The aortic XXXX, cardiac apex, and stomach are left-sided. The cardiomediastinal silhouette is significantly enlarged. Pulmonary vascular markings centrally are within normal limits and symmetric. Increased interstitial markings bilaterally at the lung bases. This may be related to chronic interstitial changes or edema. No focal airspace disease. No pleural effusion or pneumothorax. No acute bony abnormality.

lungs_pleura: Increased interstitial markings bilaterally at the lung bases. This may be related to chronic interstitial changes or edema. heart_mediastinum: The aortic XXXX, cardiac apex, and stomach are left-sided. The cardiomediastinal silhouette is significantly enlarged.


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.


There are XXXX sternotomy XXXX identified. The heart is within normal limits in size. The aorta is calcified and tortuous. There are scattered calcified granulomas throughout both lungs. No focal infiltrate, pleural effusion, or pneumothorax. Mild degenerative changes of the thoracic spine.

lungs_pleura: There are scattered calcified granulomas throughout both lungs. heart_mediastinum: The aorta is calcified and tortuous. bones: Mild degenerative changes of the thoracic spine. support_devices: There are sternotomy wires identified.


The XXXX examination consists of frontal and lateral radiographs of the chest. There has been interval CABG. Surgical clips are again seen in the epigastric region. 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 are unremarkable.

support_devices: There has been CABG. Surgical clips are in the epigastric region.


Normal and stable cardiomediastinal contours. No pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation.


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


Enlarged cardiac contour, stable. Calcified vasculature. Sequelae of prior granulomatous disease. No confluent consolidation, pleural effusion, or overt pulmonary edema. Mild thoracic spondylosis.

lungs_pleura: Sequelae of prior granulomatous disease. heart_mediastinum: Enlarged cardiac contour. Calcified vasculature. bones: Mild thoracic spondylosis.


Cardiac silhouette and mediastinal contours are within normal limits. Nodular opacity overlying the upper lungs bilaterally may represent overlying telemetry XXXX XXXX, correlate clinically. Otherwise, lungs are clear. No large pleural effusion no pneumothorax.

lungs_pleura: Nodular opacity overlying the upper lungs bilaterally may represent overlying telemetry leads, correlate clinically.


Consolidation, atelectasis, and costophrenic XXXX blunting in the left lower lobe have cleared in the interval. A persistent patchy infiltrate is present in the right middle lobe. No XXXX infiltrates. Heart is slightly large. Pulmonary XXXX are normal. Aorta remains tortuous.

lungs_pleura: Patchy infiltrate is present in the right middle lobe. heart_mediastinum: Heart is slightly large. Aorta is tortuous.


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


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


The heart size and cardiopulmonary silhouette is normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. The obstruction are intact with mild degenerative change in the thoracic spine.

bones: Mild degenerative change in the thoracic spine.


Stable heart size. Diffuse bilateral interstitial opacities. No pneumothorax. No effusions. No acute bony abnormalities.

lungs_pleura: Diffuse bilateral interstitial opacities.


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


There is stable left costophrenic XXXX blunting. The patient has undergone prior left lobectomy. There are chronic appearing right basilar interstitial markings. Heart size normal. No visualized pneumothorax. There is stable appearing left upper and right upper lobe bullous disease.

lungs_pleura: Left costophrenic blunting. The patient has undergone prior left lobectomy. Chronic appearing right basilar interstitial markings. Left upper and right upper lobe bullous disease.


There is a 1.5 cm nodular opacity projecting over left hilum. The cardiac silhouette is within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax. XXXX opacities XXXX representing surgical clips, in the midline at the level of the thoracic inlet.

lungs_pleura: There is a 1.5 cm nodular opacity projecting over left hilum. support_devices: Opacities representing surgical clips, in the midline at the level of the thoracic inlet.


Hyperexpansion of the lungs with hyperlucency and flattening of hemidiaphragms suggestive of chronic emphysematous lung disease. Heart size within normal limits. Bibasilar, right greater than left atelectasis/airspace disease noted. No pneumothorax or large pleural effusion. No acute bony abnormality.

lungs_pleura: Hyperexpansion of the lungs with hyperlucency and flattening of hemidiaphragms suggestive of chronic emphysematous lung disease. Bibasilar, right greater than left atelectasis/airspace disease noted.

Lung;Lung, Hyperlucent;Diaphragm;Pulmonary Atelectasis;Airspace Disease;Pulmonary Emphysema


Cardiomediastinal silhouette is normal in size and contour. Pulmonary vasculature is normal in caliber. Lungs are clear of focal airspace disease, pneumothorax or pleural effusion. There are no acute bony findings.


Redemonstration of moderately-inflated lungs, consistent with COPD and unchanged. Atherosclerotic calcifications of the thoracic XXXX seen. No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.

lungs_pleura: Moderately-inflated lungs, consistent with COPD. heart_mediastinum: Atherosclerotic calcifications of the thoracic aorta seen.

Pulmonary Disease, Chronic Obstructive;Lung;Atherosclerosis


Lungs are clear without focal consolidation, effusion, or pneumothorax. Hyperinflated lungs. Cardiomegaly. Bony thorax and soft tissues grossly unremarkable

lungs_pleura: Hyperinflated lungs. heart_mediastinum:


Rotated apical lordotic frontal projection, mild bronchovascular crowding and scattered chronic appearing irregular interstitial markings. No definite focal alveolar consolidation or pleural effusion seen. Accounting for technical factors heart size XXXX within normal limits, heavily calcified and mildly tortuous aorta. No typical findings of pulmonary edema.

lungs_pleura: Mild bronchovascular crowding and scattered chronic appearing irregular interstitial markings. heart_mediastinum: Heavily calcified and mildly tortuous aorta.

Technical Quality of Image Unsatisfactory ;Markings;Markings;Calcinosis;Aorta


The heart is normal in size. There is bihilar prominence. The lungs are clear.

heart_mediastinum: There is bihilar prominence.


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


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

lungs_pleura: Prior granulomatous disease.


Fracture deformity proximal right humerus. Hyperinflation lungs. No pulmonary consolidation. XXXX opacity left base compatible XXXX atelectasis or XXXX scarring. The cardiomediastinal silhouette appears unremarkable. Mild atherosclerotic calcification aorta. Prior chest surgery. Costophrenic XXXX clear. Visualized spine vertebrae appear normal in XXXX and alignment.

lungs_pleura: Hyperinflation lungs. Opacity left base compatible atelectasis or scarring. heart_mediastinum: Mild atherosclerotic calcification aorta. bones: Fracture deformity proximal right humerus. support_devices: Prior chest surgery.


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

lungs_pleura: The lungs are mildly hypoinflated. bones: There are mild degenerative endplate changes in the thoracic spine.


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


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


Aorta is ectatic. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. Age-indeterminate anterior wedging deformity of lower thoracic vertebra.

heart_mediastinum: Aorta is ectatic. bones: Age-indeterminate anterior wedging deformity of lower thoracic vertebra.


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 chronic left hemidiaphragm elevation. The aorta is tortuous and ectatic with atherosclerotic calcifications.

lungs_pleura: Chronic left hemidiaphragm elevation. heart_mediastinum: The aorta is tortuous and ectatic with atherosclerotic calcifications.


The heart is borderline in size. The aorta is mildly tortuous. XXXX right IJ catheter is in XXXX with tip in proximal right atrium/cavoatrial junction. There is no pneumothorax. Lungs are grossly clear. There is no large effusion.

heart_mediastinum: The heart is borderline in size. The aorta is mildly tortuous. support_devices: XXXX right IJ catheter is in XXXX with tip in proximal right atrium/cavoatrial junction.


A right internal jugular XXXX this catheter has been exchanged for a large XXXX left internal jugular central venous catheter with the tip at the cavoatrial junction. No pneumothorax, pleural effusion or airspace consolidation. Stable thoracolumbar scoliosis. No acute bone findings. Stable cardiomegaly.

heart_mediastinum:  bones: Thoracolumbar scoliosis. support_devices: A right internal jugular catheter has been exchanged for a large left internal jugular central venous catheter with the tip at the cavoatrial junction.


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


No focal lung opacity, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.


Lungs are clear. Heart size normal. No pneumothorax. Left costophrenic opacity may represent pleural or pericardial fat.


Postsurgical changes noted overlying the left axilla. No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.

others: Postsurgical changes noted overlying the left axilla.


Stable right chest wall pacemaker with leads overlie the right atrium and right ventricle. Stable cardiomegaly. Calcified thoracic aorta is unchanged. Stable mild interstitial opacities. Unchanged dense retrocardiac opacities. No pneumothorax or large effusion.

lungs_pleura: Mild interstitial opacities. Dense retrocardiac opacities. heart_mediastinum:  Calcified thoracic aorta. support_devices: Right chest wall pacemaker with leads overlie the right atrium and right ventricle.


The lungs and pleural spaces show no acute abnormality. Heart size is moderately enlarged, pulmonary vascularity within normal limits. There is a XXXX ICD generator obscuring the left lateral midlung with the leads projecting over the expected location of the right atrium, right ventricle, and coronary sinus.

heart_mediastinum: Heart size is moderately enlarged. support_devices: There is a XXXX ICD generator obscuring the left lateral midlung with the leads projecting over the expected location of the right atrium, right ventricle, and coronary sinus.


Heart size normal. Mediastinum unremarkable. Pulmonary vascularity within normal limits. Lungs symmetrically aerated without focal infiltrate or consolidation. Multiple scattered calcified granulomas are present bilaterally. No focal volume loss evident. No pneumothorax or pleural effusion. Bony thorax unremarkable.

lungs_pleura: Multiple scattered calcified granulomas are present bilaterally.


Portable frontal view of the chest with overlying external cardiac monitor leads shows normal cardiomediastinal silhouette, central airways, pulmonary vasculature and lung volumes without focal air space consolidation or pleural effusion.

support_devices: Overlying external cardiac monitor leads.


Heart size within normal limits, stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. A dense nodule in the right base suggests a previous granulomatous process. No typical findings of pulmonary edema. No pneumothorax.

lungs_pleura: A dense nodule in the right base suggests a previous granulomatous process.


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..


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


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


The trachea is midline. The cardiomediastinal silhouette is normal. There are low lung volumes, causing bibasilar atelectasis and bronchovascular crowding. Pulmonary opacity seen in the right lung base, may indicate focal infiltrate. There is no pleural effusion or pneumothorax. The visualized bony structures reveal no acute abnormalities.

lungs_pleura: Low lung volumes. Bibasilar atelectasis. Bronchovascular crowding.


The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.


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


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.


Bilateral pleural effusions, left small, right moderate in size, abnormal opacities in the adjacent lung bases. Limited assessment of heart size due to obscured margins, stable mediastinal contours.

lungs_pleura: Bilateral pleural effusions, left small, right moderate in size. Abnormal opacities in the adjacent lung bases.

Pleural Effusion;Pleural Effusion;Opacity;Technical Quality of Image Unsatisfactory


The lungs are hyperaerated suggestive of chronic obstructive pulmonary disease. No focal lung consolidation. No pleural effusion. No definite pneumothorax. Heart is not enlarged. Postsurgical changes with mediastinal clips and XXXX XXXX.

lungs_pleura: The lungs are hyperaerated suggestive of chronic obstructive pulmonary disease. support_devices: Postsurgical changes with mediastinal clips and XXXX XXXX.

Lung;Surgical Instruments;Pulmonary Disease, Chronic Obstructive


Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity. Prior granulomatous disease appears stable.


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


Stable cardiomegaly with significantly low lung volumes and associated bronchovascular crowding and bibasilar atelectasis. No definite pleural effusion, consolidation, or pneumothorax identified. No acute bony abnormality.

lungs_pleura: Significantly low lung volumes and associated bronchovascular crowding and bibasilar atelectasis. heart_mediastinum:

Cardiomegaly;Lung;Markings;Pulmonary Atelectasis;Technical Quality of Image Unsatisfactory


No pneumothorax, pleural effusion or airspace consolidation. Stable right lower lung granuloma. Interval to right clavicle XXXX procedure. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact.

lungs_pleura: Right lower lung granuloma. bones: Right clavicle procedure. support_devices: XXXX XXXX are intact.


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


There is moderate cardiomegaly. There are bilateral interstitial opacities, increased since the previous exam. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.

lungs_pleura: There are bilateral interstitial opacities. heart_mediastinum: There is moderate cardiomegaly.


Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. There has been interval development of some XXXX bandlike opacities in left base. These appear to be located in the lingula. The remainder of the lungs appear clear. No pneumothorax or pleural effusion is seen.

lungs_pleura: Bandlike opacities in left base. These appear to be located in the lingula.


The lateral view is nondiagnostic due to patient positioning. Normal heart size and mediastinal contours. No focal airspace consolidation. No pneumothorax or large pleural effusion. Visualized osseous structures are unremarkable in appearance.

Technical Quality of Image Unsatisfactory


Apparent cardiomegaly XXXX at XXXX partially accentuated by low lung volumes. No focal consolidation, pneumothorax or large pleural effusion. Right base calcified granuloma. Stable right infrahilar nodular density (lateral view). Negative for acute bone abnormality.

lungs_pleura: Cardiomegaly partially accentuated by low lung volumes. Right base calcified granuloma. Right infrahilar nodular density.


There is a XXXX airspace opacity in the left upper lung. Heart size within normal limits. Mild calcification of the aortic XXXX. No pneumothorax or pleural effusions.

lungs_pleura: There is a XXXX airspace opacity in the left upper lung. heart_mediastinum: Mild calcification of the aortic XXXX.


Cardiomediastinal silhouette is within normal limits for size, with redemonstration of tortuous and atherosclerotic calcified thoracic aorta. No focal consolidation, effusion, or pneumothorax identified. Eventration of the right hemidiaphragm is stable compared to prior examination. Multilevel degenerative disc disease and thoracolumbar spine again noted without acute osseous abnormality.

lungs_pleura: Eventration of the right hemidiaphragm. heart_mediastinum: Tortuous and atherosclerotic calcified thoracic aorta. bones: Multilevel degenerative disc disease and thoracolumbar spine.

Atherosclerosis;Aorta, Thoracic;Diaphragmatic Eventration;Thoracic Vertebrae;Lumbar Vertebrae


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


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

support_devices: Cholecystectomy clips are present.


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


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

bones: Chronic degenerative changes are present within the spine.


Heart size and mediastinal contour are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Again visualized is a wedge-shaped XXXX fracture of T12.


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


The heart size and cardia mediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There is an approximately 8mm opacity overlying the sixth anterior rib. There are other scattered calcified granulomas. The osseous structures are intact. There are mild degenerative changes in the thoracic spine.

lungs_pleura: There are other scattered calcified granulomas. bones: There is an approximately 8mm opacity overlying the sixth anterior rib. There are mild degenerative changes in the thoracic spine.


PA and lateral views of the chest were obtained. Tracheostomy tube. Probable mild cardiomegaly. Prominence of the central vasculature, unchanged. No pneumothorax pleural effusion or focal consolidation.

heart_mediastinum: Probable mild cardiomegaly. Prominence of the central vasculature. support_devices: Tracheostomy tube.


The heart is normal in size. The mediastinum is stable. The lungs are hypoinflated. There are XXXX streaky opacities predominantly in the left lung base possibly related to scarring and atelectasis. XXXX B-lines are also noted. Definite infiltrate is not excluded. There is no large effusion.

lungs_pleura: The lungs are hypoinflated. Streaky opacities predominantly in the left lung base possibly related to scarring and atelectasis. B-lines are also noted.


Borderline heart size. The lungs are hyperexpanded and hyperlucent compatible with chronic obstructive pulmonary disease. There are no XXXX focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Aortic vascular calcifications. Normal pulmonary vascularity. Bone demineralization.

lungs_pleura: The lungs are hyperexpanded and hyperlucent compatible with chronic obstructive pulmonary disease. heart_mediastinum: Borderline heart size. Aortic vascular calcifications. bones: Bone demineralization.

Cardiomegaly;Lung;Lung, Hyperlucent;Pulmonary Disease, Chronic Obstructive;Calcinosis;Bone Diseases, Metabolic


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


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


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


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


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


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


Within the posterior lateral 8th rib there is a deformity along the cortex with associated oblique lucency. In addition within the posterior lateral 9th rib there appears to be a obliquely oriented lucency with cortical disruption. Findings are concerning for possible left rib fractures. Otherwise the cardiomediastinal silhouette is within normal limits. The lungs are clear bilaterally. Multiple small punctate radiopaque foreign bodies are seen within the subcutaneous tissues and are present on previous CT scan from XXXX.

bones: Within the posterior lateral 8th rib there is a deformity along the cortex with associated oblique lucency. In addition within the posterior lateral 9th rib there appears to be a obliquely oriented lucency with cortical disruption. others: Multiple small punctate radiopaque foreign bodies are seen within the subcutaneous tissues.


Borderline enlarged heart. Pulmonary vasculature appears within normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Possible right shoulder calcific tendinitis. Calcifications of the abdominal aorta are seen.

heart_mediastinum: Borderline enlarged heart. others: Calcifications of the abdominal aorta are seen.


Heart size is mildly enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the right lung base. There are mild degenerative changes of the spine. There are some chronic increased interstitial markings noted.

lungs_pleura: There is a calcified granuloma in the right lung base. There are some chronic increased interstitial markings noted. heart_mediastinum: Heart size is mildly enlarged. bones: There are mild degenerative changes of the spine.


The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. The mediastinal contours are normal. There are mild degenerative changes of the thoracic spine.

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


No focal consolidation. No visualized pneumothorax. No pleural effusions. Heart size normal. The cardiomediastinal silhouette is unremarkable.


Cardiomediastinal silhouette is within normal limits. No focal consolidation. No pneumothorax or large pleural effusion. No acute bony abnormalities. Contrast is seen within the bilateral kidneys, from prior examination.

others: Contrast is seen within the bilateral kidneys.


Normal cardiomediastinal contours. Lungs are clear bilaterally. No pneumothorax or pleural effusion.


Heart size within normal limits. Mild XXXX left upper lobe atelectasis or scarring. No pneumothorax or pleural effusion. Tortuous aorta. Hiatal hernia.

lungs_pleura: Mild XXXX left upper lobe atelectasis or scarring. heart_mediastinum: Tortuous aorta. others: Hiatal hernia.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. No focal airspace consolidation or pleural effusion. There is subphrenic intraperitoneal extraluminal XXXX free XXXX.

heart_mediastinum: Cardiomediastinal silhouette. others: There is subphrenic intraperitoneal extraluminal XXXX free 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. Visualized osseous structures appear intact.


The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.


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


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.


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


Stable borderline cardiomegaly, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.


The heart and lungs have XXXX XXXX in the interval. Both lungs are free of acute infiltrates and expanded. Strandy scarring in the left lower lobe is unchanged. Heart and mediastinum normal.

lungs_pleura: Strandy scarring in the left lower lobe.


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


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


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


Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. In the left midlung zone there is identified a 1.5 cm nodule. This appears somewhat dense and may contain calcium although this cannot be stated with certainty.

lungs_pleura: In the left midlung zone there is identified a 1.5 cm nodule. This appears somewhat dense and may contain calcium although this cannot be stated with certainty.


Heart size is normal. No focal airspace disease. No pneumothorax or effusion.


Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. The visualized osseous structures are unremarkable in appearance.


There is hyperinflation lungs due to small calcification is seen posteriorly in the right which may be pleural. 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.

lungs_pleura: There is hyperinflation lungs due to small calcification is seen posteriorly in the right which may be pleural. heart_mediastinum: There are atherosclerotic changes of the aorta. bones: Arthritic changes of the skeletal structures are noted.

Lung;Calcinosis;Atherosclerosis;Arthritis;Pulmonary Disease, Chronic Obstructive


Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No pulmonary nodules identified.


The lungs are clear. No focal air space consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.


The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is mild tortuosity of the descending thoracic aorta. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. There are mild degenerative endplate changes in the thoracic spine.

heart_mediastinum: The cardiac silhouette is near upper limits of normal in size. There is mild tortuosity of the descending thoracic aorta. bones: There are mild degenerative endplate changes in the thoracic spine.


Normal heart size and mediastinal contours. No focal airspace consolidation. XXXX opacities in the right lower lung representing atelectasis versus scarring. Significantly decreased subcutaneous soft tissue since comparison radiograph. Probable pectus deformity. Negative for acute bony abnormality.

lungs_pleura: XXXX opacities in the right lower lung representing atelectasis versus scarring. bones: Probable pectus deformity. others: Significantly decreased subcutaneous soft tissue.

Opacity;Pulmonary Atelectasis;Cicatrix;Funnel Chest;Lung, Hyperlucent;Deformity


Hyperexpanded lungs suggesting obstructive lung disease. Sequelae of old granulomatous disease. No focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

lungs_pleura: Hyperexpanded lungs suggesting obstructive lung disease. Sequelae of granulomatous disease. bones: Degenerative changes in the spine.


There is mild cardiomegaly. The thoracic aorta is tortuous. Lung volumes are low with asymmetric elevation of the right hemidiaphragm. There is platelike atelectasis in the right midlung along with bibasilar airspace disease, either atelectasis or infiltrate. No pneumothorax.

lungs_pleura: Lung volumes are low with asymmetric elevation of the right hemidiaphragm. Platelike atelectasis in the right midlung. Bibasilar airspace disease, either atelectasis or infiltrate. heart_mediastinum: There is mild cardiomegaly. The thoracic aorta is tortuous.

Cardiomegaly;Aorta, Thoracic;Lung;Diaphragm;Pulmonary Atelectasis;Airspace Disease;Pulmonary Atelectasis;Infiltrate


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


Cardiac and mediastinal contours are within normal limits. Large calcified granulomas in the right hilum. The lungs are otherwise clear. Prior anterior cervical fusion.

heart_mediastinum: Large calcified granulomas in the right hilum. bones: Prior anterior cervical fusion.


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


Low lung volumes with bronchovascular crowding at the bases. No focal opacity. No pneumothorax. No large pleural effusion. Cardiac silhouette mediastinal contours within normal limits.

lungs_pleura: Low lung volumes with bronchovascular crowding at the bases.


The heart is upper limits of normal in size. Mild tortuosity of the thoracic aorta. The lungs are clear without infiltrate. There is no effusion or pneumothorax.

heart_mediastinum: The heart is upper limits of normal in size. Mild tortuosity of the thoracic aorta.


There is a minimally displaced fracture of the right lateral 7th rib. There is a small right pleural effusion with associated atelectasis of the right lower lobe. There appears to be a healing fracture of the posterolateral right 8th rib. There is questionable cortical defect involving the sternum seen XXXX on lateral view. XXXX would be XXXX to evaluate this finding. As the small right-sided pleural effusion is visible on both PA and lateral views. There is a XXXX left-sided pleural effusion as well. The left lung appears grossly clear. Heart size and pulmonary XXXX appear normal. There is a mild scoliosis involving the thoracic spine.

lungs_pleura: Small right pleural effusion with associated atelectasis of the right lower lobe. Left-sided pleural effusion. bones: Minimally displaced fracture of the right lateral 7th rib. Healing fracture of the posterolateral right 8th rib. Mild scoliosis involving the thoracic spine.

Fractures, Bone;Pleural Effusion;Pulmonary Atelectasis;Pleural Effusion;Scoliosis


Large calcified granuloma in the right lower lobe is unchanged. No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace opacification.

lungs_pleura: Large calcified granuloma in the right lower lobe.


The lungs and pleural spaces show no acute abnormality. Stable right lower lobe calcified granulomas. Thin XXXX lingular scar, unchanged. Heart size and pulmonary vascularity within normal limits. Surgical clips are visualized in the right upper quadrant.

lungs_pleura: Right lower lobe calcified granulomas. Lingular scar. support_devices: Surgical clips are visualized in the right upper quadrant.


Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Scattered granulomatous changes. Mild unfolding of the thoracic aorta. Bony thorax is unremarkable

lungs_pleura: Scattered granulomatous changes. heart_mediastinum: Mild unfolding of the thoracic aorta.


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


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

heart_mediastinum: The heart size is upper limits of normal.


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

lungs_pleura: The lungs are mildly hypoinflated.


Right lower lobe patchy opacities noted. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Mild degenerative changes of the thoracic spine.

lungs_pleura: Right lower lobe patchy opacities noted. bones: Mild degenerative changes of the thoracic spine.


There is prominence of the left hilum which may represent adenopathy or engorged vasculature. Cardiac silhouette is within normal limits of size and contour. No pneumothorax or large pleural effusion. No acute bone abnormality.


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


Right subclavian catheter, distal tip posterior to the head of the clavicle, the level of the subclavian vein. Low lung volumes. No pleural effusion. Left lower lobe airspace disease, XXXX atelectasis. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact.

lungs_pleura: Low lung volumes. Left lower lobe airspace disease.  support_devices: Right subclavian catheter, distal tip posterior to the head of the clavicle, the level of the subclavian vein.

Catheters, Indwelling;Lung;Airspace Disease;Pulmonary Atelectasis


Stable cardiomediastinal silhouette. No focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. Changes of right mastectomy. Sequelae of prior granulomatous disease. Mild thoracic spine degenerative change

lungs_pleura: Sequelae of prior granulomatous disease. bones: Mild thoracic spine degenerative change. others: Changes of right mastectomy.


There is mild cardiomegaly. The aorta is tortuous. There is XXXX opacities noted in the right lower lobe, XXXX subsegmental atelectasis. There is no pneumothorax or effusion. No displaced rib fractures. If there is high clinical concern, consider dedicated rib views for further evaluation.

lungs_pleura: There is XXXX opacities noted in the right lower lobe. XXXX subsegmental atelectasis. heart_mediastinum: There is mild cardiomegaly. The aorta is tortuous.


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


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


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


There are no acute osseous abnormalities. Questionable old left posterior third and fourth rib fractures. Visualized soft tissues are within normal limits. Normal heart size. Normal hilar vascular markings. Subtle prominence of interstitial markings in the bases, left worse than right. No focal area of consolidation, pleural effusion, or pneumothorax.

lungs_pleura: Subtle prominence of interstitial markings in the bases, left worse than right. bones: Questionable left posterior third and fourth rib fractures.


There are no focal airspace opacities within the lungs. There is a 1 cm nodular density projecting in the right midlung between the third and fourth right anterior ribs which does not appear to be present on the prior XXXX. To the pulmonary interstitium is not clear, making it the vasculature somewhat indistinct in the mid and lower lungs. This may reflect XXXX parenchymal nodules. XXXX nodules were identified on the prior chest CT. Mediastinal contours appear grossly normal. There are small calcified left hilar lymph XXXX. The heart and pulmonary XXXX otherwise appear normal. Pleural spaces appear clear.

lungs_pleura: 1 cm nodular density projecting in the right midlung between the third and fourth right anterior ribs. The pulmonary interstitium is not clear, making the vasculature somewhat indistinct in the mid and lower lungs. This may reflect parenchymal nodules. heart_mediastinum: Small calcified left hilar lymph nodes.


Stable, nonenlarged cardiomediastinal silhouette. Left upper lobe calcified granuloma noted. Epigastric and right upper quadrant postsurgical changes. Interval increased bilateral interstitial opacities, with probable left lower lobe infiltrate.

lungs_pleura: Left upper lobe calcified granuloma noted. Bilateral interstitial opacities. others: Epigastric and right upper quadrant postsurgical changes.


Low lung volumes. Stable ectasia of the thoracic aorta. Stable right upper mediastinal Bilateral small pleural effusions and bibasilar airspace opacities. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax. Stable wedging of the anterior thoracic vertebral bodies.

lungs_pleura: Low lung volumes. Bilateral small pleural effusions. Bibasilar airspace opacities. heart_mediastinum: Ectasia of the thoracic aorta. Right upper mediastinal. bones: Wedging of the anterior thoracic vertebral bodies.

Lung;Aorta, Thoracic;Pleural Effusion;Opacity;Deformity;Pulmonary Atelectasis;Opacity


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


Right jugular XXXX catheter present with tip overlying the lower SVC. Curvilinear density projecting over the upper chest appears external on the lateral projection. Correlate clinically. Normal heart size and mediastinal contour appear normal pulmonary vascularity. XXXX scar/subsegmental atelectasis in the lingula. No focal airspace consolidation, pleural effusion, or pneumothorax. No acute osseous findings. Mild degenerative changes of the spine.

lungs_pleura: Scar/subsegmental atelectasis in the lingula. bones: Mild degenerative changes of the spine. support_devices: Right jugular XXXX catheter present with tip overlying the lower SVC. others: Curvilinear density projecting over the upper chest appears external on the lateral projection.


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


The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There are calcified granulomas at the right perihilar regions appear stable. There are significant degenerative osteophytes of the thoracic spine also appear stable.

lungs_pleura: Calcified granulomas at the right perihilar regions. bones: Significant degenerative osteophytes of the thoracic spine.


The lungs are well-expanded and clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal contour is normal. No acute osseous lesions are identified.


The heart is enlarged. There is pulmonary vascular congestion with diffusely increased interstitial and mild patchy airspace opacities. The distribution XXXX pulmonary edema. There is no pneumothorax or large pleural effusion. There are no acute bony findings.

lungs_pleura: Pulmonary vascular congestion with diffusely increased interstitial and mild patchy airspace opacities. The distribution pulmonary edema. heart_mediastinum: The heart is enlarged.


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


Left chest wall Mediport placement with venous catheter tip in superior XXXX XXXX. Normal cardiac contours. No pneumothorax or pleural effusions. Clear lungs bilaterally. XXXX fracture seen at T5 and L2 with areas of sclerosis throughout the thoracic and lumbar spine.

bones: XXXX fracture seen at T5 and L2 with areas of sclerosis throughout the thoracic and lumbar spine. support_devices: Left chest wall Mediport placement with venous catheter tip in superior XXXX XXXX.

Catheters, Indwelling;Fractures, Bone;Fractures, Bone;Sclerosis;Sclerosis


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 mild degenerative changes of the spine.

bones: There are mild degenerative changes of the spine.


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


Compared to prior examination from XXXX, there has been extubation and removal of central line and enteric tube. Stable cardiomegaly and mild thoracolumbar dextroscoliosis. Left basilar opacity XXXX represents chronic fibrosis/scar. No focal consolidation, pneumothorax, or effusion. No acute osseous abnormality.

lungs_pleura: Left basilar opacity represents chronic fibrosis/scar. heart_mediastinum:  bones: Mild thoracolumbar dextroscoliosis.


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


The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. XXXX XXXX of the spine.


there is a rounded opacity in the right lower zone measuring 2.0 cm which is XXXX to be in the posterobasal segment. There is of uncertain etiology but would benefit from followup at XXXX some concern for neoplasm. A XXXX is recommended. No airspace disease, effusion or cavitary nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.

lungs_pleura: There is a rounded opacity in the right lower zone measuring 2.0 cm which is to be in the posterobasal segment.


The lungs are clear. The cardiomediastinal silhouette is within normal limits. A right-sided Mediport catheter is noted. No pleural effusion is identified.

support_devices: A right-sided Mediport catheter is noted.


The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. Prominent pericardial fat XXXX is again noted. There is a stable granuloma overlying a lower thoracic vertebral body. The XXXX are unremarkable.

heart_mediastinum: Prominent pericardial fat is noted. bones: There is a granuloma overlying a lower thoracic vertebral body.


Patchy subsegmental atelectasis is seen bibasilar region, no evidence of pneumothorax or pleural effusion is present. The cardiomediastinal silhouette is unremarkable. Old fractures seen the left 9th rib.

lungs_pleura: Patchy subsegmental atelectasis is seen bibasilar region. bones: Fractures seen the left 9th rib.


Normal heart size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable XXXX.


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


The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.


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 heart size and mediastinal contours appear within normal limits. Atherosclerotic calcification of the aorta. No focal airspace consolidation, pleural effusions or pneumothorax. Questionable thin-walled cavitary lesion in the right lower lobe, only seen on the AP view and may represent artifact. No acute bony abnormalities.

heart_mediastinum: Atherosclerotic calcification of the aorta.


Tortuosity of the aorta. No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact. Unchanged eventration of the left hemidiaphragm versus small hernia (Bochdalek).

lungs_pleura: Eventration of the left hemidiaphragm versus small hernia (Bochdalek). heart_mediastinum: Tortuosity of the aorta. support_devices: XXXX XXXX intact.


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


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


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


Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Surgical clips are present in the abdomen.

lungs_pleura: Low lung volumes are present. support_devices: Surgical clips are present in the abdomen.


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


Patchy airspace disease is present in the lateral view probably within the right lower lobe. There is severe underlying emphysema. The aorta is calcified. There is spondylosis.

lungs_pleura: Patchy airspace disease is present in the lateral view probably within the right lower lobe. There is severe underlying emphysema. heart_mediastinum: The aorta is calcified. bones: There is spondylosis.


There is 1.9 cm interruption of the tunneled left central venous catheter, at the level of the overlap of the clavicle and first rib. Catheter tip may be within the proximal SVC or azygos vein. Normal heart size. XXXX left perihilar and midlung densities. No pneumothorax or large pleural effusion.

lungs_pleura: Left perihilar and midlung densities. support_devices: There is 1.9 cm interruption of the tunneled left central venous catheter, at the level of the overlap of the clavicle and first rib.


The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. Mild lung hyperinflation. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Degenerative changes seen within the midthoracic spine. There is no visible free intraperitoneal air under the diaphragm.

lungs_pleura: Mild lung hyperinflation. bones: Degenerative changes seen within the midthoracic spine.


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


Stable appearance of chest with no findings of disease progression. Heart and mediastinum stable configuration. Stable elevation of left hemidiaphragm. Lungs clear of consolidation. No pneumothorax or pleural effusion. Bony thorax intact. Minimal spondylosis of the lower thoracic spine.

lungs_pleura: Elevation of left hemidiaphragm. bones: Minimal spondylosis of the lower thoracic spine.


There is redemonstration of an AICD with the left chest wall with stable intact XXXX placement. Surgical cervical XXXX is redemonstrated. Cardiac and mediastinal XXXX appear normal. XXXX opacity in the left upper lobe, XXXX atelectasis or scarring. No visible pneumothorax or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact.

lungs_pleura: Opacity in the left upper lobe, atelectasis or scarring. support_devices: There is an AICD with the left chest wall with intact XXXX placement. Surgical cervical XXXX.

Implanted Medical Device;Opacity;Pulmonary Atelectasis;Cicatrix


There is a 1 cm nodule within one of the lung bases, seen only on the lateral view. There is a calcified right hilar lymph node and right granuloma. Heart size is normal. No pneumothorax.

lungs_pleura: There is a 1 cm nodule within one of the lung bases, seen only on the lateral view. Right granuloma. heart_mediastinum: There is a calcified right hilar lymph node.


The heart size is within normal limits. There is ectasia/tortuosity of the thoracic aorta. Calcified hilar lymph XXXX. Irregular calcific density projecting over the left lower lobe, stable since XXXX and may represent mitral annular calcifications. No focal airspace consolidation, pleural effusions or pneumothorax. Degenerative changes of the thoracic spine. No acute bony abnormalities.

heart_mediastinum: There is ectasia/tortuosity of the thoracic aorta. Calcified hilar lymph nodes. Irregular calcific density projecting over the left lower lobe and may represent mitral annular calcifications. bones: Degenerative changes of the thoracic spine.


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 cardiac XXXX generator overlies left upper thorax with XXXX XXXX tips overlying the right atrium and ventricles.

support_devices: The cardiac XXXX generator overlies left upper thorax with XXXX XXXX tips overlying the right atrium and ventricles.


The heart is large. Pulmonary XXXX are engorged. No infiltrates. Aorta is somewhat tortuous. Degenerative disc disease is present in the thoracic spine.

lungs_pleura: Pulmonary XXXX are engorged. heart_mediastinum: The heart is large. Aorta is somewhat tortuous. bones: Degenerative disc disease is present in the thoracic spine.

Cardiomegaly;Pulmonary Congestion;Aorta;Thoracic Vertebrae;Hypertension, Pulmonary


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

bones: Degenerative changes of the thoracic spine.


Changes post bilateral thoracotomy and XXXX sternotomy. Intact XXXX XXXX. Stable position of the epicardial XXXX XXXX. Mild cardiomegaly. The lungs are clear. Bilateral small pleural effusions.

lungs_pleura: Bilateral small pleural effusions. heart_mediastinum: Mild cardiomegaly. support_devices: Changes post bilateral thoracotomy and sternotomy.  Position of the epicardial.


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


Cardiomegaly is present. There is interstitial pulmonary edema with the presence of XXXX B-lines. There is no pneumothorax. There is an oval, 17 mm nodular opacity projecting between the posterior left 5th and 6th ribs. There is a 10 mm nodular density projecting over the right posterior 4th rib. There is a XXXX posterior effusion. Normal mediastinal silhouette. T-spine osteophytes.

lungs_pleura: There is interstitial pulmonary edema with the presence of B-lines. There is an oval, 17 mm nodular opacity projecting between the posterior left 5th and 6th ribs. There is a 10 mm nodular density projecting over the right posterior 4th rib. There is a posterior effusion. heart_mediastinum: Cardiomegaly is present. bones: T-spine osteophytes.


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


The cardiac contours are normal. The lungs are clear. Stable granuloma in the left lower lung zone. Thoracic spondylosis.

lungs_pleura: Granuloma in the left lower lung zone. bones: Thoracic spondylosis.


There is no focal consolidation. Mild blunting of the posterior costophrenic XXXX XXXX represent small effusions. No pneumothorax is present. There is moderate cardiomegaly. The pulmonary vasculature is within normal limits.

lungs_pleura: Mild blunting of the posterior costophrenic angles represent small effusions. heart_mediastinum: There is moderate cardiomegaly.


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


Normal heart size. Stable tortuous thoracic aorta. Prior granulomatous disease. Healed rib fractures appear stable. Focal opacity is noted in the left midlung overlying the 9th posterior rib which XXXX represents healing rib callus. No pneumothorax or pleural effusion.

lungs_pleura: Prior granulomatous disease. Focal opacity is noted in the left midlung overlying the 9th posterior rib which represents healing rib callus. heart_mediastinum: Tortuous thoracic aorta. bones: Healed rib fractures.

Aorta, Thoracic;Granulomatous Disease;Fractures, Bone;Opacity


The lungs and pleural spaces show no acute abnormality. Calcified right hilar lymph XXXX. Heart size is enlarged, pulmonary vascularity within normal limits. XXXX sternotomy XXXX and prosthetic aortic valve noted.

lungs_pleura: Calcified right hilar lymph nodes. heart_mediastinum: Heart size is enlarged. support_devices: Sternotomy and prosthetic aortic valve noted.


The lungs are clear. There are calcified left hilar lymph XXXX. The heart and mediastinum are normal. The skeletal structures are notable for an old apparent fracture at T12-L1 or congenital fusion unchanged from the prior study.

heart_mediastinum: There are calcified left hilar lymph nodes. bones: The skeletal structures are notable for an apparent fracture at T12-L1 or congenital fusion.

Calcinosis;Fractures, Bone;Fractures, Bone;Spinal Fusion;Spinal Fusion


The heart size is mildly enlarged. There is tortuosity of the thoracic aorta. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.

heart_mediastinum: The heart size is mildly enlarged. There is tortuosity of the thoracic aorta.


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. Probable DISH of the thoracic spine.

Hyperostosis, Diffuse Idiopathic Skeletal


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

lungs_pleura: Calcified hilar granulomas.


The cardiomediastinal silhouette is normal. The lungs are clear. There is no pneumothorax or pneumomediastinum. Visualized bony structures are normal.


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


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


The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal osteophytes of the thoracic spine. No acute, displaced rib fractures. A calcified granuloma is demonstrated in the left upper lobe.

lungs_pleura: A calcified granuloma is demonstrated in the left upper lobe. heart_mediastinum: The thoracic aorta is calcified. bones: Minimal osteophytes of the thoracic spine.


The heart is normal in size. The mediastinum is unremarkable. Small nodule seen in the left upper lung, possibly granuloma. The lungs are otherwise clear.

lungs_pleura: Small nodule seen in the left upper lung, possibly granuloma.


Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits, the typical findings of pulmonary edema. Mild spine dextrocurvature noted.

lungs_pleura: Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. heart_mediastinum: The typical findings of pulmonary edema. bones: Mild spine dextrocurvature noted.


Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity.


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. Left hemidiaphragm is elevated.

lungs_pleura: Left hemidiaphragm is elevated.


Low lung volumes noted. The heart size is within normal limits. Pulmonary vasculature is unremarkable. No focal consolidations, effusions, or pneumothoraces.


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.


There are diffuse increased interstitial markings, suggestive of pulmonary fibrosis in bilateral lung XXXX. The fibrosis appears to slightly increased XXXX compared to previous examination, in XXXX. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal.

lungs_pleura: There are diffuse increased interstitial markings, suggestive of pulmonary fibrosis in bilateral lung.


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


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 heart size is upper limits of normal. Mediastinal contour appears normal and pulmonary vascularity is within normal limits. Otherwise, no focal consolidation, large pleural effusion, or pneumothorax. The visualized osseous structures appear intact.

heart_mediastinum: The heart size is upper limits of normal.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains moderately enlarged, exaggerated by epicardial fat pads. Interstitium is XXXX prominent. No XXXX focal airspace consolidation or pleural effusion. There is XXXX spine spondylosis.

lungs_pleura: Interstitium is prominent. heart_mediastinum: Cardiomediastinal silhouette. Cardiac silhouette moderately enlarged, exaggerated by epicardial fat pads. bones: Spine spondylosis.


There is a calcified left upper lobe granuloma. No XXXX suspicious pulmonary mass or nodule is identified. There is no focal airspace consolidation. No pleural effusion or pneumothorax. The lungs remain hyperexpanded. Stable cardiomediastinal silhouette. Calcified mediastinal and hilar lymph XXXX are consistent with prior granulomatous disease. There are minimal degenerative changes of the spine.

lungs_pleura: There is a calcified left upper lobe granuloma. The lungs are hyperexpanded. heart_mediastinum: Cardiomediastinal silhouette. Calcified mediastinal and hilar lymph nodes are consistent with prior granulomatous disease. bones: There are minimal degenerative changes of the spine.


Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. There has been interval development of bibasilar opacities. The appearance of the right base opacity XXXX atelectasis. The left base opacities could represent early pneumonia or areas of atelectasis. No pneumothorax or pleural effusion is seen.

lungs_pleura: Low lung volumes are present. Bibasilar opacities.


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


There is hyperexpansion with mild flattening of diaphragm. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal. Contrast retained within the renal collecting XXXX.

lungs_pleura: There is hyperexpansion with mild flattening of diaphragm. others: Contrast retained within the renal collecting XXXX.


The heart size is within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.


The lungs are hyperexpanded. There is a large rounded lucency in the right upper lung, XXXX large emphysematous XXXX. There are XXXX biapical opacities, XXXX scarring. No focal airspace consolidation to suggest pneumonia. There is no pleural effusion. No pneumothorax. Normal heart size. There are minimal degenerative changes of the spine.

lungs_pleura: The lungs are hyperexpanded. There is a large rounded lucency in the right upper lung, large emphysematous. There are biapical opacities, scarring. bones: There are minimal degenerative changes of the spine.


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

lungs_pleura: Small calcified granuloma in the right upper lobe.


The cardiomediastinal silhouette is normal in size and contour. Biapical fibronodular thickening/scarring. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.

lungs_pleura: Biapical fibronodular thickening/scarring. Hyperexpanded lungs.


Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. Osseous structures are grossly unremarkable. Unchanged degenerative changes to the thoracic spine.

bones: Degenerative changes to the thoracic spine.


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


The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. The bony structures of the thorax are intact with no evidence of acute osseous 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.


XXXX XXXX and lateral chest examination was obtained. There is enlarged heart silhouette. Decreased lung volumes. Lungs demonstrate bibasilar airspace opacities better visualized on lateral view. There is no effusion or pneumothorax. Degenerative changes of the bilateral XXXX.

lungs_pleura: Decreased lung volumes. Lungs demonstrate bibasilar airspace opacities better visualized on lateral view. heart_mediastinum: Enlarged heart silhouette. bones: Degenerative changes of the bilateral.


Flattening of the bilateral hemidiaphragms. Lungs are clear. Soft tissues and bony structures unremarkable. No pneumothorax or effusion.

lungs_pleura: Flattening of the bilateral hemidiaphragms.


Heart size is moderately enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is suspected right lower lobe airspace opacity XXXX demonstrated on the lateral study. There is a fracture of superior sternotomy XXXX unchanged.

heart_mediastinum: Heart size is moderately enlarged. bones: There is a fracture of superior sternotomy.


Moderate cardiomegaly. Bibasilar and perihilar interstitial opacities. No pneumothorax. No pleural effusions.

lungs_pleura: Bibasilar and perihilar interstitial opacities. heart_mediastinum: Moderate cardiomegaly.


The heart is mildly enlarged. Mediastinal contour and pulmonary vascularity are within normal limits. There are streaky left basilar airspace opacities, compatible with atelectasis as seen on comparison abdomen and pelvis CT. There is a left upper lung granuloma. Otherwise, no focal consolidation, large pleural effusion, or pneumothorax. XXXX appear intact.

lungs_pleura: Streaky left basilar airspace opacities, compatible with atelectasis. Left upper lung granuloma. heart_mediastinum: The heart is mildly enlarged.


There are low lung volumes with bibasilar opacities XXXX representing subsegmental atelectasis. The cardio the cardiac silhouette is of the XXXX of normal. There is no pneumothorax or pleural effusion.

lungs_pleura: Low lung volumes. Bibasilar opacities representing subsegmental atelectasis.


The lungs appear clear. Lung volumes are low. The heart and pulmonary XXXX appear normal. Pleural spaces are clear.


The heart size is normal. Tortuous aorta. Calcifications are seen within the aortic XXXX. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. Stable calcified granuloma within the lingula. 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. Surgical clips are seen within the right upper abdomen.

lungs_pleura: Calcified granuloma within the lingula. heart_mediastinum: Tortuous aorta. Calcifications are seen within the aortic arch. support_devices: Surgical clips are seen within the right upper abdomen.


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


Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine. spinal stimulator is in XXXX with tip overlying the T9 vertebral body.

bones: Degenerative changes in the spine. support_devices: Spinal stimulator is in XXXX with tip overlying the T9 vertebral body.


There is no acute osseous abnormality. Soft tissues are within normal limits. Borderline enlargement of the heart. Normal vascular markings. Left basilar retrocardiac opacity. No pneumothorax.

lungs_pleura: Left basilar retrocardiac opacity. heart_mediastinum: Borderline enlargement of the heart.


No focal lung consolidation. No pneumothorax or pleural effusion.Heart size and pulmonary vascularity are within normal limits.Minimal degenerative changes of the thoracic spine. The previously<BR>described XXXX deformity in the midthoracic spine is again seen. There is subcutaneous shunt catheter tubing along the anterior chest wall

bones: Minimal degenerative changes of the thoracic spine. XXXX deformity in the midthoracic spine. support_devices: There is subcutaneous shunt catheter tubing along the anterior chest wall.


Again noted and is blunting of the right pleural space, XXXX a XXXX effusion or scarring. Opacity in the right lung base also appears unchanged, XXXX scarring. Heart size appears normal, improved from prior study. There is no vascular congestion or edema. There's no pneumothorax.

lungs_pleura: Blunting of the right pleural space, likely a pleural effusion or scarring. Opacity in the right lung base, likely scarring.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated, without evidence of focal airspace disease, pneumothorax, or pleural effusion. Incidental note is XXXX of an azygos fissure. There are no acute bony findings.

lungs_pleura: The lungs are mildly hyperinflated. Incidental note is made of an azygos fissure.


Heart size is normal. There are XXXX opacities which appear to XXXX XXXX above the right XXXX fissure. There is mild thickening in the fissure. No pneumothorax. No large pleural effusions.

lungs_pleura: There are XXXX opacities which appear to XXXX XXXX above the right XXXX fissure. There is mild thickening in the fissure.


Cardiac silhouette, pulmonary vascular pattern within normal limits. No focal infiltrate, pneumothorax or pulmonary edema. No pleural effusion. Osseous structures within normal limits.


Right XXXX-A-XXXX tip overlies the mid SVC. Similar bronchiectatic changes with diffuse patchy airspace opacities. No pneumothorax or pleural effusion.

lungs_pleura: Bronchiectatic changes with diffuse patchy airspace opacities. support_devices: Right XXXX-A-XXXX tip overlies the mid SVC.


Low lung volumes. Bibasilar atelectasis versus scarring. Stable left abdominal surgical clips. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.

lungs_pleura: Low lung volumes. Bibasilar atelectasis versus scarring. support_devices: Left abdominal surgical clips.


Bilateral calcified granulomas stable compared to prior examination, without focal consolidation, pneumothorax, or pleural effusion identified. Cardiomediastinal silhouette stable and unremarkable. No acute osseous abnormality identified.

lungs_pleura: Bilateral calcified granulomas.


PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Old right rib fractures.


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


Heart size is normal. Tortuous aorta. Irregular 1.2 cm opacity in the left upper lung is identified both on PA and lateral views and XXXX represents chronic scarring. She has a partial resection of the posterior fourth rib. No pneumothorax. No pleural effusion. No focal infiltrate. Anterior wedging of multiple vertebral bodies including T6, T8, T11 and T12.

lungs_pleura: Irregular 1.2 cm opacity in the left upper lung represents chronic scarring. heart_mediastinum: Tortuous aorta. bones: She has a partial resection of the posterior fourth rib. Anterior wedging of multiple vertebral bodies including T6, T8, T11 and T12.


Minimal right sided perihilar atelectasis. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal.

lungs_pleura: Minimal right sided perihilar atelectasis.


Heart size is within normal limits. Tortuous thoracic aorta. There is patchy right base airspace disease. No pneumothorax or pleural effusion. There mild degenerative changes throughout the thoracic spine.

lungs_pleura: There is patchy right base airspace disease. heart_mediastinum: Tortuous thoracic aorta. bones: There mild degenerative changes throughout the thoracic spine.

Aorta, Thoracic;Airspace Disease;Thoracic Vertebrae;Pneumonia


Persistent cardiomegaly. No abnormal airspace consolidation. Resolved interstitial edema. No pneumothorax or pleural effusion.


The heart is normal in size. The mediastinum is unremarkable. Emphysematous changes are identified. The lungs are otherwise grossly clear.

lungs_pleura: Emphysematous changes are identified.


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..


There is persistent cardiomegaly with suggestion of left atrial enlargement as evidenced by cardiac contour the lateral image and XXXX density on the frontal image. The lungs are clear. No visible pleural effusion or pneumothorax.

heart_mediastinum:  XXXX density on the frontal image.


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


The heart is normal in size. The mediastinum is stable. Innumerable XXXX bilateral nodules are identified, most of which appear calcified on XXXX examination. There is no acute infiltrate or effusion. XXXX lingular scarring and/or atelectasis.

lungs_pleura: Innumerable bilateral nodules are identified, most of which appear calcified. Lingular scarring and/or atelectasis.


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


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


Heart size and mediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. No focal airspace consolidation. There is mild elevation right hemidiaphragm. No visible pleural effusion or pneumothorax. There are mild degenerative changes along the thoracic spine.

lungs_pleura: There is mild elevation right hemidiaphragm. bones: There are mild degenerative changes along the thoracic spine.


Heart size borderline enlarged, mediastinal contours appear similar to the XXXX from XXXX, XXXX XXXX noted. 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 borderline enlarged. Mediastinal contours noted.


The opacity at the left lung base appears stable from prior exam. There is elevation of the left hemidiaphragm is stable. The cardiomediastinal silhouette is enlarged but unchanged. XXXX sternotomy XXXX are again noted. There is a large amount of XXXX distending the stomach, which incidentally was also seen on prior exam of 3 years ago. There is no pneumothorax.

lungs_pleura: The opacity at the left lung base. Elevation of the left hemidiaphragm. heart_mediastinum: The cardiomediastinal silhouette is enlarged. support_devices:  others: There is a large amount of distending the stomach.


The XXXX examination consists of frontal and lateral radiographs of the chest. There low lung volumes. There is pulmonary vascular congestion and indistinctness. Bibasilar airspace disease is also present. Probable XXXX left pleural effusion. No evidence of pneumothorax. Cardiac silhouette is upper lungs are normally accentuated due to low lung volumes.

lungs_pleura: There low lung volumes. Bibasilar airspace disease is also present. heart_mediastinum: There is pulmonary vascular congestion and indistinctness. Cardiac silhouette is upper lungs are normally accentuated due to low lung volumes.

Lung;Pulmonary Congestion;Airspace Disease;Pleural Effusion;Heart Failure


Lungs are clear bilaterally, with no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. Calcified densities within the right paratracheal region and left perihilar region, may represent calcified granulomas. There is a round opacity measuring 2 cm in diameter within the posterior mediastinum. XXXX are unremarkable.

heart_mediastinum: Calcified densities within the right paratracheal region and left perihilar region, may represent calcified granulomas. There is a round opacity measuring 2 cm in diameter within the posterior mediastinum.


Chest. Heart size normal. Lungs clear. XXXX unremarkable. Limited technique. Right elbow and forearm. No acute fracture, dislocation or joint effusion. Soft tissues unremarkable. Left ankle. Soft tissue XXXX around ankle. There are midfoot degenerative changes and plantar calcaneal enthesophyte. Ankle mortise intact. No acute fracture or dislocation.

bones: Midfoot degenerative changes and plantar calcaneal enthesophyte. others: Soft tissue XXXX around ankle.


Heart size, mediastinal contour, and pulmonary vasculature are within normal limits. Scattered granulomas and bilateral perihilar calcified lymph XXXX. Stable lingular scarring. No focal consolidation, large pleural effusion or pneumothorax is identified. No bony abnormality.

lungs_pleura: Scattered granulomas and bilateral perihilar calcified lymph nodes. Lingular scarring.


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.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. First rib fracture not well demonstrated on XXXX study..


There is increasing primarily basilar interstitial reticular opacity. Lung volumes are low. There are no focal airspace opacities to suggest lobar pneumonia. Heart size appears normal. The thoracic aorta is calcified. Since the prior study, there has been placement of an electronic cardiac device overlying the left chest wall, the distal leads overlying the right heart. There's no pneumothorax.

lungs_pleura: Basilar interstitial reticular opacity. Lung volumes are low. heart_mediastinum: The thoracic aorta is calcified. support_devices: Placement of an electronic cardiac device overlying the left chest wall, the distal leads overlying the right heart.

Opacity;Lung;Calcinosis;Implanted Medical Device;Lung Diseases, Interstitial


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

support_devices: Surgical clips are seen the right upper quadrant.


Mediastinal contours are normal. Heart size is upper limits of normal. Lungs are clear. There is no pneumothorax or large pleural effusion. No bony abnormality.

heart_mediastinum: Heart size is upper limits of normal.


Heart XXXX, mediastinum, XXXX, bony structures are unremarkable. Possible subtle increased opacity in right apex versus technique. Otherwise no significant interval change compared to prior study

Technical Quality of Image Unsatisfactory


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.


Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. Scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.

lungs_pleura: Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. Scattered chronic appearing irregular interstitial markings.


There are low lung volumes. Cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no large pleural effusion. There is no pneumothorax.

lungs_pleura: There are low lung volumes.


The cardiac silhouette, mediastinum, and pulmonary vasculature are within normal limits. Lungs are clear. No pleural fluid or pneumothorax is appreciated.


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


Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. There is interstitial prominence and is basilar patchy air space opacity. No focal airspace consolidation or pleural effusion.

lungs_pleura: Interstitial prominence. Basilar patchy air space opacity. support_devices: Overlying external cardiac monitor leads.


There are biapical opacities, possibly scarring. Lungs otherwise appear clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. Right-sided chest XXXX catheter tip is at the lower SVC. Several right axillary surgical clips are noted. There are postoperative changes of right mastectomy.

lungs_pleura: Biapical opacities, possibly scarring. support_devices: Right-sided chest catheter tip is at the lower SVC. Several right axillary surgical clips are noted. others: There are postoperative changes of right mastectomy.


The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is a stable calcified granuloma within the left lower lobe. There are stable chronic degenerative changes of the thoracic spine.

lungs_pleura: Calcified granuloma within the left lower lobe. bones: Chronic degenerative changes of the thoracic spine.


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


Normal heart size and mediastinal contour. Right lung base airspace disease on frontal XXXX. XXXX opacities in the left lung base consistent with atelectasis. No pneumothorax. No pleural effusion. Mild wedge XXXX deformity of T12.

lungs_pleura: Right lung base airspace disease. Opacities in the left lung base consistent with atelectasis. bones: Mild wedge deformity of T12.


The cardiomediastinal silhouette is normal in size and appearance. No pleural effusion or pneumothorax. Lungs are clear.


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


There has been interval XXXX sternotomy with mitral valve surgery. There is a small amount of scarring in the left midlung. No focal consolidation. No pleural effusions or pneumothoraces. there is continued cardiomegaly with especially enlarged left atrium.

lungs_pleura: There is a small amount of scarring in the left midlung. heart_mediastinum: Cardiomegaly with especially enlarged left atrium. support_devices: Sternotomy with mitral valve surgery.


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


There is hyperinflation of the lungs but they are clear. The heart and mediastinum are normal. The skeletal structures are normal. There are bilateral breast prostheses.

lungs_pleura: There is hyperinflation of the lungs. others: There are bilateral breast prostheses.

Lung;Breast Implants;Pulmonary Disease, Chronic Obstructive


Lungs are clear. Heart size is normal. No pneumothorax. There are surgical clips seen within the upper abdomen.

others: There are surgical clips seen within the upper abdomen.


The trachea is midline. Cardiomediastinal silhouette is normal and unchanged from prior examination. There are round calcific densities in the right lung consistent with prior granulomatous disease. Otherwise, the lungs are clear without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.

lungs_pleura: There are round calcific densities in the right lung consistent with prior granulomatous disease.


XXXX XXXX and lateral chest examination was obtained. One AP view is expiratory and was repeated. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no focal infiltrates. There is no effusion or pneumothorax.


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

bones: Degenerative changes thoracic spine.


Mild hypoventilation with bronchovascular crowding and prominent central and basilar interstitial markings. No focal alveolar consolidation, no pleural effusion demonstrated. Considering technical factors heart size XXXX within normal limits.

lungs_pleura: Mild hypoventilation with bronchovascular crowding and prominent central and basilar interstitial markings.

Markings;Markings;Lung;Markings;Technical Quality of Image Unsatisfactory


Bilateral glenohumeral degenerative joint disease. Scattered degenerative changes of the thoracic spine. Stable mild heart enlargement.Prominence of soft tissue density in the upper mediastinum. It is increased from most recent prior exam on XXXX. However, it appears similar compared to XXXX exams performed in XXXX. No focal area of consolidation, pleural effusion, or pneumothorax. Focal opacity in the left upper lobe XXXX represents scarring or related to overlying rib opacity.

lungs_pleura: Focal opacity in the left upper lobe represents scarring or related to overlying rib opacity. heart_mediastinum: Mild heart enlargement. Prominence of soft tissue density in the upper mediastinum. bones: Bilateral glenohumeral degenerative joint disease. Scattered degenerative changes of the thoracic spine.


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


Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion. Incidental note XXXX of an azygos fissure. There are surgical clips, perhaps from cholecystectomy, in the right upper quadrant.

lungs_pleura: Incidental note of an azygos fissure. support_devices: There are surgical clips, perhaps from cholecystectomy, in the right upper quadrant.


XXXX right basal airspace opacity. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.

lungs_pleura: XXXX right basal airspace opacity.


Heart size moderately enlarged, stable mediastinal contours. XXXX XXXX opacity in the left lung base. Otherwise, no focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.

lungs_pleura: XXXX XXXX opacity in the left lung base. heart_mediastinum: Heart size moderately enlarged.


Normal heart size and mediastinal contours. Low lung volumes. No focal airspace consolidation. No pneumothorax or pleural effusion. Visualized bony structures are unremarkable in appearance.


The lateral view is degraded by patient motion. Lungs are grossly clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

bones: Degenerative changes in the spine.

Technical Quality of Image Unsatisfactory ;Spine


The heart is normal in size. The mediastinum is unremarkable. The chest XXXX is in satisfactory position. There is no pneumothorax. The lungs are clear.

support_devices: The chest XXXX is in satisfactory position.


Cardiomediastinal silhouette is within normal limits in overall size and appearance. Aortic XXXX, cardiac apex, and stomach are left-sided. Central vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. Dextro-convex scoliotic curvature of the thoracic spine. No acute bony abnormality.

heart_mediastinum: Aortic XXXX, cardiac apex, and stomach are left-sided. bones: Dextro-convex scoliotic curvature of the thoracic spine.


Again observed is a curvilinear density in the right midlung zone which may represent some pulmonary scarring or thickening of the right XXXX fissure. There is minimal blunting of the right posterior costophrenic XXXX, consistent with a small effusion and/or pleural scarring. The lung parenchyma is otherwise clear. There is mild cardiomegaly. There are degenerative changes and a mild dextroscoliosis in the thoracic spine.

lungs_pleura: Curvilinear density in the right midlung zone which may represent some pulmonary scarring or thickening of the right fissure. Minimal blunting of the right posterior costophrenic angle, consistent with a small effusion and/or pleural scarring. heart_mediastinum: Mild cardiomegaly. bones: Degenerative changes and a mild dextroscoliosis in the thoracic spine.

Density;Costophrenic Angle;Pleural Effusion;Cicatrix;Cardiomegaly;Thoracic Vertebrae;Scoliosis;Pulmonary Atelectasis


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


The left and right XXXX remain enlarged and unchanged. Lungs are free of infiltrates. Heart size normal.

heart_mediastinum: The left and right XXXX enlarged.


The cardiomediastinal silhouette is within normal limits for size and contour. There is a right middle lobe nodule which is denser than adjacent XXXX is most XXXX calcified. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.

lungs_pleura: There is a right middle lobe nodule which is denser than adjacent is most calcified. bones: Degenerative endplate changes of the spine.


This radiograph was XXXX available for my interpretation at XXXX hours XXXX/XXXX. There are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.

lungs_pleura: There are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis.


The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.


The XXXX examination consists of frontal and lateral radiographs of the chest. XXXX sternotomy XXXX are again seen. The cardiomediastinal contours are grossly unchanged. Right lung calcified granulomata are again seen. There is no consolidation, pleural effusion or pneumothorax.

lungs_pleura: Right lung calcified granulomata. support_devices: Sternotomy wires.


Heart size is enlarged. The aorta is unfolded. Otherwise the mediastinal contour is normal. There are streaky bibasilar opacities. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.

lungs_pleura: There are streaky bibasilar opacities. heart_mediastinum: Heart size is enlarged. The aorta is unfolded.


Heart size and vascularity normal. Lungs are clear. No effusions or pneumothorax.


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. Specifically, no evidence of rib fractures.


The heart and mediastinal silhouettes are within normal limits. The lungs are clear without focal airspace opacity, large effusion, or pneumothorax. The XXXX are grossly intact. Interval removal of right PICC. Persistent elevation of the left hemidiaphragm.

lungs_pleura: Elevation of the left hemidiaphragm. support_devices: Removal of right PICC.


XXXX sternotomy XXXX and mediastinal postsurgical changes. Stable cardiomegaly. Crowded bronchovascular and interstitial markings XXXX related to low lung volumes and technique. Grossly stable appearance of the lungs compared to prior exam without overt edema or gross airspace consolidation.

lungs_pleura: Crowded bronchovascular and interstitial markings related to low lung volumes and technique. heart_mediastinum:  support_devices: Sternotomy and mediastinal postsurgical changes.

Cardiomegaly;Markings;Markings;Lung;Technical Quality of Image Unsatisfactory


Chronic-appearing XXXX opacities are unchanged and represent emphysema. Heart size is normal. No large pleural effusions. No pneumothorax. No focal airspace opacities.

lungs_pleura: Chronic-appearing opacities represent emphysema.


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


Lungs are clear. blunting of the left costophrenic XXXX consistent with a small left pleural effusion and associated airspace disease. The right lung is clear. Sequelae of old granulomatous disease. Heart size is upper limits of normal. Degenerative changes in the spine.

lungs_pleura: Blunting of the left costophrenic angle consistent with a small left pleural effusion and associated airspace disease. Sequelae of granulomatous disease. heart_mediastinum: Heart size is upper limits of normal. bones: Degenerative changes in the spine.

Costophrenic Angle;Pleural Effusion;Airspace Disease;Granulomatous Disease;Spine


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


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


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


The heart is normal in size. The mediastinum is stable. The previously visualized bilateral pneumothoraces have resolved. Right chest wall surgical XXXX have been removed. There is improved aeration in the lung bases with mild residual XXXX opacities compatible with scarring or atelectasis.

lungs_pleura: There is aeration in the lung bases with mild residual opacities compatible with scarring or atelectasis. support_devices: Right chest wall surgical XXXX have been removed.


The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.

heart_mediastinum: The thoracic aorta is calcified.


The heart is normal in size with normal appearance of the cardiomediastinal silhouette. There is a hiatal hernia with soft tissue projecting behind the mediastinum. The lungs are clear without focal airspace opacity, pleural effusion, pneumothorax. The osseous structures are intact.

others: There is a hiatal hernia with soft tissue projecting behind the mediastinum.


The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Mild XXXX XXXX curvature thoracolumbar junction.

bones: Thoracic spondylosis. Mild XXXX XXXX curvature thoracolumbar junction.


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

bones: Chronic degenerative changes are present within the spine.


The cardiomediastinal silhouette is normal in size and contour. Peripheral right basilar calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Apparent nodular opacity on lateral projection, immediately retrocardiac, is XXXX to represent confluence of overlapping silhouettes. Negative for acute bone abnormality.

lungs_pleura: Peripheral right basilar calcified granuloma. heart_mediastinum: Apparent nodular opacity on lateral projection, immediately retrocardiac, is likely to represent confluence of overlapping silhouettes.