Heart size is within normal limits. No focal consolidation. No pneumothorax or pleural effusion. No bony abnormalities.


Radiographic attenuation obscures detail. Grossly, the lungs are clear and expanded. Heart is large. Pulmonary XXXX are normal.

Technical Quality of Image Unsatisfactory ;Cardiomegaly


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..


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


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Slight thoracolumbar curvature is noted.

bones: Slight thoracolumbar curvature is noted.


No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact. Mild degenerative change of the lower thoracic spine, anterior osteophytes.

bones: Mild degenerative change of the lower thoracic spine, anterior osteophytes. support_devices: XXXX XXXX intact.


The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated with XXXX XXXX opacities compatible with pleural-parenchymal scarring. There is no acute infiltrate or effusion.

lungs_pleura: The lungs are hyperinflated with opacities compatible with pleural-parenchymal scarring.


No focal consolidation. No visualized pneumothorax. The heart size is normal. There are no large pleural effusions.


Normal cardiac size, mediastinum, and central pulmonary vasculature. Grossly clear lungs, without focal airspace consolidation, pleural effusion, or pneumothorax. No evidence of displaced rib fractures. Normal thoracic vertebral body XXXX.


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 has been XXXX XXXX sternotomy. The heart and mediastinum are normal. The skeletal structures are normal.

support_devices: There has been sternotomy.


The lungs are XXXX. XXXX opacities are present in the right costophrenic XXXX. No focal infiltrates. Heart size normal.

lungs_pleura: Opacities are present in the right costophrenic angle.

Opacity;Pulmonary Disease, Chronic Obstructive;Pulmonary Atelectasis


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. There is calcified granuloma in the left lingula. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.

lungs_pleura: There is calcified granuloma in the left lingula.


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


A calcified granuloma is present in the right costophrenic XXXX. Lungs are otherwise clear. Heart size normal.

lungs_pleura: A calcified granuloma is present in the right costophrenic angle.


The cardio mediastinal silhouette, pulmonary vascular pattern are within normal limits. No pneumothorax. No pneumonia. No pleural effusion. Mild degenerative changes mid thoracic spine.

bones: Mild degenerative changes mid thoracic spine.


Lung volumes remain XXXX. XXXX opacity is present in the right middle lobe. No focal infiltrates. Heart size normal.

lungs_pleura: Lung volumes are XXXX. XXXX opacity is present in the right middle lobe.


Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality.


Heart size mildly enlarged, stable mediastinal and hilar contours. Right hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.

lungs_pleura: Right hemidiaphragm eventration. heart_mediastinum: Heart size mildly enlarged.


There has been interval development of a large right-sided pleural effusion. The left lung is clear. There is no pneumothorax. Heart size mediastinal contours are within normal limits. XXXX deformity is noted at the upper thoracic vertebral body.

lungs_pleura: Large right-sided pleural effusion. bones: XXXX deformity is noted at the upper thoracic vertebral body.


Heart size is normal. The lungs are clear. There are no XXXX focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Again noted is tortuosity and unfolding of the thoracic aorta. Aortic vascular calcifications. Normal pulmonary vascularity. Bone demineralization.

heart_mediastinum: Tortuosity and unfolding of the thoracic aorta. Aortic vascular calcifications. bones: Bone demineralization.

Aorta, Thoracic;Calcinosis;Bone Diseases, Metabolic


Heart and mediastinal contours are unremarkable. The pulmonary vasculature is normal in appearance. The lung parenchyma is clear, without focal airspace opacity. There are no pleural effusions, and there is no pneumothorax. The visualized bony structures are grossly unremarkable.


The heart is near top normal in size with tortuosity of the aorta. The pulmonary vascular markings are symmetric and normal. There are low lung volumes with XXXX opacities consistent with focal atelectasis. There is no pleural effusion or pneumothorax. There are degenerative changes in thoracic spine and thoracic kyphosis.

lungs_pleura: There are low lung volumes with opacities consistent with focal atelectasis. heart_mediastinum: The heart is near top normal in size with tortuosity of the aorta. bones: There are degenerative changes in thoracic spine and thoracic kyphosis.


The heart and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, pneumothorax. The osseous structures are intact.


Heart size is normal. No focal consolidations. There is a 6 mm calcified granuloma at the medial right lung base. No pneumothorax or pleural effusion.

lungs_pleura: There is a 6 mm calcified granuloma at the medial right lung base.


No acute osseous abnormality. Scattered degenerative changes throughout the thoracic spine. Stable normal cardiomediastinal silhouette and hilar contours. Scattered bilateral granulomas. Patchy left basal airspace opacity. Bilateral small effusions.

lungs_pleura: Scattered bilateral granulomas. Patchy left basal airspace opacity. Bilateral small effusions. bones: Scattered degenerative changes throughout the thoracic spine.


The heart size is normal. There is normal cardiomediastinal silhouette. Lungs are clear bilaterally. Thoracic spine shows anterior osteophyte formation.

bones: Thoracic spine shows anterior osteophyte formation.


Lungs are hyperinflated but clear. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. Calcified mediastinal XXXX identified.

lungs_pleura: Lungs are hyperinflated. heart_mediastinum: Calcified mediastinal XXXX identified.


The lungs and pleural spaces show no acute abnormality. Stable paratracheal soft tissue density dating back to exams in XXXX, XXXX confluence of vascular shadows. Lungs are hyperexpanded. Heart size and pulmonary vascularity within normal limits.

lungs_pleura: Lungs are hyperexpanded. heart_mediastinum: Paratracheal soft tissue density.


Compared to prior examination, there is significant improvement in aeration bilaterally, with improved bilateral airspace opacities. Currently, there are only minimal streaky opacities in the bilateral midlung, which may represent mild residual airspace disease, atelectasis, or underlying changes of chronic lung disease. No large focal consolidations, pneumothorax, or definite pleural effusions identified. The mediastinal silhouette is stable and within normal limits for size and contour. No acute osseous abnormality is identified.

lungs_pleura: Minimal streaky opacities in the bilateral midlung, which may represent mild residual airspace disease, atelectasis, or underlying changes of chronic lung disease.


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. Multiple XXXX-filled loops of bowel are present. Gastrostomy is noted.

support_devices: Gastrostomy is noted. others: Multiple XXXX-filled loops of bowel are present.


Chest. Lung volumes are low, but no focal infiltrates are present. Heart and mediastinum remain normal. Abdomen. Multiple slightly distended loops are present from stomach to rectum. Formed stool is present in the rectum.

lungs_pleura: Lung volumes are low. others: Multiple slightly distended loops are present from stomach to rectum. Formed stool is present in the rectum.


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


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are unchanged. Pulmonary vascularity is within normal limits. Calcified right upper lobe nodule with a granuloma is again seen but unchanged. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.

lungs_pleura: Calcified right upper lobe nodule with a granuloma.


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

heart_mediastinum: Atherosclerotic changes of the aorta. bones: Arthritic changes of the skeletal structures are noted.


The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. No focal consolidation is seen. Postsurgical/biopsy changes overlying the right breast.

lungs_pleura: The lungs are hypoinflated. others: Postsurgical/biopsy changes overlying the right breast.


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

heart_mediastinum: The heart size is at the upper limits of normal. bones: Mild chronic degenerative changes are present within the thoracic spine.


The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic XXXX. No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.

heart_mediastinum: Atherosclerosis of the aortic arch. bones: T-spine osteophytes.


There is a moderate sized right pleural effusion. Severe slightly smaller than is compared to XXXX. There is a small left pleural effusion. This is unchanged as compared to the prior study. There is a right chest wall venous XXXX XXXX which appears accessed. No pneumothorax. Scaphoid abdomen.

lungs_pleura: There is a moderate sized right pleural effusion. There is a small left pleural effusion. support_devices: There is a right chest wall venous access device. others: Scaphoid abdomen.


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


No focal areas of consolidation. No suspicious pulmonary opacities. Mild degenerative change thoracic spine. No pleural effusions. No evidence of pneumothorax. Heart size normal limits.

bones: Mild degenerative change thoracic spine.


The heart is normal in size and contour. Scattered calcifications are noted, compatible with prior granulomatous disease. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.

lungs_pleura: Scattered calcifications are noted, compatible with prior granulomatous disease.


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


Lungs are clear. No pneumothorax or pleural effusion. Normal heart and mediastinal contours. Normal pulmonary vasculature. Bony thorax intact.


PA and lateral views the chest were obtained. There are low lung volumes on the frontal view, which accentuates heart size and lung markings. The heart size is upper limits normal or mildly enlarged. Mediastinum normal width. The pulmonary vasculature is within normal limits. There is left lung base atelectasis on frontal XXXX XXXX secondary to low volumes. No pneumothorax, pleural effusion, or focal air space consolidation.

lungs_pleura: There are low lung volumes on the frontal view, which accentuates lung markings. There is left lung base atelectasis on frontal view secondary to low volumes. heart_mediastinum: There are low lung volumes on the frontal view, which accentuates heart size. The heart size is upper limits normal or mildly enlarged.


Low lung volumes. No focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable


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


The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities, pleural effusion or pneumothorax. No acute bony abnormalities.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains moderately enlarged. There is no focal airspace consolidation. There is no visible pneumothorax. The left costophrenic sulcus is blunted. However, no retrocardiac pleural fluid collection is seen on the lateral view. The right acromioclavicular joint is mildly widened with respect to the left. This is XXXX-XXXX and may be due to left XXXX XXXX osteoarthritis or a remote right XXXX XXXX mild XXXX.

lungs_pleura: The left costophrenic sulcus is blunted. heart_mediastinum: Cardiac silhouette is moderately enlarged. bones: The right acromioclavicular joint is mildly widened with respect to the left.

Cardiac Shadow;Costophrenic Angle;Pleural Effusion;Adipose Tissue;Cicatrix;Cardiomegaly


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


Stable mild rightward curvature of the thoracic spine. Heart size is normal. No focal airspace disease. No pneumothorax or pleural effusion. No acute osseous findings.

bones: Mild rightward curvature of the thoracic spine.


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


Heart size is upper limits of normal. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is right basilar air space opacity.

lungs_pleura: There is right basilar air space opacity. heart_mediastinum: Heart size is upper limits of normal.


The lungs are clear. There is hyperexpansion of the lungs suggesting underlying emphysema. The heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.

lungs_pleura: Hyperexpansion of the lungs suggesting underlying emphysema.


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.


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


The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is mild degenerative changes of the thoracic spine.

bones: There is mild degenerative changes of the thoracic spine.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is bibasal interstitial opacity and left basal platelike opacity XXXX due to discoid atelectasis and/or XXXX scarring. There are emphysematous changes, particularly within the right upper lobe. No XXXX focal airspace consolidation or pleural effusion.

lungs_pleura: There is bibasal interstitial opacity and left basal platelike opacity due to discoid atelectasis and/or scarring. There are emphysematous changes, particularly within the right upper lobe. heart_mediastinum: Cardiomediastinal silhouette.

Opacity;Opacity;Pulmonary Atelectasis;Cicatrix;Pulmonary Emphysema;Pulmonary Disease, Chronic Obstructive;Pulmonary Fibrosis


In the interval, consolidation and atelectasis have developed in the right lower lobe. Costophrenic XXXX blunted on the right. Left lung clear. Heart size normal.

lungs_pleura: Consolidation and atelectasis have developed in the right lower lobe. Costophrenic angle blunted on the right.

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


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. There are low lung volumes.

lungs_pleura: Low lung volumes. bones: There are T-spine osteophytes.


Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. Bandlike opacities are present in the right lung. Appearance suggest atelectasis. No pneumothorax or pleural effusion is seen.

lungs_pleura: Low lung volumes are present. Bandlike opacities are present in the right lung. Appearance suggest atelectasis.


Normal heart size. Dilated pulmonary arteries. Atherosclerotic calcifications of the aorta. No focal airspace consolidation. Decreased biapical vascular markings with moderate hyperexpansion the lungs, consistent with obstructive pulmonary disease. No pleural effusion or pneumothorax.

lungs_pleura: Decreased biapical vascular markings with moderate hyperexpansion the lungs, consistent with obstructive pulmonary disease. heart_mediastinum: Dilated pulmonary arteries. Atherosclerotic calcifications of the aorta.

Pulmonary Artery;Atherosclerosis;Lung;Pulmonary Disease, Chronic Obstructive;Markings


Cardiac silhouette is upper limits of normal in size. Normal mediastinal contour and pulmonary vasculature. There is evidence of healed granulomatous disease in the right hemithorax. Lungs are without focal airspace consolidation, large pleural effusion or pneumothorax.

lungs_pleura: There is evidence of healed granulomatous disease in the right hemithorax. heart_mediastinum: Cardiac silhouette is upper limits of normal in size.


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.


Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Stable left lower lobe calcified granuloma. Remote left clavicle fracture.

lungs_pleura: Left lower lobe calcified granuloma. bones: Left clavicle fracture.


Cardiomediastinal silhouette is within normal limits of size and appearance. Lungs are hyperlucent and hyperexpanded. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals no acute abnormality.

lungs_pleura: Lungs are hyperlucent and hyperexpanded.

Lung, Hyperlucent;Lung;Technical Quality of Image Unsatisfactory


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 left hemidiaphragm is elevated. This is unchanged. No focal airspace disease is seen. No pneumothorax or pleural effusion is noted. There is eventration of the right hemidiaphragm.

lungs_pleura: The left hemidiaphragm is elevated. There is eventration of the right hemidiaphragm.


Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications are present. The lungs are otherwise clear. Bony structures are intact. Prior cholecystectomy.

lungs_pleura: Granulomatous calcifications are present. others: Prior cholecystectomy.


Moderate cardiomegaly with narrowed severe mediastinal contours. Been sternotomy XXXX noted. No pneumothorax. no large pleural effusions. No focal lung consolidation.

heart_mediastinum: Moderate cardiomegaly with narrowed severe mediastinal contours. support_devices: Sternotomy noted.


Stable cardiomegaly, XXXX at XXXX partially accentuated by low lung volumes. Stable XXXX sternotomy XXXX, several of which are interrupted, and mediastinal clips. No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.

heart_mediastinum:  bones: T-spine osteophytes. support_devices: Sternotomy, several of which are interrupted, and mediastinal clips.


The heart size and pulmonary vascularity appear within normal limits. A large hiatal hernia is noted. The lungs are free of focal airspace disease. No pneumothorax or pleural effusion is seen. Degenerative changes are present in the spine.

bones: Degenerative changes are present in the spine. others: A large hiatal hernia is noted.


Heart size is normal. No pneumothorax or pleural effusions. There is an 8 mm calcified nodule in the left midlung. There is also a 7 mm calcified nodule near the left hilum. Hyperexpanded lungs consistent with chronic obstructive pulmonary disease.

lungs_pleura: 8 mm calcified nodule in the left midlung. 7 mm calcified nodule near the left hilum. Hyperexpanded lungs consistent with chronic obstructive pulmonary disease.

Calcinosis;Nodule;Calcinosis;Nodule;Lung;Pulmonary Disease, Chronic Obstructive


Heart size is upper limits of normal for AP projection. Mediastinal contours and pulmonary vasculature are unremarkable. The patient's chin obscures the bilateral lung apices. There is no focal airspace consolidation. No visible pleural effusion or pneumothorax. No displaced rib fractures are seen. There are moderate degenerative changes along the thoracic spine.

heart_mediastinum: Heart size is upper limits of normal for AP projection. bones: There are moderate degenerative changes along the thoracic spine.

Thoracic Vertebrae;Technical Quality of Image Unsatisfactory


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


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 heart is borderline in size. The mediastinum is stable with changes of XXXX sternotomy and bypass graft. Aorta is atherosclerotic. There are postsurgical changes of the left hemithorax with mild left-sided volume loss as evidenced by diaphragm elevation. Left post thoracotomy rib changes are noted. The right lung is clear. There is no pleural effusion.

lungs_pleura: Postsurgical changes of the left hemithorax with mild left-sided volume loss as evidenced by diaphragm elevation. heart_mediastinum: The heart is borderline in size. The mediastinum is with changes of XXXX sternotomy and bypass graft. Aorta is atherosclerotic. bones: Left post thoracotomy rib changes are noted.


Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal heart size. Normal pulmonary vascularity. Bony thorax intact.


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


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. Biapical scarring noted. No pleural effusions or pneumothoraces.

lungs_pleura: Lungs are hyperexpanded. Biapical scarring noted.


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.


Normal cardiomediastinal contours. Lungs are clear. No pneumothorax.


There are bilateral opacities most prominent in the lower lobes bilaterally. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable. There is an embolization XXXX overlying left upper quadrant.

lungs_pleura: There are bilateral opacities most prominent in the lower lobes bilaterally. others: There is an embolization XXXX overlying left upper quadrant.


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


Patient is rotated. Mild cardiomegaly. Low lung volumes with elevated hemidiaphragms, greater on the right. This is identified on a thoracic XXXX study from XXXX as well. No pneumothorax. No large pleural effusion. No focal infiltrate.

lungs_pleura: Low lung volumes with elevated hemidiaphragms, greater on the right. heart_mediastinum: Mild cardiomegaly.

Technical Quality of Image Unsatisfactory ;Cardiomegaly;Lung;Diaphragm


Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear airspace disease. Negative for pneumothorax, pleural effusion, or pneumoperitoneum. Limited bone evaluation reveals no acute abnormality.


The heart size and mediastinal contours appear within normal limits. There are low lung volumes with left basilar subsegmental atelectasis. No focal airspace consolidation, effusions or pneumothorax. No acute bony abnormalities.

lungs_pleura: Low lung volumes. Left basilar subsegmental atelectasis.


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 left basilar atelectasis versus scarring.

lungs_pleura: Left basilar atelectasis versus scarring.


Both lungs remain clear and expanded. Heart and pulmonary XXXX are normal. No change in the large hiatus hernia.


Some hyperinflation appears to be present. There are small calcified granulomas. The lungs are otherwise clear. The heart is normal. The mediastinum is normal. The skeletal structures and soft tissues are normal.

lungs_pleura: Some hyperinflation appears to be present. Small calcified granulomas.

Calcified Granuloma;Pulmonary Disease, Chronic Obstructive;Granulomatous Disease


Cardiomediastinal contour stable and within normal limits. Changes of prior CABG again noted. Normal pulmonary vascularity. Streaky bibasilar opacities decreased from previous, possibly subsegmental atelectasis and/or scar. No pneumothorax or pleural effusion demonstrated. Redemonstrated severe L1 XXXX fracture. Slight interval increase in XXXX loss of T11 and there is XXXX mild to moderate anterior XXXX loss of T10. Degenerative changes of the spine. Abdominal aortic stent.

lungs_pleura: Streaky bibasilar opacities, possibly subsegmental atelectasis and/or scar. bones: Severe L1 fracture. Loss of T11 height. Mild to moderate anterior loss of T10 height. Degenerative changes of the spine. support_devices: Changes of prior CABG. Abdominal aortic stent.


Frontal and lateral views. The cardiac silhouette is on the upper limits normal for size. Interstitial opacities are persistent at both lung bases. Calcified granulomas are also identified. XXXX compared to the previous CT scan, there has been no significant interval change. No developing airspace opacity, or pneumothorax.

lungs_pleura: Interstitial opacities at both lung bases. Calcified granulomas. heart_mediastinum: The cardiac silhouette is on the upper limits normal for size.


The heart size is normal and cardiomediastinal silhouette has normal contour. The left hilar calcified lymph XXXX appear stable. There is persistence of a left lower lobe calcified nodule XXXX representing a granuloma. The lungs are hyperinflated but otherwise clear bilaterally.

lungs_pleura: Left lower lobe calcified nodule representing a granuloma.


Mild cardiomegaly, stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. Mild bronchovascular crowding without typical findings of pulmonary edema.

lungs_pleura: Mild bronchovascular crowding. heart_mediastinum: Mild cardiomegaly.


The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact. Calcification in the right upper quadrant of the abdomen XXXX consistent with gallstone.

others: Calcification in the right upper quadrant of the abdomen consistent with gallstone.


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


Again, the patient is mildly rotated, and there is a mild XXXX curvature of the thoracic spine. Stable borderline cardiac enlargement. In the left lower lobe on the lateral view, there appears to be some patchy airspace disease which is probably mostly atelectasis from an elevated left diaphragm. The be difficult to completely exclude a superimposed pneumonia. No significant pleural effusion or pneumothorax. There is an extensive fusion of the posterior cervical spine.

lungs_pleura: In the left lower lobe on the lateral view, there appears to be some patchy airspace disease which is probably mostly atelectasis from an elevated left diaphragm. heart_mediastinum: Borderline cardiac enlargement. bones: Mild XXXX curvature of the thoracic spine. There is an extensive fusion of the posterior cervical spine.

Technical Quality of Image Unsatisfactory ;Scoliosis;Cardiomegaly;Spinal Fusion;Lung;Diaphragm;Airspace Disease;Pulmonary Atelectasis


The heart is mildly enlarged. The lungs are hypoinflated with mildly elevated left hemidiaphragm. There is patchy opacity in the left lung base which may be secondary to atelectasis and/or possible infiltrate. Increased markings are noted throughout and were present on prior CT. The study is limited secondary to moderate XXXX motion. Underlying emphysematous changes are identified.

lungs_pleura: The lungs are hypoinflated with mildly elevated left hemidiaphragm. Increased markings are noted throughout. Underlying emphysematous changes are identified. heart_mediastinum: The heart is mildly enlarged.

Cardiomegaly;Lung;Diaphragm;Opacity;Markings;Technical Quality of Image Unsatisfactory ;Emphysema


The outside x-XXXX is normal except for slight cardiomegaly.


Stable cardiomediastinal silhouette. Calcified granuloma in the left lower lobe. Minimal bibasilar airspace disease. No pneumothorax. Degenerative changes of the thoracic spine.

lungs_pleura: Calcified granuloma in the left lower lobe. Minimal bibasilar airspace disease. bones: Degenerative changes of the thoracic spine.

Calcified Granuloma;Airspace Disease;Thoracic Vertebrae


The trachea is midline. The cardiomediastinal silhouette is normal. Note is XXXX of calcifications in the aortic XXXX. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. There is calcification of the chondral portions of the ribs.

heart_mediastinum: Calcifications in the aortic arch. bones: Calcification of the chondral portions of the ribs.


The heart is normal in size. The mediastinum is within normal limits. Aorta is tortuous. Right chest XXXX tip is visualized at the proximal right atrium. The lungs are grossly clear. No pneumothorax is seen. There are deformities of the left lateral 7th and 8th ribs possibly healing or old fractures.

heart_mediastinum: Aorta is tortuous. support_devices: Right chest XXXX tip is visualized at the proximal right atrium.


The heart is enlarged. The left subclavian ICD is again identified. There is again hilar enlargement, XXXX superimposes enlarged pulmonary vasculature. XXXX opacities are unchanged and compatible with subsegmental atelectasis or scarring. There is no large pleural effusion or focal consolidation.

lungs_pleura: Opacities are compatible with subsegmental atelectasis or scarring. heart_mediastinum: The heart is enlarged. Hilar enlargement. Enlarged pulmonary vasculature. support_devices: The left subclavian ICD is identified.

Cardiomegaly;Implanted Medical Device;Lung;Opacity;Pulmonary Atelectasis;Cicatrix


Consolidation is developing in the left lower lobe. A patchy infiltrate is also present in the right lower lobe. Heart size is normal.

lungs_pleura: Consolidation is developing in the left lower lobe. A patchy infiltrate is also present in the right lower lobe.


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. The heart is not significantly enlarged. The mediastinum is normal. Arthritic changes of the skeletal structures are noted.

bones: Arthritic changes of the skeletal structures are noted.


Lung volumes are low. No infiltrates. Heart and mediastinum are normal.


The heart is normal in size with normal appearance of the cardiomediastinal silhouette. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact, with mild degenerative changes in the thoracic spine.

bones: Mild degenerative changes in the thoracic spine.


The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. There is hiatal hernia.


Lungs mildly hyperinflated with flattened posterior diaphragm and increased retrosternal airspace. No focal alveolar consolidation, no definite pleural effusion seen. Left hilar calcifications and dense left lower lobe nodules suggest a previous granulomatous process. Overall heart size within normal limits with prominent right atrial convexity, no typical findings of pulmonary edema. No pneumothorax.

lungs_pleura: Lungs mildly hyperinflated with flattened posterior diaphragm and increased retrosternal airspace. Left hilar calcifications and dense left lower lobe nodules suggest a previous granulomatous process. heart_mediastinum: Prominent right atrial convexity.


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. Osteopenia and XXXX deformities, degenerative changes and scoliosis are present in the thoracic spine. Calcified granuloma is present in the left upper lobe. On XXXX component of a XXXX scan XXXX XXXX/XXXX, several nodules were identified. A nodule is seen in the right middle lobe which corresponds with one of the nodules present on the previous CT scan.

lungs_pleura: Calcified granuloma is present in the left upper lobe. A nodule is seen in the right middle lobe. bones: Osteopenia and deformities, degenerative changes and scoliosis are present in the thoracic spine.

Bone Diseases, Metabolic;Deformity;Scoliosis;Thoracic Vertebrae;Calcified Granuloma;Nodule


Lungs are clear. No focal airspace consolidation or pleural effusion. Heart size is normal. No pneumothorax. Calcified lymph XXXX.

heart_mediastinum: Calcified lymph nodes.


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


Low lung volumes with bibasilar subsegmental atelectasis. No focal consolidations, pleural effusions, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the thoracic spine.

lungs_pleura: Low lung volumes with bibasilar subsegmental atelectasis. bones: Degenerative changes of the thoracic spine.


The heart is normal in size. The mediastinum is unremarkable. There is XXXX biapical scarring. The lungs are otherwise clear.


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


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


The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated. There is biapical scarring. No acute infiltrate or pleural effusion seen.

lungs_pleura: The lungs are hyperinflated. There is biapical scarring.


The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. Emphysematous changes are identified. There is no acute infiltrate or effusion.

lungs_pleura: Emphysematous changes are identified. heart_mediastinum: The aorta is atherosclerotic.


There is mild blunting of the right costophrenic XXXX which may represent a small right pleural effusion. No focal consolidation or pneumothorax identified. Cardiomediastinal silhouette demonstrates stable mild tortuosity of the thoracic aorta, and heart size within normal limits and stable. No acute osseous abnormality. There is redemonstration of mild multilevel degenerative disc disease of the thoracolumbar spine. Old, healed left rib fractures are noted.

lungs_pleura: Mild blunting of the right costophrenic angle. heart_mediastinum: Mild tortuosity of the thoracic aorta. bones: Mild multilevel degenerative disc disease of the thoracolumbar spine. Healed left rib fractures.

Costophrenic Angle;Aorta, Thoracic;Thoracic Vertebrae;Lumbar Vertebrae;Fractures, Bone


Given differences in patient rotation, heart size and mediastinal contours are grossly unchanged. Lungs appear clear without focal consolidation. No visible pleural effusion or pneumothorax. Stable degenerative changes of the thoracic spine with scattered XXXX deformities. Stable postsurgical changes of the left shoulder and marked degenerative changes of the right shoulder.

bones: Degenerative changes of the thoracic spine with scattered XXXX deformities. Postsurgical changes of the left shoulder and marked degenerative changes of the right shoulder.

Technical Quality of Image Unsatisfactory ;Thoracic Vertebrae;Deformity;Deformity;Shoulder


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

heart_mediastinum: Vascular calcification is noted.


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

bones: Acromioclavicular joint degenerative change.


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


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. The aorta is tortuous, but the heart and mediastinum otherwise normal.

heart_mediastinum: The aorta is tortuous.


The cardiomediastinal silhouette is within normal limits for appearance. Calcified right hilar lymph XXXX are demonstrated. Atherosclerotic calcifications of the aortic XXXX. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild to moderate degenerative changes of the thoracic spine.

heart_mediastinum: Calcified right hilar lymph nodes are demonstrated. Atherosclerotic calcifications of the aortic arch. bones: Mild to moderate degenerative changes of the thoracic spine.


Mediastinal contours are normal. No significant change in pneumothorax or right pleural fluid..


The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion. Again seen is XXXX paraspinal foreign body which may represent a bullet fragment.


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


Chest. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Mild degenerative changes throughout the thoracic spine. Right knee. There has been prior ligamentous repair. There is tricompartmental joint space narrowing and marginal osteophyte formation which is severe in the medial compartment. No knee joint effusion. No fractures or dislocations.

bones: Mild degenerative changes throughout the thoracic spine. Tricompartmental joint space narrowing and marginal osteophyte formation which is severe in the medial compartment. others: Ligamentous repair.


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


Cardiomediastinal silhouette appears normal in size and contour. Right lung is clear. Stable blunting of costophrenic XXXX with improved aeration of the left base compared to prior exam. No visualized pneumothorax or focal consolidation. XXXX unremarkable.

lungs_pleura: Blunting of costophrenic angle.


Mild cardiomegaly. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is thoracic kyphosis. There is XXXX deformity of T12 and L1, unchanged XXXX abdomen XXXX, XXXX. Aortic calcifications are noted. Fracture of right proximal humerus, incompletely evaluated.

heart_mediastinum: Mild cardiomegaly. Aortic calcifications are noted. bones: There is thoracic kyphosis. There is deformity of T12 and L1. Fracture of right proximal humerus, incompletely evaluated.


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.


Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild degenerative changes thoracic spine.

bones: Mild degenerative changes thoracic spine.


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


There is stable cardiomegaly. Aorta is calcified and tortuous. There are multiple pleural calcifications XXXX representing prior asbestos exposure. These appear unchanged. There is no pneumothorax, pleural effusion, or XXXX focal airspace consolidation.

lungs_pleura: There are multiple pleural calcifications representing prior asbestos exposure. heart_mediastinum:  Aorta is calcified and tortuous.


The lungs appear clear. There are no suspicious appearing pulmonary nodules or masses. There is no evidence of pneumonia. The heart pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.


Heart size is mildly enlarged but stable.. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..

heart_mediastinum: Heart size is mildly enlarged.


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


Negative for cardiac enlargement. Negative for vascular congestion. There are several small circular opacities in the right upper lung, some of which are centrally lucent. Negative for bony abnormality.

lungs_pleura: There are several small circular opacities in the right upper lung, some of which are centrally lucent.


There is mild XXXX opacification over both XXXX, XXXX secondary to soft tissue attenuation. There are no focal air space opacities. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Trachea is midline. No free subdiaphragmatic air.

lungs_pleura: There is mild opacification over both, secondary to soft tissue attenuation.


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


The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. Lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.


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

lungs_pleura: The lungs are hypoinflated.


Patchy interstitial infiltrates have developed in both lower lobes. Both costophrenic XXXX are blunted. Aorta is somewhat tortuous, with the heart size is normal. Pulmonary XXXX are normal.

lungs_pleura: Patchy interstitial infiltrates have developed in both lower lobes. Both costophrenic angles are blunted. heart_mediastinum: Aorta is somewhat tortuous.

Infiltrate;Costophrenic Angle;Aorta;Airspace Disease;Pleural Effusion


Heart size remains slightly large. Pulmonary XXXX are normal. Aorta tortuous.

heart_mediastinum: Heart size slightly large. Aorta tortuous.


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.

bones: Degenerative changes are present in the spine.


Intact XXXX sternotomy XXXX. Stable cardiomegaly with grossly unchanged rightward mediastinal shift. Unchanged appearance of left perihilar calcified lymph XXXX and left basilar calcified granuloma. Relatively unchanged appearance of prominent interstitial markings with patchy bibasilar atelectasis. The negative for pneumothorax, focal infiltrate, or large pleural effusion. No acute bony abnormalities.

lungs_pleura: Prominent interstitial markings. Patchy bibasilar atelectasis. heart_mediastinum:  Rightward mediastinal shift. Left perihilar calcified lymph node. Left basilar calcified granuloma. support_devices: Intact sternotomy.


There your regular interstitial changes and possibly fibrosis in the left mid and lower lung zone and region of the right middle lobe. Hyperinflation is present. No focal consolidation is seen. There is no evidence for pleural effusion. The heart is not enlarged. Mediastinum is normal. There are arthritic changes of the spine.

lungs_pleura: Interstitial changes in the left mid and lower lung zone and region of the right middle lobe. Hyperinflation is present. bones: There are arthritic changes of the spine.

Lung;Arthritis;Pulmonary Disease, Chronic Obstructive;Lung Diseases, Interstitial


There is a right-sided chest XXXX identified whose distal tip projects over the SVC. Heart size is normal. Low lung volumes with elevated right hemidiaphragm. The lungs are grossly clear. No focal infiltrate. No pleural effusion or pneumothorax. Normal pulmonary vascularity. Normal mediastinal and hilar contours. Degenerative changes of the spine.

lungs_pleura: Low lung volumes with elevated right hemidiaphragm. bones: Degenerative changes of the spine. support_devices: There is a right-sided chest XXXX identified whose distal tip projects over the SVC.


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 is upper limits of normal. Aorta is tortuous. There is elevation of the left hemidiaphragm. There is a posterior basilar XXXX opacity seen on lateral XXXX XXXX representing subsegmental atelectasis, XXXX visualized on lateral view. No large pleural effusion or pneumothorax is identified. Scoliosis of the spine.

lungs_pleura: There is elevation of the left hemidiaphragm. There is a posterior basilar opacity representing subsegmental atelectasis. heart_mediastinum: Heart size is upper limits of normal. Aorta is tortuous. bones: Scoliosis of the spine.


There has been previous aortic valve replacement. Heart is towards upper limits normal for size and may be mild pulmonary vascular congestion. The skeletal structures are normal. The soft tissues are normal.

lungs_pleura: Mild pulmonary vascular congestion. heart_mediastinum: Heart is towards upper limits normal for size. support_devices: Previous aortic valve replacement.


Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. There are scattered nodular opacities, XXXX calcified granulomas. No XXXX focal airspace consolidation or pleural effusion.

lungs_pleura: There are scattered nodular opacities, XXXX calcified granulomas. support_devices: Overlying external cardiac monitor leads.

Medical Device;Opacity;Calcified Granuloma;Granulomatous Disease


There is bilateral lower lung airspace disease. There are small to moderate sized bilateral pleural effusions, left greater than right. There is no pneumothorax. Mediastinal silhouette normal. Calcified left hilar lymph XXXX.

lungs_pleura: There is bilateral lower lung airspace disease. There are small to moderate sized bilateral pleural effusions, left greater than right. heart_mediastinum: Calcified left hilar lymph node.

Airspace Disease;Pleural Effusion;Calcinosis;Infiltrate;Pulmonary Atelectasis


The heart size is normal. The mediastinal contour is within normal limits. There are no focal infiltrates. There is prominent epipericardial fat. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Right 7th and 8th rib deformities are noted. There is no visible free intraperitoneal air under the diaphragm.

heart_mediastinum: There is prominent epipericardial fat. bones: Right 7th and 8th rib deformities are noted.


Chest: 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. Thoracic spine: Mild dextro curvature the upper thoracic spine. Evaluation of the upper thoracic bodies is limited secondary to osseous overlap. Vertebral body XXXX and disc spaces are maintained. Mild degenerative endplate changes. Lumbar spine: There are 5 nonrib-bearing lumbar type vertebral bodies. Alignment is within normal limits. Vertebral body XXXX and disc spaces are maintained. Mild degenerative change without acute displaced fracture or dislocation. Moderate amount of stool..

bones: Mild dextro curvature the upper thoracic spine. Mild degenerative endplate changes. Mild degenerative change. others: Moderate amount of stool.


The heart and mediastinum are unremarkable. The lung volumes are low. There is a calcified granuloma in the right hilum. Minimal XXXX atelectasis or scarring in the left lower lobe. There is no effusion or pneumothorax.

lungs_pleura: The lung volumes are low. Minimal atelectasis or scarring in the left lower lobe. heart_mediastinum: There is a calcified granuloma in the right hilum.


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


The The cardiac silhouette and pulmonary vascularity are normal. Atherosclerotic changes are present in the thoracic aorta. The lungs are clear with no evidence of pleural effusion or pneumothorax . Deformity of multiple left anterior ribs are present from previous fractures. Lumbar scoliosis is noted.

heart_mediastinum: Atherosclerotic changes are present in the thoracic aorta. bones: Deformity of multiple left anterior ribs are present from previous fractures. Lumbar scoliosis is noted.


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


Heart size is mildly enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are mild degenerative changes of the spine. There are extensive vascular calcifications. There is a left midlung calcified granuloma.

lungs_pleura: Left midlung calcified granuloma. heart_mediastinum: Heart size is mildly enlarged. Extensive vascular calcifications. bones: Mild degenerative changes of the spine.


There is stable marked cardiomegaly and mediastinal contour. Pulmonary vascularity is within normal limits. The left chest pacemaker is unchanged from comparison exam with fractured proximal lateral XXXX and both XXXX tips overlying the right ventricle. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.

heart_mediastinum: Marked cardiomegaly and mediastinal contour. support_devices: The left chest pacemaker with fractured proximal lateral XXXX and both XXXX tips overlying the right ventricle.

Cardiomegaly;Implanted Medical Device;Implanted Medical Device


Low lung volumes bilaterally with bibasilar airspace opacities, right greater than left. There is blunting of the bilateral costophrenic sulci. Cardiac device overlies left chest, leads intact, tips overlying right atrium and right ventricle. No pneumothorax. Cardiomegaly. Degenerative changes of the spine.

lungs_pleura: Low lung volumes bilaterally with bibasilar airspace opacities, right greater than left. Blunting of the bilateral costophrenic sulci. heart_mediastinum:  bones: Degenerative changes of the spine. support_devices: Cardiac device overlies left chest, leads intact, tips overlying right atrium and right ventricle.

Lung;Opacity;Costophrenic Angle;Implanted Medical Device;Cardiomegaly;Spine;Airspace Disease;Pleural Effusion


Cardiomediastinal silhouette is within normal limits for size and contour. Lungs are hyperinflated with flattening of the diaphragms consistent with emphysematous change. No evidence of focal airspace disease, pleural effusion, or pneumothorax. Multilevel degenerative changes of the spine are noted.

lungs_pleura: Lungs are hyperinflated with flattening of the diaphragms consistent with emphysematous change. bones: Multilevel degenerative changes of the spine are noted.


There is a focal area of opacity in the right midlung zone. This was not present on the recent prior study. There is prominence of the pulmonary markings throughout and there are small bilateral pleural effusions. The heart is not significantly enlarged. There is a prosthetic valve. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.

lungs_pleura: There is a focal area of opacity in the right midlung zone. There is prominence of the pulmonary markings throughout and there are small bilateral pleural effusions. heart_mediastinum: There are atherosclerotic changes of the aorta. bones: Arthritic changes of the skeletal structures are noted. support_devices: There is a prosthetic valve.

Opacity;Markings;Pleural Effusion;Implanted Medical Device;Atherosclerosis;Arthritis;Pulmonary Congestion


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

heart_mediastinum: Atherosclerotic changes of the aorta. bones: Arthritic changes of the skeletal structures are noted.


No focal areas of consolidation. No suspicious bony opacities. Heart size within normal limits. No pleural effusions. No pneumothorax.


Normal heart size and mediastinal contours. Calcified aortic XXXX. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance.

heart_mediastinum: Calcified aortic arch.


Cardiomegaly. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax.


There is bibasilar airspace disease. Cardiac silhouette is within normal limits and stable. There is blunting of the right costophrenic XXXX unchanged XXXX scarring. No pneumothorax.

lungs_pleura: There is bibasilar airspace disease. There is blunting of the right costophrenic angle scarring.


The lungs are hyperexpanded, with increased AP diameter of the chest. The cardiomediastinal silhouette is stable and normal. There is no pneumothorax or large pleural effusion.

lungs_pleura: The lungs are hyperexpanded, with increased AP diameter of the chest.


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

bones: Degenerative changes in the thoracic spine.


Sternotomy XXXX noted. Suture material overlies the left upper lobe. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion or pneumothorax. Scarring left costophrenic XXXX, unchanged. Calcified granulomas noted.

lungs_pleura: Scarring left costophrenic. Calcified granulomas noted. support_devices: Sternotomy XXXX noted. Suture material overlies the left upper lobe.


[<Heart size and pulmonary vascularity within normal limits. There is a large hiatal hernia seen projecting in the retrocardiac region. This is XXXX from prior examination. There is associated atelectasis in the left lung base. No pleural effusion or pneumothorax is identified.

lungs_pleura: There is associated atelectasis in the left lung base. others: There is a large hiatal hernia seen projecting in the retrocardiac region.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. there are residuals of prior granulomatous infection. Lungs otherwise clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.

lungs_pleura: There are residuals of prior granulomatous infection. bones: Degenerative changes in the thoracic spine.


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 within normal limits, stable mediastinal and hilar contours. Stable mild hyperinflation, right apical pleural-parenchymal irregularities compatible with scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.

lungs_pleura: Mild hyperinflation. Right apical pleural-parenchymal irregularities compatible with scarring.


Lungs are clear. No pneumothorax or pleural effusion. Normal heart and mediastinal contours. Normal pulmonary vasculature. Bony thorax intact.


No 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.


There is mild cardiomegaly, similar to prior exams. No focal consolidation. No visible pleural effusion or pneumothorax.


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. A few bandlike opacities are present which are XXXX to represent small areas of scarring or atelectasis. There is eventration of the right hemidiaphragm. Calcified granuloma is present in the left lung.

lungs_pleura: A few bandlike opacities are present which are likely to represent small areas of scarring or atelectasis. There is eventration of the right hemidiaphragm. Calcified granuloma is present in the left lung.

Opacity;Cicatrix;Pulmonary Atelectasis;Diaphragmatic Eventration;Calcified Granuloma


Normal heart size and mediastinal contours. No focal airspace consolidation. Chronic appearing left greater than right lung base scarring with possible small effusions. No pneumothorax. Visualized osseous structures are unremarkable in appearance.

lungs_pleura: Chronic appearing left greater than right lung base scarring.


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


The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.

bones: Thoracic spondylosis. others: Granulomatous disease.


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.


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


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


Heart size and pulmonary vascularity appear within normal limits. The ascending aorta is prominent and descending thoracic aorta is is tortuous. Aorta appears unchanged as compared to the study. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules are identified. There is an oblong density projecting over the anterior left 7th rib. Appearance suggests an old rib fracture.

heart_mediastinum: The ascending aorta is prominent and descending thoracic aorta is is tortuous. bones: There is an oblong density projecting over the anterior left 7th rib. Appearance suggests a rib fracture.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Scattered calcified granulomas noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine without acute abnormality.

lungs_pleura: Scattered calcified granulomas noted. bones: Visualized osseous structures of the thorax demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine.

Calcified Granuloma;Thoracic Vertebrae;Lumbar Vertebrae


Stable enlargement of the cardiac silhouette, lateral view interlobar fissural thickening. Interstitial opacities greatest in the central lungs and bases.

lungs_pleura: Lateral view interlobar fissural thickening. Interstitial opacities greatest in the central lungs and bases. heart_mediastinum: Enlargement of the cardiac silhouette.


Cardiomediastinal silhouette and central pulmonary vasculature are within normal limits. There is no focal air space opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is demonstrated.


Heart size is within normal limits. Cardiomediastinal silhouette is normal. Lungs are clear bilaterally without effusion or pneumothorax. No bony or soft tissue abnormalities.


The lungs appear clear. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. Surgical clips are identified in the mediastinum. Pleural spaces are clear. Soft tissue XXXX previously noted along the right lateral chest wall has resolved.

support_devices: Surgical clips are identified in the mediastinum.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Right-sided aortic XXXX. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. There is right basal XXXX patchy opacity and bibasal atelectasis or scarring. There is no pleural effusion or pneumothorax. Right apical calcified granuloma noted.

lungs_pleura: Right basal patchy opacity. Bibasal atelectasis or scarring. Right apical calcified granuloma noted. heart_mediastinum: Right-sided aortic.

Opacity;Pulmonary Atelectasis;Cicatrix;Calcified Granuloma;Airspace Disease;Lung Diseases, Interstitial


Normal heart size and mediastinal contours. No abnormal airspace opacities or large cavitary lung lesions. Visualized osseous structures are unremarkable in appearance.


Normal cardiomediastinal contours. No pneumothorax or pleural effusions. No focal lung consolidation.


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.


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 identified.


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


Heart is mildly enlarged but stable. Pulmonary vascularity is normal. The patient is status post valve replacement. XXXX sternotomy XXXX intact. No focal airspace disease or effusion. Residuals of prior granulomatous infection. Degenerative change of the spine. No pneumothorax.

lungs_pleura: Residuals of prior granulomatous infection. heart_mediastinum: Heart is mildly enlarged. bones: Degenerative change of the spine. support_devices: The patient is status post valve replacement. Sternal wires intact.

Cardiomegaly;Granulomatous Disease;Spine;Implanted Medical Device


The trachea is midline. The cardiomediastinal silhouette is normal. Lung XXXX are clear without evidence of effusion, infiltrate, or pneumothorax. Visualized bony structures are intact. Visualized soft tissues appear normal.


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

heart_mediastinum: The thoracic aorta is tortuous.


Normal heart size and mediastinal contours. There is interval improvement in the right lower lobe airspace disease. There is XXXX mild air space opacity in that distribution. No XXXX airspace disease. No pneumothorax or pleural effusion.

lungs_pleura: Mild air space opacity in the right lower lobe.


The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.


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


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


There are several small calcified granulomas. The lungs are otherwise clear. No focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine.

lungs_pleura: There are several small calcified granulomas. bones: There are diffuse degenerative changes of the spine.


This is a stable normal cardiomediastinal silhouette. The lungs are mildly hyperexpanded. Some blunting of the left costophrenic XXXX XXXX represent scarring or atelectasis. No large pneumothorax or effusion. There are no acute osseous abnormalities.

lungs_pleura: The lungs are mildly hyperexpanded.


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


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


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


The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Stable calcified granuloma in the left upper lung. No acute bony abnormality is identified.

lungs_pleura: Calcified granuloma in the left upper lung.


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


The heart size is normal. The mediastinal contour is within normal limits. Low lung volumes and bronchovascular crowding. Mild bibasilar opacities, XXXX atelectasis. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Stable degenerative change throughout the thoracic spine. Stable thoracolumbar retrolisthesis. There is no visible free intraperitoneal air under the diaphragm.

lungs_pleura: Low lung volumes and bronchovascular crowding. Mild bibasilar opacities.  bones: Degenerative change throughout the thoracic spine. Thoracolumbar retrolisthesis.


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


Normal cardiac size and contour unremarkable mediastinal silhouette. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease.


The heart is normal in size. The aorta is tortuous. The lungs are hypoinflated. No focal consolidation or pleural effusion seen. Old right-sided rib fracture is noted.

lungs_pleura: The lungs are hypoinflated. heart_mediastinum: The aorta is tortuous. bones: Right-sided rib fracture is noted.


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


XXXX XXXX sternotomy XXXX appear intact. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is within normal limits. There is no focal lung opacity. Clips overlie the right upper quadrant.

support_devices: Sternotomy appear intact. others: Clips overlie the right upper quadrant.


The heart is normal size. The mediastinum is unremarkable. Atherosclerotic calcifications present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild emphysematous changes are noted. Bilateral apical pleural scarring is present. Calcified granuloma is present within the right lower lobe. The XXXX are generally unremarkable.

lungs_pleura: Mild emphysematous changes are noted. Bilateral apical pleural scarring is present. Calcified granuloma is present within the right lower lobe. heart_mediastinum: Atherosclerotic calcifications present within the thoracic aorta.


There has been interval increase in size of the cardiac silhouette from XXXX. The cardiac fluid is now mildly enlarged. Pulmonary vasculature is increased with mildly increased interstitial markings and fissural thickening, suggesting mild pulmonary edema. There is no focal airspace disease, pneumothorax, or large pleural effusion. Descending thoracic aorta is tortuous. There are no acute bony findings.

lungs_pleura: Pulmonary vasculature is increased with mildly increased interstitial markings and fissural thickening, suggesting mild pulmonary edema. heart_mediastinum: Cardiac silhouette is enlarged. The cardiac fluid is now mildly enlarged. Descending thoracic aorta is tortuous.

Cardiac Shadow;Pericardial Effusion;Pulmonary Congestion;Markings;Aorta, Thoracic;Cardiomegaly;Pulmonary Edema;Thickening


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. Degenerative spine.


Lungs are clear without focal consolidation. No suspicious pulmonary nodules identified. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.


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


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.


No change in the appearance of the left upper lobectomy. Left parahilar scar is unchanged. No XXXX infiltrates or masses in the lungs. Heart size remains normal.

lungs_pleura: Left upper lobectomy. Left parahilar scar.


Cardiomediastinal silhouette within normal limits. No acute bony abnormality. There are XXXX XXXX opacities, atelectasis versus airspace disease. No large effusion or pneumothorax.

lungs_pleura: There are XXXX XXXX opacities, atelectasis versus airspace disease.


The lungs are clear. No suspicious pulmonary mass or nodule is identified. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are normal. There are sclerotic lesions within the XXXX, better visualized on the comparison XXXX scan. There are several bilateral rib fractures with evidence of the callus formation. The appearance is similar to the prior chest radiograph.

bones: There are sclerotic lesions within the XXXX. There are several bilateral rib fractures with evidence of the callus formation.


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


Heart size and mediastinal contours are unchanged. Stable right upper lobe scarring with pleural thickening. No XXXX consolidation. No visible pleural effusion or pneumothorax.

lungs_pleura: Right upper lobe scarring with pleural thickening.


CHEST. 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. There is flattening of the hemidiaphragms. ABDOMEN. There is a normal bowel XXXX pattern. There is an IVC XXXX identified. There are phleboliths in pelvis. There mild degenerative changes of the spine.

lungs_pleura: There is flattening of the hemidiaphragms. bones: There are minimal degenerative changes of the spine. There mild degenerative changes of the spine. support_devices: There is an IVC XXXX identified. others: There are phleboliths in pelvis.


Low lung volumes with bronchovascular crowding. Otherwise, no focal alveolar consolidation, no definite pleural effusion seen. A dense nodule in the right base suggest a previous granulomatous process. Heart size within normal limits, bronchovascular crowding without typical findings of pulmonary edema.

lungs_pleura: Low lung volumes with bronchovascular crowding. A dense nodule in the right base suggest a previous granulomatous process. heart_mediastinum: Bronchovascular crowding.


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.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There is mild blunting of the right costophrenic XXXX on the frontal view. There is also mild obscuration of the right cardiac XXXX. Airspace disease in expected location of right middle lobe also noted on the lateral view to No pleural effusion. Left lung clear. Degenerative changes spine. No pneumothorax.

lungs_pleura: Mild blunting of the right costophrenic angle on the frontal view. Mild obscuration of the right cardiac border. Airspace disease in expected location of right middle lobe also noted on the lateral view. bones: Degenerative changes spine.


Right chest XXXX tip low SVC. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Prosthetic right humeral head. Prior lower cervical spine surgery. XXXX deformity at the thoracolumbar junction with an acute kyphosis.

bones: Prosthetic right humeral head. Prior lower cervical spine surgery. Deformity at the thoracolumbar junction with an acute kyphosis. support_devices: Right chest XXXX tip low SVC.

Catheters, Indwelling;Implanted Medical Device;Deformity;Deformity;Kyphosis;Kyphosis


No focal consolidation, pneumothorax or definite pleural effusion. Nodular density projected over the left base with no lateral view correlate XXXX secondary to soft tissue overlay. Heart size and pulmonary vascularity within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury XXXX demonstrated.

lungs_pleura: Nodular density projected over the left base with no lateral view correlate secondary to soft tissue overlay.


There are no acute osseous abnormalities. Soft tissues are within normal limits. There is stable enlargement of the heart. Calcific aorta. Stable bilateral calcified granulomas. The lungs are clear bilaterally without focal area of consolidation, pleural effusion, or pneumothorax.

lungs_pleura: Bilateral calcified granulomas. heart_mediastinum: Enlargement of the heart. Calcific aorta.


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


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


Mild cardiomegaly is unchanged. Stable superior mediastinal contour which is within normal limits. Bilateral interstitial prominence. No focal airspace consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities.

lungs_pleura: Bilateral interstitial prominence. heart_mediastinum:


The heart size is normal. Tortuous aorta. Otherwise the mediastinal contour is within normal limits. Low lung volumes. Mild elevation of the right hemidiaphragm. There is streaky opacity within the right lower lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.

lungs_pleura: Low lung volumes. Mild elevation of the right hemidiaphragm. There is streaky opacity within the right lower lobe. heart_mediastinum: Tortuous aorta.


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.


The mediastinal and hilar lymph XXXX are less prominent than previously. Heart size remains normal. Lungs are clear.


There is an irregular opacity projecting over the left apex. Additionally there is a more inferior left upper lobe opacity measuring approximately 6 mm in diameter. No pneumothorax. No pleural effusions. Heart size is normal limits. Degenerative changes thoracic spine.

lungs_pleura: There is an irregular opacity projecting over the left apex. Additionally there is a more inferior left upper lobe opacity measuring approximately 6 mm in diameter. bones: Degenerative changes thoracic spine.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Note XXXX of placement of a retention XXXX in the lower cervical spine.

bones: Note of placement of a retention in the lower cervical spine.


Single view of chest was obtained in AP projection. Limited study secondary to body habitus. The cardiomediastinal silhouette is not enlarged. Lungs demonstrate no focal infiltrates. There is no effusion or pneumothorax.


There is stable prominence of the pulmonary interstitium. XXXX and fluid containing density seen adjacent to the heart is stable, most consistent with a moderate sized hiatal hernia. There is stable tortuosity and/or ectasia of the thoracic aorta, with calcification of the aortic XXXX. No pleural effusion, focal airspace disease or pneumothorax. Stable exaggerated kyphosis of the thoracic spine, stable anterior wedge deformities of at XXXX 2 thoracic vertebral bodies at the apex of the kyphotic curvature. Diffuse osteopenia.

lungs_pleura: Prominence of the pulmonary interstitium. heart_mediastinum: Tortuosity and/or ectasia of the thoracic aorta, with calcification of the aortic arch. bones: Exaggerated kyphosis of the thoracic spine. Anterior wedge deformities of at least 2 thoracic vertebral bodies at the apex of the kyphotic curvature. Diffuse osteopenia.

Lung;Density;Hernia, Hiatal;Aorta, Thoracic;Calcinosis;Kyphosis;Deformity;Bone Diseases, Metabolic


Consolidation and costophrenic XXXX blunting persists in both lower lobes. Heart and pulmonary XXXX remain normal. No XXXX infiltrates.

lungs_pleura: Consolidation and costophrenic blunting in both lower lobes.

Consolidation;Costophrenic Angle;Airspace Disease;Pleural Effusion


The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs, without focal consolidation, pneumothorax or large pleural effusion. XXXX right upper lobe scarring/atelectasis. Aortic calcifications.

lungs_pleura: Hyperexpanded lungs. Right upper lobe scarring/atelectasis. heart_mediastinum: Aortic calcifications.


No focal consolidation. No visualized pneumothorax. Heart size is normal. Cardiac and mediastinal silhouette is grossly unremarkable.


The heart size is within normal limits. Prominent right paratracheal soft tissues XXXX representing adenopathy. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.

heart_mediastinum: Prominent right paratracheal soft tissues representing adenopathy.


Moderate cardiomegaly. Mild bilateral costophrenic XXXX blunting and fissural thickening, interstitial opacities greatest in the central lungs and bases with indistinct vascular margination. Dense right lower lobe nodule and right hilar calcifications suggest a previous granulomatous process.

lungs_pleura: Mild bilateral costophrenic blunting and fissural thickening. Interstitial opacities greatest in the central lungs and bases with indistinct vascular margination. Dense right lower lobe nodule. Right hilar calcifications suggest a previous granulomatous process. heart_mediastinum: Moderate cardiomegaly.

Cardiomegaly;Pleural Effusion;Opacity;Pulmonary Edema;Costophrenic Angle;Thickening;Opacity;Opacity;Pulmonary Congestion;Nodule;Density;Calcinosis


Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. The right costophrenic sulcus is blunted. There is an the right base XXXX/fluid level. The left lung is clear.

lungs_pleura: The right costophrenic sulcus is blunted. There is an the right base XXXX/fluid level.

Costophrenic Angle;Pleural Effusion;Hernia, Hiatal


The heart is normal in size and contour. There is no mediastinal widening. The lungs are hyperexpanded. No focal airspace disease. No large pleural effusion or pneumothorax. Exaggerated kyphosis.

lungs_pleura: The lungs are hyperexpanded. bones: Exaggerated kyphosis.


Normal cardiomediastinal contours. No pneumothorax or large pleural effusions. Small focal retrocardiac lung opacity.

lungs_pleura: Small focal retrocardiac lung opacity.


Cardiac silhouette within normal limits. Central pulmonary vasculature is not engorged. No pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. No edema or focal consolidation in the lungs.


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


Normal heart size and mediastinal contours. No focal airspace consolidation. Tracheostomy tip approximately 5 cm above the carina. No pleural effusion or pneumothorax.

support_devices: Tracheostomy tip approximately 5 cm above the carina.


Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. There is a mild anterior wedge XXXX deformity of L1, age-indeterminate.

bones: There is a mild anterior wedge deformity of L1.


Heart size and pulmonary vasculature are normal. Lungs are clear. No pneumothorax large effusion. No acute bony abnormality.


Postsurgical changes of the right chest. Mild elevation of the right hemidiaphragm. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

lungs_pleura: Postsurgical changes of the right chest. Mild elevation of the right hemidiaphragm. bones: Degenerative changes in the spine.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Lungs are mildly hypoinflated with minimal streaky atelectasis or scar in the lung bases. Lungs are otherwise grossly clear of focal airspace disease. There is a stable calcified granuloma in the posterior left midlung. There is no pneumothorax or pleural effusion. There are no acute bony findings.

lungs_pleura: Lungs are mildly hypoinflated with minimal streaky atelectasis or scar in the lung bases. Calcified granuloma in the posterior left midlung.


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


The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Interval placement of right humeral prosthesis, incompletely evaluated. Incompletely evaluated the lumbar spine fusion XXXX. XXXX cholecystectomy.

bones: Right humeral prosthesis, incompletely evaluated. Lumbar spine fusion, incompletely evaluated. others:


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


Heart size is normal. Prior calcified granulomatous disease. On the lateral view in the anterior costophrenic XXXX, there is a 2.1 x 2 cm nodular density which seems to be present previously but is more nodular in appearance on this examination. No pleural effusion or pneumothorax. Endplate degenerative changes of the thoracolumbar spine and mild scoliosis are unchanged.

lungs_pleura: Calcified granulomatous disease. bones: Endplate degenerative changes of the thoracolumbar spine and mild scoliosis. others: On the lateral view in the anterior costophrenic angle, there is a 2.1 x 2 cm nodular density.

Granulomatous Disease;Density;Thoracic Vertebrae;Lumbar Vertebrae;Scoliosis


Lungs are clear. No focal infiltrate or effusion. No pneumothorax. Heart and mediastinal contours within normal limits. There are significant degenerative changes of the thoracic spine.

bones: There are significant degenerative changes of the thoracic spine.


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


XXXX sternotomy XXXX remain in XXXX. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine.

bones: Minimal degenerative changes of the thoracic spine. support_devices:


Moderate-to-marked enlargement of the cardiac silhouette, mediastinal contours appear similar to prior. Mild bilateral posterior sulcus blunting, interstitial and alveolar opacities greatest in the central lungs and bases with indistinct vascular margination.

lungs_pleura: Mild bilateral posterior sulcus blunting. Interstitial and alveolar opacities greatest in the central lungs and bases with indistinct vascular margination. heart_mediastinum: Moderate-to-marked enlargement of the cardiac silhouette.

Cardiomegaly;Pleural Effusion;Opacity;Opacity;Opacity;Opacity;Opacity;Pulmonary Edema;Cardiac Shadow;Sulcus;Pulmonary Congestion


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


The cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. There is mild midthoracic dextroscoliosis, with the XXXX XXXX otherwise grossly intact.

bones: There is mild midthoracic dextroscoliosis.


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. Heart size and pulmonary vascularity within normal limits.


Mild cardiomegaly. Pulmonary vasculature is within normal limits. Costophrenic XXXX are XXXX. There is increased kyphotic curvature of the thoracic spine. Within the heart XXXX, there is a small area of oval-shaped density measuring 2.2 x 1.6 cm without correction for magnification. There is a calcified lymph node in the right hilum. No pneumothorax.

heart_mediastinum: Mild cardiomegaly. There is a calcified lymph node in the right hilum. bones: There is increased kyphotic curvature of the thoracic spine. others: Within the heart silhouette, there is a small area of oval-shaped density measuring 2.2 x 1.6 cm without correction for magnification.


Surgical clips within the right upper quadrant. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.

support_devices: Surgical clips within the right upper quadrant.


No focal airspace disease, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. There are prominent lateral osteophytes along the right aspect of the mid thoracic spine which are stable. No free subdiaphragmatic air.

bones: There are prominent lateral osteophytes along the right aspect of the mid thoracic spine.


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. XXXX foreign body in the posterior soft tissues appear stable.

others: XXXX foreign body in the posterior soft tissues.


Borderline cardiomegaly, XXXX at XXXX partially accentuated by low lung volumes. Right upper lobe calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.

lungs_pleura: XXXX at XXXX partially accentuated by low lung volumes. Right upper lobe calcified granuloma. heart_mediastinum: Borderline cardiomegaly.


Heart size and mediastinal contour are within normal limits. Pulmonary vascularity is normal. No focal consolidation, large pleural effusion, or pneumothorax. The visualized osseous structures appear intact.


There is redemonstration of an AICD in the left chest wall with intact stable XXXX placement. There are multiple intact XXXX sternotomy XXXX. There is persistent enlargement of cardiac silhouette. Mediastinal silhouette appears unremarkable. There is elevation of the left hemidiaphragm. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. Redemonstration of degenerative change in the thoracic spine.

lungs_pleura: There is elevation of the left hemidiaphragm. heart_mediastinum: Enlargement of cardiac silhouette. bones: Degenerative change in the thoracic spine. support_devices: There is an AICD in the left chest wall with intact placement. There are multiple intact sternotomy.

Implanted Medical Device;Cardiac Shadow;Diaphragm;Thoracic Vertebrae;Cardiomegaly


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


XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. There is calcified mediastinal lymph XXXX. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.

heart_mediastinum: There is calcified mediastinal lymph XXXX.


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. Mild degenerative changes of the thoracic spine.

bones: Mild degenerative changes of the thoracic spine.


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


The cardiomediastinal silhouette is normal in size in appearance and stable from XXXX. The lungs are clear. Soft tissues and bony structures are unremarkable. No pneumothorax or pleural effusion.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There are residuals of prior granulomatous infection. Lungs otherwise clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.

lungs_pleura: There are residuals of prior granulomatous infection. bones: Degenerative changes in the thoracic spine.


Normal heart size and mediastinal contours. Atherosclerotic calcifications of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. The visualized bony structures are unremarkable in appearance.

heart_mediastinum: Atherosclerotic calcifications of the thoracic aorta.


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


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


Mild cardiomegaly. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.

lungs_pleura: Low lung volumes. heart_mediastinum: Mild cardiomegaly.


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


The lungs are clear. No pleural effusion or pneumothorax is identified. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.


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


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


Hyperexpanded lungs with flattened hemidiaphragms, consistent with emphysema. There is streaky airspace opacities in the left suprahilar and lingular regions. No pneumothorax or effusions. Mild bilateral costophrenic XXXX blunting XXXX represents pleural thickening and scarring. Degenerative changes of the thoracic spine.

lungs_pleura: Hyperexpanded lungs with flattened hemidiaphragms, consistent with emphysema. There is streaky airspace opacities in the left suprahilar and lingular regions. Mild bilateral costophrenic blunting represents pleural thickening and scarring. bones: Degenerative changes of the thoracic spine.

Lung;Diaphragm;Pulmonary Emphysema;Opacity;Opacity;Costophrenic Angle;Thickening;Cicatrix;Thoracic Vertebrae;Pulmonary Atelectasis


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


The heart is large. In the interval, pulmonary venous engorgement has developed. Also, bibasilar interstitial infiltrates are present.

lungs_pleura: Pulmonary venous engorgement has developed. Bibasilar interstitial infiltrates are present. heart_mediastinum: The heart is large.

Cardiomegaly;Pulmonary Congestion;Pulmonary Edema;Infiltrate;Heart Failure


Nasogastric tube tip XXXX within the stomach body, stable. Low lung volumes. Stable enlarged cardiomediastinal silhouette. Atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax or large pleural effusion. Relative elevation of right hemidiaphragm. Stable obscuration of lateral left diaphragm.

lungs_pleura: Low lung volumes. Relative elevation of right hemidiaphragm. Obscuration of lateral left diaphragm. heart_mediastinum: Enlarged cardiomediastinal silhouette. Atherosclerosis of the thoracic aorta. support_devices: Nasogastric tube tip within the stomach body.

Tube, Inserted;Lung;Cardiac Shadow;Atherosclerosis;Diaphragm;Diaphragm;Pulmonary Atelectasis;Cardiomegaly


Heart size normal. Mild tortuosity of the thoracic aorta. There is no focal consolidation, pneumothorax, or pleural effusion identified. A bullet is noted in the soft tissues of the inferior right chest wall. No acute bony abnormality.

heart_mediastinum: Mild tortuosity of the thoracic aorta. others: A bullet is noted in the soft tissues of the inferior right chest wall.


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


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 small stable XXXX foreign body noted over the left chest. There are vascular calcifications over the aortic XXXX. There are mild degenerative changes of the spine.

heart_mediastinum: There are vascular calcifications over the aortic XXXX. bones: There are mild degenerative changes of the spine. support_devices: There is a small foreign body noted over the left chest.


The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. A calcified granuloma is identified in the peripheral aspect of the left lower lobe. Calcified lymph XXXX are identified in left hilar region. No pneumothorax. No pleural effusion. Minimal degenerative endplate changes of the thoracic spine.

lungs_pleura: A calcified granuloma is identified in the peripheral aspect of the left lower lobe. heart_mediastinum: Calcified lymph nodes are identified in left hilar region. bones: Minimal degenerative endplate changes of the thoracic spine.


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is mild eventration of right hemidiaphragm. No pleural effusion is seen.

lungs_pleura: Mild eventration of right hemidiaphragm.


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