In the interval, a 2 cm diameter nodule has developed in the posterior segment of the left lower lobe. It is not calcified. No other infiltrates or masses in the lungs. Heart and pulmonary XXXX are normal. XXXX are normal.

lungs_pleura: A 2 cm diameter nodule has developed in the posterior segment of the left lower lobe. It is not calcified.


No focal consolidation, pneumothorax, or pleural effusion identified. However, there is a 1.7 cm nodular opacity within the right hilum, which may represent partially calcified granuloma or lymphadenopathy. Scattered calcified granulomas also seen. Heart size is upper limit normal. No acute bony abnormality.

lungs_pleura: Scattered calcified granulomas also seen. heart_mediastinum: Heart size is upper limit normal.


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


Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion or pneumothorax. There is hyperexpansion of the lungs. Mild degenerative changes are present in the spine.

lungs_pleura: Hyperexpansion of the lungs. bones: Mild degenerative changes are present in the spine.


There is a dual-lumen right internal jugular central venous catheter, the distal tip projects over the right atrium. There is no apparent pneumothorax. There is no focal lung opacity or pleural effusion. There is stable right upper lung lucency. The cardiopulmonary mediastinal silhouettes are stable. The visualized osseous structures appear within normal limits.

lungs_pleura: Right upper lung lucency. support_devices: There is a dual-lumen right internal jugular central venous catheter, the distal tip projects over the right atrium.


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


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.


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


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


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


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


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 acute bony changes.


XXXX focal opacity in the medial right lung base XXXX seen on the frontal view. No definite pleural effusion. Stable cardiomediastinal silhouette with normal heart size, no typical findings of pulmonary edema.

lungs_pleura: Focal opacity in the medial right lung base seen on the frontal view.


The heart size and pulmonary vascularity appear within normal limits. Left XXXX-a-XXXX is in XXXX. No pleural effusion or pneumothorax is seen. Right upper lobe area of dense opacity is seen in the medial right apex. On a previous outside XXXX scan (XXXX), the right upper lobe was consolidated. Comparison to the XXXX XXXX from that exam shows this opacity to have decreased. No films were available, however, for direct comparison.

lungs_pleura: Right upper lobe area of dense opacity is seen in the medial right apex. Right upper lobe was consolidated. support_devices: Left XXXX-a-XXXX is in XXXX.


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

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


There is stable XXXX scarring or atelectasis in the left midlung. The lungs are otherwise grossly clear. The heart size is near the upper limits of normal. Mediastinal silhouette is normal. There is no pneumothorax or pleural effusion. XXXX T-spine osteophytes are noted.

lungs_pleura: XXXX scarring or atelectasis in the left midlung. heart_mediastinum: The heart size is near the upper limits of normal. bones: XXXX T-spine osteophytes are noted.


Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion.


Negative for cardiac enlargement. Negative for vascular congestion. Bilateral granulomas are seen scattered throughout the lungs. Negative for pneumothorax. Negative for focal air space consolidation. Some minimal streaky opacity at the bilateral bases XXXX relates to subsegmental atelectasis.

lungs_pleura: Bilateral granulomas are seen scattered throughout the lungs. Some minimal streaky opacity at the bilateral bases relates to subsegmental atelectasis.


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

bones: Mild degenerative change is seen within the midthoracic spine.


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


The lungs appear clear. Scattered calcified granulomas are stable as are calcified mediastinal lymph XXXX. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. Pleural spaces are clear.

lungs_pleura: Scattered calcified granulomas. heart_mediastinum: Calcified mediastinal lymph nodes.


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.


Normal cardiomediastinal silhouette. No airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No acute bony abnormality.


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 unchanged. Normal pulmonary vascularity. Stable postsurgical changes of the lower cervical spine.

bones: Postsurgical changes of the lower cervical spine.


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


The lungs are clear. The cardiomediastinal silhouette is within normal limits. There is ectasia of the thoracic aorta. No pleural effusion is identified.

heart_mediastinum: There is ectasia of the thoracic aorta.


There is minimal hyperexpansion and hyperlucency of the lungs suggestive of chronic lung disease, without focal consolidation, pneumothorax, or effusion identified. XXXX opacity in the left XXXX XXXX subsegmental atelectasis. Cardiomediastinal silhouette is grossly stable and within normal limits, with mild tortuosity and atherosclerosis of the thoracic aorta. Multilevel degenerative disc disease of the thoracolumbar spine noted without acute bony abnormality.

lungs_pleura: There is minimal hyperexpansion and hyperlucency of the lungs suggestive of chronic lung disease. Opacity in the left subsegmental atelectasis. heart_mediastinum: Mild tortuosity and atherosclerosis of the thoracic aorta. bones: Multilevel degenerative disc disease of the thoracolumbar spine noted.

Lung;Lung, Hyperlucent;Pulmonary Disease, Chronic Obstructive;Opacity;Pulmonary Atelectasis;Aorta, Thoracic;Atherosclerosis;Thoracic Vertebrae;Lumbar Vertebrae


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


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

heart_mediastinum: Calcified lymph nodes are present.


There are scattered calcified granulomas. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.

lungs_pleura: There are scattered calcified granulomas.


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


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

support_devices: Right XXXX-a-XXXX in XXXX.


Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, pneumothorax. No acute bony abnormality. No lymphadenopathy.


Normal heart size and mediastinal contours. No focal air space opacities. No pleural effusion. Visualized osseous structures are unremarkable.


Clear lungs. No pneumothorax. No pleural effusion. Normal heart. Mild degenerative changes of the thoracic spine without acute bony abnormality. Prominent right epicardial fat XXXX

heart_mediastinum: Prominent right epicardial fat. bones: Mild degenerative changes of the thoracic spine.


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


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


XXXX sternotomy XXXX and numerous mediastinal clips appear stable in position. There is aortic atherosclerotic calcification. The thoracic aorta is tortuous. Stable widening of the upper mediastinum. Stable cardiomegaly. Prominent mitral annular calcification demonstrated on the lateral view. No pneumothorax, pleural effusion or airspace consolidation. XXXX XXXX appear intact.

heart_mediastinum: Aortic atherosclerotic calcification. The thoracic aorta is tortuous. Widening of the upper mediastinum.  Prominent mitral annular calcification. support_devices: Sternotomy and numerous mediastinal clips in position. Sternal wires appear intact.


The cardiomediastinal silhouette is normal in size and contour. Right suprahilar calcified lymph XXXX. Right lung base calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Mildly hyperexpanded lungs. Negative for acute bone abnormality.

lungs_pleura: Right lung base calcified granuloma. Mildly hyperexpanded lungs. heart_mediastinum: Right suprahilar calcified lymph node.


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

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


Cardiomediastinal silhouette is within normal limits in size and appearance. Pulmonary vascularity is unremarkable. There are prominent coarse interstitial markings throughout the lungs, with more focal streaky bibasilar opacities, seen only on the frontal XXXX, XXXX atelectasis. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX are grossly intact.

lungs_pleura: Prominent coarse interstitial markings throughout the lungs, with more focal streaky bibasilar opacities.


The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. Mild degenerative changes and osteopenia of the thoracic spine. Overlying EKG leads.

heart_mediastinum: The thoracic aorta is tortuous. bones: Mild degenerative changes and osteopenia of the thoracic spine. support_devices: Overlying EKG leads.

Aorta, Thoracic;Bone Diseases, Metabolic;Thoracic Vertebrae;Medical Device


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


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


Heart size is upper limits of normal. Mediastinal contours and pulmonary vascularity are within normal limits. There is no focal infiltrate or suspicious pulmonary opacity. No pneumothorax or pleural effusion. There is a lucency along the peripheral right lung base, XXXX secondary to a skin fold. No acute bony findings.

lungs_pleura: There is a lucency along the peripheral right lung base, secondary to a skin fold. heart_mediastinum: Heart size is upper limits of normal.


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


Frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.

heart_mediastinum: Cardiomediastinal silhouette. support_devices: Overlying external cardiac monitor leads.


There is a calcified granuloma in the left upper lung zone. The lungs are otherwise clear. There is hyperinflation. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal for age.

lungs_pleura: There is a calcified granuloma in the left upper lung zone. There is hyperinflation.


Normal heart size. Tortuous calcified aorta. Scattered granulomas. No lobar pneumonia. Probable XXXX post your recess effusions. Kyphotic degenerated osteopenic thoracic spine.

lungs_pleura: Scattered granulomas. heart_mediastinum: Tortuous calcified aorta. bones: Kyphotic degenerated osteopenic thoracic spine.

Calcinosis;Aorta;Granuloma;Bone Diseases, Metabolic;Thoracic Vertebrae;Kyphosis;Pleural Effusion;Pulmonary Atelectasis


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.


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


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. Probable old lateral right rib fractures.

bones: Probable old lateral right rib fractures.


Both lungs are clear and expanded. Heart and mediastinum normal. Surgical clips are in the epigastrium of the abdomen.

others: Surgical clips are in the epigastrium of the abdomen.


Stable cardiomediastinal silhouette. Tortuous aorta. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.

heart_mediastinum: Cardiomediastinal silhouette. Tortuous aorta.


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


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Oval sclerotic density projecting over the inferior right glenoid may represent synovial osteochondromatosis or cortical XXXX XXXX. This is unchanged 31 17 XXXX. The remaining osseous structures and visualized upper abdomen are unremarkable in appearance.


Normal heart size and mediastinal contours. Lungs are clear. There is no pneumothorax or pleural effusion. Postoperative changes seen in the left humerus. No acute bony abnormalities.

bones: Postoperative changes seen in the left humerus.


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


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


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

heart_mediastinum: The heart size is enlarged. Tortuous aorta.


The heart is not enlarged. Lungs are clear. No pleural effusion.


Heart size and mediastinal contours are within normal limits. No focal airspace consolidation. No suspicious pulmonary nodules or masses. No evidence of pleural effusion or pneumothorax. No evidence of acute osseous abnormality.


The lungs and pleural spaces show no acute abnormality. Heart size is enlarged, pulmonary vascularity within normal limits. Marked tortuosity of the thoracic aorta. There are advanced degenerative changes of the glenohumeral joints bilaterally with bone-on-bone articulation, remodeling of the glenoid, and extensive subchondral cystic change. No displaced rib fractures are visualized. Diffuse osteopenia of the thoracic spine with a mid thoracic and several lower thoracic XXXX deformities, age-indeterminate. There is an air-fluid level in the middle mediastinum, most XXXX secondary to a large hiatal hernia.

heart_mediastinum: Heart size is enlarged. Marked tortuosity of the thoracic aorta. bones: There are advanced degenerative changes of the glenohumeral joints bilaterally with bone-on-bone articulation, remodeling of the glenoid, and extensive subchondral cystic change. Diffuse osteopenia of the thoracic spine with a mid thoracic and several lower thoracic deformities, age-indeterminate. others: There is an air-fluid level in the middle mediastinum, most likely secondary to a large hiatal hernia.

Cardiomegaly;Aorta, Thoracic;Hernia, Hiatal;Bone Diseases, Metabolic;Fractures, Bone;Deformity;Humerus;Technical Quality of Image Unsatisfactory


Heart is normal in size. No focal consolidation, pleural effusion or pneumothorax. No acute or destructive bone abnormality.


There is a left chest wall cardiac XXXX generator with 2 leads, one projecting over the right atrium and one projecting over the right XXXX. The heart is near top normal in size with normal appearance of the cardiomediastinal silhouette. The lungs are clear without focal air space opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.

bones: Degenerative changes in the thoracic spine. support_devices: There is a left chest wall cardiac XXXX generator with 2 leads, one projecting over the right atrium and one projecting over the right XXXX.

Implanted Medical Device;Thoracic Vertebrae


Low lung volumes are noted. Allowing for technical factors the heart size is XXXX normal. The mediastinum is unremarkable. There is increased bilateral predominantly perihilar interstitial opacity, XXXX consistent with pulmonary edema. There is no pneumothorax or pleural effusion. The XXXX are unremarkable.

lungs_pleura: Low lung volumes are noted. There is increased bilateral predominantly perihilar interstitial opacity, consistent with pulmonary edema.


The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. Mild degenerative changes of the spine.

bones: Mild degenerative changes of the spine.


The cardiac silhouette is borderline enlarged. Pulmonary vasculature is normal in caliber. Nipple shadows and dense breast tissue overlie the lung bases. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.

heart_mediastinum: The cardiac silhouette is borderline enlarged. bones: Nipple shadows and dense breast tissue overlie the lung bases.


Overall low lung lines. There is scarring or subsegmental atelectasis at the right lung base. In the left lower lobe there is airspace disease consistent with pneumonia. No pneumothorax. Heart and mediastinum are stable given the lung volumes. Degenerative changes in the spine.

lungs_pleura: Overall low lung lines. Scarring or subsegmental atelectasis at the right lung base. Airspace disease in the left lower lobe consistent with pneumonia. bones: Degenerative changes in the spine.


The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is at the upper limits of normal in size but stable from prior exam. There is tortuosity of the thoracic aorta, stable. There is no pneumothorax or large pleural effusion.

heart_mediastinum: The cardiomediastinal silhouette is at the upper limits of normal in size. There is tortuosity of the thoracic aorta.


Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusion. Scattered calcified granuloma. Degenerative changes the spine.

lungs_pleura: Scattered calcified granuloma. bones: Degenerative changes the spine.


The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is stable irregularity of the posterior left 6th rib which XXXX represents an old fracture..

bones: Irregularity of the posterior left 6th rib.


Chronic bilateral emphysematous changes. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact. Stable splenic artery embolism coils.

lungs_pleura: Chronic bilateral emphysematous changes. support_devices: Splenic artery embolism coils.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are unchanged. There are diminished lung volumes with central bronchovascular crowding. Minimal atelectasis versus scarring seen in the left lung base. Right lung is clear. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX degenerative changes of the thoracic spine.

lungs_pleura: Diminished lung volumes with central bronchovascular crowding. bones: Degenerative changes of the thoracic spine.


There is a calcified granuloma in the lateral left base. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified left hilar lymph XXXX. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted as well as scoliosis and lumbar region.

lungs_pleura: There is a calcified granuloma in the lateral left base. heart_mediastinum: There are calcified left hilar lymph nodes. There are atherosclerotic changes of the aorta. bones: Arthritic changes of the skeletal structures are noted as well as scoliosis and lumbar region.


There are XXXX left upper lobe opacities. Lungs otherwise appear clear. No pleural effusion or pneumothorax. Heart size is as is within normal limits.

lungs_pleura: There are XXXX left upper lobe opacities.


Heart size is stable. There is focal airspace consolidation in the lateral aspect of the right upper lobe. There is no pneumothorax or effusion. No acute bony abnormalities.

lungs_pleura: There is focal airspace consolidation in the lateral aspect of the right upper lobe.


Both lungs are clear and expanded area heart and mediastinum are normal. Incidental note XXXX of bilateral breast implants.

others: Incidental note XXXX of bilateral breast implants.


There are T-spine osteophytes. Small nodule projecting near the left heart XXXX is unchanged from XXXX and appears calcified. This XXXX represents a calcified granuloma. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.

heart_mediastinum: Small nodule projecting near the left heart appears calcified. This represents a calcified granuloma. bones: There are T-spine osteophytes.


Stable heart size and mediastinal contours. No focal airspace consolidation. Stable calcified granuloma in the right upper lobe. This low lung volumes. No focal airspace disease.

lungs_pleura: Calcified granuloma in the right upper lobe. Low lung volumes.


The lungs remain hyperexpanded. There are persistent XXXX bilateral lower lobe opacities, XXXX subsegmental atelectasis and scarring. No XXXX focal infiltrate is identified. There is no pleural effusion or pneumothorax. Normal heart size. There are minimal degenerative changes of the spine.

lungs_pleura: The lungs are hyperexpanded. There are bilateral lower lobe opacities, subsegmental atelectasis and scarring. bones: There are minimal degenerative changes of the spine.


There are no focal areas of consolidation. No pleural effusions. No pneumothorax. Heart size within normal limits. Calcified granulomas. Degenerative changes thoracic spine.

lungs_pleura: Calcified granulomas. bones: Degenerative changes thoracic spine.


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


The heart is normal in size. The mediastinum is unremarkable. XXXX scarring and emphysematous changes noted. The lungs are grossly clear.

lungs_pleura: XXXX scarring and emphysematous changes noted.


The trachea is midline. The cardiomediastinal silhouette is normal. There are low lung volumes, causing bibasilar atelectasis and bronchovascular crowding. There is a XXXX opacity in the left lingula. There is no pleural effusion or pneumothorax. Visualized bony structures reveal no acute abnormalities.

lungs_pleura: There are low lung volumes, causing bibasilar atelectasis and bronchovascular crowding. There is a XXXX opacity in the left lingula.


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


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


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


The cardiac silhouette pulmonary vascularity are normal. The lungs are clear. There is no evidence of pleural effusion or pneumothorax. Mild degenerative changes are present in the XXXX spine.

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


The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. There is no pneumothorax. There is no pleural effusion. There is redemonstration of right rib deformities XXXX from old XXXX. XXXX of mild dextroscoliosis of the thoracic spine. There is no free intraperitoneal air under the diaphragm.

bones: There is of right rib deformities. There is mild dextroscoliosis of the thoracic spine.


The XXXX examination consists of frontal supine and lateral radiographs of the chest. Frontal view is lordotic in projection. The cardiomediastinal contours are within normal limits for supine film. No focal consolidation, pleural effusion, or pneumothorax identified. There is a calcified granuloma at the left lung base. The visualized osseous structures and upper abdomen are unremarkable.

lungs_pleura: There is a calcified granuloma at the left lung base.


Cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. Right hilar calcifications XXXX sequela of prior granulomatous disease. No pneumothorax or large pleural effusion. No acute bone abnormality.

heart_mediastinum: Right hilar calcifications sequela of granulomatous disease.


Stable prominence of the cardiac apex, XXXX from ventricular hypertrophy. Mid sternotomy XXXX again noted. No pneumothorax, significant pulmonary edema or large pleural effusions. No focal lung consolidation. Clips in the right upper quadrant consistent with cholecystectomy. Dextroscoliosis of the thoracolumbar spine.

heart_mediastinum: Prominence of the cardiac apex, consistent with ventricular hypertrophy. bones: Dextroscoliosis of the thoracolumbar spine. support_devices: Mid sternotomy. others: Clips in the right upper quadrant consistent with cholecystectomy.


Heart size normal. No pleural effusions or pneumothorax. Lungs are clear. Soft tissues and XXXX are unremarkable.


The heart is normal in size. The mediastinum is unremarkable. Left upper extremity PIC catheter tip overlies the distal aspect of the left clavicle XXXX within the subclavian vein. There is no pneumothorax. The lungs are mildly hyperinflated but clear. Deformity of the lateral left 6th rib, XXXX old injury.

lungs_pleura: The lungs are mildly hyperinflated. bones: Deformity of the lateral left 6th rib, injury. support_devices: Left upper extremity PIC catheter tip overlies the distal aspect of the left clavicle within the subclavian vein.


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


Right lower lobe XXXX calcified granuloma. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.

lungs_pleura: Right lower lobe calcified granuloma. bones: Degenerative changes thoracic spine.


No pleural effusion no pneumothorax. Normal cardiac contour. No focal consolidation. Lungs clear bilaterally.


Minimal subsegmental atelectasis posteriorly. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

lungs_pleura: Minimal subsegmental atelectasis posteriorly.


Heart size and pulmonary vascularity appears normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Callus or granulomas identified. Left XXXX-A-XXXX remains in XXXX.

bones: Callus or granulomas identified. support_devices: Left XXXX-A-XXXX in XXXX.


The trachea is midline. The heart XXXX is slightly large. There are low lung volumes causing bronchovascular crowding. Otherwise the lungs appear clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.

lungs_pleura: There are low lung volumes causing bronchovascular crowding. heart_mediastinum: The heart is slightly large.


Normal heart size and mediastinal contours. The lungs are free of any focal airspace disease. In the left lung base, there is a 9 mm nodule that not definitively calcified. No pneumothorax or pleural effusion. No acute bony abnormalities.

lungs_pleura: In the left lung base, there is a 9 mm nodule that not definitively calcified.


Stable appearance of the cardiomediastinal silhouette. There is no pneumothorax, pleural effusion, or focal airspace consolidation.


The cardiac contours are normal. The lungs are underinflated, but XXXX given the underinflation, the XXXX appear enlarged, more XXXX than on the exam and XXXX. Osteophytic degeneration kyphotic thoracic spine. Mid and lower thoracic vertebroplasty has been performed. A right-sided chest XXXX is present with its tip in the upper SVC.

lungs_pleura: The lungs are underinflated. bones: Osteophytic degeneration kyphotic thoracic spine. Mid and lower thoracic vertebroplasty has been performed. support_devices: A right-sided chest tube is present with its tip in the upper SVC.

Lung;Osteophyte;Kyphosis;Thoracic Vertebrae;Catheters, Indwelling;Pulmonary Atelectasis


The lungs appear clear. The heart and pulmonary XXXX appear normal. The pleural spaces are clear. These XXXX't contours appear normal. There is a XXXX fracture of the midthoracic vertebral body. This vertebral body does not appear sclerotic. The age of this fracture is unknown. There are healed fractures of several left anterior ribs. There is a healed left clavicle fracture.

bones: There is a XXXX fracture of the midthoracic vertebral body. There are healed fractures of several left anterior ribs. There is a healed left clavicle fracture.

Fractures, Bone;Fractures, Bone;Fractures, Bone


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


Limited evaluation of the lateral view due to rotation and frontal view due to motion artifact. Stable mild cardiomegaly. Normal pulmonary vascularity. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusions. XXXX XXXX opacities are related to overlying soft tissues. The posterior sulci are clear. Degenerative changes of the spine.

heart_mediastinum: Mild cardiomegaly. bones: XXXX XXXX opacities are related to overlying soft tissues. Degenerative changes of the spine.

Technical Quality of Image Unsatisfactory ;Cardiomegaly;Opacity;Spine


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


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

lungs_pleura: There is evidence of previous granulomatous disease.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. XXXX right lower lung opacity XXXX represents combination of soft tissue overlay and minimal atelectasis. No focal airspace consolidation, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age.

lungs_pleura: Right lower lung opacity represents combination of soft tissue overlay and minimal atelectasis.


Chronic increased interstitial markings without evidence of focal infiltrate. Bilateral apical pleural thickening. No pneumothorax. No pleural effusion. Stable heart size. Marked degenerative change of the XXXX, status post remote right humerus fracture. XXXX deformity of a midthoracic vertebral body, also XXXX chronic.

lungs_pleura: Chronic increased interstitial markings. Bilateral apical pleural thickening. heart_mediastinum: Heart size. bones: Marked degenerative change of the XXXX. Status post right humerus fracture. XXXX deformity of a midthoracic vertebral body, also chronic.


Stable appearance of the right aortic XXXX. Normal heart size. No pneumothorax, pleural effusion or suspicious focal airspace opacity.

heart_mediastinum: Appearance of the right aortic XXXX.


The parenchymal scar in the left lower lobe is unchanged in the interval. No XXXX infiltrates or masses in the lungs. Heart and mediastinum are normal.

lungs_pleura: The parenchymal scar in the left lower lobe.


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


Stable cardiomediastinal silhouette with tortuous thoracic aorta. No pneumothorax, pleural effusion or suspicious focal air space opacity. Stable right lung base scarring.

lungs_pleura: Right lung base scarring. heart_mediastinum: Cardiomediastinal silhouette. Tortuous thoracic aorta.


Cardiac silhouette is normal in size. Normal mediastinal contour and pulmonary vasculature. The lungs are without focal airspace consolidation, large pleural effusion, or pneumothoraces.


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.


Heart size near top normal, bilateral hilar fullness nonspecific in appearance, mild aortic ectasia/tortuosity. Diaphragm flattening and relative apical lucencies suggestive of emphysema, XXXX and irregular interstitial markings, right greater than left. Prominent left epicardial fat XXXX, no focal alveolar consolidation, no definite pleural effusion seen. Atrial septal occluder artifact. Mild spine curvature.

lungs_pleura: Diaphragm flattening and relative apical lucencies suggestive of emphysema. Irregular interstitial markings, right greater than left. heart_mediastinum: Heart size near top normal. Bilateral hilar fullness nonspecific in appearance. Mild aortic ectasia/tortuosity. Prominent left epicardial fat. bones: Mild spine curvature. support_devices: Atrial septal occluder artifact.

Aorta;Diaphragm;Lung, Hyperlucent;Markings;Epicardial Fat;Implanted Medical Device


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


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


Chest. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Pelvis. There are numerous clips overlying the pelvis and lower abdomen. Nonobstructive bowel XXXX pattern. No pathologic calcifications. Hip joint spaces are symmetric and normal. Sacroiliac joints are unremarkable. No fractures or dislocations.

support_devices: There are numerous clips overlying the pelvis and lower abdomen.


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

lungs_pleura: Prior granulomatous disease.


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

lungs_pleura: There is mild hyperinflation. support_devices: Cardiac XXXX generator overlies the left upper thorax with XXXX XXXX tips overlying the right atrium and ventricles.


Chest. The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left knee. The right total knee prosthesis remains in XXXX. The medial compartment is markedly narrow. Large osteophytes are present on the left femur and tibial lateral plateaus.

bones: The medial compartment is markedly narrow. Large osteophytes are present on the left femur and tibial lateral plateaus. support_devices: The right total knee prosthesis is in place.


XXXX sternotomy XXXX appear intact. Surgical clips overlying the mediastinum. Mitral valve replacement seen. Low lung volumes. The interstitial markings appear prominent, which may represent interstitial edema. There is mild blunting of the posterior sulcus on the lateral view, which could represent a small effusion. No pneumothorax. No acute bony abnormality.

lungs_pleura: Low lung volumes. The interstitial markings appear prominent, which may represent interstitial edema. support_devices: Sternotomy appear intact. Surgical clips overlying the mediastinum. Mitral valve replacement seen.

Surgical Instruments;Implanted Medical Device;Lung;Markings;Sulcus


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


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


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


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

lungs_pleura: Right basilar calcified granuloma noted.


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Postsurgical changes include left chest pacemaker/ICD with XXXX tips over the right atrium and right ventricle, sternotomy XXXX, and graft markers, and upper anterior mediastinal surgical clips. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Specifically, no evidence of pneumonia. Visualized osseous structures appear intact.

support_devices: Postsurgical changes include left chest pacemaker/ICD with XXXX tips over the right atrium and right ventricle, sternotomy XXXX, and graft markers, and upper anterior mediastinal surgical clips.

Implanted Medical Device;Surgical Instruments


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


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


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


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


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


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


There is hyperinflation. There is some subtle scarring in the lateral right base. 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. There is some subtle scarring in the lateral right base. heart_mediastinum: There are atherosclerotic changes of the aorta. bones: Arthritic changes of the skeletal structures are noted.

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


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


There are patchy alveolar and interstitial opacities within the lung bases bilaterally representing an infectious etiology versus chronic lung disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac silhouette is enlarged. There are atherosclerotic calcifications of the aortic XXXX. There are degenerative changes throughout the thoracic spine.

lungs_pleura: There are patchy alveolar and interstitial opacities within the lung bases bilaterally representing an infectious etiology versus chronic lung disease. heart_mediastinum: The cardiac silhouette is enlarged. There are atherosclerotic calcifications of the aortic arch. bones: There are degenerative changes throughout the thoracic spine.


The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. XXXX and soft tissues are unremarkable.


The heart is normal in size. The mediastinum is unremarkable. Right chest XXXX tip is visualized in the distal SVC. There is no pneumothorax. The right cardiac margin is partially obscured and may be secondary to overlying cardiophrenic fat. The lungs are otherwise clear.

heart_mediastinum: The right cardiac margin is partially obscured and may be secondary to overlying cardiophrenic fat. support_devices: Right chest XXXX tip is visualized in the distal SVC.


Heart size is enlarged but stable. Stable sequela prior granulomatous disease. Stable XXXX sternotomy XXXX with fracture of the superior-most sternotomy XXXX.. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.

lungs_pleura: Sequela prior granulomatous disease. heart_mediastinum: Heart size is enlarged. bones: Degenerative endplate changes of the spine. support_devices: Sternotomy with fracture of the superior-most sternotomy.


The heart size of the limits of normal. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There is a calcified granuloma right midlung and posterior costophrenic sulcus.

lungs_pleura: There is a calcified granuloma right midlung and posterior costophrenic sulcus.


There is interstitial thickening bilaterally, more prominent in the bases. The cardiomediastinal silhouette is normal in size and appearance. There is hyperexpansion. No XXXX infiltrates. Two bullae are seen in the right upper lung. Small calcified granuloma stable from prior exam.

lungs_pleura: There is interstitial thickening bilaterally, more prominent in the bases. There is hyperexpansion. Two bullae are seen in the right upper lung. Small calcified granuloma.

Thickening;Lung;Blister;Calcified Granuloma;Pulmonary Disease, Chronic Obstructive


Normal heart size. Left chest XXXX tip mid SVC. Right axillary surgical clips. Stable pleural based nodule left mid chest. No acute pulmonary findings.

lungs_pleura: Pleural based nodule left mid chest. support_devices: Left chest XXXX tip mid SVC. Right axillary surgical clips.


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

heart_mediastinum: Heart size mildly enlarged.


Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There has been interval development of multiple healed left rib fractures. Degenerative changes are present in the spine.

lungs_pleura: Low lung volumes are present. bones: Multiple healed left rib fractures. Degenerative changes are present in the spine.


The lungs appear clear. There are calcified nodules projecting in the right upper lung. Mediastinal contours appear normal. The heart pulmonary XXXX appear normal. Pleural spaces are clear. Surgical clips are identified in the right neck and left mediastinum.

lungs_pleura: Calcified nodules projecting in the right upper lung. support_devices: Surgical clips are identified in the right neck and left mediastinum.


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 is moderately enlarged. There is evidence of previous aortic valve replacement. XXXX sternotomy XXXX are grossly intact. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There are chronically increased interstitial lung markings without superimposed focal airspace disease identified. There are degenerative changes of the spine.

lungs_pleura: Chronically increased interstitial lung markings. heart_mediastinum: The heart size is moderately enlarged. bones: There are degenerative changes of the spine. support_devices: There is evidence of previous aortic valve replacement. Sternal wires are grossly intact.


Heart size within normal limits and cardiomediastinal contours are normal. Lungs are clear bilaterally. No focal consolidations. No pleural effusions or pneumothorax. Bony structures and soft tissues are unremarkable.


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


Heart size normal. Stable cardiomediastinal silhouette. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures are in XXXX alignment without fracture.


The cardiomediastinal silhouette is normal in size and contour. Negative for focal consolidation, pneumothorax or large pleural effusion. Middle lobe calcified granulomas. Normal XXXX.

lungs_pleura: Middle lobe calcified granulomas.


Lungs are clear without focal airspace disease. Numerous XXXX calcifications are again noted. No pleural effusions or pneumothoraces. heart size is upper limits of normal.

lungs_pleura: Numerous calcifications are noted. heart_mediastinum: Heart size is upper limits of normal.


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


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.


Heart size is normal. Cardiomediastinal contour is normal without mediastinal widening. Lungs are clear bilaterally. No pleural effusions or pneumothorax. No bony or soft tissue abnormalities.


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


The heart is slightly large. Pulmonary XXXX are normal. No infiltrates.

heart_mediastinum: The heart is slightly large.


Increased interstitial lung changes with superimposed pulmonary edema. Cardiomegaly. Negative for effusion or pneumothorax. Degenerative changes of the thoracic spine.

lungs_pleura: Increased interstitial lung changes with superimposed pulmonary edema. heart_mediastinum:  bones: Degenerative changes of the thoracic spine.


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


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

heart_mediastinum: Tortuosity of the thoracic aorta.


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


No change lung XXXX. XXXX opacities are present in the right lower lobe. No focal infiltrates. Heart and mediastinum are unremarkable. Aorta normal.

lungs_pleura: Right lower lobe opacities are present.

Opacity;Pulmonary Disease, Chronic Obstructive;Pulmonary Atelectasis


Lung volumes are low. No focal infiltrates. Pulmonary XXXX are normal.


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


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


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


Cardiomediastinal silhouette is within normal limits of size In appearance. Pulmonary vascularity is unremarkable. There are diffuse, bilateral interstitial opacities, with XXXX B lines demonstrated. Small amount of subpleural edema is demonstrated in the fissures. There is mild blunting of both posterior costophrenic sulci, which may reflect XXXX effusions. Negative for pneumothorax. Limited evaluation reveals the XXXX XXXX the grossly intact.

lungs_pleura: There are diffuse, bilateral interstitial opacities, with B lines demonstrated. Small amount of subpleural edema is demonstrated in the fissures. There is mild blunting of both posterior costophrenic sulci.

Opacity;Pulmonary Edema;Costophrenic Angle;Heart Failure


Normal cardiac size. Normal pulmonary vasculature. No airspace disease. Negative for pneumothorax. Negative for acute osseous deformity. The thoracic spine has a normal appearance.


Heart size and mediastinal contour normal. Lungs are clear except for residuals of prior granulomatous infection. No pleural effusions or pneumothoraces.

lungs_pleura: Residuals of prior granulomatous infection.


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


The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. No displaced rib fractures visualized. .


Surgical XXXX at the distal left clavicle. No acute osseous abnormality. Soft tissue structures are within normal limits. Stable normal cardio mediastinal silhouettes and hilar structures. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. .

bones: Surgical XXXX at the distal left clavicle.


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

heart_mediastinum: Vascular calcification is noted.


Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.


Heart size and cardiomediastinal silhouette are normal. Mild tortuosity of the aorta. Low lung volumes, however lungs are grossly clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures grossly intact.

lungs_pleura: Low lung volumes. heart_mediastinum: Mild tortuosity of the aorta.


In the interval, consolidation has developed in the left upper lobe. Also, anterior segment XXXX opacity is present. Right lung remains clear. Heart size is normal.

lungs_pleura: Consolidation has developed in the left upper lobe. Anterior segment XXXX opacity is present.


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.


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


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


PA and lateral views the chest were obtained. The cardiac silhouette is normal in size and configuration. Calcified right hilar lymph XXXX. There is focal contour abnormality of the level of the inferior posterior mediastinum, may reflect focal aneurysm of the descending thoracic aorta. The lungs are well aerated. No pneumothorax, pleural effusion, or focal air space consolidation.

heart_mediastinum: Calcified right hilar lymph nodes. Focal contour abnormality of the level of the inferior posterior mediastinum, may reflect focal aneurysm of the descending thoracic aorta.


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


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


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. Calcified granuloma are noted. A few XXXX opacities are present consistent with XXXX XXXX of scarring or atelectasis.

lungs_pleura: Calcified granuloma are noted. A few XXXX opacities are present consistent with XXXX XXXX of scarring or atelectasis.


Stable cardiomegaly. Calcified tortuous aorta. No focal air space disease. Stable chronic lung changes. No large pleural effusion or pneumothorax. Diffuse degenerative changes of the thoracic spine.

lungs_pleura: Chronic lung changes. heart_mediastinum:  Calcified tortuous aorta. bones: Diffuse degenerative changes of the thoracic spine.


Stable position of right central venous catheter. Interval removal of nasogastric tube. Heart size is normal. Persistent prominent interstitial markings of the right upper lobe. There are no XXXX focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Normal pulmonary vascularity.

lungs_pleura: Prominent interstitial markings of the right upper lobe. support_devices: Right central venous catheter in position.


Status post posterior spinal fusion with stable appearance of the orthopedic XXXX. Pectus carinatum. Stable mild cardiomegaly and increased lung vascularity. Clear lungs.

lungs_pleura: Increased lung vascularity. heart_mediastinum: Mild cardiomegaly. bones: Pectus carinatum. support_devices: Status post posterior spinal fusion with appearance of the orthopedic hardware.

Spinal Fusion;Pectus Carinatum;Cardiomegaly;Pulmonary Congestion


The heart size is normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. There are degenerative changes within the XXXX bilaterally and left acromioclavicular joint. XXXX XXXX in the soft tissues of the right upper extremity.

bones: There are degenerative changes within the XXXX bilaterally and left acromioclavicular joint. others: XXXX XXXX in the soft tissues of the right upper extremity.


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 and mediastinal contours are stable. There is minimal patchy right lower lobe airspace disease identified. No pleural effusion or pneumothorax.

lungs_pleura: There is minimal patchy right lower lobe airspace disease identified.


No focal consolidation, pneumothorax or definite pleural effusion. Heart size within normal limits for technique, no mediastinal widening seen. No acute osseous injury XXXX demonstrated. Dextroscoliosis noted.


There is a XXXX opacity projecting over the left midlung, posterior on the lateral view. No pleural effusions. No evidence of pneumothorax. Heart size top normal. Degenerative changes thoracic spine.

lungs_pleura: There is a XXXX opacity projecting over the left midlung, posterior on the lateral view. bones: Degenerative changes thoracic spine.


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


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are minimal degenerative changes of the spine.

bones: There are minimal degenerative changes of the spine.


In the interval, the heart size has become normal. Pulmonary XXXX are normal. Lungs are clear and expanded.


The lungs appear clear. Heart and pulmonary XXXX appear normal. Mediastinal contours are normal. Pleural spaces are clear. There appears to the contrast XXXX within small colonic diverticula in the splenic flexure region.

others: There appears to the contrast XXXX within small colonic diverticula in the splenic flexure region.


Heart size and mediastinal contours are unremarkable. There is no pneumothorax, pleural effusion, focal airspace consolidation.


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


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

heart_mediastinum: Heart size upper limits of normal. Tortuous aorta.


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


Normal heart size mediastinal contours. No focal airspace consolidation. No hyperexpansion of the lungs. No pleural effusion or pneumothorax.


Stable cardiomediastinal silhouette. Mild congestion without edema. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Redemonstrated are endplate depressions of the vertebral bodies, compatible with XXXX cell changes.

heart_mediastinum: Mild congestion. bones: Endplate depressions of the vertebral bodies, compatible with XXXX cell changes.


Cardiac silhouette and mediastinal contours are within this. There is no opacity. There is no pneumothorax. No large pleural effusion. Hyperlucent right apex with hyperinflation consistent with emphysematous changes.

lungs_pleura: Hyperlucent right apex with hyperinflation consistent with emphysematous changes.


Lung volumes are low. No infiltrates in the lungs. No pleural air collections. Sternotomy sutures and bypass graft markers are present. Heart size normal.

lungs_pleura: Lung volumes are low. support_devices: Sternotomy sutures and bypass graft markers are present.


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


The heart is again mildly enlarged. Mediastinal contours are stable. Changes of XXXX sternotomy and valvuloplasty are noted. Left subclavian ICD is unchanged in position. Lungs are mildly hypoinflated with blunted costophrenic XXXX suggesting small bilateral pleural effusions.

lungs_pleura: Lungs are mildly hypoinflated. Blunted costophrenic angles suggesting small bilateral pleural effusions. heart_mediastinum: The heart is mildly enlarged. support_devices: Changes of sternotomy and valvuloplasty are noted. Left subclavian ICD is in position.

Cardiomegaly;Implanted Medical Device;Lung;Costophrenic Angle;Pleural Effusion


The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Right chest wall surgical clips, compatible with prior lumpectomy. Negative for acute bone abnormality.

lungs_pleura: Hyperexpanded lungs. support_devices: Right chest wall surgical clips.


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 focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. There are postoperative changes of cervical spine fusion.

bones: There are postoperative changes of cervical spine fusion.


Normal heart size and mediastinal contours. There are reticular opacities in the medial right middle lobe with tubular airway ectasia which obscures the right heart XXXX. This was present previously and is most compatible with bronchiectasis. There is no XXXX focal airspace disease. No pneumothorax or pleural effusion. Unremarkable XXXX.

lungs_pleura: There are reticular opacities in the medial right middle lobe with tubular airway ectasia which obscures the right heart. This is most compatible with bronchiectasis.


The cardiomediastinal silhouette is within normal limits for appearance. There are low lung volumes with bronchovascular crowding and scattered XXXX opacities in the bilateral lung bases. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. No acute, displaced rib fractures identified.

lungs_pleura: There are low lung volumes with bronchovascular crowding and scattered XXXX opacities in the bilateral lung bases.


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


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


Lungs are clear. No focal infiltrate. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.


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


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


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 mild streaky perihilar opacity without confluent airspace opacity to suggest a bacterial pneumonia.

lungs_pleura: Mild streaky perihilar opacity. heart_mediastinum: The heart size is upper limits of normal.


There are bilateral pulmonary nodules whose appearances suggest metastatic disease to lungs. In the right lung, there is a 1.9 x 2.1 cm nodule overlying the posterior right 6th rib. There is a 1.0 x 1.2 cm nodule XXXX above this in the interspace between the posterior 5th and 6th ribs on the right. There is a 1.0 x 1.1 cm nodule projecting through the left 9th and 10th interspaces on the PA view. If not already performed, contrast-enhanced XXXX would be XXXX suited to evaluate these findings. There are no focal airspace opacities to suggest pneumonia. To the stomach contours appear grossly clear. Heart size and pulmonary XXXX appear normal. There are left-sided axillary clips. There is a right internal jugular central catheter, the distal tip in right atrium.

lungs_pleura: There are bilateral pulmonary nodules whose appearances suggest metastatic disease to lungs. In the right lung, there is a 1.9 x 2.1 cm nodule overlying the posterior right 6th rib. There is a 1.0 x 1.2 cm nodule above this in the interspace between the posterior 5th and 6th ribs on the right. There is a 1.0 x 1.1 cm nodule projecting through the left 9th and 10th interspaces on the PA view. support_devices: There are left-sided axillary clips. There is a right internal jugular central catheter, the distal tip in right atrium.


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


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


Sternotomy sutures and bypass grafts have been placed in the interval. Both lungs remain clear and expanded with no infiltrates. Pulmonary XXXX are normal.

support_devices: Sternotomy sutures and bypass grafts have been placed.


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

heart_mediastinum: Calcified mediastinal XXXX. bones: Degenerative changes thoracic spine.


Cardiomediastinal silhouette demonstrates normal heart size with tortuosity and atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality identified. Multilevel degenerative disc disease of the thoracic spine noted.

heart_mediastinum: Tortuosity and atherosclerosis of the thoracic aorta. bones: Multilevel degenerative disc disease of the thoracic spine noted.


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


There is XXXX increased opacity within the right upper lobe with possible mass and associated area of atelectasis or focal consolidation. The cardiac silhouette is within normal limits. XXXX opacity in the left midlung overlying the posterior left 5th rib may represent focal airspace disease. No pleural effusion or pneumothorax. No acute bone abnormality.

lungs_pleura: There is increased opacity within the right upper lobe. Associated area of atelectasis or focal consolidation.


Interstitial markings are diffusely prominent throughout both lungs. Heart size is normal. Pulmonary XXXX normal.

lungs_pleura: Interstitial markings are diffusely prominent throughout both lungs.


Heart size and pulmonary vascularity appear within normal limits. Retrocardiac soft tissue density is present. There appears to be air within this which could suggest that this represents a hiatal hernia. Vascular calcification is noted. Calcified granuloma is seen. There has been interval development of bandlike opacity in the left lung base. This may represent atelectasis. No pneumothorax or pleural effusion is seen. Osteopenia is present in the spine.

lungs_pleura: Bandlike opacity in the left lung base. heart_mediastinum: Vascular calcification is noted. Calcified granuloma is seen. bones: Osteopenia is present in the spine. others: Retrocardiac soft tissue density is present.

Density;Calcinosis;Calcified Granuloma;Opacity;Bone Diseases, Metabolic


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. The aorta is tortuous and ectatic. There are degenerative changes of the acromioclavicular joints. There degenerative changes of the spine. There is an IVC XXXX identified.

heart_mediastinum: The aorta is tortuous and ectatic. bones: There are degenerative changes of the acromioclavicular joints. There degenerative changes of the spine. support_devices: There is an IVC XXXX identified.


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


The lungs appear clear. There are no focal airspace opacities to suggest pneumonia. The pleural spaces are clear. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. There is no pneumothorax.


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

bones: Mild degenerative changes of the thoracic spine.


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


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


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


Lung volumes are low. Bibasilar consolidation and bilateral costophrenic XXXX blunting are present. Heart size normal. Pulmonary XXXX normal. Shunt tubing traverses the entire image from top to XXXX.

lungs_pleura: Lung volumes are low. Bibasilar consolidation. Bilateral costophrenic blunting. support_devices: Shunt tubing traverses the entire image from top to bottom.

Lung;Consolidation;Costophrenic Angle;Surgical Instruments;Airspace Disease;Pleural Effusion


Stable mild cardiomegaly. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures intact. Right humeral head bone anchor.

heart_mediastinum: Mild cardiomegaly. support_devices: Right humeral head bone anchor.


Streaky and patchy bibasilar opacities, triangular density projected over the heart on the lateral view. No definite pleural effusion seen, no typical findings of pulmonary edema. Considering differences in technical factors XXXX stable cardiomediastinal silhouette with normal heart size.

lungs_pleura: Streaky and patchy bibasilar opacities. Triangular density projected over the heart on the lateral view.

Opacity;Technical Quality of Image Unsatisfactory


Both lungs are clear and expanded with no infiltrates. Basilar focal atelectasis is present in the lingula. Heart size normal. Calcified right hilar XXXX are present

lungs_pleura: Basilar focal atelectasis is present in the lingula. heart_mediastinum: Calcified right hilar XXXX are present.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There are small calcified granulomata in the right lateral lung.

lungs_pleura: Small calcified granulomata in the right lateral lung.


The heart size and mediastinal contours appear within normal limits. There is blunting of the right lateral costophrenic sulcus which could be secondary to a small effusion versus scarring. No focal airspace consolidation or pneumothorax. No acute bony abnormalities.


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


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

lungs_pleura: Small calcified right upper lobe nodule.


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


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.


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

lungs_pleura: Calcified granuloma, right base.


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


This examination is somewhat limited secondary to obscuration of the bilateral posterior costophrenic sulci on the lateral view. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. The thoracic spine appears intact.

Costophrenic Angle;Technical Quality of Image Unsatisfactory


Cardiac and mediastinal contours are within normal limits. The lungs are clear. Acromioclavicular arthritis is present, XXXX severe.

bones: Acromioclavicular arthritis is 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. Mild degenerative changes of the spine.

bones: Mild degenerative changes of the spine.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There are calcifications projecting of the left midlung, unchanged from prior, this is is XXXX sequela of prior granulomatous disease. There are small T-spine osteophytes.

lungs_pleura: Calcifications projecting of the left midlung, this is sequela of prior granulomatous disease. bones: There are small T-spine osteophytes.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.

lungs_pleura: Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis. bones: Degenerative changes of the spine.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Right middle lobe calcified granuloma is unchanged. Heart and mediastinum unchanged. No change hiatus hernia.

lungs_pleura: Right middle lobe calcified granuloma. others: Hiatus hernia.


Right XXXX-A-XXXX is in XXXX. The heart size and pulmonary vascularity appear within normal limits. Some prominent perihilar opacities are present. Some vague small nodular opacities are present in the right upper lung zone. These are slightly more prominent than on the previous study. No pleural effusion or pneumothorax is seen.

lungs_pleura: Some prominent perihilar opacities are present. Some vague small nodular opacities are present in the right upper lung zone. support_devices: Right XXXX-A-XXXX is in XXXX.


The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. Mild degeneration of the thoracic spine without acute bony abnormality.

bones: Mild degeneration of the thoracic spine.


The heart is normal size. The mediastinum is unremarkable. A tortuous, calcified thoracic aorta is present. The lungs are hyperexpanded, consistent with emphysema. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.

lungs_pleura: The lungs are hyperexpanded, consistent with emphysema. heart_mediastinum: A tortuous, calcified thoracic aorta is present.


No pneumothorax or pleural effusion. Normal cardiac contour. Clear lungs bilaterally.


Lucency crosses the 10th left posterior rib. Visualized portions of the thoracic spine are unremarkable. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.

bones: Lucency crosses the 10th left posterior rib.


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.


Normal cardiomediastinal silhouette. Interval improvement in lung volumes bilaterally. Improved aeration of the right and left lung bases. Bilateral small pleural effusions and left base atelectatic change, with interval improvement. Visualized XXXX of the chest XXXX are within normal limits.

lungs_pleura: Bilateral small pleural effusions. Left base atelectatic change.


The heart size and pulmonary vascularity appear within normal limits. There has been clearing of left base airspace opacities. The lungs now appear clear. No pneumothorax or pleural effusion is seen. The lungs appear hyperexpanded consistent with emphysema.

lungs_pleura: The lungs appear hyperexpanded consistent with emphysema.


Heart size within normal limits, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Chronic appearing contour deformity of the right posterolateral 7th rib again noted suggestive of old injury.

bones: Chronic appearing contour deformity of the right posterolateral 7th rib suggestive of old injury.


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


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Mild bilateral acromioclavicular joint and thoracic spine degenerative changes are noted.

bones: Mild bilateral acromioclavicular joint and thoracic spine degenerative changes are noted.


Technically limited study secondary to patient XXXX. Decreased lung volumes with associated bronchopulmonary crowding without evidence of focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.

lungs_pleura: Decreased lung volumes with associated bronchopulmonary crowding.

Technical Quality of Image Unsatisfactory ;Lung;Markings;Mediastinum


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


The trachea is midline. Cardio mediastinal silhouette is normal in contour with overlying sternotomy XXXX. The lungs are clear without acute infiltrate, effusion or pneumothorax. The visualized bony structures reveal no fractures or dislocations.


There are postoperative changes of sternotomy and CABG. There is stable mild cardiomegaly. There are scattered XXXX of subsegmental atelectasis, decreased from the prior chest radiograph. No focal airspace consolidation. No pleural effusion or pneumothorax. There are minimal degenerative changes of the spine.

lungs_pleura: There are scattered areas of subsegmental atelectasis. heart_mediastinum: Mild cardiomegaly. bones: There are minimal degenerative changes of the spine. support_devices: There are postoperative changes of sternotomy and CABG.


Heart size is normal. Stable mediastinal contour. No focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. Mild thoracic spine degenerative change.

bones: Mild thoracic spine degenerative change.


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


Normal heart size. Stable tortuous aorta. No pneumothorax or pleural effusion. No suspicious focal air space opacities. Levoscoliosis of the thoracolumbar spine. Hyperinflated lungs with flattened diaphragms are consistent with emphysematous lung changes. Prior granulomatous disease.

lungs_pleura: Hyperinflated lungs with flattened diaphragms are consistent with emphysematous lung changes. Granulomatous disease. heart_mediastinum: Tortuous aorta. bones: Levoscoliosis of the thoracolumbar spine.


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


Heart size and pulmonary vascularity appear within normal limits. Innumerable bilateral lung nodules are present. These are seen diffusely throughout both lungs. No superimposed focal airspace disease is seen. No pleural effusion or pneumothorax is identified. Scoliosis is present.

lungs_pleura: Innumerable bilateral lung nodules are present. These are seen diffusely throughout both lungs. bones: Scoliosis is present.


Stable cardiomediastinal silhouette with tortuous aorta. Prior granulomatous disease. No pneumothorax or pleural effusion. Stable retrocardiac airspace opacity.

lungs_pleura: Prior granulomatous disease. Retrocardiac airspace opacity. heart_mediastinum: Cardiomediastinal silhouette with tortuous aorta.


The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Mild dextrocurvature the spine.

bones: Thoracic spondylosis. Mild dextrocurvature the spine.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is slight wedge XXXX deformity of the mid to lower thoracic vertebral body unchanged from the comparison study.

bones: There is slight wedge XXXX deformity of the mid to lower thoracic vertebral body.


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. No displaced rib fracture visualized.


There is minimal XXXX opacity in the left lung base, XXXX representing atelectasis. The lungs are otherwise clear. Heart size is normal. No pneumothorax.

lungs_pleura: There is minimal XXXX opacity in the left lung base, XXXX representing atelectasis.


There is stable elevation of the right hemidiaphragm with questionable increased right basilar airspace opacities. The left lung is clear. Heart size normal. XXXX unremarkable.

lungs_pleura: Elevation of the right hemidiaphragm.


There has been interval CABG. Sternotomy and XXXX cerclage XXXX appear intact. No focal air space opacity. No pleural effusion or pneumothorax. Stable, mild degenerative disc disease of the thoracic spine. Visualized bony structures are otherwise unremarkable in appearance. Atherosclerotic calcifications of the thoracic aorta.

heart_mediastinum: Atherosclerotic calcifications of the thoracic aorta. bones: Mild degenerative disc disease of the thoracic spine. support_devices:  Sternotomy and cerclage appear intact.


Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. No suspicious pulmonary nodules or masses. Bony thorax and soft tissues grossly unremarkable.


Heart size within normal limits. There is mild hyperexpansion with flattening diaphragms and bronchovascular crowding in the lung bases compatible with emphysema. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.

lungs_pleura: Mild hyperexpansion with flattening diaphragms and bronchovascular crowding in the lung bases compatible with emphysema.


There is abnormal separation of the right XXXX XXXX. This is age-indeterminate. Corticated bony density over the lateral aspect of the clavicle may reflect sequela of old remote XXXX. The cardia mediastinal silhouette, pulmonary vascular pattern are normal. No pneumothorax. No pleural effusion. No pulmonary edema . There is minimal endplate degenerative changes of the midthoracic spine. Partial obscuration retrosternal space due to overlying XXXX.

heart_mediastinum: Partial obscuration retrosternal space due to overlying XXXX. bones: There is abnormal separation of the right XXXX XXXX. This is age-indeterminate. Corticated bony density over the lateral aspect of the clavicle may reflect sequela of remote XXXX. There is minimal endplate degenerative changes of the midthoracic spine.


The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. The patient is mildly rotated. No focal consolidations, pneumothorax or pleural effusions. Mild degenerative changes of the thoracic spine. No acute displaced fractures.

bones: Mild degenerative changes of the thoracic spine.

Technical Quality of Image Unsatisfactory ;Thoracic Vertebrae


The heart and mediastinal contours are stable. Aorta is calcified and tortuous, compatible with atherosclerotic disease. Since the prior study, there's been interval development of left lower lobe airspace disease. The right lung is clear.

lungs_pleura: Left lower lobe airspace disease. heart_mediastinum: Aorta is calcified and tortuous, compatible with atherosclerotic disease.


The lungs are hyperexpanded, with flattened diaphragms. The cardiomediastinal silhouette is normal in size and stable from prior exam. There is mild tortuosity of the thoracic aorta. There is no pneumothorax or large pleural effusion. There are degenerative changes of the thoracic spine.

lungs_pleura: The lungs are hyperexpanded, with flattened diaphragms. heart_mediastinum: There is mild tortuosity of the thoracic aorta. bones: There are degenerative changes of the thoracic spine.

Lung;Diaphragm;Aorta, Thoracic;Thoracic Vertebrae;Pulmonary Emphysema


The cardiomediastinal silhouette is stable. Lung volumes remain low. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.


Lungs are hyperinflated with interstitial changes of severe emphysema. There is an ill-defined pleural parenchymal opacity in the left upper lobe. This may represent scarring but is incompletely evaluated on the outside study, without coronal and sagittal reformats. There is mild XXXX scarring and/or atelectasis in the lung bases. Lungs otherwise grossly clear. There is no pneumothorax or pleural effusion. Heart size is normal. There are mild degenerative endplate changes in the thoracic spine. There is generalized osteopenia.

lungs_pleura: Lungs are hyperinflated with interstitial changes of severe emphysema. There is an ill-defined pleural parenchymal opacity in the left upper lobe. There is mild scarring and/or atelectasis in the lung bases. bones: There are mild degenerative endplate changes in the thoracic spine. There is generalized osteopenia.

Lung;Pulmonary Emphysema;Opacity;Cicatrix;Pulmonary Atelectasis;Thoracic Vertebrae;Bone Diseases, Metabolic


There is opacity at posterior aspect of lower chest seen on lateral view which probably represents left lower lobe consolidation. There may also be small bilateral pleural effusion. Upper limits of normal heart size. Mild central vascular prominence. Old fracture deformities of multiple right ribs.

lungs_pleura: Opacity at posterior aspect of lower chest seen on lateral view which probably represents left lower lobe consolidation. Small bilateral pleural effusion. heart_mediastinum: Mild central vascular prominence. bones: Fracture deformities of multiple right ribs.


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


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


There are low lung volumes. The heart size and upper mediastinum have a normal appearance. There is no pulmonary vascular congestion. There is minimal right basilar atelectasis. There is no large effusion or pneumothorax. The osseous structures appear intact.

lungs_pleura: There are low lung volumes. There is minimal right basilar atelectasis.


The lungs are hyperexpanded. Heart size normal. No mass or focal opacities seen. Stable degenerative changes of the thoracic spine.

lungs_pleura: The lungs are hyperexpanded. bones: Degenerative changes of the thoracic spine.


Stable cardiomegaly. Stable tortuosity of the aorta. No focal airspace opacities, pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.

heart_mediastinum:  Tortuosity of the aorta. bones: Mild degenerative changes of the thoracic spine.


Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. No pleural effusion. There are gastroesophageal junction and epigastric postsurgical changes.

others: There are gastroesophageal junction and epigastric postsurgical changes.


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


The lungs demonstrate low lung volumes but are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild streaky opacities in the left upper lobe on frontal projection are XXXX atelectatic or scar. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.

lungs_pleura: Mild streaky opacities in the left upper lobe on frontal projection are atelectatic or scar.


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 is corticated irregularity of the right posterior 5th rib, XXXX secondary to old rib fracture. There are no gross acute bony findings.

bones: There is corticated irregularity of the right posterior 5th rib secondary to rib fracture.


There is a calcified granuloma in the left upper lobe. Lungs otherwise are believed to be clear. The heart is normal. There are calcified left hilar and mediastinal lymph XXXX. The skeletal structures show some senescent changes.

lungs_pleura: There is a calcified granuloma in the left upper lobe. heart_mediastinum: There are calcified left hilar and mediastinal lymph nodes. bones: The skeletal structures show some senescent changes.


Heart is within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild streaky opacity lateral right lung, atelectasis versus scarring.

lungs_pleura: Mild streaky opacity lateral right lung, atelectasis versus scarring.


The heart size and pulmonary vascularity appear within normal limits. The descending thoracic aorta is tortuous. Central venous catheter is again noted. The lungs are free of focal airspace disease. The left hemidiaphragm remains elevated. No pneumothorax or pleural effusion is seen.

lungs_pleura: The left hemidiaphragm is elevated. heart_mediastinum: The descending thoracic aorta is tortuous. support_devices: Central venous catheter is in place.


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.


No acute osseous abnormality. The soft tissues are within normal limits. Normal appearing cardiomediastinal silhouette and hilar contours. Left lower lobe XXXX density XXXX representing atelectasis. No focal area of consolidation, pleural effusion, pneumothorax.

lungs_pleura: Left lower lobe density representing atelectasis.


The lungs appear clear. The heart and pulmonary XXXX appear normal. There is severe kyphotic deformity of the chest involving prior fractures of thoracic vertebral bodies and the sternum. There are multiple XXXX fractures identified involving upper thoracic vertebral bodies and a single upper lumbar vertebral body. The patient is status post vertebroplasty at multiple levels. The pleural spaces appear clear. There is right-sided chest XXXX, the distal tip in the upper right atrium. Mediastinal contours appear normal.

bones: There is severe kyphotic deformity of the chest involving fractures of thoracic vertebral bodies and the sternum. There are multiple fractures identified involving upper thoracic vertebral bodies and a single upper lumbar vertebral body. The patient is status post vertebroplasty at multiple levels. support_devices: There is right-sided chest line, the distal tip in the upper right atrium.

Kyphosis;Fractures, Bone;Fractures, Bone;Fractures, Bone;Catheters, Indwelling


The heart size is within normal limits. No focal air space opacities. No pneumothorax. No pleural effusion. No displaced rib fractures.


Heart size and mediastinal contours are within normal limits. Diffuse bilateral calcified sequelae of prior granulomatous infection. No pulmonary vascular congestion. No XXXX edema. No focal consolidation. There is no visible pleural effusion or pneumothorax. There is mild anterior wedging of a lower thoracic vertebral body, approximately T11 level.

lungs_pleura: Diffuse bilateral calcified sequelae of prior granulomatous infection. bones: There is mild anterior wedging of a lower thoracic vertebral body, approximately T11 level.


The lungs are hyperinflated with coarse interstitial markings compatible with obstructive pulmonary disease and emphysema. There is chronic pleural-parenchymal scarring within the lung bases. No lobar consolidation is seen. No pleural effusion or pneumothorax. Heart size is normal.

lungs_pleura: The lungs are hyperinflated with coarse interstitial markings compatible with obstructive pulmonary disease and emphysema. Chronic pleural-parenchymal scarring within the lung bases.

Lung;Markings;Emphysema;Pulmonary Disease, Chronic Obstructive;Cicatrix


There are changes of XXXX sternotomy and CABG. Heart size is within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.

support_devices: There are changes of sternotomy and CABG.


Heart is large. Pulmonary XXXX are engorged. Bibasilar interstitial infiltrates and bilateral costophrenic XXXX blunting are present.

lungs_pleura: Pulmonary XXXX are engorged. Bibasilar interstitial infiltrates and bilateral costophrenic XXXX blunting are present. heart_mediastinum: Heart is large.

Cardiomegaly;Infiltrate;Costophrenic Angle;Heart Failure;Pulmonary Edema;Pleural Effusion;Pulmonary Congestion


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 degenerative changes of the spine.

bones: There are degenerative changes of the spine.


There is stable cardiomegaly with XXXX pulmonary vascular congestion and probable mild interstitial edema. There are bilateral pleural effusions with bibasilar airspace disease, right greater than left. There is no pneumothorax. There are no acute bony findings.

lungs_pleura: Pulmonary vascular congestion and probable mild interstitial edema. Bilateral pleural effusions with bibasilar airspace disease, right greater than left. heart_mediastinum:

Cardiomegaly;Pulmonary Congestion;Pulmonary Edema;Pleural Effusion;Airspace Disease


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

lungs_pleura: Calcified granuloma in the infrahilar right lung. bones: There are mild degenerative changes along the thoracic spine.


Mild cardiomegaly. Mediastinal normal width. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. XXXX scarring or atelectasis right midlung.

lungs_pleura: Scarring or atelectasis right midlung. heart_mediastinum: Mild cardiomegaly.


The lungs are clear and hyperinflated. Heart size is normal. No pneumothorax.


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.


Cardiomediastinal contours within normal limits. Pulmonary vascularity is normal. There are scattered calcified testes bilaterally, consistent with prior granulomatous infection, stable. No XXXX focal airspace consolidation. No pleural effusion, no pneumothorax. Bony structures unremarkable.

lungs_pleura: There are scattered calcified testes bilaterally, consistent with prior granulomatous infection.


Lordotic projection and large body habitus. Limited mediastinal evaluation. Severe cardiomegaly. No visualized pneumothorax. No large effusion or airspace disease. No fracture.

Technical Quality of Image Unsatisfactory ;Cardiomegaly


There is widening of the mediastinum. There is moderate cardiomegaly identified. The central pulmonary XXXX appear enlarged. Correlate for pulmonary vascular congestion. No focal infiltrate. No large effusion or pneumothorax.

heart_mediastinum: There is widening of the mediastinum. There is moderate cardiomegaly identified. The central pulmonary XXXX appear enlarged. Correlate for pulmonary vascular congestion.