Normal heart size. Aortic atherosclerotic calcifications. Right IJ central venous catheter tip in region of mid SVC. There are 2 AICD leads, one tip in expected region of right atrium and one tip in expected region of right ventricle. 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_mediastinum: Aortic atherosclerotic calcifications. support_devices: Right IJ central venous catheter tip in region of mid SVC. There are 2 AICD leads, one tip in expected region of right atrium and one tip in expected region of right ventricle.

Atherosclerosis;Catheters, Indwelling;Implanted Medical Device


The heart and mediastinal silhouettes are within normal limits. The lungs are clear without focal airspace opacity, large effusion, or pneumothorax. The XXXX are grossly intact. Degenerative T-spine osteophytes.

bones: Degenerative T-spine osteophytes.


Large left lower lobe opacity is present. There does not appear to be significant mediastinal shift. There is no pneumothorax. The cardiac silhouette is not definitively identified and not fully evaluated. The mediastinal contours are unremarkable.

lungs_pleura: Large left lower lobe opacity is present.

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


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Minimal streaky atelectasis the left lung base. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Thoracic spondylosis.

lungs_pleura: Minimal streaky atelectasis the left lung base. bones: Thoracic spondylosis.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. There is right greater than left biapical bullous emphysema. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX degenerative changes of the thoracic spine.

lungs_pleura: There is right greater than left biapical bullous emphysema. bones: There are degenerative changes of the thoracic spine.


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


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No change right anterior soft tissue surgical clips. Configuration of breast shadows on the PA view suggests prior right lumpectomy.

support_devices: Right anterior soft tissue surgical clips. others: Configuration of breast shadows on the PA view suggests prior right lumpectomy.


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.


Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. The visualized bony structures appear intact. There is a XXXX radiodensity overlying the right shoulder which is XXXX external to the patient however clinical correlation recommended. Scattered calcified granulomas.

lungs_pleura: Scattered calcified granulomas. others: There is a XXXX radiodensity overlying the right shoulder which is XXXX external to the patient.


The XXXX examination consists of frontal and lateral radiographs of the chest. there are diminished lung volumes with XXXX XXXX hypoventilatory changes. The cardiac silhouette is not enlarged. There is mild tortuosity of the thoracic aorta. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Surgical clips are seen in the upper abdomen. No acute osseous abnormalities demonstrated.

lungs_pleura: There are diminished lung volumes with hypoventilatory changes. heart_mediastinum: There is mild tortuosity of the thoracic aorta. support_devices: Surgical clips are seen in the upper abdomen.


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


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


Status post midline sternotomy with intact XXXX XXXX. Stable mild cardiomegaly. Normal lung vascularity. The lungs are clear.

heart_mediastinum: Mild cardiomegaly. support_devices: Status post midline sternotomy with intact XXXX XXXX.


Normal heart size. Mild unfolding of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.

heart_mediastinum: Mild unfolding of the thoracic aorta.


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


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is bilateral hyperinflation, without focal consolidation, pneumothorax, or pleural effusion. Visualized osseous structures appear intact.


Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Heart size is normal. Stable right paratracheal prominence, consistent with known calcified lymph node, seen on prior CT chest dated XXXX. XXXX are unremarkable.

heart_mediastinum: Right paratracheal prominence, consistent with known calcified lymph node.


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


Heart size is enlarged, pulmonary vascularity within normal limits. No visible pneumothorax . XXXX right pleural effusion blunting posterior costophrenic XXXX. There is a XXXX XXXX of subsegmental atelectasis of the left lung base. There is XXXX alveolar airspace disease in the medial right lung base. Multilevel degenerative disease of the visualized portions of the thoracolumbar spine.

lungs_pleura: Right pleural effusion blunting posterior costophrenic. There is a subsegmental atelectasis of the left lung base. There is alveolar airspace disease in the medial right lung base. heart_mediastinum: Heart size is enlarged. bones: Multilevel degenerative disease of the visualized portions of the thoracolumbar spine.

Cardiomegaly;Airspace Disease;Pulmonary Atelectasis;Pleural Effusion;Costophrenic Angle;Thoracic Vertebrae;Lumbar Vertebrae


Normal heart size. The lungs are clear without pneumothorax or large pleural effusion. The trachea is midline and XXXX.


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

lungs_pleura: The lungs are hyperexpanded.


Lung volumes are mildly decreased. The cardiac silhouette and pulmonary vascularity are normal. There is bilateral lower lobe XXXX airspace opacities compatible with discoid atelectasis. There is no evidence of pleural effusion or pneumothorax.

lungs_pleura: Lung volumes are mildly decreased. Bilateral lower lobe airspace opacities compatible with discoid atelectasis.


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.


Heart size and mediastinal contour within normal limits. Multiple calcified granulomas in the bilateral XXXX and lung parenchyma. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.

lungs_pleura: Multiple calcified granulomas in the bilateral lung parenchyma.


Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. XXXX XXXX opacities XXXX reflecting atelectasis versus bronchovascular crowding.

lungs_pleura: Opacities reflecting atelectasis versus bronchovascular crowding.


XXXX opacities in the lung bases are slightly worse XXXX compared to prior study. Lung volumes are low. Heart size and pulmonary XXXX are normal. There no focal airspace opacities to suggest pneumonia. The patient is status post XXXX sternotomy. There calcifications of the thoracic aorta.

lungs_pleura: Opacities in the lung bases. Lung volumes are low. heart_mediastinum: Calcifications of the thoracic aorta. support_devices: The patient is status post sternotomy.


Unchanged cardiomegaly. There is continued interstitial prominence bilaterally. Unchanged vascular appearance. There is patchy retrocardiac opacity. Negative for pneumothorax.

lungs_pleura: Interstitial prominence bilaterally. Patchy retrocardiac opacity. heart_mediastinum:


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

bones: Degenerative changes in the thoracic spine.


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


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


Normal heart size. Prominent contour of the ascending aorta, consistent with ectasia. Normal mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Minimal degenerative changes of the thoracic spine.

heart_mediastinum: Prominent contour of the ascending aorta, consistent with ectasia. bones: Minimal degenerative changes of the thoracic spine.


Heart size near top normal limits for technique. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense left lower lobe nodule suggests a previous granulomatous process.

lungs_pleura: Dense left lower lobe nodule suggests a previous granulomatous process. heart_mediastinum: Heart size near top normal limits for technique.

Nodule;Density;Technical Quality of Image Unsatisfactory


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


The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. Degenerative disease of multiple midthoracic vertebral bodies.

bones: Degenerative disease of multiple midthoracic vertebral bodies.


The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not enlarged. Some atherosclerotic changes of the aorta are seen. The skeletal structures are normal.

heart_mediastinum: Some atherosclerotic changes of the aorta are seen. support_devices: There has been a XXXX XXXX sternotomy.


Left PICC line and NG tube remain in XXXX. Heart size and vascularity appear within normal limits. The lungs are free of focal airspace disease. Small bilateral pleural effusions are present. No pneumothorax is noted.

lungs_pleura: Small bilateral pleural effusions are present. support_devices: Left PICC line and NG tube in.

Catheters, Indwelling;Tube, Inserted;Pleural Effusion


Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild levocurvature of thoracic spine. A 9 mm pulmonary nodule is noted partially overlying the posterior 6th right rib on the frontal view.

lungs_pleura: A 9 mm pulmonary nodule is noted partially overlying the posterior 6th right rib on the frontal view. bones: Mild levocurvature of thoracic spine.


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


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


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

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


The heart is top normal in size. The mediastinum is stable. Surgical clips again seen overlying the superior mediastinum.There is an retrocardiac density compatible hiatal hernia. The lungs are mildly hypoinflated. No acute infiltrate or pleural effusion are seen.

lungs_pleura: The lungs are mildly hypoinflated. support_devices: Surgical clips overlying the superior mediastinum. others: There is an retrocardiac density compatible hiatal hernia.


The cardiomediastinal silhouette is stable in appearance. There is redemonstration of complete opacification of the right middle lobe no significant associated volume loss. The left lung appears clear. No pneumothorax or pleural effusion demonstrated. The thoracic spine appears intact.

lungs_pleura: Complete opacification of the right middle lobe.


Normal heart size and mediastinal contours. Low lung volumes mild bibasilar atelectasis. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance. The lateral views are limited by patient positioning and motion. Large cervical spine osteophytes.

lungs_pleura: Low lung volumes mild bibasilar atelectasis. bones: Large cervical spine osteophytes.

Lung;Pulmonary Atelectasis;Technical Quality of Image Unsatisfactory ;Osteophyte


XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Pacemaker leads are within the right atrium and ventricle. Lungs demonstrate there is right lower lobe airspace disease and small effusion suspicious for pneumonia. Left lung is clear. There is no pneumothorax.

lungs_pleura: Right lower lobe airspace disease. Small effusion suspicious for pneumonia. support_devices: Pacemaker leads are within the right atrium and ventricle.

Implanted Medical Device;Airspace Disease;Pleural Effusion;Pneumonia


The heart size is normal with stable appearance of the cardiomediastinal silhouette. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. There are stable calcified right peritracheal lymph XXXX. The osseous structures are intact.

heart_mediastinum: Calcified right peritracheal lymph nodes.


Normal heart size and mediastinal contours. Low lung volumes. No focal airspace consolidation. No pneumothorax or pleural effusion.


Normal heart size mediastinal contours. Subsegmental atelectasis versus scarring in the right midlung and left lower lobe. No focal airspace disease. No pleural effusion or pneumothorax. Low lung volumes. Visualized bony structures are unremarkable in appearance.

lungs_pleura: Subsegmental atelectasis versus scarring in the right midlung and left lower lobe. Low lung volumes.


Heart size and pulmonary vascularity normal. The stomach contour normal. There is right hemidiaphragm elevation. Lungs are clear. Degenerative changes in the thoracic spine.

lungs_pleura: Right hemidiaphragm elevation. bones: Degenerative changes in the thoracic spine.


The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is mildly tortuous and calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild degenerative changes of the thoracic spine. Mild levoscoliosis of the thoracolumbar spine.

heart_mediastinum: The thoracic aorta is mildly tortuous and calcified. bones: Mild degenerative changes of the thoracic spine. Mild levoscoliosis of the thoracolumbar spine.


The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Suspected XXXX artifact over the bilateral neck soft tissues and supraclavicular fossae. Normal XXXX.


Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Central left midlung granuloma with calcified left hilar adenopathy. Bony structures appear intact.

lungs_pleura: Central left midlung granuloma with calcified left hilar adenopathy.


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


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


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


Interval resolution of the left pleural effusion. Lungs are grossly clear. Postsurgical changes from CABG are noted. No pneumothorax or pleural effusion. No acute bony abnormalities are visualized.

support_devices: Postsurgical changes from CABG are noted.


The cardiomediastinal silhouette is normal in size and contour. No 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. Pectus carinatum is noted. Calcified lymph XXXX and granuloma are noted. No pleural effusion or pneumothorax is seen. Mild XXXX deformity is noted in the lower thoracic spine.

lungs_pleura: Calcified lymph nodes and granuloma are noted. bones: Pectus carinatum is noted. Mild deformity is noted in the lower thoracic spine.

Pectus Carinatum;Calcinosis;Calcified Granuloma;Deformity;Granulomatous Disease


Heart size is normal. The lungs are clear. There is no pneumothorax or large pleural effusion.


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

bones: There are mild degenerative changes of the spine.


The heart is mildly enlarged. The mediastinal contours are stable. The lungs are clear.

heart_mediastinum: The heart is mildly enlarged. The mediastinal contours.


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


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


Cardiomediastinal contour and pulmonary vascularity stable and within normal limits. Lung volumes are slightly low. There are streaky left basal opacities. No pleural effusion or pneumothorax. No acute osseous findings. No free air is demonstrated.

lungs_pleura: Lung volumes are slightly low. Streaky left basal opacities.


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


The heart and mediastinal contours are unchanged. There is a moderate hiatal hernia. The lungs are clear without focal infiltrate. No effusion or pneumothorax.

others: There is a moderate hiatal hernia.


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


The cardiomediastinal silhouette is normal. No focal airspace consolidation. No pneumothorax or pleural effusion.


Stable cardiomegaly and mediastinal contour. Increased interstitial lung markings are seen, possibly due to volume overload. There is improved aeration of the lung bases with small residual left basilar effusion. No XXXX focal consolidation or pneumothorax. Stable tunneled dialysis catheter. Visualized osseous structures appear intact.

lungs_pleura: Increased interstitial lung markings are seen, possibly due to volume overload. Aeration of the lung bases with small residual left basilar effusion. heart_mediastinum: Cardiomegaly and mediastinal contour. support_devices: Tunneled dialysis catheter.


Left XXXX XXXX noted with tip approximating the high SVC, stable. No pleural effusions. No pneumothorax. Heart size is normal limits. Degenerative changes thoracic spine.

bones: Degenerative changes thoracic spine. support_devices: Left XXXX XXXX noted with tip approximating the high SVC.


Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. XXXX convexity also present on the previous exam.


There are intact midline sternotomy XXXX and postsurgical changes of prior CABG. The aorta is unfolded. The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are mild degenerative changes in the thoracic spine.

heart_mediastinum: The aorta is unfolded. bones: There are mild degenerative changes in the thoracic spine. support_devices: There are intact midline sternotomy wires and postsurgical changes of prior CABG.


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Large hiatal hernia is present. Osteopenia and degenerative changes are present in the spine. Vascular calcification is noted. Degenerative changes are present in the right shoulder.

heart_mediastinum: Vascular calcification is noted. bones: Osteopenia and degenerative changes are present in the spine. Degenerative changes are present in the right shoulder. others: Large hiatal hernia is present.

Hernia, Hiatal;Bone Diseases, Metabolic;Spine;Calcinosis;Shoulder


Normal cardiomediastinal silhouette and hilar contours. Calcified bilateral lung and perihilar granulomas. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax.. XXXX XXXX are intact without acute osseous abnormality.

lungs_pleura: Calcified bilateral lung and perihilar granulomas.


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


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


Heart size and pulmonary vascularity appear within normal limits. The patient is status post CABG. A few XXXX opacities are present in the left base, the appearance which XXXX scarring or atelectasis. No pneumothorax or pleural effusion is seen. Degenerative changes are present in the spine.

lungs_pleura: A few opacities are present in the left base, the appearance which scarring or atelectasis. bones: Degenerative changes are present in the spine. support_devices: The patient is status post CABG.


Chest: The heart is enlarged. There may be a pericardial effusion. No definite pulmonary edema is seen. Lungs appear clear. There is no pleural effusion. The skeletal structures and soft tissues are unremarkable. KUB XXXX: XXXX single view of the abdomen was obtained. The bowel XXXX pattern is nonspecific. There is no evidence for obstruction or free intraperitoneal air. No large soft tissue masses or organomegaly are identified. The skeletal structures appear normal.

heart_mediastinum: The heart is enlarged. others: The bowel pattern is nonspecific.


There is borderline cardiomegaly. Mediastinum and pulmonary vasculature are unremarkable. Lungs are clear. No pleural fluid or pneumothorax is appreciated.

heart_mediastinum: There is borderline cardiomegaly.


Stable appearance of the cardiomediastinal silhouette. The aorta is calcified and tortuous. There is dextroscoliosis of the thoracolumbar spine. Multiple thoracic XXXX deformities appear unchanged. There is no displaced rib fracture identified. There is no pneumothorax or large pleural effusion. Stable changes of chronic lung disease with flattening of the left hemidiaphragm. There is mild right basilar airspace disease which may represent atelectasis versus infiltrate.

lungs_pleura: Changes of chronic lung disease with flattening of the left hemidiaphragm. Mild right basilar airspace disease which may represent atelectasis versus infiltrate. heart_mediastinum: Cardiomediastinal silhouette. The aorta is calcified and tortuous. bones: Dextroscoliosis of the thoracolumbar spine. Multiple thoracic deformities.


The heart is normal in size. The mediastinum is stable. Calcified right paratracheal lymph XXXX are seen. Aorta is atherosclerotic. The lungs are mildly hypoinflated without focal consolidation. There is no pleural effusion.

lungs_pleura: The lungs are mildly hypoinflated. heart_mediastinum: Calcified right paratracheal lymph nodes are seen. Aorta is atherosclerotic.


AP and lateral views were obtained. Bibasilar atelectasis and small left-sided pleural effusion. Stable cardiomegaly. No pneumothorax. Mild pulmonary vascular congestion.

lungs_pleura: Bibasilar atelectasis. Small left-sided pleural effusion. heart_mediastinum:  Mild pulmonary vascular congestion.

Pulmonary Atelectasis;Pleural Effusion;Cardiomegaly;Pulmonary Congestion


The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. There are emphysematous changes with increased interstitial markings, particularly in the periphery and lung bases. The lungs are clear of focal infiltrates. There is no pleural effusion.

lungs_pleura: There are emphysematous changes with increased interstitial markings, particularly in the periphery and lung bases. heart_mediastinum: The aorta is atherosclerotic.


The cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no pneumothorax. There is no large pleural effusion.


The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact.


Cardiac and mediastinal XXXX appear normal. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact.


The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is minimal XXXX atelectasis or scar in the left lung base. The lungs are otherwise grossly clear. There is a small calcified granuloma in the left upper lobe. There is no pneumothorax or pleural effusion. No acute, displaced rib fractures are demonstrated.

lungs_pleura: Minimal atelectasis or scar in the left lung base. Small calcified granuloma in the left upper lobe. heart_mediastinum: The cardiac silhouette is near upper limits of normal in size.


Lung volumes remain low. No infiltrates. Heart and pulmonary XXXX are normal.


Soft tissue and bony structures unremarkable. Heart size is upper limit of normal. Lung XXXX are clear. No effusion or pneumothorax. Calcified lymph XXXX stable from prior exam.

heart_mediastinum: Heart size is upper limit of normal. Calcified lymph XXXX.


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


The lungs appear clear. There are no suspicious pulmonary nodules or masses. The heart and pulmonary XXXX appear normal. Mediastinal contours appear normal. There's no pneumothorax.


No acute osseous abnormality. Scattered degenerative changes of the thoracic spine. Soft tissues are within normal limits. Normal heart size. Stable elevation right hemidiaphragm compared to exam on XXXX. Bilateral hilar lymph XXXX. No focal area of consolidation, pleural effusion, pneumothorax. Bibasilar atelectasis.

lungs_pleura: Elevation right hemidiaphragm. Bibasilar atelectasis. heart_mediastinum: Bilateral hilar lymph. bones: Scattered degenerative changes of the thoracic spine.


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. There are XXXX multilevel degenerative changes of the thoracic spine.

bones: Multilevel degenerative changes of the thoracic spine.


Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. There is aortic XXXX vascular calcification. And there is a hyper left lung calcified granuloma. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion. There are vascular and skeletal senescent changes.

lungs_pleura: There is a hyper left lung calcified granuloma. heart_mediastinum: Aortic vascular calcification. bones: There are vascular and skeletal senescent changes.


Normal heart size and mediastinal contours. Calcified aortic XXXX. XXXX opacities in the left lung base, XXXX atelectasis. The lateral view shows a XXXX left pleural effusion. No focal airspace consolidation. No pneumothorax. Stable bilateral apical pleural capping.

lungs_pleura: Opacities in the left lung base.  Left pleural effusion. Bilateral apical pleural capping. heart_mediastinum: Calcified aortic.


Degenerative changes of the thoracic spine. Heart size normal. Lungs are clear. No pneumothorax or pleural effusion. Low lung volumes.

lungs_pleura: Low lung volumes. bones: Degenerative changes of the thoracic spine.


Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.


Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. There are stable degenerative changes of the spine.

heart_mediastinum: Cardiomediastinal silhouette. bones: Degenerative changes of the spine.


Normal cardiomediastinal silhouettes. Mild hyperexpansion of the lungs. Stable appearance of scarring at lung bases. Prominent bilateral interstitial opacities are chronic in XXXX. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.

lungs_pleura: Mild hyperexpansion of the lungs. Scarring at lung bases. Prominent bilateral interstitial opacities are chronic.


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


Cardiomegaly. No pneumothorax or pleural effusion. Clear lung XXXX bilaterally.


The cardiac and mediastinal silhouette is normal There is no evidence of pneumomediastinum or pneumothorax. Clear lungs There are no large pleural effusions No evidence of displaced fractures.


Heart size within normal limits, stable mediastinal contours, mediastinal clips, left base pleural-parenchymal irregularity compatible with scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Chronic appearing left rib contour irregularities may be posttraumatic or postsurgical.

lungs_pleura: Left base pleural-parenchymal irregularity compatible with scarring. bones: Chronic appearing left rib contour irregularities may be posttraumatic or postsurgical. support_devices: Mediastinal clips.


No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine. Degenerative changes of the XXXX. Tortuous aorta.

heart_mediastinum: Tortuous aorta. bones: Mild degenerative changes of the thoracic spine. Degenerative changes of the XXXX.


Stable XXXX XXXX, including elongation of the left ventricle and tortuous thoracic aorta. Subcarinal calcified lymph XXXX. XXXX lung volumes. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.

lungs_pleura: Low lung volumes. heart_mediastinum: XXXX XXXX, including elongation of the left ventricle and tortuous thoracic aorta. Subcarinal calcified lymph XXXX.


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


Lungs are clear. Heart is normal size. Trachea is midline. No pneumothorax. No large pleural effusion.


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


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


The heart is not enlarged. The bilateral pulmonary arteries appear enlarged. The lungs are hyperexpanded the hemidiaphragms are flattened. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.

lungs_pleura: The lungs are hyperexpanded the hemidiaphragms are flattened. heart_mediastinum: The bilateral pulmonary arteries appear enlarged.


Blunting of the costophrenic XXXX XXXX represents scarring. No pleural effusion is identified on the lateral view. There is no focal consolidation. No pneumothorax is present. The cardiomediastinal silhouette is within normal limits are in the pulmonary vasculature is normal.

lungs_pleura: Blunting of the costophrenic angles represents scarring.


No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact. There are calcified right hilar granulomas. There is mild thoracic dextroscoliosis.

lungs_pleura: There are calcified right hilar granulomas. bones: There is mild thoracic dextroscoliosis.


The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes with XXXX XXXX atelectasis. The cardiac silhouette is unchanged. There is mild to moderate tortuosity of the thoracic aorta. No focal consolidation, pleural effusion, or pneumothorax identified. Thoracic spondylosis is again seen.

lungs_pleura: There are diminished lung volumes with bibasilar atelectasis. heart_mediastinum: There is mild to moderate tortuosity of the thoracic aorta. bones: Thoracic spondylosis.


There is a 6 mm nodular opacity in the right upper lobe. This appears XXXX from the prior study. The lungs otherwise appear clear. No pleural effusion or pneumothorax is seen. Heart size and mediastinal contour appear within normal limits.

lungs_pleura: There is a 6 mm nodular opacity in the right upper lobe.


Well circumscribed 11 mm right upper lobe nodule, unchanged appearance from previous examination 7 years ago. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal. Redemonstrated syndesmophyte.

lungs_pleura: Well circumscribed 11 mm right upper lobe nodule. bones:


Heart size borderline enlarged. Stable cardiomediastinal silhouette. No pneumothorax or large pleural effusion. No focal airspace disease. Low lung volumes. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Mild degenerative disease of the thoracic spine.

lungs_pleura: Low lung volumes. Nodular densities consistent with chronic granulomatous disease. heart_mediastinum: Heart size borderline enlarged. Cardiomediastinal silhouette. bones: Mild degenerative disease of the thoracic spine.


The heart size is normal. There is vascular congestion in bilateral hilar areas. The lungs are hyperexpanded with flattened diaphragms. No acute bony abnormalities. No effusion or infiltrate. No pneumothorax or pneumomediastinum.

lungs_pleura: The lungs are hyperexpanded with flattened diaphragms. heart_mediastinum: There is vascular congestion in bilateral hilar areas.


The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Biapical fibronodular pleural thickening/scarring. There is a XXXX like deformity of the anterior cortex of the XXXX body (lateral view). Negative for retrosternal density. Prior cholecystectomy. Critical result notification documented through Primordial.

lungs_pleura: Biapical fibronodular pleural thickening/scarring. bones: There is a XXXX like deformity of the anterior cortex of the XXXX body (lateral view). others: Prior cholecystectomy.


Patient is status post CABG. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma is noted.

lungs_pleura: Calcified granuloma is noted. support_devices: Patient is status post CABG.


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


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


Stable normal cardiomediastinal silhouette. Bilateral calcified hilar/perihilar lymph XXXX. Left lateral lung calcified granuloma. Lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. Stable degenerative changes of the thoracic spine. No acute osseous abnormality.

lungs_pleura: Left lateral lung calcified granuloma. heart_mediastinum: Bilateral calcified hilar/perihilar lymph nodes. bones: Degenerative changes of the thoracic spine.


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


There are no acute osseous abnormalities. Soft tissue structures are within normal limits. Normal heart size and hilar vascular markings. The lungs are clear without focal area of consolidation, pleural effusion, pneumothorax.


Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No upper lobe airspace disease or cavitary lesions identified.


XXXX onset right basal atelectasis with airspace disease and effusion suggestive of the chest infection. Stable cardiomegaly and features of CABG. Interval XXXX removal of left PICC line, no pneumothorax.

lungs_pleura: Right basal atelectasis with airspace disease and effusion suggestive of the chest infection. heart_mediastinum:  Features of CABG.

Pulmonary Atelectasis;Airspace Disease;Pleural Effusion;Cardiomegaly


Density in the left upper lung on PA XXXX XXXX represents superimposed bony and vascular structures. There is calcification of the first rib costicartilage junction which XXXX contributes to this appearance. The lungs otherwise appear clear. The heart and pulmonary XXXX appear normal. In the pleural spaces are clear. The mediastinal contour is normal. There are degenerative changes of thoracic spine. There is an electronic cardiac device overlying the left chest wall with intact distal leads in the right heart.

lungs_pleura: Density in the left upper lung on PA represents superimposed bony and vascular structures. bones: There is calcification of the first rib costicartilage junction which contributes to this appearance. There are degenerative changes of thoracic spine. support_devices: There is an electronic cardiac device overlying the left chest wall with intact distal leads in the right heart.

Density;Calcinosis;Thoracic Vertebrae;Implanted Medical Device


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 mild biapical pleural thickening which is smooth. There is evidence of previous anterior cervical spine fusion. There are degenerative changes of the spine.

lungs_pleura: Mild biapical pleural thickening which is smooth. bones: Evidence of previous anterior cervical spine fusion. Degenerative changes of the spine.


Stable cardiomediastinal silhouette. Mild patchy right upper lobe opacities, similar to slightly improved from XXXX. Left lung clear. No pleural effusion or pneumothorax.

lungs_pleura: Mild patchy right upper lobe opacities.


Stable appearance of aortic valve prosthesis. Sternotomy XXXX. Aortic calcifications. Mild interstitial edema. No focal infiltrate. No effusion or pneumothorax. Mild cardiomegaly.

lungs_pleura: Mild interstitial edema. heart_mediastinum: Aortic calcifications. Mild cardiomegaly. support_devices: Aortic valve prosthesis.

Implanted Medical Device;Calcinosis;Pulmonary Edema;Cardiomegaly


The heart is normal in size. The mediastinal contours are stable. Aortic calcifications are noted. There are small calcified lymph XXXX. Emphysema and chronic changes are identified. There is XXXX opacity in the left perihilar upper lobe. There is questionable XXXX extension to the pleural surface. This may represent acute infiltrate or developing density. There is no pleural effusion or pneumothorax.

lungs_pleura: Emphysema and chronic changes are identified. There is opacity in the left perihilar upper lobe. heart_mediastinum: Aortic calcifications are noted. There are small calcified lymph nodes.


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


The cardiomediastinal silhouette appears irregular secondary to the diffuse bilateral pulmonary interstitial disease. The thoracic aorta is tortuous. Calcified lymph XXXX are demonstrated in the left hilum. No focal pulmonary consolidation. Diffuse increased bilateral pulmonary interstitial markings, consistent with the patient's history of known pulmonary fibrosis, with relative sparing of the bilateral lung apices. No pneumothorax or pleural effusion demonstrated. The thoracic spine appears intact.

lungs_pleura: Diffuse increased bilateral pulmonary interstitial markings, consistent with the patient's history of known pulmonary fibrosis, with relative sparing of the bilateral lung apices. heart_mediastinum: The cardiomediastinal silhouette appears irregular secondary to the diffuse bilateral pulmonary interstitial disease. The thoracic aorta is tortuous. Calcified lymph nodes are demonstrated in the left hilum.

Cardiac Shadow;Lung Diseases, Interstitial;Aorta, Thoracic;Calcinosis;Markings;Pulmonary Fibrosis


Heart size is within normal limits. Aorta is tortuous. Remainder of the cardiomediastinal silhouette is normal. Lungs are clear bilaterally without pleural effusion or pneumothorax. No bony abnormalities.


The heart is normal in size. The mediastinum is unremarkable. The costophrenic XXXX are blunted. The interstitial markings are slightly accentuated suggesting underlying chronic disease/emphysema. No focal consolidation is seen.

lungs_pleura: The costophrenic angles are blunted. The interstitial markings are slightly accentuated suggesting underlying chronic disease/emphysema.


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


The heart is normal in size and contour. There is no mediastinal widening. Streaky bibasilar opacities, XXXX atelectasis. Vague opacity in the right midlung. Scattered calcified granulomas. No large pleural effusion or pneumothorax. The XXXX are intact.

lungs_pleura: Streaky bibasilar opacities.  Vague opacity in the right midlung. Scattered calcified granulomas.


There are lower lung volumes. There is central bronchovascular crowding. Volume loss in the medial right upper lobe seen on XXXX is not as well-demonstrated on radiography. No lobar consolidation. No pleural effusion or pneumothorax.

lungs_pleura: There are lower lung volumes. There is central bronchovascular crowding.


The lungs are hypoventilated. There is no focal airspace opacity. The cardiomediastinal silhouette is normal in size. There is no pneumothorax or large pleural effusion.

lungs_pleura: The lungs are hypoventilated.


Examination was performed with nipple markers. The previously noted small nodule in the right lower lung is not well-seen on today's study and may have been secondary to summation of structures. The heart is normal in size. The mediastinum is unremarkable. The lungs are otherwise clear.


Calcified thoracic aorta. Mild rightward deviation of the trachea, unchanged from comparison XXXX, XXXX secondary to a goiter. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Advanced degenerative change of the thoracic spine.

heart_mediastinum: Calcified thoracic aorta. Mild rightward deviation of the trachea secondary to a goiter. bones: Advanced degenerative change of the thoracic spine.


Heart size and mediastinal contours are within normal limits given AP projection. The right lung appears clear. There is minimal patchy atelectasis or early infiltrate in left lung base. No visible pleural effusion or pneumothorax. There is a partially visualized IVC XXXX on the lateral view. There are partially visualized surgical changes the cervical spine compatible with prior fusion procedure.

lungs_pleura: There is minimal patchy atelectasis or early infiltrate in left lung base. bones: There are partially visualized surgical changes the cervical spine compatible with prior fusion procedure. support_devices: There is a partially visualized IVC XXXX on the lateral view.

Pulmonary Atelectasis;Infiltrate;Catheters, Indwelling;Spinal Fusion


Normal heart size and mediastinal contours. Calcified aortic XXXX. Calcified granuloma in the anterior segment of the right lower lobe. No pleural effusion or pneumothorax. Degenerative disc disease the thoracic spine. Coronary artery stent.

lungs_pleura: Calcified granuloma in the anterior segment of the right lower lobe. heart_mediastinum: Calcified aortic XXXX. bones: Degenerative disc disease the thoracic spine. support_devices: Coronary artery stent.


The heart is again enlarged. Aorta is tortuous. The lungs are hypoinflated but clear. No pleural effusion or pneumothorax is seen.

lungs_pleura: The lungs are hypoinflated. heart_mediastinum: The heart is enlarged. Aorta is tortuous.


The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aorta identified. There is no focal consolidation, pleural effusion or pneumothorax. Degenerative changes of the thoracic spine are noted.

heart_mediastinum: Atherosclerotic calcifications of the aorta identified. bones: Degenerative changes of the thoracic spine are noted.


Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Lungs are expanded and clear airspace disease. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX to be grossly intact.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. The previously seen right upper lobe mass lesion is not seen in XXXX study. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.


Interval removal of left-sided chest tube. Small residual left apical pneumothorax has increased slightly in size the prior exam, now measuring approximately 0.9 cm from the thoracic apex. Stable cardiomediastinal silhouette. No focal airspace consolidation. No pleural effusion.

lungs_pleura: Small residual left apical pneumothorax measuring approximately 0.9 cm from the thoracic apex. support_devices: Removal of left-sided chest tube.


The cardiac silhouette size is at the upper limits of normal. Central vascular markings are mildly prominent. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. No acute bony abnormality.

heart_mediastinum: The cardiac silhouette size is at the upper limits of normal. Central vascular markings are mildly prominent.


The cardiomediastinal silhouette is stable in appearance. There are extensive fibrotic changes in the right lung with rightward shift of the trachea, similar to the previous exam. The left lung is well-aerated without focal airspace consolidation, pleural effusions or pneumothorax. There is left apical pleural-parenchymal scarring. No acute bony findings.

lungs_pleura: Extensive fibrotic changes in the right lung. Left apical pleural-parenchymal scarring. heart_mediastinum: Trachea is shifted to the right.


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


Normal heart size mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Degenerative disc disease in the thoracic spine with osteophyte formation bridging.

bones: Degenerative disc disease in the thoracic spine with osteophyte formation bridging.


Cardiomegaly is present. This is unchanged. There is mild prominence of the pulmonary vascularity which is unchanged. No XXXX focal airspace disease is seen. No pleural effusion or pneumothorax is identified.

heart_mediastinum: Cardiomegaly is present. There is mild prominence of the pulmonary vascularity.


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


Lungs are overall hyperexpanded with flattening of the diaphragms. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. degenerative changes within the spine. There are expansile changes within the right clavicle which were seen on the previous XXXX/CT. Findings are consistent with changes of multiple myeloma.

lungs_pleura: Lungs are overall hyperexpanded with flattening of the diaphragms. bones: Degenerative changes within the spine. There are expansile changes within the right clavicle. Findings are consistent with changes of multiple myeloma.


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


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


The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. 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. support_devices: There has been a sternotomy.


The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is stable from prior exam. There is no pneumothorax or large pleural effusion. Mediastinal surgical clips are again noted.

support_devices: Mediastinal surgical clips.


There may be a subtle airspace opacity in the right base near the midclavicular line. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.


Lung volumes are decreased from XXXX, and there is resultant bronchovascular crowding. No evidence of focal airspace disease. No definite pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits given the low lung volumes. No free subdiaphragmatic air. Grossly stable mild degenerative changes of the right lower thoracic spine.

lungs_pleura: Lung volumes are decreased. There is resultant bronchovascular crowding. bones: Mild degenerative changes of the right lower thoracic spine.


The mediastinal silhouette is widened with overlying sternotomy XXXX. The heart size is normal. The lungs are clear without evidence of effusion, infiltrate or pneumothorax. Visualized bony structures are intact with no acute abnormalities.

heart_mediastinum: The mediastinal silhouette is widened. support_devices: Overlying sternotomy.


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

bones: Changes of renal osteodystrophy are noted.


Cardio mediastinal silhouette, pulmonary vascular pattern are within normal limits. Mildly low lung volumes. No focal infiltrate, pleural effusion or pulmonary edema. No pneumothorax.


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


Low lung volumes. XXXX normal heart size. No pneumothorax. No large effusion. No focal infiltrate.


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.


Streaky opacity is noted within the left lung base which may represent focal area of atelectasis. Right lung is grossly clear. Cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. No large pleural effusion.

lungs_pleura: Streaky opacity is noted within the left lung base which may represent focal area of atelectasis.


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


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


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


Lungs are clear without focal infiltrates. Calcified right upper lobe granuloma unchanged from prior. No pneumothorax or pleural effusion. Normal heart size. Normal pulmonary vascularity. Bony thorax intact.

lungs_pleura: Calcified right upper lobe granuloma.


Lung volumes are low. No focal infiltrates. Heart and pulmonary XXXX normal. An indwelling catheter from the left has its tip at the superior XXXX XXXX.

lungs_pleura: Lung volumes are low. support_devices: An indwelling catheter from the left has its tip at the superior vena cava.


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


Chest. Normal heart size. Mediastinal silhouette is unremarkable. No focal infiltrates or masses. No pneumothorax or visible pleural fluid. No free intraperitoneal air in the diaphragm. Osseous structures unremarkable. Abdomen: There are no dilated loops of bowel to suggest obstruction. No air-fluid levels or free intraperitoneal air. No suspicious calcifications. There is XXXX XXXX curvature of the thoracolumbar spine. Otherwise the osseous structures are grossly unremarkable.

bones: There is XXXX XXXX curvature of the thoracolumbar spine.


Lungs are clear. Heart and mediastinum appear normal. No pleural effusion or pneumothorax.


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

heart_mediastinum: Calcified left hilar lymph node.


Heart size is enlarged. Cardiomediastinal contours are unchanged since previous exam. There is blunting of the right costophrenic XXXX XXXX old pleural scar. Lungs are otherwise clear bilaterally. A left upper lobe granuloma appears unchanged. There is kyphosis of the thoracic spine with anterior osteophyte formations. Aortic ectasia is seen in the ascending aorta and the XXXX.

lungs_pleura: There is blunting of the right costophrenic angle representing old pleural scar. A left upper lobe granuloma. heart_mediastinum: Heart size is enlarged. Aortic ectasia is seen in the ascending aorta. bones: There is kyphosis of the thoracic spine with anterior osteophyte formations.


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

heart_mediastinum: Atherosclerotic aorta. bones: Thoracic spondylosis.


Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Mild degenerative disc disease of the thoracic spine.

bones: Mild degenerative disc disease of the thoracic spine.


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


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


The heart is normal in size and contour. There is no mediastinal widening. No focal airspace disease. Left upper lobe granuloma. No evidence of active tuberculosis. Stable chronic blunting of the right costophrenic XXXX. No pneumothorax. The XXXX are intact.

lungs_pleura: Left upper lobe granuloma. Chronic blunting of the right costophrenic angle.


XXXX diffuse right lower lobe airspace opacity is present. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.

lungs_pleura: Diffuse right lower lobe airspace opacity is present.


The lungs are clear. No pleural effusion is seen. The heart and mediastinum are normal. The skeletal structures are normal. There are surgical clips in the right axilla region.

support_devices: There are surgical clips in the right axilla region.


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

lungs_pleura: Prior granulomatous disease.


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


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


Compared to prior examination, XXXX stent has been removed. Cardiomediastinal silhouette is stable and within normal limits. Stable mild atherosclerotic calcifications of the aortic XXXX are noted. There are mildly low lung volumes without focal consolidation, pneumothorax, or effusion identified. No acute bony abnormality seen.

lungs_pleura: Mildly low lung volumes. heart_mediastinum: Mild atherosclerotic calcifications of the aortic arch are noted. support_devices: XXXX stent has been removed.


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


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal XXXX atelectasis or scar in the left lung base. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.

lungs_pleura: There is minimal atelectasis or scar in the left lung base.


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


There is stable cardiomegaly. Right pleural effusion is slightly increased in size. Pulmonary vasculature is persistently enlarged. Prominent interstitium is stable. No XXXX focal infiltrate. No pneumothorax. Visualized osseous structures intact.

lungs_pleura: Right pleural effusion. Prominent interstitium. heart_mediastinum:  Pulmonary vasculature is enlarged.

Cardiomegaly;Pleural Effusion;Lung;Pulmonary Congestion;Lung;Pulmonary Edema


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


The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute pulmonary consolidation, large effusion or pneumothorax. There is minimal left basilar atelectasis. There are small bilateral pulmonary nodules measure approximately 5 mm in size in the right midlung and left upper lung XXXX. These are not well appreciated on the lateral projection.

lungs_pleura: Minimal left basilar atelectasis. Small bilateral pulmonary nodules measure approximately 5 mm in size in the right midlung and left upper lung. These are not well appreciated on the lateral projection.


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


Heart size upper limits of normal. Pulmonary vascular engorgement appears within limits of normal. No consolidating airspace disease is seen within the lungs. No pleural effusion or pneumothorax. Bridging syndesmophytes are noted throughout visualized thoracolumbar spine. This could indicate diffuse idiopathic skeletal hyperostosis. This is similar to prior imaging.

heart_mediastinum: Heart size upper limits of normal. bones: Bridging syndesmophytes are noted throughout visualized thoracolumbar spine.


Mediastinal contours are normal. Unchanged XXXX opacity in the left lung base, XXXX scarring. Lungs are clear. There is no pneumothorax or large pleural effusion.

lungs_pleura: XXXX opacity in the left lung base. XXXX scarring.


The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Mild tortuosity of the descending thoracic aorta. XXXX sternotomy XXXX noted. Inferior sternotomy XXXX is disrupted.

heart_mediastinum: Mild tortuosity of the descending thoracic aorta. support_devices: Sternotomy noted. Inferior sternotomy is disrupted.


There is hyperexpansion of lungs and flattening of the diaphragm consistent with COPD. No focal lung consolidation. No pneumothorax or pleural effusion. Heart size and pulmonary vascularity are within normal limits. There is a kyphosis and osteopenia of the thoracic spine. No displaced rib fractures.

lungs_pleura: There is hyperexpansion of lungs and flattening of the diaphragm consistent with COPD. bones: There is a kyphosis and osteopenia of the thoracic spine.

Lung;Diaphragm;Pulmonary Disease, Chronic Obstructive;Kyphosis;Bone Diseases, Metabolic


XXXX sternotomy XXXX remain in XXXX. The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Moderate degenerative changes of the thoracic spine. No acute, displaced rib fractures identified.

heart_mediastinum: The thoracic aorta is tortuous. bones: Moderate degenerative changes of the thoracic spine. support_devices: Sternotomy wires remain in place.


Heart size is mildly enlarged. Tortuous aorta. Lungs are normally inflated and clear. Mild degenerative changes of the spine.

heart_mediastinum: Heart size is mildly enlarged. Tortuous aorta. bones: Mild degenerative changes of the spine.


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

heart_mediastinum: Calcified left coronary arteries noted.


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


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


The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. There are severe arthritic changes of the XXXX with mild arthritic changes of the thoracic spine.

heart_mediastinum: Atherosclerotic changes of the aorta. bones: Severe arthritic changes of the XXXX. Mild arthritic changes of the thoracic spine.


Mild cardiomegaly. Changes of chronic lung disease. No pneumothorax or pleural effusion. Accentuated thoracic kyphosis.

lungs_pleura: Changes of chronic lung disease. heart_mediastinum: Mild cardiomegaly. bones: Accentuated thoracic kyphosis.


The lung volumes are low. However as compared to the prior study, there are increased perihilar opacities bilaterally. Stable dextroscoliosis of the lower thoracic spine with limited evaluation of the spinal XXXX. The tracheostomy tube is in unchanged position.

lungs_pleura: The lung volumes are low. Increased perihilar opacities bilaterally. bones: Dextroscoliosis of the lower thoracic spine. support_devices: The tracheostomy tube is in position.


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

bones: Degenerative changes in the spine.


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 present. Degenerative changes are present in the spine.

lungs_pleura: Calcified granuloma are present. bones: Degenerative changes are present in the spine.


The lungs and pleural spaces show no acute abnormality. Heart size upper limits of normal, predominantly left ventricular contour (XXXX visualized on lateral projection), pulmonary vascularity within normal limits. .

heart_mediastinum: Heart size upper limits of normal, predominantly left ventricular contour.


Heart size is within normal limits. Tortuous aorta. Clear lungs. No pneumothorax. No pleural effusion. Atherosclerotic calcification within the aorta. Right lower lung granuloma.

lungs_pleura: Right lower lung granuloma. heart_mediastinum: Tortuous aorta. Atherosclerotic calcification within the aorta.


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


Low lung volumes. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Mild degenerate change of the thoracic spine. Stable cholecystectomy clips in the right upper quadrant.

lungs_pleura: Low lung volumes. bones: Mild degenerate change of the thoracic spine. support_devices: Cholecystectomy clips in the right upper quadrant.


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


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


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. A right humeral intramedullary XXXX is noted incidentally, without evidence of XXXX complicating features.

support_devices: A right humeral intramedullary XXXX is noted incidentally.


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


AP view was obtained due to patient condition. Low volume lungs. No focal lung consolidation. The heart is not enlarged. No pleural effusion.

Lung;Technical Quality of Image Unsatisfactory


No pneumothorax or large pleural effusion. Mildly prominent perihilar opacities, XXXX due to bronchovascular crowding. Heart size within normal limits. Cardiomediastinal silhouette is XXXX. The bony structures appear intact.

lungs_pleura: Mildly prominent perihilar opacities, due to bronchovascular crowding.


In the interval, consolidations have developed in the left upper lobe and both lower lobes. Heart size remains slightly large. Pulmonary XXXX normal.

lungs_pleura: Consolidations have developed in the left upper lobe and both lower lobes. heart_mediastinum: Heart size is slightly large.


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


Mild cardiomegaly is unchanged. Stable superior mediastinal contour appear normal pulmonary vascularity. No XXXX airspace opacity, pleural effusion, or pneumothorax. No acute bony abnormalities. Right upper quadrant surgical clips.

heart_mediastinum:  support_devices: Right upper quadrant surgical clips.


Low lung volumes. Elevation of the right hemidiaphragm. Patchy opacities right base again noted. Left lung clear. Heart size top normal. Aortic calcification. Granulomas. No evidence of pneumothorax. Blunting of the bilateral costophrenic XXXX. Degenerative changes of the thoracic spine.

lungs_pleura: Low lung volumes. Elevation of the right hemidiaphragm. Patchy opacities right base.  Blunting of the bilateral costophrenic angles. heart_mediastinum: Aortic calcification. bones: Degenerative changes of the thoracic spine.

Lung;Diaphragm;Opacity;Calcinosis;Granuloma;Costophrenic Angle;Thoracic Vertebrae;Airspace Disease


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


No acute osseous abnormality. Scattered degenerative changes throughout the thoracic spine. Normal heart size. Tortuous and dilated aorta. Chronic interstitial markings. Left base opacity. No pneumothorax or pleural effusion.

lungs_pleura: Chronic interstitial markings. Left base opacity. heart_mediastinum: Tortuous and dilated aorta. bones: Scattered degenerative changes throughout the thoracic spine.


Heart size, aortic and mediastinal contours are within normal limits. The lungs are clear. No visible pneumothorax or large pleural effusion. 6 mm nodular opacity overlies the left anterior 5th rib on the frontal view. No focal bony abnormality identified.

bones: 6 mm nodular opacity overlies the left anterior 5th rib on the frontal view.


2 images. Moderate thoracic dextroscoliosis, similar to prior imaging. Heart size is normal. No focal airspace consolidation is seen within the lungs. No pleural effusion or pneumothorax.

bones: Moderate thoracic dextroscoliosis.


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


XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Lungs demonstrate left lower lobe air space opacity with XXXX atelectasis without significant change. There is no effusion or pneumothorax.

lungs_pleura: Lungs demonstrate left lower lobe air space opacity with atelectasis.


The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. Patchy right lower lung opacification is noted.

lungs_pleura: Patchy right lower lung opacification is noted.


There are midline sternotomy XXXX and mediastinal clips consistent with prior CABG. The heart is enlarged with unfolding of the aorta. There is prominence of the interstitial markings with fluid in the fissures consistent with interstitial edema. There is no focal airspace opacity, large pleural effusion, or pneumothorax. There multilevel degenerative spine changes.

lungs_pleura: There is prominence of the interstitial markings with fluid in the fissures consistent with interstitial edema. heart_mediastinum: The heart is enlarged with unfolding of the aorta. bones: There multilevel degenerative spine changes. support_devices: There are midline sternotomy XXXX and mediastinal clips consistent with prior CABG.


The cardiomediastinal silhouette is normal size and configuration. Tortuous aorta with atherosclerotic calcification. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. There are multiple overlying leads at the level of the left lower chest, with overlying XXXX XXXX or clothing there is this is thought to account for mild increased density the left lung base on AP view, with correlate on lateral view. Degenerative spine.

lungs_pleura: Mild increased density the left lung base on AP view, with correlate on lateral view. heart_mediastinum: Tortuous aorta with atherosclerotic calcification. bones: Degenerative spine. support_devices: There are multiple overlying leads at the level of the left lower chest.

Aorta;Atherosclerosis;Medical Device;Density;Spine;Technical Quality of Image Unsatisfactory


The heart size and cardiomediastinal silhouette are normal. The aorta is tortuous and atherosclerotic. The lungs are hyperexpanded with flattening of hemidiaphragms and increased retrosternal airspace. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.

lungs_pleura: The lungs are hyperexpanded with flattening of hemidiaphragms and increased retrosternal airspace. heart_mediastinum: The aorta is tortuous and atherosclerotic. bones: There are degenerative changes in the thoracic spine.


Cardiomediastinal silhouette stable and within normal limits for size with unchanged atherosclerosis and tortuosity thoracic aorta. There is no focal consolidation, pneumothorax, or effusion. No acute bony abnormality. Stable left proximal humeral enchondroma versus remote bony infarct. Stable multilevel degenerative disc disease of the thoracic spine. Calcified granuloma seen anteriorly on lateral view is stable since XXXX.

heart_mediastinum: Atherosclerosis and tortuosity thoracic aorta. bones: Left proximal humeral enchondroma versus remote bony infarct. Multilevel degenerative disc disease of the thoracic spine. Calcified granuloma seen anteriorly on lateral view.

Aorta, Thoracic;Atherosclerosis;Cysts;Deformity;Thoracic Vertebrae;Calcified Granuloma


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


The heart is normal in size. The mediastinum is grossly within normal limits. Moderate thoracolumbar scoliosis and patient rotation somewhat limits evaluation of the mediastinum. The lungs are clear.

bones: Moderate thoracolumbar scoliosis.

Scoliosis;Scoliosis;Technical Quality of Image Unsatisfactory


There are stable postoperative changes of left thoracotomy and left upper lobectomy. The lungs are clear. No focal airspace consolidation. No suspicious pulmonary mass or nodule is seen. There is no pleural effusion or pneumothorax. Stable elevation of the left hemidiaphragm. Normal heart size and mediastinal contour.

lungs_pleura: Postoperative changes of left thoracotomy and left upper lobectomy. Elevation of the left hemidiaphragm.


Heart size and mediastinal contour within normal limits. Atherosclerotic calcification of the aorta. Stable scattered calcified granulomas are noted. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.

lungs_pleura: Scattered calcified granulomas are noted. heart_mediastinum: Atherosclerotic calcification of the aorta.


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


The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is surgical clips projected over the left lung apex, as well as, over the right upper quadrant of the abdomen.

support_devices: There is surgical clips projected over the left lung apex. others: There is surgical clips projected over the right upper quadrant of the abdomen.


Normal heart size and mediastinal contour. Atherosclerotic calcification of the aortic XXXX. No abnormal airspace consolidation. No pleural effusion or pneumothorax. Stable biapical lucency and apical scarring, consistent with emphysema. Visualized osseous structures are unremarkable.

lungs_pleura: Biapical lucency and apical scarring, consistent with emphysema. heart_mediastinum: Atherosclerotic calcification of the aortic arch.


There is XXXX opacity left lung base may represent atelectasis or early infiltrate. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.


No focal consolidation, pneumothorax or definite pleural effusion. Heart size within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury XXXX demonstrated.


Heart size is at the upper limits of normal. The pulmonary vascularity appears within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. No non-calcified nodules are identified.

heart_mediastinum: Heart size is at the upper limits of normal. bones: Degenerative changes are present in the spine.


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


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


Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains markedly enlarged. There is aortic XXXX vascular calcification. No XXXX focal airspace consolidation or pleural effusion.

heart_mediastinum: Cardiomediastinal silhouette. Cardiac silhouette markedly enlarged. Aortic vascular calcification. support_devices: Overlying external cardiac monitor leads.

Medical Device;Cardiac Shadow;Calcinosis;Cardiomegaly;Pericardial Effusion


The lungs and pleural spaces show no acute abnormality. Heart size upper limits of normal, pulmonary vascularity within normal limits. Straightening of the normal thoracic kyphosis. Levocurvature the lumbar spine, incompletely imaged.

heart_mediastinum: Heart size upper limits of normal. bones: Straightening of the normal thoracic kyphosis. Levocurvature the lumbar spine, incompletely imaged.


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


Heart size and cardiomediastinal contours are normal. Lungs are clear without focal air space opacity, pleural effusion, or pneumothorax. Osseous structures are intact.


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


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


Stable moderate cardiomegaly. Mediastinal contours are unchanged. Stable prominence of the central pulmonary vasculature with coarse central interstitial markings. Decreased left basilar airspace disease. No visible pleural effusion or pneumothorax.

lungs_pleura: Prominence of the central pulmonary vasculature with coarse central interstitial markings. Left basilar airspace disease. heart_mediastinum: Moderate cardiomegaly.

Cardiomegaly;Blood Vessels;Markings;Airspace Disease;Pulmonary Atelectasis;Infiltrate;Pulmonary Congestion


Clear lungs. No infiltrates or suspicious pulmonary opacity. No pleural effusion or pneumothorax. Cardiomediastinal silhouette within normal limits.


The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not enlarged. There are calcified mediastinal lymph XXXX. The skeletal structures are normal.

heart_mediastinum: There are calcified mediastinal lymph nodes.


No focal consolidation, pneumothorax, or large pleural effusion identified. Stable blunting of the right costophrenic XXXX XXXX due to pleural thickening/sclerosis. Redemonstration and stable appearance of bilateral calcified granulomas/lymph XXXX. Changes in the lungs consistent with COPD/emphysema. Cardiomediastinal silhouette stable and unremarkable. No acute osseous abnormalities identified. Opacity in the left apex consistent with radiation change seen on prior CT.

lungs_pleura: Blunting of the right costophrenic angle due to pleural thickening/sclerosis. Bilateral calcified granulomas/lymph nodes. Changes in the lungs consistent with COPD/emphysema. Opacity in the left apex consistent with radiation change.

Costophrenic Angle;Thickening;Sclerosis;Calcified Granuloma;Calcinosis;Pulmonary Disease, Chronic Obstructive;Pulmonary Emphysema;Opacity


There is an S-shaped scoliosis of the thoracic spine. Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.

bones: There is an S-shaped scoliosis of the thoracic spine.


Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. There is widening adjacent to the right paratracheal stripe, most XXXX represents the SVC with rotated position. XXXX are unremarkable.

heart_mediastinum: Widening adjacent to the right paratracheal stripe, most likely represents the SVC with rotated position.

Mediastinum;Technical Quality of Image Unsatisfactory


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


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


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. A single XXXX cardiac defibrillator XXXX projects over the right ventricle, in stable position. There are XXXX sternotomy XXXX and surgical clips from prior CABG.

support_devices: A single cardiac defibrillator projects over the right ventricle, in position. There are sternotomy and surgical clips from prior CABG.

Implanted Medical Device;Surgical Instruments


The heart is borderline in size. The mediastinum is stable. Small calcified lymph XXXX are seen. Dual-XXXX left subclavian pacemaker is identified in satisfactory position. The right hemidiaphragm is again elevated. There are XXXX streaky areas of atelectasis. No pleural effusion or pneumothorax are seen.

lungs_pleura: The right hemidiaphragm is elevated. There are streaky areas of atelectasis. heart_mediastinum: The heart is borderline in size. Small calcified lymph nodes are seen. support_devices: Dual-chamber left subclavian pacemaker is identified in satisfactory position.

Cardiomegaly;Calcinosis;Implanted Medical Device;Diaphragm;Pulmonary Atelectasis


No acute osseous abnormality. Degenerative changes throughout the thoracic spine. Soft tissue structures are within normal limits. There is stable enlargement of the heart. Stable prominent mediastinal contours. Central vascular congestion. Mildly low lung volumes bilaterally. Bibasilar and left perihilar airspace opacities. XXXX bilateral pleural effusions. No pneumothorax.

lungs_pleura: Mildly low lung volumes bilaterally. Bibasilar and left perihilar airspace opacities. Bilateral pleural effusions. heart_mediastinum: Enlargement of the heart. Prominent mediastinal contours. Central vascular congestion. bones: Degenerative changes throughout the thoracic spine.

Thoracic Vertebrae;Cardiomegaly;Mediastinum;Pulmonary Congestion;Lung;Opacity;Opacity;Pleural Effusion;Airspace Disease


No acute osseous abnormalities. Mild thoracic spine degenerative changes. Soft tissues are within normal limits. No focal area of consolidation, pleural effusion, or pneumothorax.

bones: Mild thoracic spine degenerative changes.


A right-sided chest XXXX remains in XXXX with the distal tip at the level of the mid SVC. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pulmonary nodules or mass lesions identified. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.

bones: Mild degenerative changes of the thoracic spine. support_devices: A right-sided chest XXXX in the mid SVC.


Lungs are clear. No pleural effusions or pneumothoraces. heart size is upper limits of normal.

heart_mediastinum: Heart size is upper limits of normal.


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 and mediastinal contour are normal. Pulmonary vascularity is normal. The right lung is clear. There is a recurrence moderate-sized left pleural effusion. No pneumothorax. Limited right base stringy density compatible with atelectasis. Dextroscoliosis of the thoracic spine.

lungs_pleura: Moderate-sized left pleural effusion. Limited right base stringy density compatible with atelectasis. bones: Dextroscoliosis of the thoracic spine.


Both lungs remain hyperexpanded. No XXXX focal infiltrates. A small pleural or collection is XXXX present in the right apex. However, it has decreased considerably since the previous examination. Heart size remains normal.

lungs_pleura: Both lungs are hyperexpanded. A small pleural collection is present in the right apex.

Lung;Pneumothorax;Pulmonary Disease, Chronic Obstructive


The heart size is moderate to severely enlarged. There is prominence of the central pulmonary XXXX suggesting pulmonary artery hypertension. There has been removal of the right-sided PICC line. There is persistent left basilar airspace opacity with left costophrenic XXXX blunting which is not evident on the lateral exam. There are mild degenerative changes of the spine. There is no pneumothorax.

lungs_pleura: Left basilar airspace opacity with left costophrenic blunting. heart_mediastinum: The heart size is moderate to severely enlarged. There is prominence of the central pulmonary suggesting pulmonary artery hypertension. bones: There are mild degenerative changes of the spine.

Cardiomegaly;Pulmonary Congestion;Hypertension, Pulmonary;Opacity;Costophrenic Angle;Spine


Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Degenerative disease is seen in the thoracic spine and left XXXX XXXX.

bones: Degenerative disease is seen in the thoracic spine and left XXXX XXXX.


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

lungs_pleura: Nodular densities consistent with chronic granulomatous disease.


Heart size is normal. No pneumothorax or focal airspace disease. No pleural effusion. Eventration of the right hemidiaphragm. Mild degenerative changes of the thoracic spine without fracture.

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


Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion.

support_devices: Overlying external cardiac monitor leads.


In the interval, the interval, there has been development of multiple nodules in both the upper and lower lobes bilaterally. The previously identified left lower lobe nodule has increased in size. Left hemidiaphragm is slightly elevated, possibly from splinting. The mediastinum remains normal. Heart size normal.

lungs_pleura: Development of multiple nodules in both the upper and lower lobes bilaterally. Left lower lobe nodule has increased in size. Left hemidiaphragm is slightly elevated.


PA and lateral views. The cardiomediastinal silhouette is normal. The lungs are clear. No effusions, consolidation or pneumothorax.


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


3 images. Heart size is normal. There is mild tortuosity of the thoracic aorta. There are costochondral calcifications. The lungs are clear of focal infiltrate. No pleural effusion or pneumothorax. Old left clavicle fracture noted.

heart_mediastinum: There is mild tortuosity of the thoracic aorta. bones: There are costochondral calcifications. Left clavicle fracture noted.


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


No pneumothorax, pleural effusion , or focal airspace disease. Heart size within normal limits. Cardiomediastinal silhouette is clear. Bony structures appear intact.


The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is enlarged. There is no pneumothorax or large pleural effusion.

heart_mediastinum: The cardiomediastinal silhouette is enlarged.


The heart is top normal in size. The mediastinum is stable. The lungs are grossly clear. Bilateral rib deformities are noted, possibly old fractures. There is no pleural effusion or pneumothorax.

bones: Bilateral rib deformities are noted.


Patchy airspace disease is noted within the right middle lobe. Subtle opacities are present within the lingula as well. There is no pneumothorax or pleural effusion. The heart size is normal.

lungs_pleura: Patchy airspace disease is noted within the right middle lobe. Subtle opacities are present within the lingula as well.


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.


There are changes of prior midline sternotomy with surgical clips consistent with CABG, and stable mild cardiomegaly. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.

heart_mediastinum: Mild cardiomegaly. support_devices: Changes of midline sternotomy with surgical clips consistent with CABG.


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


The heart and mediastinum are unremarkable. There is mild calcification of the aortic XXXX, consistent with atherosclerosis. The lung volumes are low, with bronchovascular crowding. The lungs are clear without infiltrate. There is no effusion or pneumothorax. Moderate degenerative changes of the spine.

lungs_pleura: The lung volumes are low, with bronchovascular crowding. heart_mediastinum: Mild calcification of the aortic arch, consistent with atherosclerosis. bones: Moderate degenerative changes of the spine.


Stable left lower lung increased interstitial markings. No XXXX focal alveolar opacities. Low lung volumes. Heart size is normal. No pneumothorax or pleural effusions.

lungs_pleura: Left lower lung increased interstitial markings. Low lung volumes.


The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is stable mild XXXX deformity of the lower thoracic vertebral body.

bones: Mild XXXX deformity of the lower thoracic vertebral body.


Compared to prior chest radiograph from XXXX, there has been removal of right-sided tunneled dialysis catheter. The cardiomediastinal silhouette is stable and within normal limits for size and contour. Mildly increased atherosclerotic calcifications of the thoracic aorta. 1.0 cm nodular opacity in the left midlung is stable compared to prior examination from XXXX. No XXXX nodules, focal consolidation, or pneumothorax identified. There are XXXX bilateral pleural effusions posteriorly. There is mild central pulmonary vascular congestion without XXXX pulmonary edema. No acute bony abnormality.

lungs_pleura: 1.0 cm nodular opacity in the left midlung. Bilateral pleural effusions posteriorly. Mild central pulmonary vascular congestion. heart_mediastinum: Mildly increased atherosclerotic calcifications of the thoracic aorta. support_devices: Removal of right-sided tunneled dialysis catheter.


Postop changes of CABG with mild cardiomegaly. There is an infiltrate in the right lower lobe. Thoracic spondylosis.

lungs_pleura: There is an infiltrate in the right lower lobe. heart_mediastinum: Mild cardiomegaly. bones: Thoracic spondylosis. support_devices: Postop changes of CABG.


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


Unchanged cardiomegaly. Negative for pneumothorax or focal consolidation. No large effusion. Mildly prominent interstitial opacities.

lungs_pleura: Mildly prominent interstitial opacities. heart_mediastinum:


The heart size and pulmonary vascularity appear within normal limits. Right hemidiaphragm remains elevated. No pleural effusion is seen. No pneumothorax is identified. No discrete nodules or adenopathy are noted. Degenerative changes are present in the spine. Right XXXX-a-XXXX has been inserted since the previous study. The tip projects over the lower superior XXXX XXXX.

lungs_pleura: Right hemidiaphragm elevated. bones: Degenerative changes are present in the spine. support_devices: Right XXXX-a-XXXX has been inserted. The tip projects over the lower superior XXXX XXXX.


Eventration of the left diaphragm is noted. Question left basilar atelectasis versus infiltrate. No evidence of pneumothorax. Generalized lung volumes. No definite pleural effusions. Heart size within normal limits. Osseous structures intact.

lungs_pleura: Eventration of the left diaphragm is noted. Generalized lung volumes.


No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact.


Diffuse, right greater than left, interstitial opacities. Central vascular congestion. No pneumothorax or focal consolidation. No pleural effusion. Heart size normal.

lungs_pleura: Diffuse, right greater than left, interstitial opacities. heart_mediastinum: Central vascular 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.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal suggests possible right XXXX versus dextrocardia. Visualized osseous structures of the thorax are without acute abnormality.


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


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


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. Bibasilar patchy opacities, left greater than right. No pneumothorax or large pleural effusions. Left-sided subclavian central venous catheter with tip in the right atrium. No significant pulmonary edema. Low lung volumes. Exaggeration of the thoracic kyphosis with evidence of lower thoracic vertebral body the deep opacities. Multiple mild vertebral body wedge deformities in the mid thoracic spine. Moderate degenerative changes of the thoracic spine. Multiple bilateral rib fractures, some of which appear old. Interval XXXX deformity of the vertebral body XXXX XXXX the level of the two vertebroplasty XXXX.

lungs_pleura: Bibasilar patchy opacities, left greater than right. Low lung volumes. bones: Exaggeration of the thoracic kyphosis. Multiple mild vertebral body wedge deformities in the mid thoracic spine. Moderate degenerative changes of the thoracic spine. Multiple bilateral rib fractures, some of which appear healed. support_devices: Left-sided subclavian central venous catheter with tip in the right atrium.

Opacity;Catheters, Indwelling;Lung;Kyphosis;Deformity;Thoracic Vertebrae;Fractures, Bone;Consolidation;Opacity;Deformity


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

lungs_pleura: There are mildly diminished lung volumes.


There are scattered XXXX opacities in the left lower lobe. Cardiac silhouette is within normal limits. There is prominence of the right and left hilum XXXX representing enlargement of the central pulmonary arteries. No pneumothorax or pleural effusion. No acute bone abnormality.

lungs_pleura: There are scattered opacities in the left lower lobe. heart_mediastinum: There is prominence of the right and left hilum representing enlargement of the central pulmonary arteries.


There are low lung volumes. The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour appear within normal limits.

lungs_pleura: There are low lung volumes.


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


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


Chest. Mildly hyperexpanded lungs. The right lung base is excluded from view. No visualized consolidation. No pneumothorax. No large pleural effusions. Heart size is unremarkable. Abdomen. There are multiple air filled nondilated loops of small and large bowel. There is extensive stool XXXX seen throughout the descending colon. Supine examinations are limited for evaluation of pneumoperitoneum. There is bilateral hip degenerative change.

lungs_pleura: Mildly hyperexpanded lungs. The right lung base is excluded from view. bones: There is bilateral hip degenerative change. others: There are multiple air filled nondilated loops of small and large bowel. There is extensive stool seen throughout the descending colon.


The heart is normal in size. The mediastinum is stable. Postsurgical changes of esophagectomy and gastric pull-through are stable. Bibasilar air space opacities have significantly improved. The lungs remain hypoinflated with blunted costophrenic XXXX. There is no pneumothorax.

lungs_pleura: Bibasilar air space opacities. The lungs are hypoinflated with blunted costophrenic angles. others: Postsurgical changes of esophagectomy and gastric pull-through.


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

heart_mediastinum: The heart is at the upper limits of normal in size.