The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. Surgical clips overlying the left breast soft tissues. Multilevel degenerative changes of the thoracic spine. No acute bony abnormalities.

bones: Multilevel degenerative changes of the thoracic spine. support_devices: Surgical clips overlying the left breast soft tissues.


There is mild cardiomegaly. Aorta is heavily calcified and tortuous, consistent with atherosclerotic disease. There are diffuse increased interstitial opacities identified. This may be secondary to edema, or alternatively atypical infection. No large effusion or visualized pneumothorax. Osteopenia of the spine is identified.

lungs_pleura: There are diffuse increased interstitial opacities identified. This may be secondary to edema, or alternatively atypical infection. heart_mediastinum: There is mild cardiomegaly. Aorta is heavily calcified and tortuous, consistent with atherosclerotic disease. bones: Osteopenia of the spine is identified.


Calcified granulomas are present. There is an area of focal density overlying the right first rib and medial clavicle. This is approximately 1.2 cm in diameter. It may be secondary to overlapping structures. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart is normal. Calcifications of the aortic XXXX are seen. The skeletal structures are unremarkable. There has been a left mastectomy.

lungs_pleura: Calcified granulomas are present. heart_mediastinum: Calcifications of the aortic arch are seen. bones: There is an area of focal density overlying the right first rib and medial clavicle. This is approximately 1.2 cm in diameter. others: There has been a left mastectomy.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma within the left midlung.

lungs_pleura: There is a calcified granuloma within the left midlung.


There are low lung volumes. The cardiac silhouette and mediastinal contours are within normal limits. There is tortuosity of the thoracic aorta. No pneumothorax. No large pleural effusion.

lungs_pleura: There are low lung volumes. heart_mediastinum: There is tortuosity of the thoracic aorta.


The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.


The cardiac contours are normal. The lungs are hyperinflated with flattened diaphragms. No acute pulmonary findings. Thoracic spondylosis.

lungs_pleura: The lungs are hyperinflated with flattened diaphragms. bones: Thoracic spondylosis.


Apparent cardiomegaly XXXX at XXXX partially accentuated by low lung volumes. Relative elevation right hemidiaphragm. Streaky left retrocardiac densities. No pneumothorax or large pleural effusion. Surgical clips near the gastroesophageal junction. Negative for acute bone abnormality.

lungs_pleura: Apparent cardiomegaly partially accentuated by low lung volumes. Relative elevation right hemidiaphragm. Streaky left retrocardiac densities. support_devices: Surgical clips near the gastroesophageal junction.


The lungs appear clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.


The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Multiple punctate round XXXX XXXX over the abdomen on the lateral view. These may reside within, or outside of the patient.


Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications and mediastinum. The lungs are clear. Bony structures are intact.

heart_mediastinum: Granulomatous calcifications and mediastinum.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.


Cardiomegaly. Prominent XXXX are stable. Low lung volumes. No pneumothorax. Minimal right costophrenic XXXX blunting. No focal infiltrates.

lungs_pleura: Low lung volumes. Minimal right costophrenic blunting. heart_mediastinum:


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. The aorta is unfolded. There is left base streaky opacity due to XXXX scarring or discoid atelectasis. There is a midright lung small calcified granuloma. There are small nodular opacities projecting over the right base in the right costophrenic sulcus, posterior right 9th rib and the anterior T10 vertebral body. No XXXX focal airspace consolidation or pleural effusion.

lungs_pleura: There is left base streaky opacity due to scarring or discoid atelectasis. There is a midright lung small calcified granuloma. There are small nodular opacities projecting over the right base in the right costophrenic sulcus. heart_mediastinum: Cardiomediastinal silhouette. The aorta is unfolded. bones: Small nodular opacities projecting over the posterior right 9th rib and the anterior T10 vertebral body.


The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. Arthritic changes are seen throughout the spine and both XXXX.

bones: Arthritic changes are seen throughout the spine and both XXXX.


The cardiac and mediastinal contours are within normal limits. There are calcified mediastinal lymph XXXX, with a calcified right lower lobe pulmonary nodule. The lungs are well-inflated and clear. There is no focal consolidation, pneumothorax, or effusion. There are degenerative changes of the first costochondral joints bilaterally. No acute bony abnormalities are seen.

heart_mediastinum: Calcified mediastinal lymph nodes. Calcified right lower lobe pulmonary nodule. bones: Degenerative changes of the first costochondral joints bilaterally.


There is a subtle left medial base opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.

lungs_pleura: There is a subtle left medial base opacity.


The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.


Right chest central venous line is noted with tip in the mid SVC. There is no pneumothorax. Heart size is normal. No large pleural effusions. No acute focal airspace opacification.

support_devices: Right chest central venous line is noted with tip in the mid SVC.


The heart is normal in size and contour. The aorta is calcified and tortuous. The lung volumes are low. There is elevation of the right hemidiaphragm. Minimal streaky opacities in the lung bases, XXXX subsegmental atelectasis. No pleural effusion or pneumothorax.

lungs_pleura: The lung volumes are low. There is elevation of the right hemidiaphragm. Minimal streaky opacities in the lung bases. Subsegmental atelectasis. heart_mediastinum: The aorta is calcified and tortuous.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There is a 9 mm right lower lobe pulmonary nodule, not seen on prior exams. There are posttraumatic deformities of the right posterior ribs. No focal airspace consolidation or effusion. No pneumothorax.

lungs_pleura: There is a 9 mm right lower lobe pulmonary nodule. bones: There are posttraumatic deformities of the right posterior ribs.


Within the right lower lobes there are XXXX airspace opacities XXXX representing consolidation and atelectasis with blunting of the bilateral costophrenic XXXX. The cardiomediastinal silhouette is within normal limits. Bibasilar subsegmental atelectasis. No acute osseous abnormality.

lungs_pleura: Within the right lower lobes there are airspace opacities representing consolidation and atelectasis with blunting of the bilateral costophrenic. Bibasilar subsegmental atelectasis.

Opacity;Consolidation;Pulmonary Atelectasis;Costophrenic Angle;Pulmonary Atelectasis;Airspace Disease;Pleural Effusion


The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.


The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. There are mild degenerative changes along the thoracic spine. No acute bony abnormality is identified.

bones: There are mild degenerative changes along the thoracic spine.


Heart size within normal limits. Prominent interstitial and nodular opacities are increased since comparison exam. There is a 1 cm nodular opacity in the right costophrenic XXXX, increased since comparison examination. A cystic lesion in the right upper lobe appears similar to prior examination. No pleural effusion or pneumothorax.

lungs_pleura: Prominent interstitial and nodular opacities. 1 cm nodular opacity in the right costophrenic angle. Cystic lesion in the right upper lobe.


Both lungs are clear and expanded. Heart and mediastinum normal.


Heart size at the upper limits of normal. There are scattered calcified granulomas. No focal airspace consolidation, large effusion, or appreciable pneumothorax. Tortuous, unfolded to descending aorta. Calcified aortic XXXX. XXXX curvature of the thoracic spine. Exaggerated kyphosis. XXXX are diffusely osteopenic. Multilevel degenerative changes of the thoracic spine with minimal anterior XXXX loss of several vertebral bodies.

lungs_pleura: There are scattered calcified granulomas. heart_mediastinum: Heart size at the upper limits of normal. Tortuous, unfolded to descending aorta. Calcified aortic. bones: Curvature of the thoracic spine. Exaggerated kyphosis. Are diffusely osteopenic. Multilevel degenerative changes of the thoracic spine with minimal anterior loss of several vertebral bodies.

Calcified Granuloma;Aorta;Calcinosis;Scoliosis;Kyphosis;Bone Diseases, Metabolic;Thoracic Vertebrae;Deformity


Overall low lung volumes. Lungs are grossly clear. Pleural thickening along the inferior left lateral chest. This appears relatively stable compared to the prior examination. No pleural effusions or pneumothoraces. cardiomegaly. Degenerative changes in the spine.

lungs_pleura: Overall low lung volumes. Pleural thickening along the inferior left lateral chest. heart_mediastinum:  bones: Degenerative changes in the spine.


Negative for cardiac enlargement or vascular congestion. Minimal subsegmental atelectasis at the left base otherwise negative for focal confluent airspace disease. The visualized bony structures are intact. There are minimal degenerative disc changes of the mid/lower thoracic spine. No pneumothorax.

lungs_pleura: Minimal subsegmental atelectasis at the left base. bones: Minimal degenerative disc changes of the mid/lower thoracic spine.


Lungs are clear. No pleural effusions or pneumothoraces. heart size is normal. There is some tortuosity of the aorta. Degenerative changes in the thoracic spine

heart_mediastinum: There is some tortuosity of the aorta. bones: Degenerative changes in the thoracic spine.


Cardiac and mediastinal contours are within normal limits. Emphysematous changes are present. The lungs are free of active disease. Deformed right ribs. Thoracic spondylosis.

lungs_pleura: Emphysematous changes are present. bones: Deformed right ribs. Thoracic spondylosis.


The heart is normal in size. The mediastinum is within normal limits. The study is somewhat limited. No focal consolidation is seen.


Heart size is normal. Cardiomediastinal silhouette stable. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Emphysema.

lungs_pleura: Nodular densities consistent with chronic granulomatous disease.


Lungs remain hyperexpanded. No change in the right middle lobe opacification. No XXXX infiltrates or masses. Pulmonary arteries are prominent centrally.

lungs_pleura: Lungs are hyperexpanded. Right middle lobe opacification. heart_mediastinum: Pulmonary arteries are prominent centrally.

Lung;Opacity;Pulmonary Congestion;Pulmonary Disease, Chronic Obstructive;Cicatrix;Pulmonary Atelectasis;Hypertension, Pulmonary


Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Elevated left hemidiaphragm with scarring at the left costophrenic XXXX. There is a bullet fragment overlying the left T7 vertebra. Retained XXXX bullet fragments noted within the left upper and lower lobes. No focal consolidation, visible pneumothorax or large pleural effusion. Mild degenerative changes of the thoracic spine.

lungs_pleura: Elevated left hemidiaphragm with scarring at the left costophrenic. Retained bullet fragments noted within the left upper and lower lobes. bones: There is a bullet fragment overlying the left T7 vertebra. Mild degenerative changes of the thoracic spine.

Diaphragm;Cicatrix;Foreign Bodies;Foreign Bodies;Foreign Bodies;Thoracic Vertebrae


2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.


Bibasilar airspace opacities, right greater than left. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.

lungs_pleura: Bibasilar airspace opacities, right greater than left. support_devices: The XXXX are intact.


The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..


The heart is normal in size. The mediastinum is unremarkable. There is slight elevation of left hemidiaphragm with XXXX left basilar subsegmental atelectasis. The lungs are otherwise grossly clear.

lungs_pleura: Slight elevation of left hemidiaphragm. Left basilar subsegmental atelectasis.


The heart size is upper limits of normal. Aorta is tortuous. The lungs are clear without focal infiltrate. No pleural effusion or pneumothorax.

heart_mediastinum: The heart size is upper limits of normal. Aorta is tortuous.


Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.


The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals degenerative changes of the thoracic spine.

bones: Degenerative changes of the thoracic spine.


The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis. Lower cervical degenerative arthritis.

lungs_pleura: Prior granulomatous disease. bones: Thoracic spondylosis. Lower cervical degenerative arthritis.


There are no acute osseous abnormalities. Degenerative changes throughout the thoracic spine. Normal heart size. Calcific aorta. Normal vascular markings. No focal area of consolidation, pleural effusion, or pneumothorax.

heart_mediastinum: Calcific aorta. bones: Degenerative changes throughout the thoracic spine.


Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.


Normal heart size and mediastinal contours. Clear lungs besides scattered calcified granulomas. No pneumothorax or pleural effusion. No acute bony abnormalities.

lungs_pleura: Scattered calcified granulomas.


The heart is normal in size. The mediastinum is unremarkable. Right chest XXXX is visualized with tip at cavoatrial junction. There is no pneumothorax. The lungs are clear.

support_devices: Right chest XXXX is visualized with tip at cavoatrial junction.


The lungs are clear. The cardiomediastinal silhouette is within normal limits. Small pleural effusion is identified.

lungs_pleura: Small pleural effusion is identified.


The lungs are clear. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. Old right-sided rib deformities are noted.

bones: Right-sided rib deformities are noted.


The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.


The cardiac silhouette is mildly enlarged. Mediastinal contours are within normal limits. The pulmonary vasculaturity is increased. There is large right-sided pleural effusion and probable underlying associated compressive atelectasis. Mild perihilar XXXX opacities, XXXX edema. No pneumothorax is seen.

lungs_pleura: The pulmonary vasculaturity is increased. There is large right-sided pleural effusion. Mild perihilar opacities.  heart_mediastinum: The cardiac silhouette is mildly enlarged.

Cardiac Shadow;Pulmonary Congestion;Pleural Effusion;Pulmonary Atelectasis;Opacity;Cardiomegaly


Stable calcified superior mediastinal lymph XXXX. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.

heart_mediastinum: Calcified superior mediastinal lymph nodes.


The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.


Cardiomediastinal silhouette is unchanged with mild cardiomegaly. There is relative elevation of the right hemidiaphragm consistent with history of right lower lobectomy, without focal consolidation, pneumothorax, or effusion identified. Irregularity of the right fifth and sixth ribs stable since at XXXX XXXX and XXXX postsurgical/post traumatic in XXXX. Left shoulder rotator XXXX bone anchor noted. No acute osseous abnormality identified.

lungs_pleura: Relative elevation of the right hemidiaphragm consistent with history of right lower lobectomy. heart_mediastinum: Mild cardiomegaly. bones: Irregularity of the right fifth and sixth ribs postsurgical/post traumatic. support_devices: Left shoulder rotator bone anchor noted.


Right lower lobe infiltrate. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal. There has been interval placement of a left chest XXXX, with its distal tip in the Left sided SVC

lungs_pleura: Right lower lobe infiltrate. support_devices: Placement of a left chest XXXX, with its distal tip in the Left sided SVC.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.


The cardiomediastinal silhouette is within normal limits for appearance. No focal air is prominent consolidation. No pneumothorax. No large pleural effusion. Minimal degenerative changes of the thoracic spine with a mild wedge XXXX deformity of a midthoracic vertebral body. This is age-indeterminate.

bones: Minimal degenerative changes of the thoracic spine with a mild wedge deformity of a midthoracic vertebral body.


There is minimal scarring within the left lung base. The lungs are otherwise clear. Heart size is normal. No pneumothorax.

lungs_pleura: Minimal scarring within the left lung base.


Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. Interval development of mild patchy airspace opacities within the posterior aspect of the right upper lobe, concerning for underlying pneumonia. Stable mild background chronic interstitial changes. No evidence of associated pleural effusion or pneumothorax. Multilevel midthoracic degenerative changes, with prominent anterolateral marginal osteophytes.

lungs_pleura: Mild patchy airspace opacities within the posterior aspect of the right upper lobe. Mild background chronic interstitial changes. bones: Multilevel midthoracic degenerative changes, with prominent anterolateral marginal osteophytes.

Opacity;Lung Diseases, Interstitial;Thoracic Vertebrae;Osteophyte


Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. XXXX are grossly unremarkable. There is evidence of granulomatous disease.

lungs_pleura: There is evidence of granulomatous disease.


Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is mild prominence of the interstitial markings which are unchanged.

lungs_pleura: Mild prominence of the interstitial markings.


Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. There are minimal degenerative changes of the spine.

bones: There are minimal degenerative changes of the spine.


XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.


Cardiomediastinal silhouette are normal in size and contour. Again demonstrated are biapical bullous emphysematous changes. No focal consolidation, pneumothorax, or pleural effusion. Mild multilevel degenerative changes of the thoracic spine.

lungs_pleura: Biapical bullous emphysematous changes. bones: Mild multilevel degenerative changes of the thoracic spine.


The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.


Chest. Both lungs clear and expanded. Heart and mediastinum normal. Ankle. Soft tissue XXXX is present around the malleoli. XXXX intact. Mortise radiographically stable.

bones: Soft tissue XXXX is present around the malleoli.


The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Mild degenerative changes at the lower thoracic spine.

bones: Mild degenerative changes at the lower thoracic spine.


The lungs and pleural spaces show no acute abnormality. Heart size is mildly enlarged, pulmonary vascularity within normal limits.

heart_mediastinum: Heart size is mildly enlarged.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.


PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or focal air space consolidation. Minimal scarring or atelectasis left lung base.

lungs_pleura: Minimal scarring or atelectasis left lung base.


The pulmonary nodules and masses masses on previous exam are smaller and not definitely seen. The lungs are otherwise clear. Heart size normal. No pneumothorax. There is a right chest XXXX with tip projecting over the lower SVC.

support_devices: There is a right chest XXXX with tip projecting over the lower SVC.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.


Normal heart. Clear lungs. No pneumothorax. No pleural effusion. Trachea is midline.


No interval change is found in the bony thorax. The heart size remains normal with an ectatic tortuous aorta. The pulmonary vasculature is not engorged. Lungs are free of infiltrate and there is no pleural effusion. The fullness to the right hilum is again noted but this is unchanged suggesting no progression of the retrohilar nodule XXXX on the CT scan. No XXXX pulmonary nodule is found.

lungs_pleura: The fullness to the right hilum is noted suggesting no progression of the retrohilar nodule on the CT scan. heart_mediastinum: Ectatic tortuous aorta.


The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.


Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.


No pneumothorax, pleural effusion or airspace consolidation. Heart size is upper limits of normal. Pulmonary vasculature appear within normal limits. XXXX XXXX are intact.

heart_mediastinum: Heart size is upper limits of normal.


There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits.


Heart size near top normal limits, mild aortic ectasia size tortuosity. Mediastinal calcifications and dense nodule in the lingula suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.

lungs_pleura: Dense nodule in the lingula suggest a previous granulomatous process. heart_mediastinum: Heart size near top normal limits. Mild aortic ectasia size tortuosity. Mediastinal calcifications.


Normal and stable cardiomediastinal contours. No pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation. Stable mild interstitial prominence and bilateral lung bases.

lungs_pleura: Mild interstitial prominence and bilateral lung bases.


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.


The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.


Lungs are hyperexpanded. No infiltrates or masses in the lungs. Heart size normal.

Lung;Pulmonary Disease, Chronic Obstructive


Cardiomediastinal silhouettes are within normal limits. The there is a diffuse reticulonodular pattern the lungs bilaterally. Pulmonary vasculature is within normal limits. Negative for pneumothorax or large pleural effusion. Bony thorax is unremarkable

lungs_pleura: There is a diffuse reticulonodular pattern the lungs bilaterally.


The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.


Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.


Hyperexpanded lungs. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Multiple surgical clips overlie the midabdomen.

lungs_pleura: Hyperexpanded lungs. support_devices: Multiple surgical clips overlie the midabdomen.


There are low lung volumes. The cardiac silhouette, upper mediastinum pulmonary vasculature are within normal limits. There is no acute pulmonary consolidation, pleural effusion or pneumothorax.


Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No nodules or adenopathy is identified.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.


Heart size is normal lungs are clear. No edema or effusions.


Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.


Sequelae of old granulomatous disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

lungs_pleura: Sequelae of old granulomatous disease.


Heart size and cardiomediastinal contours are normal. Aorta is mildly tortuous. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. Mild degenerative changes in the spine.

heart_mediastinum: Aorta is mildly tortuous. bones: Mild degenerative changes in the spine.


Lung volumes are low. In the interval, a patchy infiltrate has developed in the right lower lobe. Heart and pulmonary XXXX are normal.

lungs_pleura: Lung volumes are low. Patchy infiltrate in the right lower lobe.


Heart size within normal limits. No focal airspace disease. No pneumothorax or effusion. Mild degenerative change in the thoracic spine.

bones: Mild degenerative change in the thoracic spine.


The heart is normal in size. The mediastinum is unremarkable. Granulomatous sequela are noted. The lungs are otherwise clear.

lungs_pleura: Granulomatous sequela are noted.


The lungs and pleural spaces show no acute abnormality. Stable calcified granuloma in the left midlung. Heart size and pulmonary vascularity within normal limits.

lungs_pleura: Calcified granuloma in the left midlung.


Evaluation is limited due to obscuration by the patient's arm on the lateral view. Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascular is unremarkable. XXXX are chronic, coarse interstitial lung markings. Peripheral opacity along the right mid lung XXXX reflects scar or a small amount of loculated pleural fluid or thickening. Otherwise negative for focal airspace disease or consolidation. Hyperlucent lungs with apical XXXX. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX to be grossly intact.

lungs_pleura: Chronic, coarse interstitial lung markings. Peripheral opacity along the right mid lung reflects scar or a small amount of loculated pleural fluid or thickening. Hyperlucent lungs with apical.

Technical Quality of Image Unsatisfactory ;Markings;Opacity;Cicatrix;Pleural Effusion;Thickening;Lung, Hyperlucent;Emphysema


There is stable cavity in the right apex, XXXX related to prior tuberculosis infection. There is increased opacity in the left upper lobe, peripherally. There is pulmonary hyperexpansion. There is no large effusion or pneumothorax.

lungs_pleura: Cavity in the right apex. Increased opacity in the left upper lobe, peripherally. Pulmonary hyperexpansion.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum unremarkable. No change in the mediastinal surgical clips.

support_devices: Mediastinal surgical clips.


PA and lateral views of the chest were obtained. The heart is normal in size. Mediastinal contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax.


Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Aortic calcifications and tortuosity. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings. Degenerative changes of the thoracic spine.

heart_mediastinum: Aortic calcifications and tortuosity. bones: Degenerative changes of the thoracic spine.


No focal consolidation, effusion, or pneumothorax. Normal heart size. Stable left subclavian chest XXXX catheter tip in mid SVC. Lungs are well expanded. Calcified granuloma posteriorly in the medial right lower lobe. Postsurgical changes of anterior lower cervical spine fusion. Thoracic spine demonstrates mild degenerative changes with some mild XXXX loss of T4 and T7 vertebral bodies.

lungs_pleura: Calcified granuloma posteriorly in the medial right lower lobe. bones: Postsurgical changes of anterior lower cervical spine fusion. Thoracic spine demonstrates mild degenerative changes with some mild loss of T4 and T7 vertebral bodies. support_devices: Left subclavian chest catheter tip in mid SVC.

Catheters, Indwelling;Calcified Granuloma;Spinal Fusion;Thoracic Vertebrae;Deformity


The lungs and pleural spaces show no acute abnormality. Hyperexpanded lungs. Calcified right upper lobe granuloma, unchanged. Heart size and pulmonary vascularity within normal limits. No displaced rib fractures.

lungs_pleura: Hyperexpanded lungs. Calcified right upper lobe granuloma.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.


Prominent interstitial markings in the lungs are unchanged. No focal infiltrates. Heart and pulmonary XXXX are normal.

lungs_pleura: Prominent interstitial markings in the lungs.


There is an endotracheal tube at the level of the carina, recommend retraction. Heart size is normal. The mediastinal silhouette is unremarkable. XXXX shrapnel is overlying the right lower lobe. There is a round XXXX bullet overlying the T10 vertebral body. XXXX density is seen within the right lower lobe XXXX representing hemorrhage. There is a right-sided pneumothorax with 10 mm in maximal thickness. There is right axillary subcutaneous emphysema. Probable lateral right 8th rib fracture. The osseous structures are otherwise normal.

lungs_pleura: Density is seen within the right lower lobe representing hemorrhage. There is a right-sided pneumothorax with 10 mm in maximal thickness. support_devices: There is an endotracheal tube at the level of the carina. others: Shrapnel is overlying the right lower lobe. There is a round bullet overlying the T10 vertebral body. There is right axillary subcutaneous emphysema.

Tube, Inserted;Foreign Bodies;Foreign Bodies;Density;Hemopneumothorax;Pneumothorax;Subcutaneous  Emphysema;Fractures, Bone


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.

lungs_pleura: Lungs are hyperexpanded. bones: Degenerative changes in the thoracic spine.


The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.


There is stable cardiomegaly. The mediastinum is unremarkable. Atherosclerotic calcifications are present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are present in the thoracic spine.

heart_mediastinum:  Atherosclerotic calcifications are present within the thoracic aorta. bones: Chronic degenerative changes are present in the thoracic spine.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. Both clavicles appear within normal limits on this limited radiographic evaluation.


Heart size is within normal limits. Low lung volumes. No focal airspace consolidations. No pneumothorax or pleural effusion.


Frontal and lateral views of the chest with overlying external cardiac monitor leads show reduced lung volumes with bronchovascular crowding of basilar atelectasis. No definite focal airspace consolidation or pleural effusion. The cardiac silhouette appears mildly enlarged.

lungs_pleura: Reduced lung volumes with bronchovascular crowding of basilar atelectasis. heart_mediastinum: The cardiac silhouette appears mildly enlarged. support_devices: Overlying external cardiac monitor leads.

Medical Device;Lung;Markings;Pulmonary Atelectasis;Cardiac Shadow;Cardiomegaly


Rounded 1.4 cm projecting retrosternally on lateral view only. No focal consolidation, effusion, or pneumothorax. Normal heart size. Minimal degenerative changes of the thoracic spine. Negative for pneumoperitoneum.

heart_mediastinum: Rounded 1.4 cm projecting retrosternally on lateral view only. bones: Minimal degenerative changes of the thoracic spine.


The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.


Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.


This study is limited by the patient body habitus. Lungs appear to be clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.


The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.


The heart is normal in size. There is right paratracheal density concerning for lymphadenopathy. There are patchy right upper lobe streaky opacities. The remainder of the lungs are clear. There is no pleural effusion.

lungs_pleura: There are patchy right upper lobe streaky opacities. heart_mediastinum: There is right paratracheal density concerning for lymphadenopathy.


Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. Left shoulder arthroplasty is noted. Old left rib fractures.

bones: Left shoulder arthroplasty is noted. Left rib fractures.


Lungs are clear. Heart size normal. The XXXX are unremarkable.


The heart size is within normal limits. The thoracic aorta is tortuous, stable from the prior radiograph. Aortic stent graft overlies the descending thoracic aorta and upper abdominal aorta, grossly stable from the prior chest radiograph. There are scattered calcified granulomas. There is no focal airspace consolidation. No pleural effusion or pneumothorax. The left hemidiaphragm remains mildly elevated. There are mild degenerative changes of the spine.

lungs_pleura: There are scattered calcified granulomas. The left hemidiaphragm is mildly elevated. heart_mediastinum: The thoracic aorta is tortuous. bones: There are mild degenerative changes of the spine. support_devices: Aortic stent graft overlies the descending thoracic aorta and upper abdominal aorta.


Mild cardiomegaly. Lungs are clear. Calcified hilar XXXX. No pleural effusion or pneumothorax. Soft tissues and showed unremarkable.

heart_mediastinum: Mild cardiomegaly. Calcified hilar nodes.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.


Normal cardiac contours. No pleural effusion or pneumothorax. No acute bony abnormalities. Clear lung XXXX bilaterally. No intervertebral disc narrowing or loss of vertebral body XXXX.


Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.


Normal heart size. No focal airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.


There are XXXX sternotomy XXXX and mediastinal surgical clips XXXX secondary to a CABG procedure. Small T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There are cholecystectomy clips. There is eventration of right hemidiaphragm.

lungs_pleura: There is eventration of right hemidiaphragm. bones: Small T-spine osteophytes. support_devices: There are sternotomy wires and mediastinal surgical clips secondary to a CABG procedure. others: There are cholecystectomy clips.

Surgical Instruments;Osteophyte;Surgical Instruments;Diaphragmatic Eventration


Heart size normal. Tortuous aorta. Sequela primary granulomatous disease. Lungs clear. Minimal spurring in the thoracic spine.

heart_mediastinum: Tortuous aorta. Sequela primary granulomatous disease. bones: Minimal spurring in the thoracic spine.


There is a rounded dense opacity in the lateral left midlung zone probably the left upper lobe most suggestive of a rounded pneumonia. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures are normal.

lungs_pleura: There is a rounded dense opacity in the lateral left midlung zone probably the left upper lobe most suggestive of a rounded pneumonia.


No acute osseous abnormality. Scattered degenerative changes of the thoracic spine. Surgical clips overlying the right upper quadrant. Anterior cervical fusion XXXX. Tortuous and ectatic aorta. No focal area of consolidation, pleural effusion, or pneumothorax.

heart_mediastinum: Tortuous and ectatic aorta. bones: Scattered degenerative changes of the thoracic spine. support_devices: Surgical clips overlying the right upper quadrant. Anterior cervical fusion.

Thoracic Vertebrae;Surgical Instruments;Spinal Fusion;Aorta


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.


The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. XXXX closure device demonstrated projecting over the right heart. There are no acute bony findings.

support_devices: XXXX closure device demonstrated projecting over the right heart.


Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.


The trachea is midline. The cardiomediastinal silhouette is normal. The superior thoracic spine is again noted, unchanged from prior. Lucent pulmonary parenchyma is consistent appearance with emphysema and appears unchanged from prior examinations. No evidence of pneumothorax. No focal airspace disease or pleural effusion. Vague density in the medial right lung apex most XXXX representing overlying shadows of bony structures, which is stable.

lungs_pleura: Lucent pulmonary parenchyma is consistent appearance with emphysema. Vague density in the medial right lung apex most likely representing overlying shadows of bony structures. bones: The superior thoracic spine is noted.


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, large pleural effusion, or pneumothorax is identified. Minimal thoracic spondylosis.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.


The heart size is upper limits of normal. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.

heart_mediastinum: The heart size is upper limits of normal.


Heart size and vascularity normal. External contour normal. Lungs clear. No pleural effusions or pneumothoraces.


The lungs appear clear. There is a calcified granuloma in the right lung base and calcified right hilar lymph XXXX. This was seen well on prior XXXX. There are no suspicious appearing pulmonary nodules or masses. Heart and pulmonary XXXX appear normal. The pleural spaces are clear. Mediastinal contours are normal.

lungs_pleura: There is a calcified granuloma in the right lung base. heart_mediastinum: Calcified right hilar lymph nodes.


There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax.


The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.


The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.


Borderline heart size. Tortuous calcified aorta. No active pulmonary disease. Mild spondylosis.

heart_mediastinum: Borderline heart size. Tortuous calcified aorta. bones: Mild spondylosis.


Heart and mediastinal contour normal. Pulmonary vascularity normal. Lungs clear. No pleural effusions or pneumothoraces.


There are no focal areas of consolidation. No suspicious bony opacities. Heart size slightly enlarged. No pleural effusions. There is no evidence of pneumothorax. Degenerative changes of the thoracic spine.

heart_mediastinum: Heart size slightly enlarged. bones: Degenerative changes of the thoracic spine.


The postoperative cardiomediastinal silhouette is stable and upper limits of normal in size. There are XXXX sternotomy XXXX and surgical clips compatible with prior CABG. There is at XXXX one left-sided coronary artery stent. Pulmonary vasculature is normal in caliber. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.

heart_mediastinum: The cardiomediastinal silhouette is upper limits of normal in size. support_devices: There are sternotomy wires and surgical clips compatible with prior CABG. There is one left-sided coronary artery stent.


The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. There is an obliquely oriented XXXX lucency through the posterior right 12th rib.

bones: There is an obliquely oriented XXXX lucency through the posterior right 12th rib.


Low lung volumes. Question patchy opacity left base. No pneumothorax. Osseous structures intact. Small right effusion.

lungs_pleura: Low lung volumes. Small right effusion.


The cardiomediastinal silhouette is normal in size and contour. There are a few XXXX opacities in the lung bases bilaterally. No definitive pneumothorax or pleural effusion. Displaced fracture of the mid one-third of the right clavicle.

lungs_pleura: There are a few opacities in the lung bases bilaterally. bones: Displaced fracture of the mid one-third of the right clavicle.

Opacity;Fractures, Bone;Airspace Disease;Pulmonary Atelectasis


Heart size and pulmonary vascularity appear within normal limits. Descending thoracic aorta is tortuous. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.

heart_mediastinum: Descending thoracic aorta is tortuous. bones: Degenerative changes are present in the spine.


The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. No definite pneumothorax. No displaced fracture. Small rounded radiopaque density within the posterior superficial subcutaneous fat XXXX represents projectile fragment..

others: Small rounded radiopaque density within the posterior superficial subcutaneous fat represents projectile fragment.


Both lungs remain clear and expanded. No focal parenchymal infiltrates or pleural air collections. Heart and aorta are normal. No change in the large hiatus hernia. Pelvis. Bone density is decreased. Hips are normal and symmetric. No fractures, dislocations, or bone destruction. Note XXXX of a severe rotatory dextroscoliosis in the lumbar spine.

bones: Bone density is decreased. Severe rotatory dextroscoliosis in the lumbar spine. others: Large hiatus hernia.


The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There are calcified granulomas within the left lower lobe. There is no pneumothorax or effusion.

lungs_pleura: There are calcified granulomas within the left lower lobe.


Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.


The tracheostomy tube is in stable position. Right subclavian catheter tip is in the lower SVC. The left upper extremity PICC tip is in the mid SVC. Surgical XXXX overlie the soft tissues of the neck. The lungs are clear. Heart size is normal. No pneumothorax.

support_devices: The tracheostomy tube is in position. Right subclavian catheter tip is in the lower SVC. The left upper extremity PICC tip is in the mid SVC. others: Surgical XXXX overlie the soft tissues of the neck.

Tube, Inserted;Catheters, Indwelling;Catheters, Indwelling;Surgical Instruments


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.


Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.


The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax. The visualized osseous structures are intact.


Cardiac silhouette is within normal limits in size for AP technique. Lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax, or pleural effusion. Pulmonary vasculature is normal in caliber. There are no acute bony findings.

lungs_pleura: Lungs are mildly hypoinflated.


Stable cardiomediastinal silhouette with borderline heart size and aortic ectasia/tortuosity. Stable hyperinflation without focal alveolar consolidation. No definite pleural effusion seen. No typical findings of pulmonary edema. Healed left rib fractures again noted.

lungs_pleura:  heart_mediastinum: Cardiomediastinal silhouette with borderline heart size and aortic ectasia/tortuosity. bones: Healed left rib fractures.


Heart size is upper limits of normal but stable. Mediastinal contours are within normal limits.. Chronically increased interstitial markings without focal airspace consolidation, pleural effusion, pneumothorax. Degenerative changes of the spine.

lungs_pleura: Chronically increased interstitial markings. heart_mediastinum: Heart size is upper limits of normal. bones: Degenerative changes of the spine.


Patchy airspace disease in the left lingula. No significant effusion. Clear right lung. Normal heart size. Granulomatous mediastinal calcifications. Right chest XXXX tip at SVC.

lungs_pleura: Patchy airspace disease in the left lingula. heart_mediastinum: Granulomatous mediastinal calcifications. support_devices: Right chest XXXX tip at SVC.

Airspace Disease;Calcified Granuloma;Catheters, Indwelling


The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.


Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.


Lungs are hyperexpanded. Bullae are present in the upper lobes. No focal infiltrates or masses in the lungs. Heart size normal.

lungs_pleura: Lungs are hyperexpanded. Bullae are present in the upper lobes.

Lung;Blister;Pulmonary Disease, Chronic Obstructive


Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.


The heart is significantly enlarged. Prominent pulmonary vascularity. No focal airspace consolidation, suspicious pulmonary opacity, or definite pleural effusion. No pneumothorax. Visualized osseous structures appear intact.

lungs_pleura: Prominent pulmonary vascularity. heart_mediastinum: The heart is significantly enlarged.


The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal . The skeletal structures and soft tissues are normal.


Minimal left costophrenic XXXX airspace disease and/or pleural effusion. Lungs are otherwise clear. No pneumothorax. Heart and mediastinum are stable with normal sized heart. There is tortuosity and ectasia of the aorta. Degenerative changes in the spine.

lungs_pleura: Minimal left costophrenic airspace disease and/or pleural effusion. heart_mediastinum: There is tortuosity and ectasia of the aorta. bones: Degenerative changes in the spine.


Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. Right hilar calcification suggests a previous granulomatous process.

lungs_pleura: Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. heart_mediastinum: Right hilar calcification suggests a previous granulomatous process.


Clear lungs. Heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.


The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There is a small calcified granuloma within the left upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.

lungs_pleura: There is a small calcified granuloma within the left upper lobe.


The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.


Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.


Mediastinum is stable. Retrocardiac lucency XXXX represents a large hiatal hernia, unchanged from prior. The lungs are clear, without focal infiltrate or pleural effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities. Stable thoracic XXXX deformity.

bones: Thoracic deformity. others: Retrocardiac lucency represents a large hiatal hernia.


The heart is top normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but grossly clear. Significant degenerative changes of the XXXX are again noted bilaterally.

lungs_pleura: The lungs are hypoinflated. bones: Significant degenerative changes of the XXXX are noted bilaterally.


There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.


The trachea is midline. The heart size is normal. XXXX opacities are seen in the left lower lobe and left costodiaphragmatic XXXX, which could represent scarring or atelectasis. There is no pneumothorax. No acute bony abnormalities.


The trachea is midline. The cardiomediastinal silhouette is normal in contour and unchanged in comparison to prior exams. The lungs are clear with no evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.


Normal heart size. No focal air space consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.


The heart is normal in size. The mediastinum is unremarkable. The lungs are mildly hyperlucent but clear. There is denser lumbar scoliosis.

lungs_pleura: The lungs are mildly hyperlucent. bones: There is denser lumbar scoliosis.


Scoliosis and focal eventration of the posterior left hemidiaphragm. No focal alveolar consolidation. Rotated position, considering technical factors heart size XXXX within normal limits. No definite pleural effusion seen, left bronchovascular crowding without typical findings of pulmonary edema. Exaggerated kyphosis with increased AP dimension of the thorax.

lungs_pleura: Focal eventration of the posterior left hemidiaphragm. Left bronchovascular crowding. bones:  Exaggerated kyphosis with increased AP dimension of the thorax.

Scoliosis;Diaphragmatic Eventration;Technical Quality of Image Unsatisfactory ;Markings;Kyphosis


The heart size is mildly enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a moderate sized hiatal hernia. There mild degenerative changes of the spine.

heart_mediastinum: The heart size is mildly enlarged. bones: There mild degenerative changes of the spine. others: There is a moderate sized hiatal hernia.


The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.


The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..


There are no acute osseous abnormalities. There are surgical clips in the right upper abdomen, XXXX from cholecystectomy. Normal heart size. Normal hilar vascular markings. The lungs are grossly clear without focal area of consolidation, pleural effusion, pneumothorax.

others: There are surgical clips in the right upper abdomen from cholecystectomy.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.

bones: Degenerative changes in the thoracic spine.


Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. XXXX are grossly unremarkable.


Postsurgical changes of XXXX sternotomy with screw fixation of anterior XXXX plates. Heart size and cardiomediastinal silhouette are normal. No focal consolidation, suspicious bony opacity, pneumothorax, or pleural effusion. No acute osseous abnormality.

support_devices: Postsurgical changes of sternotomy with screw fixation of anterior plates.


Diffuse bilateral coarse interstitial markings are unchanged. No focal consolidation, pleural effusion, pneumothoraces. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the shoulder. Soft tissues are unremarkable..

lungs_pleura: Diffuse bilateral coarse interstitial markings. bones: Degenerative changes of the shoulder.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Lungs are clear of focal airspace disease. There is no pneumothorax. There is mild blunting of the right costophrenic XXXX, without definite pleural effusion.

lungs_pleura: Mild blunting of the right costophrenic angle.


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.


Scattered calcified pulmonary nodules, XXXX represents calcified granulomas. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Stable calcified hilar and mediastinal lymph XXXX, XXXX decreased in size from prior exam. Heart size is normal. XXXX are unremarkable.

lungs_pleura: Scattered calcified pulmonary nodules, likely representing calcified granulomas. heart_mediastinum: Calcified hilar and mediastinal lymph nodes.


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. No pleural air collections. Heart and mediastinum normal. A vague lucency is present in left rib 7 anteriorly.

bones: A vague lucency is present in left rib 7 anteriorly.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.

lungs_pleura: The lungs are mildly hypoinflated.


The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.


There is obscuration of the bilateral lung bases with lower lung volumes compared to prior examination. Stable atelectatic/fibrotic changes of the visualized lung, and stable left-sided calcified granuloma. No acute osseous abnormalities identified. Cardiomediastinal silhouette unremarkable.

lungs_pleura: Obscuration of the bilateral lung bases. Lower lung volumes. Atelectatic/fibrotic changes of the visualized lung. Left-sided calcified granuloma.

Lung;Lung;Pulmonary Atelectasis;Pulmonary Fibrosis;Calcified Granuloma;Infiltrate;Pleural Effusion


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.


The heart is mildly enlarged. Pulmonary vascularity is increased. There is again mild elevation of the right hemidiaphragm. Air space disease and/or atelectasis is noted in right lung base. There is also XXXX streaky opacity in the left base. The costophrenic XXXX are blunted.

lungs_pleura: Mild elevation of the right hemidiaphragm. Air space disease and/or atelectasis is noted in right lung base. There is also streaky opacity in the left base. The costophrenic angles are blunted. heart_mediastinum: The heart is mildly enlarged. Pulmonary vascularity is increased.

Cardiomegaly;Pulmonary Congestion;Diaphragm;Airspace Disease;Pulmonary Atelectasis;Opacity;Costophrenic Angle;Diaphragmatic Eventration


Both lungs are clear and expanded. Heart and mediastinum normal.


Normal cardiac contours. Clear lung XXXX bilaterally. No pneumothorax or pleural effusion.


There is patchy opacity in the left base concerning for atelectasis versus pneumonitis. There is a curvilinear lucency that appears to be in the right hemidiaphragm and a small amount of free intraperitoneal air may be present. There is a small left pleural effusion. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.

lungs_pleura: Patchy opacity in the left base concerning for atelectasis versus pneumonitis. Small left pleural effusion. heart_mediastinum: Atherosclerotic changes of the aorta. bones: Arthritic changes of the skeletal structures are noted.


Stable mild thoracic levoscoliosis. Stable cardiomegaly. Multiple scattered round calcific densities XXXX represent old granulomatous disease. No pneumothorax or pleural effusion. No focal consolidation. Moderate degenerative changes of the thoracic spine.

lungs_pleura: Multiple scattered round calcific densities represent old granulomatous disease. heart_mediastinum:  bones: Mild thoracic levoscoliosis. Moderate degenerative changes of the thoracic spine.


The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.


The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal.


Heart size within normal limits. No focal airspace disease. No pleural effusion. No pneumothorax.


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Scoliosis and degenerative changes are present in the spine.

bones: Scoliosis and degenerative changes are present in the spine.


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.


Right paratracheal stripe is denser and XXXX than normal. The XXXX are normal. Heart size normal. Lungs clear and expanded with no infiltrates.

heart_mediastinum: Right paratracheal stripe is denser and XXXX than normal.


Heart size and mediastinal contours are stable. Atherosclerotic calcifications of the aorta. Moderate severe hyperexpansion of the lungs and decreased peripheral vascular markings, consistent with emphysema. Stable biapical pleural-parenchymal scarring. Scattered granulomas. No abnormal airspace consolidation. No pneumothorax or pleural effusion.

lungs_pleura: Moderate severe hyperexpansion of the lungs and decreased peripheral vascular markings, consistent with emphysema. Biapical pleural-parenchymal scarring. Scattered granulomas. heart_mediastinum: Atherosclerotic calcifications of the aorta.


Heart size and mediastinal contours are stable. Stable calcification of the thoracic aorta. Pulmonary vasculature is within normal limits. There is no focal air space opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is demonstrated.

heart_mediastinum: Calcification of the thoracic aorta.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.


The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. Costophrenic XXXX are blunted, XXXX corresponding to small bilateral pleural effusions. There is no focal consolidation or pneumothorax.

lungs_pleura: The lungs are hypoinflated. Costophrenic angles are blunted, corresponding to small bilateral pleural effusions.


Postsurgical changes are noted in the mediastinum. There is tortuosity and/or ectasia of the thoracic and upper abdominal aorta. No consolidative airspace opacities. Blunting of the lateral and posterior left costophrenic sulcus may represent residual postsurgical effusion or pleural-parenchymal scarring. No demonstrable pneumothorax. Cardiomediastinal silhouette within normal limits. Multilevel anterior osteophytes of the thoracic spine.

lungs_pleura: Blunting of the lateral and posterior left costophrenic sulcus may represent residual postsurgical effusion or pleural-parenchymal scarring. heart_mediastinum: Postsurgical changes are noted in the mediastinum. There is tortuosity and/or ectasia of the thoracic and upper abdominal aorta. bones: Multilevel anterior osteophytes of the thoracic spine.


Heart size and vascularity normal. Lungs are hyperexpanded but clear. Mediastinal contour normal. No pleural effusions or pneumothoraces.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size and contour. There is a XXXX-A-XXXX terminating at the caval atrial junction, without evidence of pneumothorax. There is no focal airspace disease. There are small calcified nodules in the superior segment of the right lower lobe, XXXX old granulomatous infection. There are no acute bony findings.

lungs_pleura: Small calcified nodules in the superior segment of the right lower lobe, granulomatous infection. support_devices: There is a XXXX-A-XXXX terminating at the caval atrial junction.


The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified mediastinal lymph XXXX. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.

heart_mediastinum: There are calcified mediastinal lymph nodes. There are atherosclerotic changes of the aorta. bones: Arthritic changes of the skeletal structures are noted.


Negative for cardiac enlargement. Negative for vascular congestion. Negative for focal confluent airspace disease. Negative for pneumothorax. A few scattered calcified granulomas are identified.

lungs_pleura: A few scattered calcified granulomas are identified.


Normal heart size and mediastinal contours. No focal airspace consolidation. No pneumothorax or pleural effusion. Mild dextro curvature of the lower thoracic spine, this may be positional. Visualized bony structures are otherwise unremarkable.

bones: Mild dextro curvature of the lower thoracic spine.


The heart is normal in size. The mediastinum is unremarkable. XXXX scarring is noted in the lingula. The lungs are clear.

lungs_pleura: XXXX scarring is noted in the lingula.


Cardiomediastinal silhouette is within normal limits. No focal consolidation. There is right lower lobe scarring. No pneumothorax or large pleural effusion. Granulomas present. No acute bony abnormalities.

lungs_pleura: There is right lower lobe scarring. Granulomas present.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is a AP XXXX duct is calcified lymph node. The aorta is unfolded. Cardiac silhouette remains moderately enlarged. Low lung volumes due to exaggerated kyphosis. No focal airspace consolidation or pleural effusion. XXXX spine spondylosis.

lungs_pleura: Low lung volumes due to exaggerated kyphosis. heart_mediastinum: Calcified lymph node. The aorta is unfolded. Cardiac silhouette moderately enlarged. bones: XXXX spine spondylosis.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate stable, mild multilevel thoracolumbar degenerative disc disease without acute abnormality. Upper abdominal midline surgical sutures are likewise stable.

bones: Mild multilevel thoracolumbar degenerative disc disease. others: Upper abdominal midline surgical sutures.


The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. Mild dextro curvature of the thoracic spine, possibly positional.


The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.


Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. Cervical fusion XXXX. Degenerative changes of the spine and the acromioclavicular joints.

bones: Cervical fusion XXXX. Degenerative changes of the spine and the acromioclavicular joints.


The lungs are clear. Heart size is normal. No pneumothorax. Calcified granuloma within the right lung base.

lungs_pleura: Calcified granuloma within the right lung base.


The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable.


The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.


Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues unremarkable.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. No displaced rib fractures identified.


The cardiac silhouette is at the upper limits of normal for size. Patchy opacities are demonstrated in the left lung base. No focal pulmonary consolidation. No pneumothorax. Minimal degenerative changes of the thoracic spine.

lungs_pleura: Patchy opacities are demonstrated in the left lung base. heart_mediastinum: The cardiac silhouette is at the upper limits of normal for size. bones: Minimal degenerative changes of the thoracic spine.

Opacity;Thoracic Vertebrae;Pulmonary Atelectasis;Infiltrate;Pleural Effusion


There are multiple bilateral pulmonary nodules. For example, there is a 12 mm left lower lobe nodule, XXXX seen on the frontal view. There is no pleural effusion or pneumothorax. Heart size is within normal limits. The left hilar contour is prominent. There are diffuse degenerative changes of the spine.

lungs_pleura: There are multiple bilateral pulmonary nodules. There is a 12 mm left lower lobe nodule. heart_mediastinum: The left hilar contour is prominent. bones: There are diffuse degenerative changes of the spine.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. The inferior posterior sulcus is excluded.


Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.


No focal consolidation, pneumothorax, or pleural effusions. Stable calcified granulomas. Cardiomediastinal silhouette demonstrates mild tortuosity of the thoracic aorta and atherosclerotic calcifications of the aortic XXXX. No acute osseous abnormality identified.

lungs_pleura: Calcified granulomas. heart_mediastinum: Cardiomediastinal silhouette demonstrates mild tortuosity of the thoracic aorta and atherosclerotic calcifications of the aortic arch.


Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. And scattered calcified granulomas. Left greater than right basilar opacity, probable atelectasis and/or scarring. No pleural effusion.

lungs_pleura: Scattered calcified granulomas. Left greater than right basilar opacity, probable atelectasis and/or scarring.


The heart is normal in size. The mediastinum is stable. Aorta is tortuous. Calcified lymph XXXX are again identified. There is mild prominence of the right paratracheal soft tissues, stable in appearance from prior studies. There is no acute infiltrate or pleural effusion. Osteopenia and degenerative changes are identified. XXXX deformity of T9 appears worse than prior study.

heart_mediastinum: Aorta is tortuous. Calcified lymph nodes are identified. There is mild prominence of the right paratracheal soft tissues. bones: Osteopenia and degenerative changes are identified. Deformity of T9.


Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Thoracic aorta is tortuous. Patient is status post XXXX sternotomy. Surgical clips are present in the left axilla. Lungs are free of focal airspace disease. No pneumothorax or pleural effusion is seen. There is eventration of the right hemidiaphragm. Degenerative changes are present in the spine.

lungs_pleura: There is eventration of the right hemidiaphragm. heart_mediastinum: Cardiomegaly is present. Thoracic aorta is tortuous. bones: Degenerative changes are present in the spine. support_devices: Patient is status post XXXX sternotomy. Surgical clips are present in the left axilla.

Cardiomegaly;Aorta, Thoracic;Surgical Instruments;Diaphragmatic Eventration;Spine


No focal areas of consolidation. No pleural effusions. No pneumothorax. Degenerative changes thoracic spine. Heart size normal limits. Cholecystectomy clips.

bones: Degenerative changes thoracic spine. support_devices: Cholecystectomy clips.


Heart and mediastinum are at the upper limits of normal size. There is no focal consolidation, pneumothorax, or large pleural effusion. There is no acute, displaced rib fracture. Bony structures are unremarkable.

heart_mediastinum: Heart and mediastinum are at the upper limits of normal size.


Aortic atherosclerotic calcifications. Large hiatal hernia. No pleural effusion or pneumothorax. No focal opacity. Cardiomediastinal silhouette is stable in size and appearance.

others: Aortic atherosclerotic calcifications. Large hiatal hernia.


The cardiomediastinal silhouette is normal in size and contour. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.


The cardiac silhouette is mildly enlarged and appears mildly increased in size from the XXXX study. There is normal caliber pulmonary vasculature. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There is no evidence of pulmonary edema.

heart_mediastinum: The cardiac silhouette is mildly enlarged.


There is distortion of the right hilum which may be postsurgical versus neoplastic. Volume loss of the right hand side. There is no evidence of focal infiltrate. No pneumothorax. No pleural effusion. Normal heart size.

lungs_pleura: Volume loss of the right hand side. heart_mediastinum: Normal heart size.


The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.


Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.

lungs_pleura: Prior granulomatous disease. bones: Thoracic spondylosis.


The heart is normal in size. The mediastinum is unremarkable. There are XXXX opacities in both lung bases compatible with scarring or atelectasis. Calcified granuloma in the left upper lung is noted as well as right retrocardiac calcified nodule. No significant pleural effusion is seen.

lungs_pleura: There are XXXX opacities in both lung bases compatible with scarring or atelectasis. Calcified granuloma in the left upper lung is noted. Right retrocardiac calcified nodule.


Heart size within normal limits. No focal airspace disease. Stable 4 mm lateral left midlung calcified granuloma. No pneumothorax or pleural effusion.

lungs_pleura: 4 mm lateral left midlung calcified granuloma.


The heart is normal in size. The mediastinum is stable with aortic tortuosity. Lungs are clear with no pleural effusion or pneumothorax. No displaced rib fractures are noted. There are multilevel degenerative changes of the thoracic spine.

heart_mediastinum: Aortic tortuosity. bones: Multilevel degenerative changes of the thoracic spine.


Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.


The heart is normal in size. The mediastinum is unremarkable. Small calcified left upper lung granuloma is noted. The lungs are clear.

lungs_pleura: Small calcified left upper lung granuloma is noted.


Cardiomediastinal silhouette is within normal limits in overall size and appearance. Central vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. No acute displaced rib fractures.


Normal heart size mediastinal contours. No focal airspace consolidation. No pneumothorax or pleural effusion. Stable, mild dextro curvature of the spine.

bones: Mild dextro curvature of the spine.


The XXXX examination consists of frontal and lateral radiographs of the chest. Atherosclerotic calcifications of the aortic XXXX are again seen. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.

heart_mediastinum: Atherosclerotic calcifications of the aortic arch are seen.


Normal cardiac contour. Clear lung XXXX bilaterally. No pleural effusion or pneumothorax. Degenerative seen throughout cervical spine.

bones: Degenerative seen throughout cervical spine.


Normal cardiomediastinal silhouette. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.


The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Sternotomy sutures and coronary bypass clips remain intact.

support_devices: Sternotomy sutures and coronary bypass clips intact.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.


Cardiac and mediastinal contours are within normal limits. The lungs are clear. Multilevel cervical XXXX arthritis.


Evaluation is limited by body habitus and AP technique. Enteric suction catheter courses below diaphragm and XXXX film. Stable heart size and mediastinal contours. Low lung volumes. No pneumothorax. Cardiac XXXX generator leads XXXX over the right atrium and right ventricle. Two XXXX bilateral pleural effusions.

lungs_pleura: Low lung volumes. Bilateral pleural effusions. support_devices: Enteric suction catheter courses below diaphragm. Cardiac generator leads over the right atrium and right ventricle.

Technical Quality of Image Unsatisfactory ;Tube, Inserted;Lung;Implanted Medical Device;Pleural Effusion


Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.


The heart and mediastinum are unremarkable. There is a calcified granuloma within the left upper lobe. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There are acute mild anterior XXXX deformities identified at L1-L2. There is retropulsion of the posterior vertebral body of L1. A CT of the lumbar spine was already ordered at the time of this dictation.

lungs_pleura: There is a calcified granuloma within the left upper lobe. bones: There are acute mild anterior XXXX deformities identified at L1-L2. There is retropulsion of the posterior vertebral body of L1.


Normal heart size. Clear lungs. No pneumothorax or large pleural effusion.


No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Minimal degenerative changes of the thoracic spine. There is anterior fusion XXXX at the cervicothoracic junction.

bones: Minimal degenerative changes of the thoracic spine. There is anterior fusion at the cervicothoracic junction.

Thoracic Vertebrae;Spinal Fusion;Spinal Fusion


Stable appearance bipolar dual-XXXX cardiac pacemaker overlying the left hemithorax. No interval change in XXXX position. Cardiomediastinal silhouette appears within normal limits. Lungs are well-aerated. No areas of parenchymal consolidation or pleural effusion.

support_devices: Bipolar dual-XXXX cardiac pacemaker overlying the left hemithorax.


The heart and mediastinum are normal. The lungs are clear. There is mild blunting of the right costophrenic XXXX. There is no infiltrate, mass or pneumothorax. The right internal jugular catheter has been removed.

lungs_pleura: Mild blunting of the right costophrenic angle. support_devices: The right internal jugular catheter has been removed.


The XXXX examination consists of frontal and lateral radiographs of the chest. External monitor leads XXXX the thorax. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.

support_devices: External monitor leads XXXX the thorax.


Heart size and vascularity normal. Mediastinal contour normal. Lungs are clear. No pleural effusions or pneumothoraces.


Redemonstration of azygos lobe. Redemonstrated left perihilar nodular opacity, similar in size from previous examination. Dense appearing, may be granulomatous. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. XXXX. Limited exam, for evaluation of fractures. However, no evidence for displaced rib fracture.

lungs_pleura: Azygos lobe. Left perihilar nodular opacity. Dense appearing, may be granulomatous.

Opacity;Density;Technical Quality of Image Unsatisfactory ;Lung


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.


Normal cardiac contours. Clear lung XXXX bilaterally. No pneumothorax or pleural effusions.


Both lungs are clear and expanded. Heart and mediastinum normal.


Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.


Normal heart size. Density surrounding superior mediastinum reflex combination of vascular, osseous common pleural structures. No focal airspace consolidation. Moderate degenerative disc disease with osteophyte formation bridging.

heart_mediastinum: Density surrounding superior mediastinum reflex combination of vascular, osseous common pleural structures. bones: Moderate degenerative disc disease with osteophyte formation bridging.


The patient is status post CABG. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. Ureteral stents are noted on the right.

bones: Degenerative changes are present in the spine. support_devices: The patient is status post CABG. Ureteral stents are noted on the right.


There is a XXXX moderate layering right pleural effusion with air fluid level noted. XXXX airspace opacity at the superior segment of the right lower lobe. No visualized pneumothorax. The right lateral heart XXXX is obscured. The left lung is clear without focal consolidation. No visualized pneumothorax. No acute bone abnormality.

lungs_pleura: Moderate layering right pleural effusion with air fluid level. Airspace opacity at the superior segment of the right lower lobe. heart_mediastinum: The right lateral heart is obscured.


The cardiomediastinal silhouette is normal size and configuration. Atherosclerotic calcification of the thoracic aorta. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.

heart_mediastinum: Atherosclerotic calcification of the thoracic aorta.


Left midlung opacity noted, not visualized on prior. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.


Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.


The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear.


The heart size and pulmonary vascularity appear within normal units. No pleural effusion or pneumothorax is seen. Bandlike opacities are present in the right base consistent with areas of atelectasis. Remainder of the lungs appear clear.

lungs_pleura: Bandlike opacities are present in the right base consistent with areas of atelectasis.


Normal heart size and mediastinal contours. No focal airspace consolidation. Minimal blunting of the left costophrenic XXXX. No pneumothorax. Visualized bony structures are unremarkable in appearance.

lungs_pleura: Minimal blunting of the left costophrenic angle.


Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is patchy airspace disease in the right lower lobe. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion.

lungs_pleura: There is patchy airspace disease in the right lower lobe.


Lungs are XXXX without focal airspace disease. No pleural effusions or pneumothoraces. heart size is normal status post XXXX sternotomy. Degenerative changes in the thoracic spine. incidental note is XXXX of previous left rotator XXXX repair.

bones: Degenerative changes in the thoracic spine. support_devices: Status post sternotomy. others: Incidental note is of previous left rotator cuff repair.


The heart is normal in size. The mediastinum is unremarkable. Mild emphysematous changes without focal consolidation. There is no pleural effusion. XXXX lingular scarring or atelectasis noted.

lungs_pleura: Mild emphysematous changes. Lingular scarring or atelectasis noted.


Right upper lobe airspace disease consistent with pneumonia given patient's history. The lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

lungs_pleura: Right upper lobe airspace disease consistent with pneumonia given patient's history.


Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.


Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.


Left-sided medication injection XXXX has its tip projecting at the cavoatrial junction. The trachea is midline. Extensive bilateral bronchiectasis, cystic changes, and scarring represents sequela from the patient's cystic fibrosis. No evidence of focal pulmonary infiltrate or pleural effusion. No large pneumothorax has developed in the interim. The overlying bony structures reveal no acute abnormalities. The heart size is normal.

lungs_pleura: Extensive bilateral bronchiectasis, cystic changes, and scarring represents sequela from the patient's cystic fibrosis. support_devices: Left-sided medication injection XXXX has its tip projecting at the cavoatrial junction.


Heart size and cardiomediastinal contours are normal. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. No displaced rib fracture.


Sequelae of old granulomatous disease. Vague patchy opacity in the right midlung which may represent early pneumonia. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

lungs_pleura: Sequelae of old granulomatous disease. bones: Degenerative changes in the spine.


The heart is mildly enlarged. Lung volumes are low. There is no focal consolidation, pneumothorax, or large pleural effusion. Bony structures are within normal limits. There is no free air under the diaphragm. There is a mild amount of XXXX seen in the transverse colon.

lungs_pleura: Lung volumes are low. heart_mediastinum: The heart is mildly enlarged. others: There is a mild amount of XXXX seen in the transverse colon.


Frontal view kyphotic and rotated, low lung volumes with bronchovascular crowding. Otherwise, no definite airspace consolidation or pleural effusion. Accounting for technical factors heart size XXXX borderline enlarged.

lungs_pleura: Low lung volumes with bronchovascular crowding. heart_mediastinum: Heart size borderline enlarged. bones: Frontal view kyphotic and rotated.

Lung;Technical Quality of Image Unsatisfactory ;Markings;Cardiomegaly


Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Low left paraspinal/retrocrural adenopathy is present. This appears unchanged.

heart_mediastinum: Low left paraspinal/retrocrural adenopathy is present.


The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. There is a right lower lobe pneumonia. No pleural effusion. No pneumothorax.

lungs_pleura: There is a right lower lobe pneumonia.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Multilevel degenerative changes are seen throughout the thoracic spine. XXXX anchors XXXX over the left humeral head. There is mild bilateral acromioclavicular joint osteoarthritis. Visualized upper abdomen is grossly unremarkable in appearance.

bones: Multilevel degenerative changes are seen throughout the thoracic spine. There is mild bilateral acromioclavicular joint osteoarthritis. support_devices: XXXX anchors XXXX over the left humeral head.


The cavity and the left upper lobe has decreased in size. Bilateral apical bullae and parenchymal scars are unchanged. No XXXX infiltrates in the lower lobes. Heart size remains normal.

lungs_pleura: The cavity and the left upper lobe has decreased in size. Bilateral apical bullae and parenchymal scars.


The heart is normal in size. The aorta is tortuous and ectatic. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.

heart_mediastinum: The aorta is tortuous and ectatic.


Cardiomegaly. Interstitial opacities consistent with edema in the lower lobes. No pneumothorax. No large pleural effusion.

lungs_pleura: Interstitial opacities consistent with edema in the lower lobes. heart_mediastinum:


The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .


Heart size is normal. No pleural effusions. No pneumothorax. No focal air space opacities. Mild degenerative osteophytes are noted in the thoracic spine.

bones: Mild degenerative osteophytes are noted in the thoracic spine.


Normal cardiomediastinal contours. Marrow pneumothorax, focal lung consolidation or pleural effusions.


No airspace disease, effusion or noncalcified nodule. Calcified granuloma seen bilaterally. Normal heart size. Elevated right hemidiaphragm, with a nodular soft tissue contour, containing liver. Degenerative changes demonstrated within the visualized thoracic spine. There is neurostimulator, overlying the mid and lower thoracic spine.

lungs_pleura: Calcified granuloma seen bilaterally. Elevated right hemidiaphragm, with a nodular soft tissue contour, containing liver. bones: Degenerative changes demonstrated within the visualized thoracic spine. support_devices: There is neurostimulator, overlying the mid and lower thoracic spine.

Calcified Granuloma;Diaphragm;Thoracic Vertebrae;Implanted Medical Device


The heart is enlarged. The mediastinal contours are stable. Large hiatal hernia is identified containing stomach and colon. Questionable small bowel loops are also visualized inthe large hernia. There is adjacent compressive atelectasis. The lungs are clear.

lungs_pleura: There is adjacent compressive atelectasis. heart_mediastinum: The heart is enlarged. others: Large hiatal hernia is identified containing stomach and colon.


Heart size and mediastinal contours appear within normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. There is levoscoliosis of the thoracic spine.

bones: There is levoscoliosis of the thoracic spine.


Normal heart size and mediastinal contours. No abnormal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.


Normal cardiac contour. Right sided pleural effusion. Clear left lung XXXX. No pneumothorax.

lungs_pleura: Right sided pleural effusion.


The heart size is mildly enlarged. The patient is post aortic valve replacement. The XXXX sternotomy XXXX are intact. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There mild degenerative changes of the spine.

heart_mediastinum: The heart size is mildly enlarged. bones: There mild degenerative changes of the spine. support_devices: The patient is post aortic valve replacement. The sternotomy are intact.


Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Levoscoliosis of the thoracolumbar spine is present.

bones: Levoscoliosis of the thoracolumbar spine is present.


Lungs are hyperexpanded. Bullae are present in the upper lobes. No focal infiltrates. Heart size normal.

lungs_pleura: Lungs are hyperexpanded. Bullae are present in the upper lobes.


Heart size is normal. Lungs are clear. Low lung volumes. There is no pneumothorax or large pleural effusion.


Heart size is mildly enlarged. There are diffusely increased interstitial opacities bilaterally. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.

lungs_pleura: There are diffusely increased interstitial opacities bilaterally. heart_mediastinum: Heart size is mildly enlarged.


The heart is normal in size. Prominent right paratracheal soft tissue density. Rounded mass in the right middle lobe measures approximately 4.6 cm x 3.7 cm. There is mild surrounding airspace disease and/or atelectasis. No pleural effusions noted. The visualized bony thorax appears grossly intact.

lungs_pleura: Rounded mass in the right middle lobe measures approximately 4.6 cm x 3.7 cm. There is mild surrounding airspace disease and/or atelectasis. heart_mediastinum: Prominent right paratracheal soft tissue density.


The heart size and pulmonary vascularity appear within normal limits. Vascular calcification is identified. Calcified granuloma is present in the right lower lobe. No XXXX nodules are seen. No pneumothorax or pleural effusion is seen. No focal airspace disease is identified.

lungs_pleura: Calcified granuloma is present in the right lower lobe. heart_mediastinum: Vascular calcification is identified.


Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.