorax. Linear scarring at the right lung base. No acute osseous abnormality. Osteoarthritis of the AC and glenohumeral joints bilaterally.",No active cardiopulmonary disease. Emphysematous hyperinflation of the lungs.,1.2.826.0.1.3680043.8.498.23605526460211259541692642896229856304
The lungs are hyperinflated consistent with COPD. There is increased density at the right lung base which could represent atelectasis or infiltrate. There is no effusion or pneumothorax. The cardiac silhouette is normal. Atherosclerotic calcification is present.,COPD with probable superimposed atelectasis versus infiltrate at the right lung base. Followup PA and lateral views would be recommended.,1.2.826.0.1.3680043.8.498.94531072795834544024497159046942835470
No fracture or other bone lesions are seen involving the ribs.,Negative.,1.2.826.0.1.3680043.8.498.32655143995611434197152804990424272456
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43276102465345191659442573056776575490
"There is a right arm PICC line with tip in the SVC. The heart size is enlarged. There are bilateral pleural effusions, right greater than left. Patchy areas of atelectasis and infiltrate are noted in the right lung.",1. No change in aeration the lungs compared with prior exam. 2. Suspect loculated right pleural effusion.,1.2.826.0.1.3680043.8.498.84240621821758481407200459934986761034
There is worsening bilateral pulmonary edema with bilateral pleural effusions. The heart is enlarged.,Worsening CHF.,1.2.826.0.1.3680043.8.498.25369220200008253477504511864612981212
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72869714274696041370531551567774975008
"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.80792789403518050600766193138055815088
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30631584994759054074795803257660614775
Linear scarring or atelectasis at the left base. No consolidation or effusion. Normal heart size. Aortic atherosclerosis. No pneumothorax.,No active cardiopulmonary disease. Linear scarring or atelectasis at the left base.,1.2.826.0.1.3680043.8.498.33930052480828396354462710468278947686
There has been considerable improvement in the left lower lobe and lingular pneumonia with linear scarring remaining. The right lung is clear. No effusion is seen. Mediastinal contours are stable. The heart is within upper limits of normal. No bony abnormality is seen.,Further improvement in left lower lobe and lingular pneumonia with linear scarring remaining.,1.2.826.0.1.3680043.8.498.30289234857719984818960759281293453753
Trachea is midline. Heart size is accentuated by AP technique. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.85277131384749279648267278654849098162
"Contiguous 5-mm axial sections were obtained from the base of the skull inferiorly to the vertex. This scan was performed using automatic exposure control (radiation dose reduction software) to obtain a diagnostic image quality scan with patient dose as reasonably achievable. Posterior fossa shows normal cerebellar hemispheres and cerebellopontine angle cisterns. The supratentorial ventricular system is mildly dilated, however, midline in position. Mild degenerative white matter changes are present bilaterally likely on the basis of chronic small vessel ischemic change. This is slightly more prominent than on the prior CAT scan. There is no evidence of mass, hemorrhage, extracerebral collection, or acute infarct. Evaluation of the bone windows reveals no evidence of fracture or destructive process of the bony calvarium. The paranasal sinuses show no evidence of significant abnormality.",Mild degenerative white matter changes. No acute infarct or hemorrhage.,1.2.826.0.1.3680043.8.498.91497057224430513888465041719081706900
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.52148898217811211562923354120226472295
"Since the prior study, the patient has developed a large LEFT pleural effusion. There is also likely a development of a LEFT lower lobe infiltrate. The RIGHT lung is clear. The patient has had a prior CABG. There is no evidence of a pneumothorax.",Development of a large LEFT pleural effusion and LEFT lower lobe infiltrate since 10/7/5.,1.2.826.0.1.3680043.8.498.88178422798298811484764085903823008383
The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56071018895421534538416438307848681994
New left IJ dialysis catheter tips in the proximal SVC and right atrium. No pneumothorax. Mild cardiac enlargement. Lungs clear. No effusion.,Left IJ catheter tips in the proximal SVC and right atrium. No pneumothorax.,1.2.826.0.1.3680043.8.498.25718682321333858003522963583464827496
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. No effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29299792948868580555616856518119604586
"Endotracheal tube, left IJ central line, and right subclavian central line all remain. Feeding tube is in the proximal stomach. There is slight improvement in lung volumes with persistent atelectasis and/or airspace disease at the right lung base. No pneumothorax.",Slight improvement in lung volumes with residual right lower lobe atelectasis and/or airspace disease.,1.2.826.0.1.3680043.8.498.40865894196250186913827663208849487360
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81545078888168611897813139661486634260
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55879120961095022954194026176224766781
There is subcutaneous emphysema in the right chest wall and neck. The heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. The visualized osseous structures are unremarkable.,1. Subcutaneous emphysema in the neck and right chest wall. 2. No evidence for pneumothorax.,1.2.826.0.1.3680043.8.498.38929185816420638144324236276694650978
The heart size is normal. There is no pleural effusion or pulmonary edema. Lung volumes are low. No airspace consolidation. The visualized osseous structures are unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.55428620323387143300715162517728724152
There is patchy airspace opacity in the lung bases. This could reflect atelectasis or pneumonia. No significant pleural effusion. No pneumothorax. Heart size is top-normal.,"Patchy airspace opacities in the lung bases, similar to prior study and consistent with atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.62300318231757765521047047561340529600
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95272766033145169220586398255392565314
The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Atherosclerotic calcification of the aortic arch. Small left pleural effusion. Linear atelectasis at the left lung base. No consolidation or pneumothorax. Surgical clips in the right upper quadrant. No acute osseous abnormality.,1. Small left pleural effusion. 2. Aortic atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.38187985007870585775410214093740871627
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.59348319644347806668103032937095115343
"The heart size and mediastinal contours are normal. No masses, infiltrates or effusions are seen. No pneumothorax is evident.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.30788430337815060448950652193987215666
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.76402422908065634469433445312876520998
"Patchy opacities are seen in the right lung, similar in the interval. The left lung is clear. No pneumothorax. The cardiomediastinal silhouette is unremarkable.","Patchy right lung opacities, likely due to pneumonia given history.",1.2.826.0.1.3680043.8.498.83284122002343894303425978792161350561
No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. Cardiomegaly is stable. There are degenerative changes in the mid to lower thoracic spine.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.93536447324013457174946795052305968559
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11986643488660061106695065485170585137
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.23834366151563824914321369928398348091
The heart is upper limits normal. The mediastinal contours are normal. The lungs are clear. No edema or effusions. The visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.17527137487877285885105595286489615832
The lungs are adequately inflated. The interstitial markings are increased diffusely. The cardiac silhouette is not enlarged. The pulmonary vascularity is not engorged. There is no pleural effusion. The bones are osteopenic.,There are findings consistent with interstitial fibrosis. I do not see evidence of a focal pneumonia. I cannot exclude low-grade CHF in the appropriate clinical setting. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.76934517468041478914917722923758375127
Supine and upright views of the abdomen and a single view of the chest were obtained. The lungs are clear. The heart size and pulmonary vascularity are normal. There is no pneumothorax. There is no pneumoperitoneum. There is no bowel obstruction. The bowel gas pattern is normal. There is no acute bone lesion.,There is no significant radiographic abnormality of the chest or abdomen.,1.2.826.0.1.3680043.8.498.85386513226527175502352511231254138157
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31576634494345563311149947001886192864
Normal cardiac and mediastinal contours. Small right pleural effusion and consolidation right lung base. No definite pneumothorax. Left lung is clear. Regional skeleton is unremarkable.,Small right pleural effusion and right basilar consolidation may represent atelectasis or potentially contusion in the setting of trauma.,1.2.826.0.1.3680043.8.498.79621545849691834943847793039034982096
Postoperative changes in the mediastinum. Shallow inspiration. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact. Calcified and tortuous aorta. Degenerative changes in the spine and shoulders.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67605218494928310180517443537034690243
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.67060097008678091408371670714765880020
"Lungs are adequately inflated and otherwise clear. Cardiomediastinal silhouette, bones and soft tissues are normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48711293869641885711472435073586920491
The heart size is normal. No pleural effusion or pulmonary edema. There is central airway thickening. No airspace consolidation identified. The visualized osseous structures are unremarkable.,Central airway thickening consistent with lower respiratory tract viral infection or reactive airways disease.,1.2.826.0.1.3680043.8.498.61696049847973741465580140842446283746
There is stable moderate enlargement of the cardiac silhouette. There is ectasia and calcification of the thoracic aorta. There is increased pulmonary vascularity with bilateral pulmonary edema and bilateral pleural effusions. The airspace disease has increased in the right lung since previous study. There is atelectasis in the left lung base.,There is stable moderate enlargement cardiac silhouette. There is increased pulmonary vascularity with bilateral pulmonary edema and bilateral pleural effusions. The airspace disease has increased in the right lung since previous study. There is atelectasis in the left lung base.,1.2.826.0.1.3680043.8.498.72537067604692648074926105707421154426
The lungs are clear. No pleural abnormality is seen. The heart and mediastinum appear intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.11443503293710535607191686757206723684
"Interim removal of right IJ sheath. Left chest tube, mediastinal drainage catheter, Swan-Ganz catheter in stable position. Prior CABG. Stable cardiomegaly. Low lung volumes with basilar atelectasis. Small bilateral pleural effusions. No pneumothorax.",1. Interim removal of right IJ sheath. Remaining lines and tubes including left chest tube in stable position. No pneumothorax. 2. Prior CABG. Stable cardiomegaly. 3. Low lung volumes with basilar atelectasis and small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.15661230037457020988771584898378138257
"No fracture is seen. No pleural fluid or pneumothorax is present. No focal rib lesion is present. The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No rib fracture.,1.2.826.0.1.3680043.8.498.83140502835486180707189267092618168358
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.45728290210862499142239054369580100549
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12300982544015836199585032884870773766
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13797155804617529883053330575742266706
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pneumothorax. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.99721817983906424595297877874399195889
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76592249739176710645278056313066545516
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14117101046255416559798502932762326437
There is airspace consolidation in the left upper lobe and left base. There is patchy airspace opacity in the right upper lobe as well. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Multifocal pneumonia, most notably in the left upper lobe. Heart size normal. No adenopathy. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.",1.2.826.0.1.3680043.8.498.87871991498504278509332121473128540329
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47813632829552733110262000503800927200
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.15051323357685566402858943789290900096
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41021627875117384969959099185629880836
"The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52989173666274356915001062911671561875
"The cardiac silhouette, mediastinal and hilar contours are stable. There are chronic underlying lung changes with superimposed bibasilar infiltrates. The lung bases are slightly better aerated than they were on the prior study. No effusions or edema. The bony thorax is intact.",Chronic underlying lung disease with superimposed bibasilar infiltrates. The infiltrates appear slightly improved in aeration.,1.2.826.0.1.3680043.8.498.50678430238333364259489144252349410540
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51062113147338035252707363912961898737
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Mild atelectasis at the left lung base. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.67729663867513935016123027436222143897
The lungs are adequately inflated and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.57228854387397310224925475510800815891
The heart is normal in size. The lungs are clear. No pneumothorax. No acute rib fracture.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39336398826866057709972590494448978325
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73267276417056566173326524178565962663
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.17426795462878367725874053858690088160
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.35120334625747783445886148538373995659
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25646778527639552464605884583041229208
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.42286784715841248246548930236330072919
Cardiomegaly. Mediastinal silhouette within normal limits. Aortic atherosclerosis. Lungs normally inflated. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.,1. No active cardiopulmonary disease. 2. Mild cardiomegaly without pulmonary edema. 3. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.93482157879685187134928692349678950023
Small left pleural effusion and left lower lobe airspace disease are unchanged from the prior exam. The right lung is clear. Heart size is normal. The visualized skeletal structures are unremarkable.,No change in the left lower lobe pneumonia and small left effusion.,1.2.826.0.1.3680043.8.498.70037891709583390983049685813348130099
"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Low lung volumes with vascular crowding and atelectasis. No infiltrates, edema or effusions. The bony thorax is intact.",Low lung volumes with vascular crowding and atelectasis.,1.2.826.0.1.3680043.8.498.58624497461048276418893619281794500958
The heart is normal in size. The lungs are clear. No pneumothoraces or effusions are seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91721177386096937843311673418074386228
There is central peribronchial thickening. No confluent airspace consolidation. No effusions. Heart size normal. Regional bones unremarkable.,"Mild central airway thickening suggesting bronchitis, asthma, or viral syndrome.",1.2.826.0.1.3680043.8.498.99842241557478783409254475163496473582
There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the right and left lung bases. The cardiac silhouette is enlarged indicative of cardiomegaly. The visualized bony skeleton is unremarkable.,1. Pulmonary edema. 2. Asymmetric edema versus atelectasis versus infiltrate in the lung bases. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.72779106604676391176481423652994115281
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12537659571708825008056714107956565228
"There is central peribronchial thickening. No consolidative process, pneumothorax or effusion. Heart size is normal. No bony abnormality.",Findings compatible with a viral process reactive airways disease.,1.2.826.0.1.3680043.8.498.95959209598840796618578412950453134407
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.14139277873098477355522343070272635154
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46192224406254942966093479809471165459
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49330463417010051103024525469747085409
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.65579394507256053034612945385630269688
Right lower lobe consolidation is mildly improved. No pleural effusion or pneumothorax. Stable cardiomegaly. No acute osseous abnormality.,Mild improvement in right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.17793353900578363404346908701976135435
"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.93179932947587798687728224636353236279
Prior CABG. NG tube noted with tip below left hemidiaphragm. Cardiomegaly with pulmonary vascular prominence and bilateral interstitial prominence with small left pleural effusion. Findings consistent with congestive heart failure. No pneumothorax.,1. Prior CABG. NG tube noted with tip below left hemidiaphragm. 2. Congestive heart failure with pulmonary interstitial edema and small left pleural effusion.,1.2.826.0.1.3680043.8.498.47296771785464077867131597822004324965
"Single frontal view of the chest demonstrates an unremarkable cardiac silhouette. Feeding catheter unchanged in position. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.95064569252471714264799603873475494467
The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.90952428671958034426329866444594385463
The heart size and mediastinal contours are stable. There is a new masslike opacity in the right lower lobe with surrounding volume loss. The left lung is clear. There is no pleural effusion or pneumothorax. Old left-sided rib fractures are noted.,"New right lower lobe masslike opacity suspicious for neoplasm. This could be due to pneumonia given the clinical symptoms, but an obstructing neoplasm cannot be excluded. Chest CT recommended for further evaluation.",1.2.826.0.1.3680043.8.498.36308995912744682982930163837974567190
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.74053763845377101756820826025237019825
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.32417077009565678696158218456871741457
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16305826219898306262695775789040690752
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64504632556412657887833293704024383045
Two views of the chest demonstrate normal cardiac silhouette. The pulmonary hila and pulmonary vessels are within normal limits. Pleural spaces are clear. There is patchy density in the left mid and lower lung. No definite pneumothorax.,Patchy density in the left mid and lower lung. This may represent pneumonia. Recommend followup to resolution.,1.2.826.0.1.3680043.8.498.98739691566663085659380430051168538689
Multiple right-sided rib fractures are noted which may be old. No pneumothorax is seen. No effusion is noted. The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size.,Multiple right-sided rib fractures may be old. No definite active process.,1.2.826.0.1.3680043.8.498.38095741111658626763649383749002989926
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48155915491673110253024679829344177790
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.80034997793821169161155105792898207855
The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.60440338943488877855206222279771753324
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.23652624974983527794760951620328912506
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable.,No acute disease.,1.2.826.0.1.3680043.8.498.85620191192531597491612123158244948662
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90543906656780474752511920294278697742
Right internal jugular central venous catheter is present with its tip in the superior vena cava. There is no pneumothorax. Low lung volumes are present. There is mild left basilar atelectasis.,Central line tip in the superior vena cava. No pneumothorax.,1.2.826.0.1.3680043.8.498.31874953693642502758436320793676985928
There is little change in airspace disease most consistent with edema. Cardiomegaly is stable. Left central venous line is unchanged.,No significant change in edema pattern.,1.2.826.0.1.3680043.8.498.61730625763912329272088242281818502785
Right upper lobe airspace disease has improved. There is some mild airspace disease remaining. There is some mild left lower lobe airspace disease which is unchanged. There is no effusion. There is underlying chronic lung disease.,1. Improved right upper lobe pneumonia. 2. Mild left lower lobe airspace disease is unchanged. This may be due to atelectasis or infiltrate. 3. Chronic lung disease.,1.2.826.0.1.3680043.8.498.25015522997782178030866570928360067644
Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.25899034442438722846644372683220049447
"There is again noted increased density at both lung bases, more prominent on the right and consistent with interstitial and pulmonary edema. The findings are compatible with edema and are similar to that observed on the prior exam. No new pulmonary infiltrates are seen. The heart is mildly enlarged but stable as compared to the prior exam.",1. Persistent changes consistent with pulmonary edema are observed bilaterally. 2. No new pulmonary infiltrates are seen.,1.2.826.0.1.3680043.8.498.38522388932391587793051193466204269728
The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.55403176575395424406745871122782921959
There is cardiomegaly with pulmonary venous hypertension. There is interstitial edema with a small right pleural effusion. There is no appreciable airspace consolidation. There is atherosclerotic calcification in the aorta. No bone lesions. No pneumothorax.,Findings consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.79125048308178409129639031926108844980
Heart size appears normal for an AP portable technique. No evidence of acute pulmonary disease. No pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.42286746493763717288252906419255077402
Left subclavian dual lead pacer device is stable. Mild cardiac enlargement. No pleural effusion or edema. No airspace consolidation.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.59926128009952666286017830606880772031
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.71849517036463629435982846464094711412
Heart size is normal. There is calcification of the transverse aorta. The lungs are clear. The vascularity is normal. No effusions. No acute bony finding.,No active disease.,1.2.826.0.1.3680043.8.498.38054461932885410631421281095374795689
There is central airway thickening. No consolidative process. No pneumothorax or effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.39853262138682590472028643246096832225
There is increased density at the left lung base which obscures the hemidiaphragm. This likely represents a combination of pleural fluid and atelectasis. There is also linear atelectasis at the right lung base. The cardiac silhouette is moderately enlarged. The patient has undergone previous median sternotomy and coronary artery bypass grafting. The bones are osteopenic. There is a calcified right paratracheal lymph node.,1. Cardiomegaly. 2. Left pleural effusion and associated atelectasis. 3. Linear atelectasis at the right lung base.,1.2.826.0.1.3680043.8.498.54005989900031877499482742487967554767
Cardiac shadow is stable. A right jugular dialysis catheter is again seen and stable. Small bilateral pleural effusions are noted as well as bibasilar atelectatic changes. No pneumothorax is seen. No bony abnormality is noted.,Bibasilar atelectasis and small effusions.,1.2.826.0.1.3680043.8.498.48575248928488347746034516308949193541
AP chest is obtained. Cardiomegaly is present. The patient has had a prior CABG. The patient has had prior LEFT shoulder surgery. There is prominence of the interstitial markings. A component of congestive heart failure and/or chronic interstitial lung disease is noted.,"1. Findings consistent with congestive heart failure and/or chronic interstitial lung disease. 2. The patient has had a prior CABG. 3. Old, right humeral neck fracture. 4. Old, right clavicular fracture.",1.2.826.0.1.3680043.8.498.61625419817521737809027556909581031383
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43723043463855717623444590470514222830
The nodular density seen in the left lower lung zone is compatible with the patient’s nipple. The lungs are clear. There is no pleural effusion. The heart size and mediastinal contours are stable.,No acute chest findings. No pulmonary nodule.,1.2.826.0.1.3680043.8.498.64039612280315047451894467976259228877
The patient is markedly rotated to the right. Pulmonary edema is again seen and may have worsened slightly. There is also some worsening in the right lung base which may be due to atelectasis or pneumonia. A large hiatal hernia is again noted.,Probable worsening of pulmonary edema and worsening of right lower lobe atelectasis versus pneumonia.,1.2.826.0.1.3680043.8.498.31307448276332051598046907668284400349
No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits. Elevation of the left hemidiaphragm.,Negative.,1.2.826.0.1.3680043.8.498.24891260547781905366755636318555105904
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85365551984770239646002586309403702197
Heart size is normal. There is no heart failure. There is mild atelectasis in the lung bases. No acute infiltrate. There is chronic lung disease.,Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.66542389377510810722544373493659535108
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53082053908422528878945391723990007757
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal pulmonary infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,"1. Cardiomegaly, no CHF. 2. No acute pulmonary disease.",1.2.826.0.1.3680043.8.498.26770812600215916293855999384724380480
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42195868821662537387446219798598777609
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31779240638235852527590117370667694666
There is prominence of the superior mediastinum. The aortic knob is indistinct. There is cardiomegaly. The lungs are clear. No pneumothorax. No pleural effusion. No rib fracture.,1. Prominent superior mediastinum. Cannot exclude vascular injury. 2. Cardiomegaly. 3. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93964320328597260066485339923516874018
The heart and mediastinum are within normal limits. There are mild perihilar reticular opacities and bronchial cuffing.,Findings suggesting mild reactive airways disease.,1.2.826.0.1.3680043.8.498.68225926073737081996635280370470865108
Right arm PICC tip is in the lower SVC. Stable cardiomegaly. Lungs are clear. No effusion or pneumothorax. Degenerative changes in the spine.,Stable cardiomegaly. No acute disease.,1.2.826.0.1.3680043.8.498.34886202210425426689708669475789445000
The heart size is normal. The lung volumes are low. There is no pneumothorax. No large pleural effusion. There is no acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19412392739146511200674206970642814811
Grossly unchanged cardiac silhouette and mediastinal contours. The lungs remain hyperexpanded with mild diffuse slightly nodular thickening of the pulmonary interstitium. No focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. No acute osseus abnormalities.,"Mild lung hyper expansion of bronchitic change without acute cardiopulmonary disease. Specifically, no evidence of pneumonia.",1.2.826.0.1.3680043.8.498.70671443757873681880156352072747470876
An endotracheal tube is appreciated with the tip at the level of the clavicles. A left sided central venous catheter is appreciated with the tip at the level of the superior vena cava. There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the lung bases. There is blunting of the costophrenic angles. The cardiac silhouette is within normal limits. The visualized bony skeleton is unremarkable.,1. Support lines and tubes as described above. 2. Findings consistent with pulmonary edema. 3. Atelectasis versus infiltrate versus asymmetric edema within the lung bases as well as small effusions. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.89923685955009695668973168329485739133
"Normal heart size. Atelectatic type opacity at the bases. No effusion or pneumothorax. Enteric tube in place, tip in the region of the gastric body.",Atelectasis at the bases.,1.2.826.0.1.3680043.8.498.26229315100382848746777875004581962690
No focal opacity or pleural effusion. Normal cardiomediastinal silhouette. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10474584353905774618103616901340698478
Small left apical pneumothorax is stable. Small left pleural effusion with left base atelectasis is increased. Tiny right pleural effusion. Heart is normal size.,"Stable small left apical pneumothorax. Small bilateral pleural effusions, left greater than right with left base atelectasis.",1.2.826.0.1.3680043.8.498.92001341020116298061174393016669038711
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74332350569016874332717874889886197121
A right internal jugular central line has been placed. Its tip is at the SVC. No pneumothorax. Low lung volumes. Bibasilar atelectasis.,Central line to the SVC - no pneumothorax.,1.2.826.0.1.3680043.8.498.18751461129951387659083648479421443407
There is chronic elevation of left hemidiaphragm with chronic atelectasis at the left lung base. The right lung is clear. Heart size and vascularity are normal. No effusions. No acute osseous abnormality.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.42752160788980128592574347171590026899
The lungs are hypoexpanded. Minimal left basilar atelectasis is noted. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,"Lungs hypoexpanded, with minimal left basilar atelectasis. Lungs otherwise clear.",1.2.826.0.1.3680043.8.498.97821789079668880986475341239456976795
"Heart is normal size. Linear densities in the lingula, likely scarring. Right base atelectasis. No effusions. No acute bony abnormality.",Right base atelectasis. No effusions.,1.2.826.0.1.3680043.8.498.27575763690643168093460174679134877423
The heart is enlarged. Pulmonary edema is present. Bilateral pleural effusions are present. The patient is status post CABG. No pneumothoraces are seen. Focal opacity at the right lung base may represent atelectasis or airspace disease.,1. Cardiomegaly and pulmonary edema. 2. Bilateral pleural effusions. 3. Right basilar atelectasis versus airspace disease.,1.2.826.0.1.3680043.8.498.13709545949531682801392443728862982316
Low lung volumes. Bibasilar atelectasis. Heart is upper limits normal in size. No effusions. No acute bony abnormality.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.31148680392284649116799698171594697070
There is a right chest wall pacer device with lead in the right atrial appendage and right ventricle. Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. No pulmonary nodules or masses noted.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.62932050267459264318035860310971580774
Tracheostomy tube and left IJ line in stable position. Cardiomegaly with pulmonary vascular prominence and bilateral interstitial prominence with bilateral pleural effusions. These findings are consistent with congestive heart failure with pulmonary edema. Basilar atelectasis. Superimposed pneumonia cannot be excluded. No pneumothorax. Cardiac pacer noted in stable position.,1. Tracheostomy tube and left IJ line in stable position. 2. Cardiomegaly with bilateral pulmonary infiltrates/edema and bilateral pleural effusions. Findings suggest congestive heart failure with pulmonary edema. Basilar atelectasis. Superimposed pneumonia cannot be excluded.,1.2.826.0.1.3680043.8.498.52949693723105430010961771740838172546
The lungs are adequately inflated. There is no pneumothorax or pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The right internal jugular venous catheter tip projects over the junction of the middle and distal thirds of the SVC. The bony thorax exhibits no acute abnormality.,There is no postprocedure complication following placement of the right internal jugular venous catheter.,1.2.826.0.1.3680043.8.498.26470235801275504238172254861226541492
The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. Remote right seventh rib fracture is unchanged. No acute fracture is identified.,No acute disease.,1.2.826.0.1.3680043.8.498.81253857125735091243361926183304580930
Examination of the chest in single portable upright view with comparison to examination from the previous day demonstrates for left lower lobe infiltrate or atelectasis obscuring left hemidiaphragm. There are small bilateral effusions blunting the costophrenic angles. Lungs are hypoventilated. Implanted defibrillator overlies left hemithorax.,1. Left lower lobe infiltrate or atelectasis. 2. Hypoventilation with small effusions.,1.2.826.0.1.3680043.8.498.62799381723499974139398345151208913357
Cardiac shadow is stable. A nasogastric catheter is noted extending into the stomach. A new right jugular dialysis catheter is noted with the tip in the right atrium. No pneumothorax is noted. Bibasilar atelectatic changes are noted.,No evidence of pneumothorax following dialysis catheter placement.,1.2.826.0.1.3680043.8.498.10672620711793549383302444769416298501
"The endotracheal tube is 3.5 cm above the carina. The NG tube is coursing down the esophagus and into the stomach. The right upper extremity PICC line is stable. The heart is normal in size. The mediastinal and hilar contours are within normal limits and unchanged. Low lung volumes with vascular crowding and streaky basilar atelectasis but no infiltrates, edema or effusions.",1. Stable support apparatus. 2. Low lung volumes with vascular crowding and streaky basilar atelectasis.,1.2.826.0.1.3680043.8.498.10414968312277632289202537304190211343
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable.,No acute disease.,1.2.826.0.1.3680043.8.498.24929296164709078831577890680354589495
There is mild pulmonary vascular congestion. There is also a possible early infiltrate at the left base suspicious for pneumonia. Cardiomegaly is stable.,Cardiomegaly and pulmonary vascular congestion. Suspicious for early left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.60277974537645697071662040006880154274
Esophageal probe now terminates at the level of the GE junction. Increased patchy opacity in the right upper lobe. Left lung is essentially clear. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Enteric tube terminates in the mid gastric body.,"Increased patchy opacity in the right upper lobe, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.75802855878187578022703014099137190691
"Normal mediastinum and heart silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.72097420797706529131728512210283320702
LEFT subclavian pacemaker with leads projecting over RIGHT atrium and RIGHT ventricle. Upper normal heart size. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.44315607251433875212321661987001908387
The cardiomediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. Osseous structures appear unremarkable.,No active cardiopulmonary process demonstrated.,1.2.826.0.1.3680043.8.498.94219701884386480748461276164023126680
The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92779184358267574349425900438840981355
Endotracheal tube is in good position. Swan-Ganz catheter is in the main pulmonary artery. Left chest tube is in place. There is no pneumothorax. There is mild bibasilar atelectasis. No heart failure.,Satisfactory postoperative chest x-ray.,1.2.826.0.1.3680043.8.498.11774659326803219053479130324898627282
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20495400525348284233583429351290895608
Stable cardiac and mediastinal contours. Patient is status post median sternotomy with evidence of multivessel CABG. The right lung remains clear. Persistent left basilar opacity which may reflect a combination of a small left pleural effusion and associated left basilar atelectasis and/or infiltrate. No pulmonary edema. No pneumothorax. No acute osseous abnormality.,"1. Persistent left basilar opacity which may reflect a combination of a small left pleural effusion and associated left basilar atelectasis and/or infiltrate. 2. Otherwise, no new acute cardiopulmonary process.",1.2.826.0.1.3680043.8.498.69957301152517882194349083010269221042
Endotracheal tube tip is 5.5 cm above the carina. Orogastric tube enters the stomach. The lungs remain well aerated.,Endotracheal tube and orogastric tube well positioned. Lungs remain well aerated.,1.2.826.0.1.3680043.8.498.55493231756881796178487589311765253816
Degree of inspiration is shallow. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation. Shallow degree of inspiration.,1.2.826.0.1.3680043.8.498.69617918182417783254726214896266234283
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66503584888650658527539705665741311787
"No radiographically apparent pleural effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal in size. The osseous structures are without an acute osseous abnormality.",No radiographic evidence of an acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.85703868045666753804898102262216696155
The lungs are clear. The cardiovascular structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80978050471877406498834923224490886159
Endotracheal tube is noted with its tip above the carina. The lungs are poorly expanded and demonstrate no evidence of focal airspace disease. There is increased reticular opacity at both lung bases suggestive of atelectasis. Small pleural effusions are suspected. The pulmonary vasculature is engorged and indistinct. The cardiomediastinal silhouette is within normal limits.,Mild interstitial edema with small effusions.,1.2.826.0.1.3680043.8.498.52052733470881151552571485040357149191
"Lung volumes are low. The patient is rotated to the left on today's examination, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. The heart size is mildly enlarged. There is pulmonary vascular congestion with indistinctness of the pulmonary vasculature, compatible with pulmonary edema. No definite pleural effusions are confidently identified.",1. Cardiomegaly with pulmonary edema. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.44453391981227591316709300226205207422
The lungs are adequately inflated. The interstitial markings are coarse but stable. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53705837881180329322893175756589095510
Mediastinum and hilar structures normal. Low lung volumes with mild basilar atelectasis. No focal alveolar infiltrate. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Low lung volumes with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.59986458976628461159476648927473290131
"Endotracheal tube, NG tube, left pacemaker, and right central venous catheter are stable. Bibasilar airspace disease and left effusion are stable. No pneumothorax.",Stable bilateral airspace disease and left effusion.,1.2.826.0.1.3680043.8.498.12948697003896540647010441882390432007
Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48615263285628607368198698300933427317
The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.81000192743452946740967477918974614707
"Cardiovascular: The heart size is at the upper limits. The pulmonary vascularity is normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.69020255060692878727113492365484654096
"The previously demonstrated airspace opacities have nearly resolved. There is ill-defined airspace opacity in the right upper lobe, suspicious for subtle pneumonia. No pneumothorax. No large pleural effusion. The heart size is stable. Aortic calcifications are noted. There is no acute osseous abnormality.",1. Near complete resolution of the previously demonstrated airspace opacities. 2. There is a persistent ill-defined opacity in the right upper lobe which is suspicious for a subtle infiltrate. Continued follow-up to resolution is recommended.,1.2.826.0.1.3680043.8.498.53400745580319172136105214122401012779
Cardiomediastinal silhouette unchanged in size and contour. No evidence of central vascular congestion. No pneumothorax or pleural effusion. No confluent airspace disease. Coarsened interstitial markings persist. No displaced fracture. Degenerative changes of the spine.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.62722979232914610565974241293204956971
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Thoracic spine degenerative changes and scoliosis noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16525915953497226712248656689927317143
The cardiomediastinal silhouette is within normal limits. Lungs grossly clear without focal infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. Bony thorax is intact.,No definite acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55191401306810645645534969663812353643
The lungs are clear. The cardiomediastinal silhouette is stable. No pleural effusion is seen.,No infiltrates or effusions.,1.2.826.0.1.3680043.8.498.81920639164364785388807095819057832682
"The heart is enlarged. There is perihilar peribronchial thickening. Left lung base opacity obscures the hemidiaphragm, consistent with atelectasis and/or pleural effusion. There are no focal consolidations. No evidence for pulmonary edema.",1. Cardiomegaly. 2. Bronchitic changes. 3. Left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.77157920565482829917747829353649711589
Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Right-sided PICC line tip is in the SVC. There is bilateral perihilar atelectasis and interstitial edema. No visible effusion.,Worsening aeration due to edema/atelectasis.,1.2.826.0.1.3680043.8.498.84671006451104507217551318939519598165
Endotracheal tube is 2.2 cm from the carina. The lungs are symmetrically inflated. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,"Endotracheal tube in place, now 2.2 cm from the carina. Clear lungs.",1.2.826.0.1.3680043.8.498.19698357784999285684821757366983827659
"Cardiomediastinal silhouette unchanged in size and contour. Cardiac pacing device on the left chest wall with 2 leads in place, unchanged. Low lung volumes. No confluent airspace disease. No pleural effusion or pneumothorax. No displaced fracture.","Low lung volumes, with no evidence of acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.87722751743608903732811263241261839964
Stable heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96112410561457934534718469711541977610
Stable cardiomegaly. Atherosclerosis of thoracic aorta is noted. Stable mild central pulmonary vascular congestion is noted with probable associated mild bilateral pulmonary edema. Stable mild bilateral pleural effusions are noted with associated atelectasis. No pneumothorax is noted. Interval placement of right internal jugular catheter with distal tip in expected position of the SVC.,"Stable cardiomegaly, mild pulmonary edema, and bilateral basilar atelectasis with associated pleural effusions. Interval placement of right internal jugular catheter with distal tip in expected position of the SVC.",1.2.826.0.1.3680043.8.498.89280673686280645506268843900666190382
Right upper extremity central venous catheter tip projects over the mid SVC. Tracheostomy tube at the thoracic inlet. Low lung volumes. Diffuse bilateral interstitial opacities are similar to prior exam. Unchanged heart size and mediastinal contours. No pneumothorax.,1. Right upper extremity central venous catheter tip projects over the mid SVC. 2. No pneumothorax. 3. Similar appearance of diffuse bilateral interstitial opacities.,1.2.826.0.1.3680043.8.498.20408260725598146958840024305748329648
"There is patchy density at both lung bases, consistent with atelectasis or pneumonia. No significant pleural effusion. No displaced rib fracture is identified. No pneumothorax. Cardiac size is normal. The thoracic aorta is calcified and tortuous. The bones are osteopenic.",1. No evidence for acute abnormality. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.48441138626307552820208703200135292790
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.49166777131242359309680360180941840569
Normal cardiac and mediastinal silhouettes. Infiltrates identified in right upper lobe. Remaining lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.,Right upper lobe infiltrate.,1.2.826.0.1.3680043.8.498.44144787203639265293727932556668377306
The heart size is mildly enlarged. Pulmonary edema is superimposed on chronic interstitial lung disease. Patchy opacities are present at both lung bases. There is no evidence of pneumothorax. No acute fractures are identified.,1. Cardiomegaly and pulmonary edema compatible with congestive heart failure. 2. Probable bibasilar atelectasis. Early infiltrates cannot be excluded.,1.2.826.0.1.3680043.8.498.45591198966905829546749508745295789414
Stable cardiomediastinal silhouette. Status post coronary artery bypass graft. Tracheostomy is unchanged in position. No pneumothorax is noted. Stable bilateral diffuse interstitial densities are noted throughout both lungs concerning for chronic interstitial lung disease with superimposed edema or inflammation. No significant pleural effusion is noted. Bony thorax is unremarkable.,Stable bilateral diffuse interstitial densities are noted concerning for chronic interstitial lung disease with superimposed edema or inflammation.,1.2.826.0.1.3680043.8.498.60185698681465897077056671237527655487
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33986376462541372646605659414398264572
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28817874792268940403354539759237492860
"Normal heart size, mediastinal contours, and pulmonary vascularity. Mild peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Mild bronchitic changes without infiltrate.,1.2.826.0.1.3680043.8.498.91613882716036855079808346727660844100
A dialysis catheter is again noted in the right IJ. The patient has had a median sternotomy. There is mild cardiomegaly. There is a small left pleural effusion with left lower lobe atelectasis. The lungs are otherwise clear. There is no evidence of pulmonary edema. No pneumothorax.,1. Mild cardiomegaly. 2. Small left effusion with left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.51050034411334297865877164124764098639
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36730027738035132817744182629125777624
Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No significant bony finding. Nodular shadows on the right are unchanged. The larger 1 cm nodule appears to be calcified.,No active cardiopulmonary disease. Stable nodular shadows on the right. The larger 1 cm nodule appears to be calcified.,1.2.826.0.1.3680043.8.498.16619526995957865391988920101415266890
"Interim extubation and removal of NG tube. Swan-Ganz catheter, mediastinal drainage catheter, left chest tube in stable position. Prior CABG. Stable cardiomegaly. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax.",1. Interim extubation and removal of NG tube. Remaining lines and tubes including left chest tube in stable position. No pneumothorax. 2. Prior CABG. Stable cardiomegaly. 3. Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.34379112197140127863889294905332611849
"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.54788577923624800057803538008107734934
The patient is status post left upper lobe resection. There is significant loss of volume in the left hemithorax with shift of the mediastinum to the left. There is scarring change in the right upper lobe with retraction of the right hilum superiorly. There is no evidence for pulmonary edema.,1. Postoperative changes from left upper lobe resection. 2. Chronic scarring changes in the right upper lobe.,1.2.826.0.1.3680043.8.498.40293119140529738721915020579902945640
"There is mild basilar atelectasis present. Compared to a portable film from yesterday, this is mild. No effusion is seen. The heart is within normal limits in size.",Mild bibasilar linear atelectasis. No definite pneumonia.,1.2.826.0.1.3680043.8.498.19524190859466942612873518556916861619
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.46719927482934050374720322304792881669
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28491821970534751438807880934926786550
"The heart is enlarged. There is central vascular congestion with patchy perihilar opacities bilaterally. More confluent airspace opacities are noted at the lung bases, right greater than left. Small bilateral pleural effusions are present. No pneumothorax is identified. No acute osseous abnormality is seen.","Cardiomegaly with findings of congestive heart failure including small bilateral pleural effusions, central vascular congestion, and bilateral perihilar and basilar airspace disease, which may reflect asymmetric edema or pneumonia.",1.2.826.0.1.3680043.8.498.62348700964500887565377817339654736672
"There is adequate inspiration. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. No displaced fracture is seen.",No acute cardiopulmonary process,1.2.826.0.1.3680043.8.498.43488736392257437115950876056732970301
The heart is enlarged. Lung volumes are low. There is bibasilar atelectasis. No overt edema. No focal consolidations. No pleural effusions.,1. Cardiomegaly. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.31006659246223135059020252516528390211
Heart is borderline in size. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.17685698487579200344800383547747198435
There is worsening aeration of both lungs consistent with worsening pulmonary edema. The heart is obscured by the pulmonary densities. Small bilateral pleural effusions are present.,Worsening pulmonary edema.,1.2.826.0.1.3680043.8.498.95731899261127464895418406867347812923
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54766526564122663303338492914843941192
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The Port-A-Cath is stable. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47159141605629652226275412916766836187
Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13809493626278516083806300191058446723
There is hyperinflation of the lungs compatible with COPD. Biapical and scarring in the upper lobes. No confluent airspace opacities. Heart is normal size. No visible effusions or acute bony abnormality.,COPD/chronic changes. No active disease.,1.2.826.0.1.3680043.8.498.60362455917615660109925334221105602113
"Cardiovascular: The heart size is enlarged. The pulmonary vascularity is normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",Cardiomegaly. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.83527898769775404204729089729234932370
"No focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. Pulmonary vasculature is unremarkable. No acute osseous findings.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.94544534009543500735425074828204860152
The heart is normal in size. The lungs are under-inflated. Chronic interstitial changes are seen. The heart is normal in size. The patient has developed patchy density in the left mid lung zone. Increased density at the right base is also noted. No pneumothoraces are seen. Post-operative changes are noted.,New patchy densities in both lungs. Considerations include atelectasis or developing airspace disease.,1.2.826.0.1.3680043.8.498.92436200527683847323326834076129705705
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Aortic atherosclerosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42880781885987936499880247097097020114
The heart is enlarged with a tortuous and calcified aorta. The pulmonary vessels are slightly congested. No pneumothorax is visualized. A small right pleural effusion is present with associated atelectasis. A pacing device is present with the tips of the leads in the right atrium and right ventricle. Median sternotomy wires are present.,Cardiomegaly with pulmonary vascular congestion. Small right pleural effusion with associated atelectasis. Superimposed pneumonia cannot be excluded. Previous median sternotomy. Pacing device in place.,1.2.826.0.1.3680043.8.498.23506889269356403264620046845326437397
Monitoring leads overlie the patient. Stable cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.63437325165114251911776545460810929458
The lungs are clear. The heart is mildly enlarged. The pulmonary vascularity is normal. No adenopathy. No bone lesions.,Mild cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.65896235713549567293283944595363330184
There has been improvement in the pulmonary edema pattern. Cardiomegaly persists. COPD. Prior CABG. No pneumothorax.,Improved pulmonary edema.,1.2.826.0.1.3680043.8.498.14952281285840231664059581141723920365
The lungs are adequately inflated. There is no focal infiltrate. The heart is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32071087297795679452398035608603201750
"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.28823010648195820006966101030269635694
The heart is mildly enlarged. The aorta is unfolded. The lungs are clear. No effusions. No acute bony finding.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41131360335589691856938799111445026735
"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.84891717405498741471443114355274965310
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.30438571343609303443680117324697519229
The heart is enlarged. There is a pacemaker. There is vascular congestion without frank edema. No effusions. No focal airspace opacities.,Cardiac enlargement with vascular congestion.,1.2.826.0.1.3680043.8.498.14443263581321276595435176327425656555
New right central venous catheter is seen with tip overlying the cavoatrial junction. No evidence of pneumothorax. Heart size is stable. Diffuse interstitial infiltrates show no significant change. No evidence of pulmonary consolidation or pleural effusion.,New right central venous catheter in appropriate position. No evidence of pneumothorax. Stable cardiomegaly and pulmonary interstitial edema pattern.,1.2.826.0.1.3680043.8.498.59491328079947018165876992326933031785
The right-sided chest tube has been removed. There is a small right apical pneumothorax. Subcutaneous emphysema is again noted. The heart size is normal. Aortic calcifications are again noted. There is no significant pleural effusion. There is no left-sided pneumothorax.,1. Interval removal of the right-sided chest tube. 2. Small right apical pneumothorax. 3. Subcutaneous emphysema in the right chest wall.,1.2.826.0.1.3680043.8.498.83147299726940644108763643704758910326
"Semi upright AP and lateral views of the chest. Stable right PICC line. Shallow lung volumes. Stable cardiomegaly and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion or consolidation. No confluent airspace opacity.",Stable. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.34116780231567684040451052435857491557
The left chest tube has been removed. No pneumothorax is seen. There is increased density at the left base compatible with atelectasis. There is also minimal atelectasis at the right base. No pleural effusion is seen. Heart size is normal.,1. No pleural effusion is identified. 2. No pneumothorax is seen. 3. There is increased density at the left base compatible with atelectasis.,1.2.826.0.1.3680043.8.498.44801025104387225981075562701609964394
Cardiac shadow is stable. Postsurgical changes are again seen. Right jugular sheath has been removed in the interval. Mild bibasilar atelectatic changes are again noted. Small effusions are noted posteriorly. No bony abnormality is noted.,Small bilateral pleural effusions with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.16502515349967807740677912388888036839
The lungs are reasonably well inflated. The interstitial markings are increased. The cardiothymic silhouette is normal in appearance. I see no pleural effusion. The gas pattern in the upper abdomen appears normal. The bony thorax is grossly normal.,There are findings which likely reflect an element of reactive airway disease and acute bronchiolitis. I do not see evidence of pneumonia. I cannot exclude an element of aspiration of developing.,1.2.826.0.1.3680043.8.498.63187226783209164724317024748987375571
"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. No significant skeletal abnormality is detected.",No significant radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.23348411148197091294672238744268411958
The right IJ catheter sheath has been removed. The heart size is enlarged. The patient is status post median sternotomy CABG procedure. Bilateral pleural effusions are again noted left greater than right. There is no significant pulmonary edema. There is atelectasis at both lung bases.,1. No significant change in pleural effusions. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.82873549778558568617958521758384180470
Cardiomediastinal silhouette unchanged in size and contour. Fullness in the central vasculature with mild interlobular septal thickening. No pneumothorax. No confluent airspace disease. No pleural effusion. No displaced fracture.,Evidence of mild edema.,1.2.826.0.1.3680043.8.498.79982204721951225789749076908897083278
"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild vascular congestion noted; lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.11261142690434014673850289519977685588
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.89172183041348211864673646868825829932
"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.84795075039468721470086085344985827814
The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process demonstrated.,1.2.826.0.1.3680043.8.498.78213396347427369605380032418230520627
There is right lower lobe airspace disease which may reflect atelectasis versus pneumonia. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,Right lower lobe airspace disease which may reflect atelectasis versus pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.60027741224323140395205644056568240551
"There is mild ventricular prominence of the lateral ventricular periphery. There is no evidence for hemorrhage, mass effect, or extra-axial fluid collections. There is no evidence of acute infarct in a major vascular distribution. The brainstem and cerebellum are unremarkable. No skull abnormalities are seen. There is no significant change compared with the prior exam.",No evidence of acute stroke.,1.2.826.0.1.3680043.8.498.54364824602170793570519290622724618115
Cardiomediastinal silhouette unchanged in size and contour. No evidence of central vascular congestion. No pneumothorax or pleural effusion. Coarsened interstitial markings persist. Improved aeration of the lungs with no confluent airspace disease. No displaced fracture.,"Improved appearance of the lungs, with no evidence of acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.49795246910426929858848273177671945764
Stable cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Thoracic spine degenerative changes.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.67699605392732940840737506812616155018
The current exam shows increased prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. There is thickening of the interstitial lung markings consistent with interstitial edema. No pneumonia is seen. The heart is mildly enlarged but is stable in size as compared to the prior exam. No pleural effusion is seen.,1. The chest shows changes consistent with congestive heart failure as noted above. 2. No pneumonia is seen.,1.2.826.0.1.3680043.8.498.37815515209924764418870502040801201021
"Patchy bilateral airspace opacities in a mid lower lung zone predominant distribution, similar to prior exam. Heart is normal in size. Mediastinal contours are unchanged. No pneumothorax or evidence of pneumomediastinum. No significant pleural effusion. No pulmonary edema. No acute osseous abnormalities are seen.","Patchy bilateral airspace opacities in a mid-lower lung zone predominant distribution consistent with pneumonia, pattern typical of COVID-19. Overall appearance is unchanged from prior exam.",1.2.826.0.1.3680043.8.498.68003130892916836366687504626547077765
"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.14549010342462562315813476556809315917
Nasogastric tube extends into stomach. Right jugular Swan-Ganz catheter tip projects over proximal right pulmonary artery. Enlargement of cardiac silhouette. Minimal elongation of aorta. Bibasilar atelectasis. Lungs otherwise clear. No pleural effusion or pneumothorax.,No pneumothorax following Swan-Ganz catheter placement. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.19084463594795112974417989606816004596
Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.27359011234792279661341079052464514092
There is airspace consolidation in the right middle lobe. The lungs are otherwise clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation right middle lobe.,1.2.826.0.1.3680043.8.498.44613759235340753629047996359958289340
The lungs are reasonably well inflated. The interstitial markings are increased bilaterally. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. The left hemidiaphragm is obscured. There is a small right pleural effusion. The bony thorax exhibits no acute abnormality.,CHF with mild pulmonary interstitial edema and small right pleural effusion. Probable left basilar atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.73166141524656115370296033419719044068
The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.89749948968004065903316923016754204128
There is increased airspace disease at the left lung base. Patchy airspace disease is also seen in the right mid and lower lung zones. Low lung volumes are again noted. Cardiomegaly is stable. Tracheostomy tube remains in place.,"Increasing bilateral airspace disease, left side greater than right.",1.2.826.0.1.3680043.8.498.87773590226583303704834037442728066500
The lungs are hyperinflated consistent with COPD. There is increased density in the RIGHT upper lobe which is new. The heart is not enlarged. There is no pleural effusion.,1. COPD. 2. Increased density in the RIGHT upper lobe which could be secondary to underlying pneumonia. Followup PA and lateral views would be recommended.,1.2.826.0.1.3680043.8.498.62782066712673533202371346367604870801
Mediastinum and hilar structures normal. Heart size normal. Lungs are clear. No pleural effusion or pneumothorax. Degenerative changes left shoulder.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57162830406524293045144220633433356545
The lungs are mildly hyperinflated. There is confluent density in the left upper lobe consistent with pneumonia. The interstitial markings are increased diffusely. The cardiac silhouette is normal in size. I see no pleural effusion. The pulmonary vascularity is not engorged. The right internal jugular venous catheter tip lies in the region of the midportion of the SVC.,There are findings consistent with left upper lobe pneumonia and likely superimposed acute bronchitis. I do not see significant pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.13112073969651505880974782828772781529
Right subclavian Port-A-Cath is in place with the tip in the upper SVC. No pneumothorax. Minimal atelectasis at the left base. No pleural effusion. Normal heart size.,Right subclavian Port-A-Cath placement with the tip in the upper SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.29523060238458243743542290602445110119
Endotracheal tube is in satisfactory position. Stable left lower lobe airspace opacity. Stable mild right lower lobe atelectasis. Normal sized heart.,1. Stable left lower lobe pneumonia. 2. Stable mild right basilar atelectasis.,1.2.826.0.1.3680043.8.498.84574567934261937468062766015167959974
"The heart size and mediastinal contours are within normal limits. A moderate size hiatal hernia is again noted. There is no focal infiltrate, pulmonary edema, or pleural effusion. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35202639594233398959584671329494300370
"Lung volumes at the upper limits of normal. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.71410565455230187911924506698148117996
There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.76057597525512058996514658828800292474
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Right internal jugular Port-A-Cath is noted with distal tip in expected position of the SVC. The visualized skeletal structures are unremarkable.,Right internal jugular Port-A-Cath is noted with distal tip in expected position of the SVC. No pneumothorax is noted.,1.2.826.0.1.3680043.8.498.93679505904076662246998623284095004999
"There is central airway thickening. No consolidative process, pneumothorax or effusion. Lung volumes are normal. Heart size is normal. No bony abnormality.",Central airway thickening compatible with a viral process reactive airways disease.,1.2.826.0.1.3680043.8.498.85068669401559092133473146271081529590
There is cardiac enlargement with a stable pattern of mild edema. Low lung volumes. Bibasilar atelectasis is noted. No large effusion or pneumothorax.,Stable mild CHF. Low volume exam with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.84005805106496517411914239455627113019
There is consolidation in the right middle lobe compatible with pneumonia. Left lung is clear. Heart size is normal. No pleural effusion. No pneumothorax.,Right middle lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.34763134279750273371697203805450841873
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The cardiothymic shadow is normal in size. The mediastinal and osseous structures show no significant abnormalities.",No significant abnormalities are noted.,1.2.826.0.1.3680043.8.498.46340918712705829124635582574934233968
"No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Coarse reticular opacities are again seen throughout both lungs, stable since previous exam. Symmetric biapical pleural thickening is stable. Heart size and mediastinal contours are within normal limits.",No evidence of left rib fracture. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80413531118854236047524917450253528615
There is peribronchial thickening consistent with bronchitis. There are no consolidative infiltrates or effusions. Heart size and vascularity are normal. No osseous abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.78991257123561277764220908110667972671
Right hilar mass is stable. Volume loss in the right lung is stable. A feeding tube has been placed. The tip is in the stomach. No pneumothorax is seen. The left lung is under-inflated and grossly clear.,Feeding tube placement. Otherwise no significant change.,1.2.826.0.1.3680043.8.498.67203182185487174560996628292159674470
There is hyperinflation of the lungs compatible with COPD. Heart is normal size. No confluent airspace opacities or effusions. No acute bony abnormality.,COPD. No active disease.,1.2.826.0.1.3680043.8.498.53420074764588308916087791005449489920
Mediastinum and hilar structures normal. Heart size normal. Interim clearing of right middle lobe infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,Interim clearing of right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.50950865324199655343189022020457674042
The heart and mediastinum are normal. The lungs are clear. There is elevation of the left hemidiaphragm with blunting of the left costophrenic angle and mild scarring at the left base. There is no acute process. The bony thorax is intact.,Chronic changes at the left base - no active disease.,1.2.826.0.1.3680043.8.498.25151684474440007012819795207237919673
"The lung fields remain clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.52191564618586201201506787690853610369
The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.50691156733347010343502082436889953867
The heart is mildly enlarged. There is vascular congestion without pulmonary edema. No consolidation is identified. There is no pleural effusion or pneumothorax.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.35950027423701908917208802745784313490
"Right arm PICC tip is in the lower SVC. There is been development of asymmetric airspace disease, right greater than left. No pleural effusion. Heart size is normal.","Asymmetric airspace disease, right greater than left. This may represent asymmetric edema or pneumonia.",1.2.826.0.1.3680043.8.498.90473632101201468151071288981063242961
The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.81760676778929946507505261527984003223
The lungs are mildly hypoinflated. There is no focal infiltrate. The cardiothymic silhouette is normal in appearance. I see no pleural effusion. The gas pattern in the upper abdomen is normal.,I do not see evidence of pneumonia. I cannot exclude an element of acute bronchiolitis in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.58765929918241720758594846055271218186
Single view of the chest was obtained. The heart size is within normal limits. The pulmonary vascularity is normal. Lung volumes are normal. Emphysematous changes are again seen. No lobar areas of consolidation are present. No pleural effusions are present. There are no pneumothoraces. The osseous structures are stable.,1. No acute pulmonary process. 2. Emphysema.,1.2.826.0.1.3680043.8.498.87895030754452331439651027833204640029
Endotracheal tube has its tip 3 cm above the carina. Nasogastric tube enters the stomach. Right internal jugular central line has its tip in the SVC 2 cm above the right atrium. There is worsening of consolidation in both lower lobes consistent with pneumonia. Upper lobes are essentially clear. No apparent effusion.,Lines and tubes well positioned. Worsening of bilateral lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.31576677821196755324776513450155247872
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62263937122896798699457387937578154364
There is no evidence of active infiltrate or effusion. Mild linear scarring is noted at the lung bases. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.69123918010156919178084124984935382544
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19647533450261754442991569840639826193
Cardiothymic silhouette is within normal limits. There is mild hazy lung opacity consistent with atelectasis. No effusion or pneumothorax. No bony abnormality.,Mild hazy lung opacity consistent with atelectasis.,1.2.826.0.1.3680043.8.498.92050787724478090408803819558029315578
There is increased density at the left lung base suggestive of atelectasis or infiltrate with a small left pleural effusion. The heart is enlarged. The lungs are otherwise clear. There is no edema. There is no pneumothorax.,Left lung base atelectasis versus infiltrate with a small left pleural effusion. Follow-up to document complete clearing is suggested.,1.2.826.0.1.3680043.8.498.65387371710428928143468245527889293872
The lungs are well-expanded and clear. The heart is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88332477332742920500537152523273912492
There is elevation of the right hemidiaphragm. Patchy opacity at the left lung base is likely due to atelectasis. The lungs are otherwise clear. There is no pleural effusion. Heart size is upper normal. No focal bony abnormality.,Patchy left basilar airspace disease is likely due to atelectasis rather than pneumonia.,1.2.826.0.1.3680043.8.498.93846424726632196343564426267268858192
"Stable mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax. Chronic interstitial lung disease.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.20875008876973925825792974141241692912
The heart remains enlarged. There is improved pulmonary edema. Small bilateral pleural effusions persist with left lower lobe atelectasis. No pneumothorax.,1. Resolved pulmonary edema. 2. Small bilateral effusions and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.84451075160596257339642279796573068258
There is elevation of the left diaphragm. There is bibasilar atelectasis. No pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. Prior median sternotomy. The osseous structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81122325736925567665931711952941327093
"The heart is mildly enlarged. The mediastinal and hilar contours are within normal limits and unchanged. The lungs are hyperinflated. Chronic emphysematous and bronchitic lung changes are again noted and appear stable. No infiltrates, edema or effusions. The bony thorax is intact.",Stable mild cardiac enlargement. Stable changes of COPD. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.30622932477590264503568009667400642522
Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Patchy infiltrates in the mid to lower RIGHT lung consistent with pneumonia. LEFT lung clear. No pleural effusion or pneumothorax. Bones demineralized.,Patchy infiltrates in the mid to lower RIGHT lung consistent with pneumonia.,1.2.826.0.1.3680043.8.498.55672810747552215014720660097943244443
"The patient has been extubated and the nasogastric tube removed. Stable cardiac and mediastinal contours. Elevation of the left hemidiaphragm is similar compared to prior. No pulmonary edema, pleural effusion or pneumothorax. No focal airspace consolidation. No acute osseous abnormality.",1. Interval extubation and removal of nasogastric tube. 2. Low inspiratory volumes. 3. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.65870631445706490427439765823773219638
The cardiac silhouette is mildly enlarged. The mediastinum and pulmonary vasculature are within normal limits. Both lungs are clear. A small left pleural effusion is noted. No gross bony abnormalities are identified.,Stable chest x-ray with no evidence of acute cardiac or pulmonary process.,1.2.826.0.1.3680043.8.498.62746578785903878373956150954993760330
"Interval resolution of left mid lung patchy airspace opacity. The lungs are clear. Cardiac and mediastinal contours are within normal limits. No evidence of pleural effusion, pulmonary edema or pneumothorax. No suspicious pulmonary nodule. No acute osseous abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28742574533125312661653672777537813669
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27888037160590314323335514176133239516
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94093515750799921415654307944526138461
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.45954746895224934179285958547629528721
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.64316183805759421701739479296327583344
"Endotracheal tube, NG tube, and Swan-Ganz catheter are unchanged. There is increasing bibasilar atelectasis. Mild vascular congestion. Heart is normal size. No pneumothorax.",Increasing bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.36966270212788469363120372502081066530
Left upper lobe mass again noted. No pneumothorax is identified. Left lung atelectasis is noted. Right lung is clear. Heart size is normal.,No pneumothorax after left chest mass biopsy.,1.2.826.0.1.3680043.8.498.89335251981963142510362783991265049667
Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.39885473019792211963922916934461454275
Cardiomediastinal silhouette is normal. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10982652013571373111773341470135819846
Lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.13438872162871735620632616900266086148
Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. There is a mild elevation of the left hemidiaphragm. Mild multilevel thoracic spondylosis is identified.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.33896208562910729566734317888843089314
The heart is enlarged. There is no evidence for CHF. There is improved aeration of the left lung base. There is a small left effusion.,1. Cardiomegaly. No CHF. 2. Improved left lower lobe aeration.,1.2.826.0.1.3680043.8.498.69262083331130540106068965800745443747
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86009236015167695834400125992969994983
"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.46650917267549360572617190438447853458
The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Small right pleural effusion. Right basilar atelectasis. No consolidation. No pneumothorax. No acute osseous abnormality.,Small right pleural effusion with adjacent atelectasis.,1.2.826.0.1.3680043.8.498.81324873049797292204360051476637945918
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52401674528166647168334519673507630618
The patient is rotated to the right. The UVC tip is in the mid right atrium. The heart is normal in size. The lungs are under inflated and grossly clear. No pneumothoraces or effusions are seen.,Low UVC placement.,1.2.826.0.1.3680043.8.498.89861951351551017622350218242766600088
Heart size is normal. Aortic atherosclerosis. Patchy density at the lung bases most likely represents atelectasis. Pneumonia is possible. No evidence of heart failure or effusion. No significant bone finding.,Mild patchy density at the lung bases most likely represents atelectasis.,1.2.826.0.1.3680043.8.498.54582852499625454326109305969802470282
There is a left-sided Port-a-Cath with the tip in the projection of the superior vena cava. There is a large mass in the right upper lobe which is unchanged when compared with the prior study. There is also some atelectasis of the right upper lobe. The left lung is clear. There is no pneumothorax.,1. Status post Port-a-Cath placement. 2. No pneumothorax. 3. Large right upper lobe mass.,1.2.826.0.1.3680043.8.498.25785026689650372083668060828125850861
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. Post operative changes of prior CABG are observed. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.49060244010743414843124501168337432863
"Stable mediastinum and heart silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.34610815787715854848657313843760065455
There is patchy airspace opacity in the lung bases. Lungs elsewhere are clear. Heart is mildly enlarged with pulmonary vascularity normal. No adenopathy. No bone lesions.,"Patchy airspace opacity in the lung bases, felt to represent superimposed pneumonia with a degree of underlying atelectasis. No consolidation. Stable cardiac prominence. No adenopathy evident.",1.2.826.0.1.3680043.8.498.31218831018294113331905712123723641405
Stable cardiomediastinal silhouette. Left-sided pacemaker is unchanged in position. No pneumothorax or pleural effusion is noted. No acute pulmonary disease is noted. Degenerative changes of the left shoulder are noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56091178112355688591078675630610993999
Endotracheal tube is 2.5 cm above the carina. There is a moderate right pleural effusion with right lower lobe atelectasis. Heart is mildly enlarged. No acute bony abnormality.,Endotracheal tube 2.5 cm above the carina. Right lower lobe atelectasis and right effusion.,1.2.826.0.1.3680043.8.498.33159605900770500803652209789439433533
A single view of the chest shows the lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24475263466526534018744964248005861763
Cardiothymic silhouette is normal. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.51958883586395923823149962274099599431
"There is no fracture, dislocation or significant localized bony change. The joint spaces are preserved without arthrosis. The soft tissue silhouettes are unremarkable.",No acute bony process. If there are continued complaints serial clinical and as indicated imaging follow up is recommended.,1.2.826.0.1.3680043.8.498.72093543895251988614376618275364135490
There is an old healed fracture of the right clavicle. There is no evidence of an acute right rib fracture. The heart size and pulmonary vascularity are normal. The lungs are clear. No pneumothorax.,No acute right rib fracture. Old healed fracture of the right clavicle. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53400632354516331180563873317159586678
"Cardiovascular: The heart is normal sized. The pulmonary vascularity appears normal. Mediastinum: The mediastinal contour and hilar configuration are within normal limits. Lungs: There are no consolidating infiltrates, pleural effusions, or pneumothoraces. Lung volumes are appropriate. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.78368550059928739778863598293272406094
The cardiac silhouette is enlarged. A right internal jugular central venous catheter is present with the tip in the superior vena cava. There is no pneumothorax. The lungs appear to be clear.,Cardiomegaly. No evidence of complication following placement of the central venous catheter.,1.2.826.0.1.3680043.8.498.28575690154503371348915342972430685611
Heart and mediastinal contours are within normal limits. There is central airway thickening without focal airspace opacity or effusion. Visualized skeleton unremarkable.,Findings compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.48249489774989536725325513987564247847
"Intact sternotomy wires. Stable cardiomediastinal silhouette with top-normal heart size. No pneumothorax. Trace bilateral pleural effusions, similar. No pulmonary edema. Mild bibasilar atelectasis, decreased. No new consolidative airspace disease.","1. Mild bibasilar atelectasis, decreased. 2. Trace bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.22482523387554473688720617174677058696
"Heart is normal size. Linear densities in the lung bases, likely atelectasis. No effusions. No acute bony abnormality.",Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.16581270179331383730461051701526638948
Left arm PICC extends to the low SVC. No pneumothorax. Lungs clear. Heart size upper limits normal. No effusion.,Left arm PICC to low SVC.,1.2.826.0.1.3680043.8.498.15616708742642629110061223210181299688
"There is little change in diffuse edema pattern throughout both lungs. There are bilateral pleural effusions, left greater than right. Heart size is difficult to assess.",No significant change in diffuse edema pattern and effusions.,1.2.826.0.1.3680043.8.498.28214940889057599267466796646385956335
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87456988854578633225152428852601858581
Heart: Stable cardiomegaly. Lungs: No pneumothorax or pleural effusion. No focal consolidation. Pulmonary vascularity is within normal limits. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,1. No acute cardiopulmonary findings. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.13255694571756780973466193792196775037
The lungs are mildly hyperinflated but clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There is mild hyperinflation which may be voluntary or could reflect underlying COPD. I do not see evidence of CHF nor of pneumonia.,1.2.826.0.1.3680043.8.498.95138814873460248950696173868426118320
Swan-Ganz catheter has been removed with the introducer left in place. Chest tubes have been removed without resulting pneumothorax. Bibasilar atelectasis is stable. The heart remains enlarged.,Chest tube removal without pneumothorax. Stable bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.86344600616761115945070795683788857638
The heart is enlarged. The mediastinal and hilar contours are grossly normal. There is a moderate sized right pleural effusion and overlying right basilar atelectasis. The left lung is clear. No pulmonary edema is seen.,Cardiomegaly and right effusion with overlying atelectasis.,1.2.826.0.1.3680043.8.498.57423720440252449406696529865894266766
Cardiac pacer noted with lead tips in right atrium right ventricle. Prior CABG. Cardiomegaly with pulmonary vascular prominence and bilateral interstitial prominence with bilateral pleural effusions. Findings consistent with congestive heart failure with pulmonary interstitial edema and bilateral pleural effusions. No pneumothorax.,1. Cardiac pacer with lead tips in right atrium and right ventricle. Prior CABG. Congestive heart failure with pulmonary interstitial edema and bilateral pleural effusions. Findings have improved slightly from prior study.,1.2.826.0.1.3680043.8.498.81913459187166106792530965268599513336
There is mild atelectatic change in the right base. There is no edema or consolidation. Heart is mildly enlarged with pulmonary vascularity normal. No adenopathy. There is atherosclerotic calcification in the aorta. There is postoperative change in the right shoulder. There is evidence of pleural plaques.,Mild right base atelectasis. No edema or consolidation. Stable cardiac silhouette. Stable aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.81932729967019492166802842811039308626
There is some patchy atelectasis at the lung bases. The lungs are otherwise clear. No pleural effusion. Heart size normal.,Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.88114456360213268151820355928353903706
Trachea is midline. Heart is at the upper limits of normal in size. Biapical pleural thickening. Lungs are hyperinflated but clear. No pleural fluid.,COPD without acute finding.,1.2.826.0.1.3680043.8.498.66932763600073091278685301210086324063
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.65399405521067573273680746436197158639
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29586182098588219622719143728959064624
"There is increased density at the lung base on the left suggestive of atelectasis or pneumonia. There is shallow inspiration. The lungs are otherwise clear. The heart is at the upper limits of normal in size. There is no edema, effusion or pneumothorax.",Left lung base pneumonia.,1.2.826.0.1.3680043.8.498.50387901556605038277296719429753271345
The lungs are clear. Heart size is normal. No pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.94503346615120021472678796437781086315
Normal heart size and mediastinal contours. Pulmonary vascular congestion. Question developing perihilar infiltrates bilaterally. No gross effusion or pneumothorax. Bones unremarkable.,Pulmonary vascular congestion with question developing perihilar infiltrates.,1.2.826.0.1.3680043.8.498.87353152995028210645687387524454059629
Endotracheal tube is 2.5 cm from the carina. The heart is enlarged. There is vascular congestion and a right pleural effusion. There is also right lower lobe atelectasis. No evidence of pneumothorax. No acute osseous abnormalities.,1. Endotracheal tube in good position. 2. Cardiac enlargement with vascular congestion. 3. Right pleural effusion and right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.65301721377682772540306501652035561443
Heart size is normal. Moderate central airway thickening is present. No focal airspace disease is evident. The visualized soft tissues and bony thorax are unremarkable.,"Moderate central airway thickening without focal airspace disease. This is nonspecific, but can be seen in the setting of an acute viral process.",1.2.826.0.1.3680043.8.498.31840946116503994569146524535826651433
The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33762255546111212716311680079392277514
There is slight increase in bilateral air space disease. This is more prominent in the right upper lobe and right base. There is also some left base atelectasis.,Increasing bilateral air space disease.,1.2.826.0.1.3680043.8.498.55599021825829375068580945867368022248
"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.13281550242097420467335131601344084626
"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. No bony abnormality is seen.",No acute process.,1.2.826.0.1.3680043.8.498.39397413962728631351904067577808815775
The lungs are well-expanded. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of pneumonia nor of CHF. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.46227789994506770591272169746427525690
Multiple left rib fractures again noted. No pneumothorax. Small left pleural effusion with left lower lobe atelectasis or contusion. Right lung is clear. Heart is normal size. Prior CABG.,Multiple left rib fractures. Small left pleural effusion with left lower lobe atelectasis or contusion.,1.2.826.0.1.3680043.8.498.98594438868371350176131351708761515870
Heart size is normal. The patchy infiltrates seen previously have resolved. There is mild persistent atelectasis at the left lung base. The right lung is clear. No evidence of edema. No pleural effusions.,Resolution of infiltrates. No acute process.,1.2.826.0.1.3680043.8.498.55399408931380549211533257132546497638
The patient has had previous median sternotomy and coronary artery bypass grafting. The heart is enlarged. There is pulmonary vascular congestion with mild interstitial edema. No consolidation or collapse. No effusions. No significant bony finding.,Cardiomegaly and mild edema.,1.2.826.0.1.3680043.8.498.97159737154248414336416517649874920943
"The heart is normal in size. The aorta is tortuous. The lungs are hyperinflated. There is no acute infiltrate, effusion or pneumothorax. There is biapical pleural scarring. The bones are normal in appearance.",COPD. No acute process.,1.2.826.0.1.3680043.8.498.57868963767169362260505502751099742851
"There is a mid inspiration. There is mild prominence of the bronchovascular markings in the medial basilar aspect of the lung fields. No consolidation, pneumothorax, effusion, or congestion is seen. The heart and mediastinum are physiologic in size and contour.",No active process,1.2.826.0.1.3680043.8.498.17060097062183879444464873788147380875
There is moderate cardiomegaly present. The bones are osteopenic and there are degenerative changes throughout the thoracic spine. No active infiltrate or effusion is seen. No acute bony abnormality is noted.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.93559559062427987096842133749916330526
Endotracheal tube and NG tube removed. Swan-Ganz catheter is in the central right pulmonary artery unchanged. No pneumothorax. Cardiac enlargement with mild vascular congestion. Bibasilar atelectasis.,Endotracheal tube removed. No significant interval change.,1.2.826.0.1.3680043.8.498.16876193536638150388199611840537241508
Right IJ dialysis catheter is noted with tip overlying the right atrium. Left-sided pacemaker again noted. The heart is enlarged. The patient is status post prior median sternotomy. There is no pneumothorax. No large pleural effusion. No focal infiltrate. No acute osseous abnormality.,1. Cardiomegaly. 2. Well-positioned right-sided dialysis catheter.,1.2.826.0.1.3680043.8.498.72421939831602412618906850473876956634
The lungs are mildly hypoinflated. The interstitial markings are increased. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. I see no definite pleural effusion.,There are findings consistent with an element of low-grade CHF superimposed upon COPD. I do not see evidence of pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.72964190369198905411243517078517760822
"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Unchanged mild elevation of the right hemidiaphragm. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.29138323811390177595921819302655780204
"Patchy bilateral airspace opacities in a peripheral predominant distribution, slightly progressed from prior exam. Heart is normal in size. Mediastinal contours are unchanged. No pleural fluid or pneumothorax. No evidence of pneumomediastinum. No acute osseous abnormalities are seen.","Patchy bilateral airspace opacities consistent with COVID pneumonia, slightly progressed from exam 3 months ago.",1.2.826.0.1.3680043.8.498.19945872050958301286262773807393168035
The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Thoracic spine degenerative changes and mild scoliosis are stable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59830398196003640925532712898988398286
Cardiac shadow is stable. The left lung is clear. Right-sided pleural effusion is again noted with mild increased fluid following thoracentesis. No pneumothorax is noted. No bony abnormality is seen.,No pneumothorax following right thoracentesis.,1.2.826.0.1.3680043.8.498.14381046919357237163178950904960603922
The central airway thickening. No focal airspace disease or effusion. Heart size normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.19121786265840595564896048484459343925
"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.58972095748028738005116846292713056557
Heart is enlarged. Aorta is ectatic and calcified. There are new infiltrates in the right upper lobe and right lower lobe. There is a small right pleural effusion. Left lung is grossly clear. No pneumothorax.,New right lung infiltrates. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.58492766486840333362537154670811320877
The heart and vascularity are unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.29775012514931758892608964826000808038
The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36022657057818195009854937685296922631
Endotracheal tube tip is 5.6 cm above the carina. Nasogastric tube enters the stomach. The lungs remain hyperinflated. No worsening or new findings.,Endotracheal tube and nasogastric tube well positioned. Hyperinflation consistent with COPD.,1.2.826.0.1.3680043.8.498.81416886309946122883866239383126429032
Swan-Ganz catheter and chest tube removed. No visible pneumothorax. Stable postoperative heart size. Low volumes with increased atelectasis. Small left effusion.,Increased atelectasis after hardware removal. No visible pneumothorax.,1.2.826.0.1.3680043.8.498.92854208990672010171426246938828149196
Stable cardiomegaly. Mild pulmonary vascular congestion and interstitial edema again noted. Scarring and chronic interstitial lung disease again noted. Small bilateral pleural effusions again noted. No pneumothorax. No acute osseous abnormality.,Stable cardiomegaly and mild interstitial edema.,1.2.826.0.1.3680043.8.498.50730238236776320731688229216758151176
Right PICC line is unchanged. Continued volume loss and elevation of the right hemidiaphragm. Patchy right upper lobe airspace disease again noted. This is similar to prior study. No confluent opacity on the left. Heart is normal size. No effusions.,No significant change. Continued right upper lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.64236539818714267990460761825669827211
Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes. Mild basilar atelectasis. No pleural effusion or pneumothorax. Surgical clips right chest.,"1. Cardiomegaly, no CHF. 2. Low lung volumes with mild basilar atelectasis.",1.2.826.0.1.3680043.8.498.11506409275741591924565391645184986836
The heart and mediastinum are stable. There is a small left pleural effusion. Mild left basilar opacities are likely secondary to atelectasis. The right lung is clear.,"1. Small left pleural effusion. 2. Mild left basilar opacities are likely secondary to atelectasis. However, followup PA and lateral chest radiograph is suggested.",1.2.826.0.1.3680043.8.498.15555148548831655105953170288409183962
Endotracheal tube and NG tube are noted in good anatomic position. Diffuse bilateral pulmonary infiltrates are noted. Findings are stable as compared to the exam of yesterday. Superimposed pneumonia cannot be excluded. Small bilateral pleural effusions are present. Cardiac pacer is noted in stable position.,Stable chest x-ray with bilateral pulmonary alveolar infiltrates.,1.2.826.0.1.3680043.8.498.59607338886970912318808117963189377681