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

heart_mediastinum: Calcified left hilar XXXX.


Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

lungs_pleura: Lungs are hyperexpanded. bones: Degenerative changes 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. Degenerative changes are present in the spine. Stent is noted in the abdomen. The thoracic aorta is tortuous. Calcified granuloma are noted.

lungs_pleura: Calcified granuloma are noted. heart_mediastinum: The thoracic aorta is tortuous. bones: Degenerative changes are present in the spine. others: Stent is noted in the abdomen.


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.


Cardiomediastinal silhouette stable and unremarkable. Stable eventration of the right hemidiaphragm. There is redemonstration without significant interval change of mild subsegmental atelectasis of the left base. Pneumonia seen on CT examination dated XXXX, XXXX (not seen on prior chest x-XXXX) is not seen either on XXXX chest x-XXXX.

lungs_pleura: Eventration of the right hemidiaphragm. Mild subsegmental atelectasis of the left base.


Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.


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


There is XXXX airspace disease in the right lower lobe seen behind the right hemidiaphragm on PA view. This is also well seen on lateral view. Remainder of the lungs appear clear. The heart and pulmonary XXXX appear normal. Mediastinal contours are normal.

lungs_pleura: There is XXXX airspace disease in the right lower lobe seen behind the right hemidiaphragm on PA view. This is also well seen on lateral view.


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


Heart size, mediastinal and aortic contours are within normal limits. Normal pulmonary vasculature. The lungs are clear. No visible pneumothorax or large pleural effusion. Elevated right hemidiaphragm. Mild degenerative changes of the spine.

lungs_pleura: Elevated right hemidiaphragm. bones: Mild degenerative changes of the spine.


Stable appearance of previous XXXX sternotomy. Stable cardiomegaly. Stable mild bilateral interstitial opacities in which may represent mild pulmonary edema. No evidence of large pleural effusion or pneumothorax.

lungs_pleura: Mild bilateral interstitial opacities which may represent mild pulmonary edema. heart_mediastinum:  support_devices: Previous sternotomy.


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


The lungs are clear. There is no pleural effusion or pneumothorax. There is no evidence for mass lung apices. The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are unremarkable.

heart_mediastinum: Atherosclerotic changes of the 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 silhouette is enlarged. There are bibasilar airspace opacities left greater than right with small right pleural effusion. No visualized pneumothorax.

lungs_pleura: There are bibasilar airspace opacities left greater than right with small right pleural effusion. heart_mediastinum: The cardiac silhouette is enlarged.

Cardiac Shadow;Opacity;Pleural Effusion;Airspace Disease


Heart size is normal. The lungs and costophrenic XXXX are clear. The bony thorax is grossly intact.


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

lungs_pleura: Nodular densities consistent with chronic granulomatous disease.


Heart size is normal. No focal airspace consolidations. No pneumothorax or pleural effusion. No acute osseous findings.


The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. Fractures of the posterior left 4th, 5th, and 6th ribs, age-indeterminate.

bones: Fractures of the posterior left 4th, 5th, and 6th ribs.


Heart size and mediastinal contour within normal limits. Calcified granuloma right midlung. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes in the thoracic spine.

lungs_pleura: Calcified granuloma right midlung. bones: Degenerative changes in the thoracic spine.


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.


The heart is enlarged. Changes of XXXX sternotomy and bypass graft are identified in the lungs are grossly clear. XXXX right pleural thickening versus XXXX pleural effusion is noted. There is no acute infiltrate. No pneumothorax is seen. Mild granulomatous sequela are noted.

lungs_pleura: Changes of XXXX sternotomy and bypass graft are identified in the lungs. XXXX right pleural thickening versus XXXX pleural effusion is noted. Mild granulomatous sequela are noted. heart_mediastinum: The heart is enlarged.


There is persistent, marked enlargement of the pulmonary arteries. Normal heart size. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.

heart_mediastinum: Marked enlargement of the pulmonary arteries.


The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.


The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.


The heart size is normal. There is prominent left epicardial fat. 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_mediastinum: There is prominent left epicardial fat.


Calcified left hilar lymph XXXX XXXX from prior granulomatous disease. The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality.

heart_mediastinum: Calcified left hilar lymph node from granulomatous disease.


Heart size within normal limits. Tortuous aorta. There is an accessory azygos fissure in the right upper lung. No focal air space consolidations are noted. No pneumothorax or pleural effusion. There is severe degenerative change at the thoracolumbar junction with mild anterior wedging at approximately T12.

lungs_pleura: There is an accessory azygos fissure in the right upper lung. heart_mediastinum: Tortuous aorta. bones: There is severe degenerative change at the thoracolumbar junction with mild anterior wedging at approximately T12.


2 images. Heart size is enlarged, stable. Thoracic aortic atherosclerotic calcifications are present. There is XXXX dense consolidation within the retrocardiac left lower lobe. There is also patchy airspace opacity within the perihilar right lung. No pleural effusion or pneumothorax.

lungs_pleura: There is XXXX dense consolidation within the retrocardiac left lower lobe. There is also patchy airspace opacity within the perihilar right lung. heart_mediastinum: Heart size is enlarged. Thoracic aortic atherosclerotic calcifications are present.


No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette are grossly unremarkable.


The XXXX and soft tissue appear normal. The cardiac silhouette and mediastinum size are normal. The aortic XXXX is on the left. The trachea is well seen and appears normal. The lungs are clear.


Lungs appear clear. Heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal. No pneumothorax.


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.


Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.


The trachea is midline. Cardiomediastinal silhouette is normal. There is a calcified density in the left mid lung, most XXXX a calcified granuloma. Lungs are otherwise clear, without evidence of acute infiltrate or effusion. Specifically, there is no evidence of tuberculous disease. There is no pneumothorax. The bony structures show no acute abnormalities.

lungs_pleura: There is a calcified density in the left mid lung, most likely a calcified granuloma.


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


No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.


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


There is stable mild cardiomegaly without significant pulmonary vascular congestion. They're stable tortuosity of the aorta. There is no acute pulmonary consolidation, large effusion or pneumothorax.

heart_mediastinum: Mild cardiomegaly. Tortuosity of the aorta.


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.


XXXX XXXX and lateral views of the chest were obtained on XXXX. The lung volumes are normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.


No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.


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


Stable cardiomediastinal contour is mild cardiomegaly. No pneumothorax or significant pulmonary edema. Small left pleural effusion. No focal lung consolidation. Mildly low lung volumes.

lungs_pleura: Small left pleural effusion. Mildly low lung volumes. heart_mediastinum: Cardiomediastinal contour is mild cardiomegaly.


The lungs are hyperexpanded. Cardiomediastinal silhouette is within normal limits. No pleural effusion, focal airspace opacities or pneumothorax. No free subdiaphragmatic air.

lungs_pleura: The lungs are hyperexpanded.


The trachea is midline. Cardiomediastinal silhouette is normal. The there are XXXX opacities in the left lower lobe of the lung, which are most XXXX dependent atelectasis. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.

lungs_pleura: There are opacities in the left lower lobe of the lung, which are most likely dependent atelectasis.


The cardiomediastinal silhouette is within normal limits for size and contour. There is lingular airspace disease.. Osseous structures are within normal limits for patient age..

lungs_pleura: There is lingular airspace disease.


The lungs are hyperexpanded. There are stable scattered XXXX bilateral opacities, most notable in the left upper lobe, XXXX scarring. No focal airspace consolidation to suggest pneumonia. No large pleural effusion. No pneumothorax. Heart size is normal. Thoracic aorta is mildly tortuous and demonstrates atherosclerotic vascular calcification. There are degenerative changes of the spine.

lungs_pleura: The lungs are hyperexpanded. Scattered bilateral opacities, most notable in the left upper lobe.  heart_mediastinum: Thoracic aorta is mildly tortuous and demonstrates atherosclerotic vascular calcification. bones: There are degenerative changes of the spine.


There is severe dextroscoliosis of the thoracic spine with chronic deformity of the bilateral ribs. The lungs are chronically hypoinflated. There is XXXX visualization of the hemidiaphragms, which may be due to basilar airspace disease/atelectasis. Evaluation of the lungs is markedly limited. Overall, the appearance is similar to the prior study from XXXX. There is no evidence of pneumothorax or large pleural effusion.

lungs_pleura: The lungs are chronically hypoinflated. There is XXXX visualization of the hemidiaphragms, which may be due to basilar airspace disease/atelectasis. bones: There is severe dextroscoliosis of the thoracic spine with chronic deformity of the bilateral ribs.

Scoliosis;Deformity;Lung;Technical Quality of Image Unsatisfactory ;Airspace Disease;Pulmonary Atelectasis


Heart size mildly enlarged with enlarged right atrium. No focal alveolar consolidation, no definite pleural effusion seen. No pneumothorax.

heart_mediastinum: Heart size mildly enlarged. Enlarged right atrium.


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.


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


Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Some scattered XXXX opacities are present whose appearance XXXX scarring or atelectasis. No focal airspace disease is seen. No pleural effusion is noted. No pneumothorax is identified. The left hemidiaphragm is elevated. Scoliosis is present involving the lumbar spine. There has been previous surgical resection of the left 6th rib.

lungs_pleura: Some scattered opacities are present whose appearance scarring or atelectasis. The left hemidiaphragm is elevated. heart_mediastinum: Cardiomegaly is present. bones: Scoliosis is present involving the lumbar spine. There has been previous surgical resection of the left 6th rib.


Moderate cardiomegaly. Prominent vascular pedicle/upper mediastinal contour. Mild central vascular congestion. No overt edema or confluent lobar pneumonia. No pleural effusion. Thoracic spondylosis.

heart_mediastinum: Moderate cardiomegaly. Prominent vascular pedicle/upper mediastinal contour. Mild central vascular congestion. bones: Thoracic spondylosis.


Heart size is upper limits of normal and stable. They're multiple radiopaque densities overlying the patient.. The lungs are normally inflated and clear. Degenerative changes of the spinal.

heart_mediastinum: Heart size is upper limits of normal. bones: Degenerative changes of the spinal. others: They're multiple radiopaque densities overlying the patient.


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


Normal and stable cardiomediastinal contours. Interval removal of left-sided intravenous catheter. No pneumothorax. XXXX XXXX opacities obscuring the hemidiaphragms, slightly improved from prior exam.. Right-sided rib fractures again noted.

lungs_pleura: Opacities obscuring the hemidiaphragms. bones: Right-sided rib fractures.


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

lungs_pleura: Nodular densities consistent with chronic granulomatous disease.


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


Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing left lateral rib deformities.

bones: Chronic appearing left lateral rib deformities.


Hyperlucent hyperinflated lungs with flattened diaphragms. Granulomas. Small sized heart. Minimal apical capping slightly greater at the left. XXXX unremarkable.

lungs_pleura: Hyperlucent hyperinflated lungs with flattened diaphragms.  Minimal apical capping slightly greater at the left. heart_mediastinum: Small sized heart.


Heart size is normal. Aorta is tortuous and ectatic. Cardiomediastinal contours are normal. Lungs are clear without evidence of fibrosis. Pleural effusions or pneumothorax. Endplate sclerotic changes are present in the thoracic spine.

heart_mediastinum: Aorta is tortuous and ectatic. bones: Endplate sclerotic changes are present in the thoracic spine.


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


Trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. There is dextroscoliosis of the lower thoracic spine.

bones: There is dextroscoliosis of the lower thoracic spine.


Lungs are clear. Heart size normal. No pneumothorax.


The lungs are hyperinflated with biapical pleural-parenchymal scarring and upward retraction of the XXXX, similar to the prior study. There are multiple reticular-nodular opacities in the upper lobes bilaterally which appear grossly stable from the prior study. There is no evidence of XXXX, focal airspace disease. There is no pneumothorax or pleural effusion. Heart size is normal.

lungs_pleura: The lungs are hyperinflated with biapical pleural-parenchymal scarring and upward retraction of the hila. There are multiple reticular-nodular opacities in the upper lobes bilaterally.


Stable obscuration of the left cardiac XXXX, XXXX representing left pleural thickening. Stable nodular opacity within the left midlung. The lungs are clear bilaterally with no focal consolidation, pleural effusions, or pneumothoraces. Cardiomediastinal silhouette is stable. XXXX are unremarkable.

lungs_pleura: Nodular opacity within the left midlung. heart_mediastinum: Obscuration of the left cardiac silhouette, representing left pleural thickening.


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


The lungs are clear. There is hyperinflation of the lungs. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. mild arthritic changes of the spine are present.

lungs_pleura: There is hyperinflation of the lungs. bones: Mild arthritic changes of the spine are present.

Lung;Arthritis;Pulmonary Disease, Chronic Obstructive


The cardiac silhouette measures near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is stable eventration of the anterior right hemidiaphragm. The lungs are clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings.

lungs_pleura: Eventration of the anterior right hemidiaphragm. heart_mediastinum: The cardiac silhouette measures near upper limits of normal in size.


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


There is a moderate amount of retained contrast within the distal esophagus. There is no evidence of aspiration. A 3.0 cm nodule is present within the right hilum. No moderate to large pleural effusion or pneumothorax is identified. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is normal.

heart_mediastinum: A 3.0 cm nodule is present within the right hilum. others: There is a moderate amount of retained contrast within the distal esophagus.


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


The aortic XXXX is mildly tortuous. 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 T-spine osteophytes. Large body habitus.

heart_mediastinum: The aortic arch is mildly tortuous. bones: There are T-spine osteophytes. others: Large body habitus.


The cardiomediastinal silhouette is normal in size and appearance. The lung XXXX are clear. There are no soft tissue or bony abnormalities. There is no pneumothorax or pleural effusion.


The lungs are hypoventilated. There is no focal consolidation. Cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.

lungs_pleura: The lungs are hypoventilated.


PA and lateral views. stable postoperative changes with midline sternotomy XXXX and myocardial revascularization. Cardiac size remains mildly enlarged but stable. There is mild vascular congestion. Small bilateral pleural effusions are present, which are XXXX.

lungs_pleura: Small bilateral pleural effusions are present. heart_mediastinum: Cardiac size is mildly enlarged. There is mild vascular congestion. support_devices: Postoperative changes with midline sternotomy and myocardial revascularization.

Cardiomegaly;Pulmonary Congestion;Pleural Effusion;Heart Failure


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

lungs_pleura: The lungs are hypoinflated.


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. There is a vague right suprahilar density with elevation of the XXXX fissure most XXXX mild subsegmental atelectasis though superimposed infection cannot be entirely excluded. The remaining lungs are clear. The visualized osseous structures and upper abdomen are unremarkable.

lungs_pleura: There is a vague right suprahilar density with elevation of the fissure most likely mild subsegmental atelectasis though superimposed infection cannot be entirely excluded.


Borderline cardiac enlargement. Enlarged calcified thoracic aorta. Emphysema. No acute pulmonary abnormality. Mild spondylosis.

lungs_pleura:  heart_mediastinum: Borderline cardiac enlargement. Enlarged calcified thoracic aorta. bones: Mild spondylosis.


The heart is normal in size. Mild fullness of the left hilum, small interval change from prior exam. Lucencies throughout the chest XXXX representing emphysematous change. Scattered bilateral calcified granulomas. No pneumothorax. Large hiatal hernia, increased from prior exam.

lungs_pleura: Lucencies throughout the chest representing emphysematous change. Scattered bilateral calcified granulomas. heart_mediastinum: Mild fullness of the left hilum. others: Large hiatal hernia.


Mild hyperinflation. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.


The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.


There is a left base opacity. The right lung is grossly clear. Heart size is normal. Left venous catheter with tip in the right atrium. There is no pneumothorax.

lungs_pleura: There is a left base opacity. support_devices: Left venous catheter with tip in the right atrium.


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


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


Lung volumes are low. No focal infiltrates. Heart size normal. Mediastinum normal.


Normal heart size and mediastinal contours. No focal airspace opacity. No pleural effusion or pneumothorax. Multiple healed posterior left rib fractures.

bones: Multiple healed posterior left rib fractures.


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


The lungs are clear. There is no pleural effusion. The heart is normal. There are atherosclerotic changes of the aorta. Senescent changes of the spine are seen.

heart_mediastinum: There are atherosclerotic changes of the aorta. bones: Senescent changes of the spine are seen.


No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace opacities. No definite visualized rib fractures.


Heart size is normal. No large effusions. No focal airspace opacities. No pneumothorax.


There's been interval enlargement in the cardiac silhouette. These XXXX't contours are within normal limits. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.

heart_mediastinum: Enlargement in the cardiac silhouette.


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


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 osseus abnormality.


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.


The lungs are clear. There appear to be small bilateral pleural effusions. The heart is not grossly enlarged. There are atherosclerotic changes of the aorta. Increased kyphosis is seen in the may be a thoracic XXXX deformity that is not well-characterized. Arthritic changes are seen.

lungs_pleura: Small bilateral pleural effusions. heart_mediastinum: Atherosclerotic changes of the aorta. bones: Increased kyphosis is seen in the may be a thoracic XXXX deformity that is not well-characterized. Arthritic changes are seen.


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


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 right middle lobe.

lungs_pleura: There is a calcified granuloma within the right middle lobe.


There is an marked interval increase in heart size. The heart also demonstrates the XXXX XXXX configuration, compatible with pericardial effusion. A small right pleural effusion the present. The lungs are otherwise clear without focal infiltrates. Normal pulmonary vascularity. No pneumothorax.

lungs_pleura: A small right pleural effusion. heart_mediastinum: Marked increase in heart size. The heart demonstrates the XXXX XXXX configuration, compatible with pericardial effusion.


Heart size is normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures are intact.


Irregularity within the right apex is consistent with patient's known cavitary lesion as a sequela of prior tuberculosis. No evidence of active infection. No focal consolidations, pneumothorax, or effusions identified. Paramediastinal silhouette is stable and within normal limits and no acute bony abnormality is identified.

lungs_pleura: Irregularity within the right apex is consistent with patient's known cavitary lesion as a sequela of prior tuberculosis.


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. There is degenerative changes of the skeletal structures

bones: There is degenerative changes of the skeletal structures.


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


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.


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


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


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


The heart is normal in size. The mediastinum is unremarkable. There is again biapical scarring. Small stable calcified left lower lobe granuloma. The lungs are otherwise clear.

lungs_pleura: Biapical scarring. Calcified left lower lobe granuloma.


Heart size within normal limits. Trachea is midline. The lung volumes are is somewhat low. Both lungs are otherwise clear bilaterally. No pleural effusion. No pulmonary nodules visualized.

lungs_pleura: The lung volumes are is somewhat low.


Low lung volumes and patient rotation. Given differences in technique, heart size XXXX within normal limits. Persistent right basilar opacity, XXXX atelectasis. No suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Mild degenerative change of the thoracic spine.

lungs_pleura: Low lung volumes. Right basilar opacity.  bones: Mild degenerative change of the thoracic spine.

Lung;Technical Quality of Image Unsatisfactory ;Opacity;Pulmonary Atelectasis;Thoracic Vertebrae


The lungs and pleural spaces show no acute abnormality. Heart size within normal limits. There is tortuosity of the descending thoracic aorta, unchanged. There is right paratracheal thickening and bilateral hilar enlargement corresponding to lymphadenopathy and XXXX pulmonary arterial enlargement visualized on XXXX chest in XXXX. Radiographically, the findings are grossly stable.

heart_mediastinum: Tortuosity of the descending thoracic aorta. Right paratracheal thickening and bilateral hilar enlargement corresponding to lymphadenopathy and pulmonary arterial enlargement.


Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. In the left midlung zone, there has been development of a small lung nodule. This measures approximately 8 mm in diameter.

lungs_pleura: In the left midlung zone, there has been development of a small lung nodule. This measures approximately 8 mm in diameter.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the hemidiaphragms. Coarsened interstitial testes appear chronic and compatible with emphysema. There is minimal XXXX scarring or atelectasis in the left lung base. The lungs are otherwise clear of focal infiltrate, pneumothorax, or pleural effusion. There are no acute bony findings.

lungs_pleura: The lungs are mildly hyperinflated with flattening of the hemidiaphragms. Coarsened interstitial testes appear chronic and compatible with emphysema. Minimal scarring or atelectasis in the left lung base.


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


Heart size is normal. The lungs are clear. No pneumothorax or pleural effusion.


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


Heart size is enlarged, pulmonary vascularity within normal limits. Cardiac defibrillator generator projects over the left mid lateral lung. No visible pneumothorax or pleural effusion. Minimal streaky airspace opacities in the lower lobes.

lungs_pleura: Minimal streaky airspace opacities in the lower lobes. heart_mediastinum: Heart size is enlarged. support_devices: Cardiac defibrillator generator projects over the left mid lateral lung.


The heart is normal in size. The mediastinal contours are within normal limits. Aorta is mildly tortuous and demonstrates atherosclerotic calcifications. The lungs are mildly hypoinflated with increased peripheral lung markings noted predominantly in the right upper and lower lung. There is no acute infiltrate or significant pleural effusion. Mild eventration of left hemidiaphragm is noted.

lungs_pleura: The lungs are mildly hypoinflated with increased peripheral lung markings noted predominantly in the right upper and lower lung. Mild eventration of left hemidiaphragm is noted. heart_mediastinum: Aorta is mildly tortuous and demonstrates atherosclerotic calcifications.


The cardiac contours are normal. The lungs are hyperinflated with flattening of the diaphragms and tapering of the distal pulmonary vasculature. There is no focal consolidation. Thoracic spondylosis.

lungs_pleura: The lungs are hyperinflated with flattening of the diaphragms and tapering of the distal pulmonary vasculature. bones: Thoracic spondylosis.


The lungs focal airspace consolidation. There is atelectasis of the left lung base. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion. Cervical vertebral XXXX is partially visible at the top of the radiographs.

lungs_pleura: The lungs focal airspace consolidation. There is atelectasis of the left lung base. bones: Cervical vertebral XXXX is partially visible at the top of the radiographs.


The heart and cardiomediastinal silhouette are normal in size and contour. There is no focal air space opacity, pleural effusion, or pneumothorax. There are multilevel degenerative changes in the thoracic spine.

bones: Multilevel degenerative changes in the thoracic spine.


Normal heart size. Diffuse bilateral reticulonodular interstitial opacities. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax. Heart is not enlarged. XXXX are unremarkable.

lungs_pleura: Diffuse bilateral reticulonodular interstitial opacities.


Heart size within normal limits. Right paratracheal prominence XXXX represents tortuous XXXX. XXXX lung volumes. Mild streaky bibasilar opacities. No pleural effusion or pneumothorax.

lungs_pleura: Mild streaky bibasilar opacities. heart_mediastinum: Right paratracheal prominence represents tortuous.


Moderate bilateral interstitial edema, with cardiomegaly and bilateral effusion consistent with moderate cardiac failure. A large calcified right mediastinal adenopathy, XXXX chronic fungal. No pneumothorax.

lungs_pleura: Moderate bilateral interstitial edema. Bilateral effusion. heart_mediastinum:  Large calcified right mediastinal adenopathy, chronic fungal.

Pulmonary Edema;Cardiomegaly;Pleural Effusion;Heart Failure;Calcinosis


The cardiac contours are normal. Prominent pulmonary arteries. The lungs are clear. Thoracic spondylosis.

heart_mediastinum: Prominent pulmonary arteries. bones: Thoracic spondylosis.


The XXXX examination consists of frontal and lateral radiographs of the chest. Again seen is evidence of prior CABG. The cardiomediastinal contours are unchanged. XXXX XXXX right and XXXX left pleural effusions. There is XXXX right greater than left bibasilar atelectasis. XXXX B-lines seen at the lung bases. No consolidation or pneumothorax.

lungs_pleura: Right and left pleural effusions. Right greater than left bibasilar atelectasis. B-lines seen at the lung bases. support_devices: Evidence of prior CABG.

Pleural Effusion;Pulmonary Atelectasis;Markings;Pulmonary Edema


Lungs are relatively clear. Heart size normal. Unfolded aorta. Moderate hiatal hernia. T-spine osteophytes and DISH.

heart_mediastinum: Unfolded aorta. bones: T-spine osteophytes and DISH. others: Moderate hiatal hernia.

Aorta;Hernia, Hiatal;Osteophyte;Hyperostosis, Diffuse Idiopathic Skeletal


Right mid lung nodule stable XXXX; etiology not determined. This is noncalcified, and is stable since a CT examination from XXXX and is XXXX benign etiology. The lungs are well inflated and without focal consolidation. The cardiomediastinal silhouette appears unremarkable. Costophrenic XXXX clear. Visualized spine vertebrae appear normal in XXXX and alignment. Overlying leads.

lungs_pleura: Right mid lung nodule; etiology not determined. This is noncalcified. support_devices: Overlying leads.


No evidence of airspace opacity. No effusion or noncalcified nodules. No evidence of pneumothorax. Normal heart size and mediastinum. Visualized XXXX of the chest are within normal limits.


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.


The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.


Stable appearance of the left axillary XXXX. No pneumothorax. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.


There is mild cardiomegaly. Mediastinal contours appear within normal limits. There are small bilateral pleural effusions, left greater than right with left basilar opacities. No pneumothorax. Mild degenerative changes of the thoracic spine.

lungs_pleura: There are small bilateral pleural effusions, left greater than right with left basilar opacities. heart_mediastinum: There is mild cardiomegaly. bones: Mild degenerative changes of the thoracic spine.

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


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


Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. The XXXX are unremarkable.


There is a large calcified granuloma in the right apex. Mild patchy opacities are seen in the upper lung zones bilaterally similar to prior studies. The heart and mediastinum are normal. Scoliosis and arthritic changes of the spine are present.

lungs_pleura: There is a large calcified granuloma in the right apex. Mild patchy opacities are seen in the upper lung zones bilaterally. bones: Scoliosis and arthritic changes of the spine are present.


1. Cardiomegaly and/or pericardial effusion. 2. Right base opacity XXXX combination of pleural effusion and atelectasis/airspace disease. Cannot exclude elevation right hemidiaphragm. 3. Left lung relatively clear. 4. Limited exam due to underpenetrated technique related to large patient habitus. 5. No evidence of pneumothorax.

lungs_pleura: Right base opacity combination of pleural effusion and atelectasis/airspace disease.

Cardiomegaly;Pericardial Effusion;Opacity;Pleural Effusion;Pulmonary Atelectasis;Airspace Disease;Technical Quality of Image Unsatisfactory


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


The cardiomediastinal silhouette is within normal limits. Lungs are clear without focal consolidation. No pneumothorax or large pleural effusion.


Chest: The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. Left knee: There is no fracture-dislocation. There are degenerative changes with medial compartment osteophytes. There is no suprapatellar effusion. There is a XXXX.

bones: There are degenerative changes with medial compartment osteophytes. others: There is a XXXX.


Calcified granulomas noted. XXXX symmetric apical scarring. The diaphragms are flattened, and the chest is somewhat XXXX shaped. The cardiothymic silhouette is within normal limits for size. Pulmonary vascularity is unremarkable. No acute bony abnormality.

lungs_pleura: Calcified granulomas noted. Symmetric apical scarring. The diaphragms are flattened. The chest is somewhat shaped.


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


Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.


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.


Heart size within normal limits. Cardiomediastinal silhouette is normal in contour. Lungs are clear bilaterally. No focal consolidations. No pleural effusions. Bony structures are intact.


The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes within the spine.

bones: There are endplate changes within the spine.


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.


Lung volumes remain XXXX. XXXX opacities are present in both lower lobes. Old rib fractures and pleural thickening are present on the right. Heart and pulmonary XXXX are normal.

lungs_pleura: Opacities are present in both lower lobes. Pleural thickening is present on the right. bones: Rib fractures are present on the right.


Cardiomegaly. No focal consolidation, effusion, or pneumothorax. Mild unfolding of the thoracic aorta. Bony thorax and soft tissues grossly unremarkable.

heart_mediastinum:  Mild unfolding of the thoracic aorta.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Mild degenerative changes of the spine.

bones: Mild degenerative changes of the spine.


Cardiomediastinal silhouettes are within normal limits. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Calcified left hilar lymph XXXX. A calcified granuloma is seen in the left lower lobe. Bony thorax is unremarkable.

lungs_pleura: A calcified granuloma is seen in the left lower lobe. heart_mediastinum: Calcified left hilar lymph node.


Chest: 2 images. Heart size is normal. Mediastinal contours are maintained. There is a mild pectus excavatum deformity. The lungs are clear of focal infiltrate. There is no evidence for pleural effusion or pneumothorax. No convincing acute bony findings. Right shoulder: 3 images. There has been XXXX and screw fixation of the midshaft right clavicle. The lateral most screw is fractured. This is age-indeterminate as no prior studies are available for comparison. Otherwise, the surgical XXXX appears intact. The humeral head is seen within the glenoid, without evidence for dislocation. No bony fractures are seen. The visualized right ribs appear intact. Right clavicle: 2 images. No clavicle fracture is seen. Once again noted is the surgical fixation XXXX, with fracture of the lateral most fixation screw.

bones: There is a mild pectus excavatum deformity. support_devices: There has been XXXX and screw fixation of the midshaft right clavicle. The lateral most screw is fractured. Otherwise, the surgical XXXX appears intact. The surgical fixation XXXX, with fracture of the lateral most fixation screw.


The heart size is normal and cardiomediastinal silhouette is normal in contour. Lungs are clear bilaterally. There is no pleural effusion or pneumothorax. No bony or soft tissue abnormalities.


Right middle lobe opacity is present. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. No large pleural effusion.

lungs_pleura: Right middle lobe opacity is present.


The heart size is within normal limits. Cardiomediastinal contour is normal. There is a right upper lobe nodule measuring 8 mm in diameter. Trachea is midline. The lungs otherwise clear. XXXX and soft tissues are unremarkable.

lungs_pleura: There is a right upper lobe nodule measuring 8 mm in diameter.


Low lung volumes bilaterally, with lungs otherwise grossly clear. No focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal silhouette is unremarkable. No acute osseous abnormalities identified.

lungs_pleura: Low lung volumes bilaterally.


Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.


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


Lung volumes are low. The heart is large, the pulmonary XXXX are engorged. No infiltrates. XXXX opacity is present in the left midlung.

lungs_pleura: Lung volumes are low. Opacity is present in the left midlung. heart_mediastinum: The heart is large. The pulmonary XXXX are engorged.

Lung;Cardiomegaly;Opacity;Hypertension, Pulmonary;Pulmonary Atelectasis;Pulmonary Congestion


Heart size and mediastinal contour normal. There is a 2.5 cm vague nodular density in the right mid lung, probably within the middle lobe given the opacification on the lateral view. There is a subtle left retrocardiac density also noted, with obscuration of aortic contour. No pleural effusions or pneumothorax.

lungs_pleura: There is a 2.5 cm vague nodular density in the right mid lung, probably within the middle lobe given the opacification on the lateral view. There is a subtle left retrocardiac density also noted, with obscuration of aortic contour.


Normal cardiac size and contour, unremarkable mediastinal silhouette. Normal pulmonary XXXX. Lungs clear, no airspace disease, pleural effusion, or pneumothorax.


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


Mediastinal contours are normal. Opacity within the right middle and lower lobes. No displacement of the XXXX or XXXX fissure. No pneumothorax..

lungs_pleura: Opacity within the right middle and lower lobes.


The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. A calcified granuloma is identified in the right middle lobe. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute displaced rib fractures.

lungs_pleura: A calcified granuloma is identified in the right middle lobe. heart_mediastinum: The thoracic aorta is tortuous.


The lungs are clear. Heart size is normal. No pneumothorax. Calcified left hilar node.

heart_mediastinum: Calcified left hilar node.


The heart is normal in size. The mediastinum is unremarkable. Mild emphysematous changes are noted. The lungs are otherwise clear.

lungs_pleura: Mild emphysematous changes are noted.


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


The cardiac silhouette and mediastinal contours are within normal limits. There are low lung volumes with bronchovascular crowding. Otherwise the lungs are clear. There is no pneumothorax. No large pleural effusion.

lungs_pleura: There are low lung volumes with bronchovascular crowding.


Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Stable aortic tortuosity. Cardiomediastinal silhouette is otherwise unremarkable. Scoliosis and degenerative changes of the thoracic spine. Stent visualized in the right upper quadrant, XXXX biliary stent.

heart_mediastinum: Aortic tortuosity. bones: Scoliosis and degenerative changes of the thoracic spine. support_devices: Stent visualized in the right upper quadrant, biliary stent.


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. The lungs are slightly hypoinflated but clear. There is no pleural effusion.

lungs_pleura: The lungs are slightly hypoinflated.


Heart size and mediastinal contours appear within normal limits. There is a vague 1.6 cm nodular opacity in the right upper lobe between the anterior second and third ribs, which could represent focal infiltrate or lung nodule. No pleural effusion. No pneumothorax. No acute bony abnormality.

lungs_pleura: There is a vague 1.6 cm nodular opacity in the right upper lobe between the anterior second and third ribs, which could represent focal infiltrate or lung nodule.


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. There is levoscoliosis of the thoracic spine.

bones: There is levoscoliosis of the thoracic spine.


There is a right PICC with tip overlying the right brachiocephalic vein. The cardiac silhouette is enlarged. No overt pulmonary edema. There are streaky bibasilar opacities. No large pleural effusion. The right hemidiaphragm is elevated. No pneumothorax is identified. There are degenerative changes of the spine. Bilateral surgical clips are noted.

lungs_pleura: There are streaky bibasilar opacities. The right hemidiaphragm is elevated. heart_mediastinum: The cardiac silhouette is enlarged. bones: There are degenerative changes of the spine. support_devices: There is a right PICC with tip overlying the right brachiocephalic vein. Bilateral surgical clips are noted.

Catheters, Indwelling;Cardiac Shadow;Opacity;Diaphragm;Spine;Surgical Instruments;Pulmonary Atelectasis


The heart is borderline size. Aorta is atherosclerotic. The mediastinum is stable. The lungs are clear.

heart_mediastinum: The heart is borderline size. Aorta is atherosclerotic.


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.


Heart and mediastinum are within normal limits. No focal consolidation. No large pleural effusion or pneumothorax. No acute bony abnormality.


No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact. Chondral cartilages causing XXXX over the anterior lungs on lateral view.

bones: Chondral cartilages causing XXXX over the anterior lungs on lateral view. support_devices: XXXX XXXX intact.


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


A patchy infiltrate has developed in the right middle lobe. Left lung is clear. Heart size normal. Aorta tortuous.

lungs_pleura: A patchy infiltrate has developed in the right middle lobe. heart_mediastinum: Aorta tortuous.


Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

bones: Degenerative changes in the spine.


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


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


Heart size is normal. No focal airspace disease. Emphysema. Bibasilar pleural scarring. No pneumothorax or effusion.

lungs_pleura:  Bibasilar pleural scarring.


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.


Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Bony structures are intact.

lungs_pleura: Prior granulomatous disease.


Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. Multilevel degenerative changes are noted within the thoracic spine.

bones: Multilevel degenerative changes are noted within the thoracic 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.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. No change in a small calcified right apical granuloma. Heart and mediastinum normal.

lungs_pleura: Small calcified right apical granuloma.


Heart size is within normal limits. Aorta appears tortuous and ectatic, unchanged from comparison exam. There is a stable dual XXXX ICD/pacemaker. No focal consolidation, large pleural effusion, or pneumothorax is seen. Visualized osseous structures are grossly intact.

heart_mediastinum: Aorta appears tortuous and ectatic. support_devices: Dual XXXX ICD/pacemaker.


The heart is normal in size. Atherosclerotic calcifications of the aorta. The mediastinum is stable. There is again soft tissue density projected over the right mid chest, XXXX patient's known large breast mass. The appearance is grossly stable to decreased from prior study. The lateral projection is suboptimal as patient could not raise XXXX. There is no pleural effusion.

heart_mediastinum: Atherosclerotic calcifications of the aorta. others: Soft tissue density projected over the right mid chest, patient's known large breast mass.

Atherosclerosis;Density;Mass;Technical Quality of Image Unsatisfactory ;Mass


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


There is enlargement of the cardiac silhouette. There is a focal opacity within the right upper lung. There is dense calcification of the thoracic aorta. There is no pneumothorax. There is no large pleural effusion.

lungs_pleura: There is a focal opacity within the right upper lung. heart_mediastinum: There is enlargement of the cardiac silhouette. There is dense calcification of the thoracic 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.


The cardiomediastinal silhouette is within normal limits for size and contour. Calcified right lower lobe granuloma The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative changes of the spine.

lungs_pleura: Calcified right lower lobe granuloma. bones: Degenerative changes of the spine.


The heart is normal in size and contour. There is no mediastinal widening. Low lung volumes. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.


Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact. The trachea and XXXX pulmonary bronchi are unremarkable.


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.


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 are several age-indeterminate left-sided rib fractures noted. There is a calcified right hilar lymph node. There basilar calcified granulomas. There minimal degenerative changes of the spine.

lungs_pleura: There basilar calcified granulomas. heart_mediastinum: There is a calcified right hilar lymph node. bones: There are several age-indeterminate left-sided rib fractures noted. There minimal degenerative changes of the spine.


Chest. Lungs are clear and expanded. Heart size normal. A calcified pleural plaque in the right subpulmonic area has not XXXX since the abdomen CT. Left and right knees. XXXX, XXXX spaces, and soft tissues are normal.

lungs_pleura: Calcified pleural plaque in the right subpulmonic area.


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. Osseous structures are intact.


The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic XXXX. Minimal XXXX densities, left lung base. Hyperexpanded lungs. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.

lungs_pleura: Minimal XXXX densities, left lung base. Hyperexpanded lungs. heart_mediastinum: Atherosclerosis of the aortic XXXX.


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


The patchy right lower lobe and left lower lobe interstitial infiltrates are largely unchanged in the interval. No XXXX infiltrates. Heart size remains large. Tracheostomy tube remains in the trachea. A right central line has its tip at the superior XXXX XXXX.

lungs_pleura: Patchy right lower lobe and left lower lobe interstitial infiltrates. heart_mediastinum: Heart size is large. support_devices: Tracheostomy tube in the trachea. A right central line has its tip at the superior vena cava.

Infiltrate;Cardiomegaly;Tube, Inserted;Catheters, Indwelling;Lung Diseases, Interstitial


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.


No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear 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.


The lungs and pleural spaces show no acute abnormality. Lower lung volumes on the AP projection. Heart size is upper limits of normal, pulmonary vascularity within normal limits. Implantable cardiac XXXX are visualized on the lateral projection in the region of the expected location of the mitral valve XXXX. XXXX sternotomy XXXX noted.

lungs_pleura: Lower lung volumes on the AP projection. heart_mediastinum: Heart size is upper limits of normal. support_devices: Implantable cardiac XXXX are visualized on the lateral projection in the region of the expected location of the mitral valve XXXX. XXXX sternotomy XXXX noted.


Stable cardiomegaly. The lungs are clear. Stable left lung base calcifications. No focal consolidations. No pneumothorax or pleural effusions. The XXXX are intact.

lungs_pleura: Left lung base calcifications. heart_mediastinum:


The lungs are hyperexpanded consistent with emphysema. Pectus carinatum is noted. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. Calcified granuloma are noted. Vascular calcification is noted.

lungs_pleura: The lungs are hyperexpanded consistent with emphysema. Calcified granuloma are noted. heart_mediastinum: Vascular calcification is noted. bones: Pectus carinatum is noted.

Lung;Pulmonary Emphysema;Pectus Carinatum;Calcified Granuloma;Calcinosis


The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.


Stable marked cardiomegaly. Cardiac XXXX generator projects over the left mid hemithorax with a XXXX terminating in the right ventricle. No focal airspace disease. Mild central pulmonary vascular congestion. The heart has the same configuration as seen previously with a pericardial effusion on an abdominal CT in XXXX.

lungs_pleura: Mild central pulmonary vascular congestion. heart_mediastinum: Marked cardiomegaly. Pericardial effusion. support_devices: Cardiac XXXX generator projects over the left mid hemithorax with a XXXX terminating in the right ventricle.

Cardiomegaly;Implanted Medical Device;Pulmonary Congestion;Pericardial Effusion


Heart size and mediastinal contours appear within normal limits. Hyperinflated lungs with flattening of diaphragms, compatible with emphysema. No focal consolidation, pleural effusion or pneumothorax. No acute bony abnormality.

lungs_pleura: Hyperinflated lungs with flattening of diaphragms, compatible with emphysema.


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


The lungs are clear bilaterally without focal consolidation, pneumothorax, or effusion. Calcified granuloma noted in the right midlung. The heart size is within normal limits. No acute bony abnormality is identified.

lungs_pleura: Calcified granuloma noted in the right midlung.


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


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


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

lungs_pleura: Left basilar subsegmental atelectasis versus scar noted.


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


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

heart_mediastinum: Heart size is upper limits of normal.


The heart is normal in size. The mediastinum is stable. The lungs are grossly clear. XXXX XXXX opacities in the lung bases. There are XXXX fragments overlying the posterior left chest, right neck base and XXXX fragments in the left costophrenic XXXX. There is no pleural effusion or pneumothorax.

lungs_pleura: Opacities in the lung bases. bones: There are fragments overlying the posterior left chest, right neck base and fragments in the left costophrenic.

Opacity;Foreign Bodies;Foreign Bodies;Foreign Bodies


No large pleural effusions. No pneumothorax. No focal airspace opacities. Heart size is normal.


The trachea is midline. The cardiomediastinal silhouette is normal. Low lung volumes causing mild bronchovascular crowding. No focal airspace consolidation is seen. There is no pleural effusion. There is no large pneumothorax. Visualized bony structures reveal no acute abnormalities. Pression: Low lung volumes without acute cardiopulmonary findings. .

lungs_pleura: Low lung volumes causing mild bronchovascular crowding.


A large pleural air collection is present on the right. Mediastinum is shifted to the left as compared to the previous examination. The right lower lobe is totally opaque.

lungs_pleura: A large pleural air collection is present on the right. The right lower lobe is totally opaque. heart_mediastinum: Mediastinum is shifted to the left.


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


Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Calcified right hilar lymph XXXX noted.

heart_mediastinum: Calcified right hilar lymph node noted.


The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.


Lungs are free of infiltrates. However, in the left lower lobe there is a 1 cm diameter nodule that is not calcified. The right lung is clear. The heart, XXXX, and mediastinum are normal.

lungs_pleura: In the left lower lobe there is a 1 cm diameter nodule that is not calcified.


Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion. There are degenerative changes of the midthoracic spine.

bones: There are degenerative changes of the midthoracic spine.


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


There is a moderate right-sided pneumothorax measuring approximately 3.3 cm in the right apex. There is a minimally displaced right lateral 8th rib fracture and probable nondisplaced right lateral 7th rib fracture. Cardiomediastinal silhouette is within normal limits. Left lung is clear.

lungs_pleura: There is a moderate right-sided pneumothorax measuring approximately 3.3 cm in the right apex. bones: There is a minimally displaced right lateral 8th rib fracture.


No pneumothorax or large pleural effusion. Borderline cardiomegaly. Minimal retrocardiac airspace disease. Bony structures appear intact.

lungs_pleura: Minimal retrocardiac airspace disease. heart_mediastinum: Borderline cardiomegaly.


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 minimal degenerative changes of the spine.

bones: There minimal degenerative changes of the spine.


Prominent interstitial markings. There are small bilateral pleural effusions. No pneumothorax or focal consolidation. Normal heart size. Catheter tubing present in the upper midabdomen. There is bilateral acromioclavicular degenerative joint disease, right greater than left.

lungs_pleura: Prominent interstitial markings. Small bilateral pleural effusions. bones: Bilateral acromioclavicular degenerative joint disease, right greater than left. support_devices: Catheter tubing present in the upper midabdomen.


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


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


The trachea is midline. The cardiomediastinal silhouette appears normal. There are no acute infiltrates, effusions. There is no evidence of pneumothorax. Visualized bony structures are intact with no acute abnormalities.


Cardiomediastinal silhouette is within normal limits. No acute bony abnormality is identified. There is slightly increased XXXX opacity of the right base compared to the left which may minimal right basilar airspace disease, XXXX in the right middle lobe. The left lung is clear. No pneumothorax or effusion identified.

lungs_pleura: There is slightly increased opacity of the right base. In the right middle lobe.


Normal heart size and mediastinal contours. Stable calcification in the left upper lobe, XXXX representing a granuloma. No focal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.

lungs_pleura: Calcification in the left upper lobe, representing a granuloma.


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


The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.


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. Stable left mid lung granuloma.


Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.


Lateral view, over the lingula, there is a 7mm diameter uncalcified nodule of uncertain origin. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Mild tortuosity aorta is redemonstrated.

heart_mediastinum: Mild tortuosity aorta.


The cardiac contours are normal. XXXX scarring left base. The lungs are clear. Thoracic spondylosis.

lungs_pleura: Scarring left base. bones: Thoracic spondylosis.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Chronic appearing interstitial marking. Right upper lobe granuloma, stable The lungs are normally inflated and clear. Degenerative changes of the spine.

lungs_pleura: Chronic appearing interstitial marking. Right upper lobe granuloma. bones: Degenerative changes of the spine.


A strandy infiltrate has developed in the left lower lobe. Right lung is clear. Heart size remains normal.

lungs_pleura: A strandy infiltrate has developed in the left lower lobe.


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.


No focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette unremarkable. Stable bilateral calcified granulomas/lymph XXXX. A bullet is present in the posterior soft tissues of the left chest wall, stable compared to prior examination.

lungs_pleura: Bilateral calcified granulomas/lymph nodes. bones: A bullet is present in the posterior soft tissues of the left chest wall.


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

lungs_pleura: Scattered calcified granulomas bilaterally.


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


The heart is normal in size. The mediastinum is stable. There are postsurgical changes of the left breast. The lungs are clear.

others: There are postsurgical changes of the left breast.


The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild degenerative changes are present within the spine.

bones: Mild degenerative changes are present within the spine.


The heart size and mediastinal contours appear within normal limits. Calcified granuloma in the left midlung. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.

lungs_pleura: Calcified granuloma in the left midlung.


Intact XXXX sternotomy XXXX and CABG markers. Calcified granulomas. Heart size is normal. No focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. T-spine degenerative changes.

lungs_pleura: Calcified granulomas. bones: T-spine degenerative changes. support_devices: Intact sternotomy and CABG markers.


The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Multiple healed bilateral rib fractures. No acute bony abnormality is identified.

bones: Multiple healed bilateral rib fractures.


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


Lungs are hyperexpanded. No infiltrates or masses in the lungs. Heart size normal. No change calcified left hilar XXXX and left small granuloma.

lungs_pleura: Lungs are hyperexpanded. Left small granuloma. heart_mediastinum: Calcified left hilar.

Lung;Calcinosis;Granuloma;Pulmonary Disease, Chronic Obstructive


There are low lung volumes with bronchovascular crowding. There is patchy left lower lobe airspace disease. There are XXXX opacities in the right mid lung, XXXX subsegmental atelectasis. No significant pleural effusion. No pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification.

lungs_pleura: There are low lung volumes with bronchovascular crowding. There is patchy left lower lobe airspace disease. There are XXXX opacities in the right mid lung, XXXX subsegmental atelectasis. heart_mediastinum: There is aortic atherosclerotic vascular calcification.


The lungs are clear. There is no pneumonia. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours appear normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.


The heart and mediastinal contours are stable. The lungs are clear without focal infiltrate. There is no pleural effusion or pneumothorax.


Heart size appears enlarged. Mediastinal contours are within normal limits. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Osseous structures are within normal limits for patient age.

lungs_pleura: Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis. heart_mediastinum: Heart size appears enlarged.


No acute osseous abnormality. Mild degenerative changes of the thoracic spine. Stable normal cardiomediastinal silhouette and hilar contours. Prominence of superior mediastinal, XXXX superimposed structures. No focal area of consolidation, pleural effusion, or pneumothorax. Mild bibasilar atelectasis.

lungs_pleura: Mild bibasilar atelectasis. heart_mediastinum: Prominence of superior mediastinal, XXXX superimposed structures. bones: Mild degenerative changes of the thoracic spine.


Redemonstration of the left basilar patchy atelectasis, unchanged from last exam. Lungs are otherwise clear. No evidence of pneumothorax or pleural effusions present. There is a focal calcified nodules in the left upper lung, stable in appearance from XXXX of XXXX. The cardiomediastinal silhouette is unremarkable. No suspicion bony destruction identified.

lungs_pleura: Left basilar patchy atelectasis. Focal calcified nodules in the left upper lung.


The lungs are hyperexpanded, consistent with COPD. Mild cardiomegaly. No focal lung consolidation. No pneumothorax or pleural effusion. Pulmonary vascularity is within normal limits. Mild degenerative changes of the thoracic spine. Aortic calcifications consistent with atherosclerotic disease.

lungs_pleura: The lungs are hyperexpanded, consistent with COPD. heart_mediastinum: Mild cardiomegaly. Aortic calcifications consistent with atherosclerotic disease. bones: Mild degenerative changes of the thoracic spine.

Lung;Pulmonary Disease, Chronic Obstructive;Cardiomegaly;Thoracic Vertebrae;Atherosclerosis


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

lungs_pleura: Prominent interstitial markings.


Clear lungs. Heart size is normal. No pneumothorax or large pleural effusion.


PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mildly tortuous thoracic aorta. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Mild elevation right hemidiaphragm.

lungs_pleura: Mild elevation right hemidiaphragm. heart_mediastinum: Mildly tortuous thoracic aorta.


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


the heart size is normal. There is tortuosity of aorta. Pulmonary vascularity is normal. No focal airspace disease or effusion. Degenerative changes in the thoracic spine.

heart_mediastinum: Tortuosity of aorta. bones: Degenerative changes in the thoracic spine.


The heart size is normal. The mediastinal contour is within normal limits. There are multiple calcified granulomas within the left lower lobe. 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.

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


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 are minimal degenerative changes of the spine.

bones: There are minimal degenerative changes of the spine.


The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax.


There is a prominent calcified head to the right anterior first rib. The aorta is tortuous. 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.

heart_mediastinum: The aorta is tortuous. bones: There is a prominent calcified head to the right anterior first rib. There are T-spine osteophytes.


Low lung volumes. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact. Left humeral head bone anchors.

lungs_pleura: Low lung volumes. support_devices: Left humeral head bone anchors.


Heart size mildly to moderately enlarged, distal tip dual-lumen catheter near the caval atrial junction. Mild vascular cephalization, no definite interstitial changes of pulmonary edema, no focal alveolar consolidation. No pleural effusion XXXX demonstrated.

lungs_pleura: Mild vascular cephalization. heart_mediastinum: Heart size mildly to moderately enlarged. support_devices: Distal tip dual-lumen catheter near the caval atrial junction.


Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures grossly intact.


Cardiomegaly is noted. No pleural effusions. No pneumothorax. There is perihilar prominence and interstitial opacification.

lungs_pleura: There is perihilar prominence and interstitial opacification. heart_mediastinum: Cardiomegaly is noted.


Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures intact.


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

lungs_pleura: The lungs appear hyperexpanded suggesting emphysema. Calcified granuloma is identified.


Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. The lungs remain grossly clear, aside from mild biapical pleural-peripheral scarring and minimal chronic interstitial changes. No focal airspace consolidation, pleural effusion, or pneumothorax.

lungs_pleura: Mild biapical pleural-peripheral scarring. Minimal chronic interstitial changes.


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.


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


Mild dextroscoliosis of the lower thoracic spine. Cardiomediastinal silhouette is within normal in size and appearance. Pulmonary vascular is unremarkable. Lungs are expanded and clear airspace disease. Negative for pneumothorax or pleural effusion. Limited evaluation of the XXXX XXXX to be grossly intact

bones: Mild dextroscoliosis of the lower thoracic spine.


Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.


Normal cardiomediastinal contours. Low lung volumes with minimal left basilar opacities. No pneumothorax or pleural effusions.

lungs_pleura: Low lung volumes. Minimal left basilar opacities.


No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. XXXX XXXX is intact.


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


The lungs are hyperexpanded. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal airspace opacities, pneumothorax or pleural effusion. A calcific density in the left midlung zone XXXX represents old granulomatous disease. No acute bony abnormalities.

lungs_pleura: The lungs are hyperexpanded. A calcific density in the left midlung zone represents granulomatous disease.


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.


The heart is normal in size. The mediastinum is Stable. Calcified AP XXXX lymph XXXX are seen. A small right-sided pleural effusion versus thickening. Right inferior rib deformities.

heart_mediastinum: Calcified AP lymph nodes are seen. bones: Right inferior rib deformities.


Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.


Central vascular prominence and diffuse bilateral interstitial and alveolar opacities. Left basilar airspace opacities. No pneumothorax. Heart size XXXX large. XXXX unremarkable. No large pleural effusion.

lungs_pleura: Diffuse bilateral interstitial and alveolar opacities. Left basilar airspace opacities. heart_mediastinum: Central vascular prominence. Heart size large.

Pulmonary Congestion;Opacity;Opacity;Opacity;Cardiomegaly;Pulmonary Edema;Pulmonary Atelectasis;Airspace Disease


The cardiomediastinal silhouette is normal in size and contour. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.


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


Stable appearance of lower cervical fusion XXXX. Heart size normal. No pneumothorax or pleural effusion. No focal airspace disease. Calcified nodules consistent with chronic granulomatous disease. Bony structures appear intact. DISH of the thoracic spine.

lungs_pleura: Calcified nodules consistent with chronic granulomatous disease. bones: DISH of the thoracic spine. others: Lower cervical fusion.

Spinal Fusion;Calcinosis;Nodule;Granulomatous Disease;Hyperostosis, Diffuse Idiopathic Skeletal


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


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


The heart is top normal in size. The mediastinum is stable. There is a small retrocardiac density which may be secondary to small hiatal hernia. Left IJ catheter tip at cavoatrial junction. No pneumothorax is seen. The lungs are clear.

support_devices: Left IJ catheter tip at cavoatrial junction.


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


Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.


The cardiomediastinal silhouette is normal in size and contour. Streaky perihilar opacities. Peribronchial cuffing also noted. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.

lungs_pleura: Streaky perihilar opacities. Peribronchial cuffing also noted.


The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. The mediastinal contours are normal. There is calcification of the thoracic aorta.

heart_mediastinum: There is calcification of the thoracic aorta.


Heart size is at the upper limits of normal. There is aortic atherosclerotic vascular calcification. The lungs remain hyperexpanded. There are biapical opacities, stable from the prior study. No XXXX focal airspace consolidation. No significant pleural effusion. No pneumothorax. There are mild degenerative changes of the spine.

lungs_pleura: The lungs are hyperexpanded. There are biapical opacities. heart_mediastinum: Heart size is at the upper limits of normal. There is aortic atherosclerotic vascular calcification. bones: There are mild degenerative changes of the spine.


Normal heart size and pulmonary vascularity. There are changes of chronic lung disease noticed by hyperinflated lungs and streaky opacities compatible with scar. Interval placement of the chest XXXX with the tip in the superior XXXX XXXX. No focal infiltrate, pneumothorax or pleural effusion is identified.

lungs_pleura: There are changes of chronic lung disease noticed by hyperinflated lungs and streaky opacities compatible with scar. support_devices: Placement of the chest XXXX with the tip in the superior XXXX XXXX.


The patient is rotated. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. No focal airspace opacities. Mild degenerative changes of the thoracic spine.

bones: Mild degenerative changes of the thoracic spine.

Technical Quality of Image Unsatisfactory ;Thoracic Vertebrae


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. There is a rounded lucency seen above the diaphragm on lateral view, suggestive of small hiatal hernia. Visualized osseous structures appear intact. Degenerative changes of the thoracic spine seen.

bones: Degenerative changes of the thoracic spine seen.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.


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 discrete nodules or adenopathy are noted.


Crowded bronchovascular markings in the hilar and perihilar region, right lower lung zones. Low lung volumes. No noncalcified pulmonary nodules seen. No pleural effusion or pneumothorax. No small heart size. There is a right diaphragmatic hump. The soft tissues seen in the left cardiophrenic XXXX, could represent an ectatic descending aorta or hiatal hernia. Visualized XXXX of the chest XXXX are within normal limits. Degenerative changes demonstrated within the visualized thoracic spine.

lungs_pleura: Crowded bronchovascular markings in the hilar and perihilar region, right lower lung zones. Low lung volumes. There is a right diaphragmatic hump. heart_mediastinum: No small heart size. bones: Degenerative changes demonstrated within the visualized thoracic spine.


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


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. No evidence of active tuberculosis.


Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. scoliosis.


Soft tissue neck. The airway is XXXX. No laryngeal edema. Laryngeal XXXX intact. Cervical spine intact. Chest. The heart is large. Diffuse parahilar and alveolar consolidations are present. Bilateral costophrenic XXXX blunting is present.

lungs_pleura: Diffuse parahilar and alveolar consolidations are present. Bilateral costophrenic blunting is present. heart_mediastinum: The heart is large. others: Laryngeal intact.

Cardiomegaly;Consolidation;Consolidation;Costophrenic Angle;Heart Failure;Pulmonary Edema;Pleural Effusion


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present.

support_devices: Cholecystectomy clips are present.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lungs are hyperexpanded without focal airspace consolidation, pleural effusion, or pneumothorax.. Degenerative endplate changes of the spine..

lungs_pleura: Lungs are hyperexpanded. bones: Degenerative endplate changes of the spine.


Severe emphysematous disease is again noted. Multifocal areas of scarring are unchanged in appearance. No pneumothorax. Heart size is normal.

lungs_pleura: Severe emphysematous disease. Multifocal areas of scarring.


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


The heart size and pulmonary vascular appear within normal limits. The lungs appear hyperexpanded consistent with emphysema. Calcified lymph XXXX and granuloma are noted. No acute appearing focal airspace disease is seen. No pleural effusion or pneumothorax is noted.

lungs_pleura: The lungs appear hyperexpanded consistent with emphysema. Calcified lymph nodes and granuloma are noted.


The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild chronic degenerative changes are present in the spine.

bones: Mild chronic degenerative changes are present in the spine.


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


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Degenerative changes of the spine..

bones: Degenerative changes of the spine.


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


The heart size and pulmonary vascularity appear within normal limits. The thoracic aorta is prominent with calcification within the aorta. Azygos lobe is noted. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes noted in the spine.

lungs_pleura: Azygos lobe is noted. heart_mediastinum: The thoracic aorta is prominent with calcification within the aorta. bones: Degenerative changes noted in the spine.


The lungs remain hyperexpanded. No masses or infiltrates in the lungs. No pleural or mediastinal air collections. Heart size normal.

lungs_pleura: The lungs are hyperexpanded.

Lung;Pulmonary Disease, Chronic Obstructive


Heart size is within normal limits. Trachea is midline. The lung volumes are slightly on the low side. Lungs are otherwise clear without pleural effusion or pneumothorax. No focal consolidations. No bony or soft tissue abnormalities.

lungs_pleura: The lung volumes are slightly on the low side.


There are low lung volumes with bronchovascular crowding. There is no focal consolidation. No visualized pneumothorax. Heart size is within normal limits. The cardiomediastinal contours is grossly normal in size and contour.

lungs_pleura: There are low lung volumes with bronchovascular crowding.


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 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.


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

lungs_pleura: Multiple calcified granulomas identified bilaterally.


Chest. A minimally displaced fracture is present on right rib 4. The small amount of pleural fluid is XXXX deep to the fracture. No pleural air collection. Both lungs clear and expanded. Heart and mediastinum normal. Note XXXX of a levoscoliosis of the thoracolumbar spine. Right shoulder. XXXX, soft tissues, and alignment are normal. Right humerus. XXXX and soft tissues are intact.

lungs_pleura: The small amount of pleural fluid is deep to the fracture. bones: A minimally displaced fracture is present on right rib 4. Note of a levoscoliosis of the thoracolumbar spine.


Frontal and lateral views demonstrate the cardiomediastinal silhouette to be within normal limits. There is normal distribution of the pulmonary vascularity. The lungs are clear. No effusion, consolidation, or pneumothorax.


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified.


There has been interval performance of CABG with multiple XXXX sternotomy XXXX, surgical clips, and CABG markers. All of the XXXX sternotomy XXXX are broken, and a fragment at a sternotomy XXXX appears to XXXX within the left posterior pleural space. Stable cardiomegaly and central pulmonary vascular prominence. No focal consolidation, pneumothorax, or effusion. Relative elevation of the left hemidiaphragm noted. No acute bony abnormality.

lungs_pleura: Relative elevation of the left hemidiaphragm noted. heart_mediastinum:  Central pulmonary vascular prominence. support_devices: Multiple sternotomy wires, surgical clips, and CABG markers. All of the sternotomy wires are broken. A fragment at a sternotomy wire appears to project within the left posterior pleural space.


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.


Heart size is normal and the lungs are clear.


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


Cardiac and mediastinal XXXX appear normal. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. There is a mild dextro scoliotic curvature of the midthoracic spine.

bones: There is a mild dextro scoliotic curvature of the midthoracic spine.


The heart is normal in size. The cardiomediastinal contours are stable. There are stable bilateral pleural effusions with partial right-sided loculation. Biapical scarring and pleural thickening appears stable. There is again right-sided superior hilar retraction and mild rightward XXXX deviation. No acute infiltrate is appreciated.

lungs_pleura: Bilateral pleural effusions with partial right-sided loculation. Biapical scarring and pleural thickening. heart_mediastinum: Right-sided superior hilar retraction and mild rightward tracheal deviation.

Pleural Effusion;Pleural Effusion;Cicatrix;Thickening;Deformity;Shift;Thickening;Pulmonary Atelectasis;Volume Loss


The heart size and pulmonary vascularity appear within normal limits. Right pleural effusion is present and appears increased. No pneumothorax is identified. Some scattered XXXX of right base atelectasis are seen. Surgical XXXX remain in XXXX. The left lung appears clear.

lungs_pleura: Right pleural effusion is present. Some scattered atelectasis of right base are seen. support_devices: Surgical clips remain in place.

Pleural Effusion;Pulmonary Atelectasis;Surgical Instruments


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


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.


No focal lung consolidation. A XXXX density overlying the left costophrenic XXXX is XXXX due to overlying soft tissues. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.

others: A density overlying the left costophrenic angle is likely due to overlying soft tissues.


Lungs are clear. A calcified small granuloma is present in the left lower lobe. Heart size normal. Mediastinum normal.

lungs_pleura: A calcified small granuloma is present in the left lower lobe.


Normal heart size and mediastinal contours. Minimal blunting of the costophrenic XXXX. No focal airspace consolidation. No pneumothorax or pleural effusion.

lungs_pleura: Minimal blunting of the costophrenic angle.