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


The heart is enlarged, stable compared to the previous exam. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.

heart_mediastinum: The heart is enlarged.


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


There is stable, mild enlargement of the cardiac silhouette. Stable mediastinal silhouette. There are low lung volumes with bronchovascular crowding. Scattered XXXX opacities in the right lung base XXXX representing foci of subsegmental atelectasis with scattered airspace opacities in the medial left lower lobe. No pneumothorax. No pleural effusion. Degenerative changes of the thoracic spine possibly consistent with DISH.

lungs_pleura: There are low lung volumes with bronchovascular crowding. Scattered opacities in the right lung base representing foci of subsegmental atelectasis with scattered airspace opacities in the medial left lower lobe. heart_mediastinum: Mild enlargement of the cardiac silhouette.

Cardiac Shadow;Lung;Markings;Opacity;Pulmonary Atelectasis;Opacity;Thoracic Vertebrae;Cardiomegaly;Opacity


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. Multilevel thoracic spondylosis is again demonstrated..


Cardiac and mediastinal contours are within normal limits. Right chest XXXX tip in the low SVC. Right granulomatous disease. The lungs are clear. Bony structures are intact.

lungs_pleura: Right granulomatous disease. support_devices: Right chest XXXX tip in the low SVC.


Heart size and cardiomediastinal contours are normal. Low lung volumes without focal airspace opacity, pleural effusion, or pneumothorax. Multilevel degenerative changes in the spine.

lungs_pleura: Low lung volumes. bones: Multilevel degenerative changes in the spine.


Examination is somewhat limited, the costophrenic XXXX and posterior costophrenic sulci are excluded. Patient is rotated to the right. Heart size upper limits normal, but stable. Mediastinal contour is grossly unremarkable. Lung parenchyma is clear, no focal airspace consolidation. No large effusion, no visible pneumothorax within the limits of the study.

Technical Quality of Image Unsatisfactory ;Costophrenic Angle;Costophrenic Angle;Cardiomegaly


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


There is a XXXX in the left chest with catheter tip terminating in the superior XXXX XXXX. The cardiac silhouette is mildly enlarged, similar to prior study. There is minimal pulmonary vascular congestion. There is no acute pulmonary consolidation, pleural effusion or pneumothorax. There are stable mild interstitial lung changes, which could be related to chronic edema or fibrosis.

lungs_pleura: Minimal pulmonary vascular congestion. Mild interstitial lung changes, which could be related to chronic edema or fibrosis. heart_mediastinum: The cardiac silhouette is mildly enlarged. support_devices: There is a XXXX in the left chest with catheter tip terminating in the superior XXXX XXXX.

Catheters, Indwelling;Cardiac Shadow;Pulmonary Congestion;Lung Diseases, Interstitial;Cardiomegaly


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


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild cardiomegaly without acute cardiac abnormality. Visualized osseous structures of the thorax are without acute abnormality.


Hyperinflated lungs with mildly flattened posterior diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. No pneumothorax.

lungs_pleura: Hyperinflated lungs with mildly flattened posterior diaphragm and increased retrosternal airspace.


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. Left-sided PICC line has been placed in the interval with tip XXXX in the innominate vein.

support_devices: Left-sided PICC line has been placed with tip XXXX in the innominate vein.


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


Stable cardiomediastinal silhouette. Atherosclerotic calcifications about the aortic XXXX. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Dextroconvex scoliotic curvature of the thoracic spine.

heart_mediastinum: Cardiomediastinal silhouette. Atherosclerotic calcifications about the aortic arch. bones: Dextroconvex scoliotic curvature of the thoracic spine.


The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified right hilar and mediastinal lymph XXXX. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.

heart_mediastinum: There are calcified right hilar and mediastinal lymph nodes. There are atherosclerotic changes of the aorta. bones: Arthritic changes of the skeletal structures are noted.


The trachea is midline. The heart XXXX is large, unchanged from prior exam. Slightly widened mediastinum, secondary to cardiomegaly and a tortuous aorta, is accentuated by AP portable technique. There are low lung volumes causing bibasilar atelectasis and bronchovascular crowding. The lungs do not demonstrate focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.

lungs_pleura: Low lung volumes causing bibasilar atelectasis and bronchovascular crowding. heart_mediastinum: The heart is large. Slightly widened mediastinum, secondary to cardiomegaly and a tortuous aorta.


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

lungs_pleura: Prior granulomatous disease. heart_mediastinum: Aortic calcification. bones: Thoracic spondylosis.


Lungs are overall hyperexpanded consistent with obstructive lung disease. Lungs are clear without focal consolidation. No suspicious pulmonary nodules or masses are noted. No pleural effusions or pneumothoraces. heart size is upper limits of normal.

lungs_pleura: Lungs are overall hyperexpanded consistent with obstructive lung disease. heart_mediastinum: Heart size is upper limits of normal.

Lung;Pulmonary Disease, Chronic Obstructive


The heart size is normal. The cardiomediastinal silhouette is stable in appearance. The lungs are clear without focal airspace opacity, pneumothorax, or pleural effusion. The XXXX are normal in appearance.


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


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


Left PICC line remains in XXXX. The tip projects over the upper SVC. It has moved outward since the previous study. The heart size and pulmonary vascularity appear within normal limits. Previously present left base airspace disease has cleared. There is blunting of the right costophrenic XXXX which may represent small amount of pleural effusion or pleural reaction. Some scattered bandlike opacities are present which appear to represent scars. Degenerative changes are present in the right shoulder.

lungs_pleura: Some scattered bandlike opacities are present which appear to represent scars. bones: Degenerative changes are present in the right shoulder. support_devices: Left PICC line in the upper SVC.


Heart size within normal limits. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.


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

heart_mediastinum: The heart size is upper limits of normal. bones: There are minimal degenerative changes of the spine.


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


The cardiomediastinal silhouette is within normal limits 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..


There is a stable closure device projected over the heart. The heart and mediastinum are otherwise normal. There is stable XXXX scarring of left mid lung. The lungs are otherwise clear. There is no infiltrate, effusion, mass or pneumothorax.

lungs_pleura: Scarring of left mid lung. support_devices: Closure device projected over the heart.


Cardiomegaly. No focal consolidation. No pleural effusions. No evidence of pneumothorax. Osseous structures intact. Levocurvature of the thoracic spine. Lumbar vertebral body stabilization XXXX.

heart_mediastinum:  bones: Levocurvature of the thoracic spine. support_devices: Lumbar vertebral body stabilization.


Cardiac silhouette is at the upper limits of normal. Lungs are clear bilaterally. There is no pleural effusion or pneumothorax. Interval worsening of the moderate thoracolumbar dextroscoliosis with mild exaggeration of normal thoracic kyphosis.

heart_mediastinum: Cardiac silhouette is at the upper limits of normal. bones: Moderate thoracolumbar dextroscoliosis with mild exaggeration of normal thoracic kyphosis.


The bony thorax is intact and the heart size is normal. The lung XXXX are free of infiltrate and there is no pleural effusion. We again note the left hilar calcifications that are unchanged from the prior studies.

heart_mediastinum: Left hilar calcifications.


Mediport catheter seen on the right with the tip in the mid SVC. The lungs appear to be clear. No pleural effusion is seen. The heart and mediastinum are normal. The skeletal structures are normal.

support_devices: Mediport catheter seen on the right with the tip in the mid SVC.


There is increased size of left pneumothorax, with XXXX partial collapse of the left upper and lower lobes. This pneumothorax measures up to 3.5 cm in maximum width at the apex. There is no significant mediastinal shift. The right lung remains clear. Cardiomediastinal silhouette is within normal limits. There is a small left pleural effusion/hemothorax. No focal air space opacities. No free subdiaphragmatic air.

lungs_pleura: Left pneumothorax, with partial collapse of the left upper and lower lobes. This pneumothorax measures up to 3.5 cm in maximum width at the apex. Left pleural effusion/hemothorax.

Pneumothorax;Pulmonary Atelectasis;Pulmonary Atelectasis;Pleural Effusion;Hemothorax


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


The lungs appear clear. There are no suspicious pulmonary nodules or infiltrates. The heart and pulmonary XXXX appear normal. The pleural spaces are clear. Mediastinal contours are normal. There is a left-sided tunneled catheter, the distal tip at the mid superior XXXX XXXX level.

support_devices: There is a left-sided tunneled catheter, the distal tip at the mid superior vena cava level.


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


Apical lordotic frontal view. Considering differences in technical factors XXXX stable cardiomediastinal silhouette with mild cardiomegaly. No focal alveolar consolidation, no definite pleural effusion seen. Dense left lower lung nodule suggests a previous granulomatous process. No typical findings of pulmonary edema.

lungs_pleura: Dense left lower lung nodule suggests a previous granulomatous process. heart_mediastinum: Cardiomediastinal silhouette with mild cardiomegaly.


The cardiomediastinal silhouette is normal in size and contour. Masslike opacification of right apex. No pneumothorax or large pleural effusion. XXXX are grossly normal.

lungs_pleura: Masslike opacification of right apex.


Unchanged elevation of the right hemidiaphragm. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is mildly enlarged. Mild degenerative changes throughout the thoracic spine anterior osteophytes noted inferiorly. Pulmonary artery prominence.

lungs_pleura: Elevation of the right hemidiaphragm. heart_mediastinum: The heart size is mildly enlarged. Pulmonary artery prominence. bones: Mild degenerative changes throughout the thoracic spine anterior osteophytes noted inferiorly.


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


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


AP and lateral views of the chest were obtained. The heart is normal size. Mediastinum is unremarkable. Lungs are hypoinflated but clear. No focal consolidation is seen.


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


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


The lungs are clear. Heart size is normal. No pneumothorax. Sternotomy XXXX overlie the heart.

support_devices: Sternotomy wires overlie the heart.


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Spondylosis of the midthoracic spine with large anterior osteophyte formations.

bones: Spondylosis of the midthoracic spine with large anterior osteophyte formations.


The heart size is normal. The mediastinal contour is within normal limits. There is a streaky opacity within the right upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.

lungs_pleura: There is a streaky opacity within the right upper lobe.


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. The lungs are well-inflated and grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. There is a XXXX-A-XXXX terminating in the superior XXXX XXXX. There are surgical clips in the left breast and axilla.

support_devices: There is a XXXX-A-XXXX terminating in the superior XXXX XXXX. others: There are surgical clips in the left breast and axilla.


The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated compatible with emphysema. There is biapical scarring. No acute infiltrate is seen.

lungs_pleura: The lungs are hyperinflated compatible with emphysema. There is biapical scarring.


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


Chest: The heart is normal size with normal appearance of the cardia mediastinal silhouette. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are mild degenerative changes and thoracic spine. Right knee: There are severe tricompartmental degenerative changes with obliteration of the joint spaces. There is no fracture or dislocation. Left knee: There is joint space loss most prominent in the medial compartment. The XXXX of lateral view and limits evaluation for an effusion or the patellofemoral joint space. There is no fracture or dislocation.

bones: There are mild degenerative changes and thoracic spine. There are severe tricompartmental degenerative changes with obliteration of the joint spaces. There is joint space loss most prominent in the medial compartment.


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. Mild degenerative endplate changes of the spine.

bones: Mild degenerative endplate changes of the spine.


The lungs hyperexpanded suggesting emphysema. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Osteopenia and degenerative changes are present in the spine.

lungs_pleura: The lungs hyperexpanded suggesting emphysema. bones: Osteopenia and 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.


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


Heart size and pulmonary vascularity appear within normal limits. Bilateral hilar fullness is present consistent with adenopathy. The appearance is unchanged. There is prominence of the interstitial markings bilaterally. These are also unchanged. No focal superimposed airspace disease is seen. No pneumothorax or pleural effusion is noted.

lungs_pleura: Prominence of the interstitial markings bilaterally. heart_mediastinum: Bilateral hilar fullness is present consistent with adenopathy.


The lungs are hyperexpanded consistent with emphysema. The heart size and pulmonary vascularity appear within normal limits. No pneumothorax or pleural effusion is seen. Patchy airspace disease is present in the right middle lobe. Degenerative changes are present spine.

lungs_pleura: The lungs are hyperexpanded consistent with emphysema. Patchy airspace disease is present in the right middle lobe. bones: Degenerative changes are present spine.


No focal consolidation. No visualized pneumothorax. No large pleural effusions. Heart size normal. Cardiomediastinal silhouette is unremarkable.


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


Normal heart size. Stable unfolding the thoracic aorta. No focal air space consolidation. No pleural effusion or pneumothorax. Stable calcified granuloma in the left lower lobe. Visualized osseous structures are unremarkable appearance.

lungs_pleura: Calcified granuloma in the left lower lobe. heart_mediastinum: Unfolding the thoracic aorta.


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


Normal heart size. Mild unfolding and atherosclerotic calcification of the aorta. No focal air space consolidation. No pneumothorax or pleural effusion. Visualized bony structures are unremarkable in appearance.

heart_mediastinum: Mild unfolding and atherosclerotic calcification of the aorta.


Heart size moderately enlarged. Mild left costophrenic XXXX blunting. Streaky and patchy bibasilar opacities, left greater than right. Right hemidiaphragm eventration noted. No typical findings of pulmonary edema.

lungs_pleura: Mild left costophrenic blunting. Streaky and patchy bibasilar opacities, left greater than right. Right hemidiaphragm eventration noted. heart_mediastinum: Heart size moderately enlarged.

Cardiomegaly;Pleural Effusion;Thickening;Opacity;Costophrenic Angle;Diaphragmatic Eventration


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


Normal heart size. No focal airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.


There is a left basilar airspace opacity. Right basilar atelectasis. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.

lungs_pleura: There is a left basilar airspace opacity. Right basilar atelectasis.


The lungs appear clear. The thoracic aorta remains tortuous. The presence of an aortic aneurysm cannot be excluded on this study XXXX. A there are calcified mediastinal and hilar lymph XXXX suggesting prior histoplasmosis infection. The pleural spaces are clear.

heart_mediastinum: The thoracic aorta is tortuous. There are calcified mediastinal and hilar lymph suggesting prior histoplasmosis infection.


No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. Calcified granuloma in the anterior left lower lobe. XXXX XXXX are intact.

lungs_pleura: Calcified granuloma in the anterior left lower lobe. support_devices: XXXX XXXX are intact.


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


No acute osseous abnormality. Stable scattered endplate degenerative changes and osteophyte formation in the thoracic spine. Normal cardiomediastinal silhouette and hilar contours. No focal area of consolidation, pleural effusion, or pneumothorax.

bones: Scattered endplate degenerative changes and osteophyte formation in the thoracic spine.


No acute osseous abnormalities. Left midlung, and basilar streaky opacity. There is elevation of the left hemidiaphragm. No pneumothorax. Small calcified 8 cm granuloma adjacent to the right diaphragm within the right chest. Cardiomediastinal silhouette is within normal limits.

lungs_pleura: Left midlung, and basilar streaky opacity. There is elevation of the left hemidiaphragm. Small calcified 8 cm granuloma adjacent to the right diaphragm within the right chest.


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

lungs_pleura: Right hemidiaphragm eventration noted.


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


The heart is mildly enlarged. Left hemidiaphragm is elevated. There is no acute infiltrate or pleural effusion. The mediastinum is unremarkable.

lungs_pleura: Left hemidiaphragm is elevated. heart_mediastinum: The heart is mildly enlarged.


Similar mild cardiomegaly. Of the pulmonary vascularity is prominent. No focal consolidations or effusions. No pneumothorax. No acute bony abnormality.

heart_mediastinum: Mild cardiomegaly. Pulmonary vascularity is prominent.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the diaphragms and expansion of the retrosternal clear space. Compared with prior exam, there has been interval resolution of previously demonstrated bibasilar infiltrates. There is minimal XXXX scarring or atelectasis in the right midlung. There is no XXXX focal airspace disease. There is no pneumothorax or pleural effusion. There are no acute bony findings.

lungs_pleura: The lungs are mildly hyperinflated with flattening of the diaphragms and expansion of the retrosternal clear space. Minimal scarring or atelectasis in the right midlung.


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

bones: There are endplate changes in the spine.


Heart size within normal limits. Small, nodular opacity in the right upper lobe. This does not look like an acute infiltrate, and more XXXX represents a granuloma. No pneumothorax or effusions.

lungs_pleura: Small, nodular opacity in the right upper lobe. This does not look like an acute infiltrate, and more represents a granuloma.