4 images. There is a large hydropneumothorax within the left chest. There is essentially complete collapse of the left lung. Within the right lung, there are increased interstitial opacities within the medial right lung base and right upper lobe, with patchy airspace opacity within the right lung apex. At the right lung apex, there is a more focal ovoid lucency which measures approximately 1.3 cm. This could indicate cavitation. Left-sided cardiomediastinal contours are obscured by collapse of the left lung. No convincing acute bony findings.

lungs_pleura: There is a large hydropneumothorax within the left chest. There is essentially complete collapse of the left lung. Within the right lung, there are increased interstitial opacities within the medial right lung base and right upper lobe, with patchy airspace opacity within the right lung apex. At the right lung apex, there is a more focal ovoid lucency which measures approximately 1.3 cm. heart_mediastinum: Left-sided cardiomediastinal contours are obscured by collapse of the left lung.


No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette is grossly unremarkable. There is motion artifact on the lateral radiograph.

Technical Quality of Image Unsatisfactory


Heart size slightly upper normal. Atherosclerotic calcifications within the aorta.. Lungs are hyperexpanded with flattening of the diaphragms consistent with emphysematous change. No focal airspace disease, pleural effusion, or pneumothorax. Degenerative changes of the spine are noted.

lungs_pleura: Lungs are hyperexpanded with flattening of the diaphragms consistent with emphysematous change. heart_mediastinum: Heart size slightly upper normal. Atherosclerotic calcifications within the aorta. bones: Degenerative changes of the spine are noted.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Note is XXXX of an XXXX closure device which appears grossly appropriate The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.

support_devices: Note is of an closure device which appears grossly appropriate.


The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits. Right paratracheal density is stable from prior radiographs and may reflect tortuous vasculature. There is aortic atherosclerotic vascular calcification. There are mild degenerative changes of the spine. Surgical clips are noted in the region of the left breast. There is mild diaphragm eventration.

lungs_pleura: Mild diaphragm eventration. heart_mediastinum: Right paratracheal density may reflect tortuous vasculature. Aortic atherosclerotic vascular calcification. bones: Mild degenerative changes of the spine. support_devices: Surgical clips are noted in the region of the left breast.


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


Heart size within normal limits, stable mediastinal contours with aortic ectasia/tortuosity. Left hilar and left lower lobe calcifications XXXX indicate a previous granulomatous process. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.

lungs_pleura: Left hilar and left lower lobe calcifications indicate a previous granulomatous process. heart_mediastinum: Mediastinal contours with aortic ectasia/tortuosity.


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


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


The cardiomediastinal silhouette is normal in size and contour. Aortic atherosclerosis. Hyperexpanded lungs. XXXX right perihilar/midlung density. Streaky bibasilar opacities, as well. Left upper lobe nodular opacity (anterior first rib interspace) may be exaggerated by overlapping bone silhouettes. Grossly similar midthoracic vertebral XXXX fracture.

lungs_pleura: Hyperexpanded lungs. XXXX right perihilar/midlung density. Streaky bibasilar opacities, as well. heart_mediastinum: Aortic atherosclerosis. bones: Midthoracic vertebral XXXX fracture.


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


The 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.


Normal heart size is prominent left ventricular contour. Unfolding of the thoracic aorta. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance.

heart_mediastinum: Normal heart size is prominent left ventricular contour. Unfolding of the thoracic aorta.


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


The heart is top normal in size. The mediastinum is stable. The aorta is atherosclerotic. XXXX opacities are noted in the lung bases compatible with scarring or atelectasis. There is no acute infiltrate or pleural effusion.

lungs_pleura: Opacities are noted in the lung bases compatible with scarring or atelectasis. heart_mediastinum: The aorta is atherosclerotic.


The cardiomediastinal silhouette is within normal limits. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality. Large hiatal hernia.


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


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


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


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


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


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


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


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.


Low lung volumes. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. Mild left lingular platelike atelectasis. XXXX are grossly unremarkable.

lungs_pleura: Low lung volumes. Mild left lingular platelike atelectasis.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. No pleural effusion. There are XXXX spine marginal osteophytes.

heart_mediastinum: Cardiomediastinal silhouette. bones: There are XXXX spine marginal osteophytes.


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Multilevel degenerative changes of the thoracic spine are noted.

bones: Multilevel degenerative changes of the thoracic spine are noted.


XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. There is elevated right hemidiaphragm and evidence of right upper lobectomy. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.

lungs_pleura: Elevated right hemidiaphragm. Evidence of right upper lobectomy.


Heart size appears upper limits of normal. Tortuous aorta. Otherwise normal mediastinum. Confluent and XXXX opacities seen within the left base. There are no visible nodules or masses. No visible pneumothorax. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.

lungs_pleura: Confluent and opacities seen within the left base. heart_mediastinum: Heart size appears upper limits of normal. Tortuous aorta.


There is interval removal of the tracheostomy tube and right subclavian central venous catheter. The cardiac silhouette is mildly enlarged. There are XXXX XXXX pulmonary opacities with blunting of the bilateral costophrenic XXXX, on the right greater than left, with pleural thickening versus loculated pleural fluid along the peripheral aspect of the right upper lobe. Right perihilar opacities. No pneumothorax identified.

lungs_pleura: There are XXXX XXXX pulmonary opacities with blunting of the bilateral costophrenic XXXX, on the right greater than left, with pleural thickening versus loculated pleural fluid along the peripheral aspect of the right upper lobe. Right perihilar opacities. heart_mediastinum: The cardiac silhouette is mildly enlarged.

Cardiac Shadow;Opacity;Costophrenic Angle;Thickening;Pleural Effusion;Opacity;Pulmonary Atelectasis;Infiltrate;Pleural Effusion


Low lung volumes. Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascularity is within normal limits. Lungs are clear airspace disease. Negative for pneumothorax or pleural effusion. XXXX XXXX are grossly intact.


Stable cardiomediastinal silhouette. Right hilar surgical clips. Stable right-sided volume loss. Increasing density in the superior segment of the left lower lobe, XXXX seen on lateral view. No pneumothorax. Severe degenerative disease of the XXXX.

lungs_pleura: Right-sided volume loss. Density in the superior segment of the left lower lobe. bones: Severe degenerative disease of the spine. support_devices: Right hilar surgical clips.


Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Soft tissues unremarkable


Low lung volumes with magnified appearance of the heart, XXXX normal heart size. Negative for consolidation, effusion, or pneumothorax. Bony thorax and soft tissues grossly unremarkable.

lungs_pleura: Low lung volumes. heart_mediastinum: Magnified appearance of the heart.


Heart size within normal limits. No focal airspace opacities. No pneumothorax. No effusions. Mild degenerative changes of the thoracic spine. No XXXX deformities. Emphysematous changes.

lungs_pleura: Emphysematous changes. bones: Mild degenerative changes of the thoracic spine.


Heart size within normal limits, stable mediastinal and hilar contours, coronary artery stent artifact, XXXX XXXX and clips suggest CABG. Mediastinal and hilar calcifications XXXX indicate a previous granulomatous process. Stable hyperinflation, bilateral upper lobe pleuroparenchymal near and nodular irregularities, right greater than left, XXXX opacities in the peripheral right lung most compatible with scarring. No XXXX abnormal pulmonary opacities, no definite pleural effusion seen. No typical findings of pulmonary edema. Osseous demineralization, stable appearance of T9 and T12 XXXX fractures.

lungs_pleura:  Bilateral upper lobe pleuroparenchymal and nodular irregularities, right greater than left. Opacities in the peripheral right lung most compatible with scarring. heart_mediastinum: Mediastinal and hilar calcifications indicate a previous granulomatous process. bones: Osseous demineralization. T9 and T12 fractures. support_devices: Coronary artery stent artifact. Clips suggest CABG.

Stents;Surgical Instruments;Calcinosis;Calcinosis;Granulomatous Disease;Lung;Nodule;Nodule;Opacity;Cicatrix;Fractures, Bone;Bone Diseases, Metabolic


PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Mild basilar atelectasis. Increased density the lung bases, favored this attenuation from overlying breast shadows.

lungs_pleura: Mild basilar atelectasis. Increased density the lung bases, favored this attenuation from overlying breast shadows.


The heart is normal in size. The mediastinum is unremarkable. XXXX XXXX opacity in left midlung. The lungs are clear.

lungs_pleura: XXXX XXXX opacity in left midlung.


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

lungs_pleura: The lungs are hypoinflated.


The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures show arthritic changes.

bones: The skeletal structures show arthritic changes.


Evaluation for pneumothorax is limited due to exclusion of the superior-most pulmonary apices. No visible pleural XXXX. No focal air space opacities or pleural effusion. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air. Mild degenerative changes of the thoracic spine. Included osseous structures are grossly intact.

bones: Mild degenerative changes of the thoracic spine.

Technical Quality of Image Unsatisfactory ;Thoracic Vertebrae


The heart size and pulmonary vascularity appear within normal limits. Left pleural effusion is present. A mass density is present in the left midlung zone. This measures approximately 3.2 cm in diameter. Air-fluid level is present behind the heart which probably represents a hiatal hernia. Some XXXX of right lung atelectasis are noted. Osteopenia and XXXX deformities are present in the spine. Multiple surgical clips are noted. No pneumothorax is seen.

lungs_pleura: Left pleural effusion is present. A mass density is present in the left midlung zone. This measures approximately 3.2 cm in diameter. Some atelectasis of right lung are noted. bones: Osteopenia and deformities are present in the spine. support_devices: Multiple surgical clips are noted.

Pleural Effusion;Density;Mass;Hernia, Hiatal;Pulmonary Atelectasis;Bone Diseases, Metabolic;Deformity;Surgical Instruments


The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There is redemonstration of a calcified granuloma within the left 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: A calcified granuloma within the left upper lobe.


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


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


Lumbar and are low. No infiltrates. Heart size normal. A large hiatal hernia is present. An age-indeterminate XXXX fracture is present in the lower thoracic vertebra. Scoliosis is present in the thoracic and thoracolumbar spine.

lungs_pleura: Lumbar and are low. bones: An age-indeterminate XXXX fracture is present in the lower thoracic vertebra. Scoliosis is present in the thoracic and thoracolumbar spine. others: A large hiatal hernia is present.


Heart size is normal. Low lung volumes. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures grossly intact.


Cardiac and mediastinal XXXX appear normal. Low lung volumes and bronchovascular crowding. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. Surgical clips are seen within the right upper abdomen.

lungs_pleura: Low lung volumes and bronchovascular crowding. support_devices: Surgical clips are seen within the right upper abdomen.


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


Lungs are mildly hyperexpanded. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine.

lungs_pleura: Lungs are mildly hyperexpanded. bones: There are diffuse degenerative changes of the spine.


Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.

lungs_pleura: There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm.


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


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


The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Degenerative changes of the thoracic spine.

bones: Degenerative changes of the thoracic spine.


The cardiac silhouette mediastinal contours are within normal limits. The lungs are clear bilaterally. No focal opacities. There is no large pleural effusion. No pneumothorax. There is XXXX deformities involving multiple vertebral bodies of the thoracic spine which appear stable compared to the previous exam.

bones: There is XXXX deformities involving multiple vertebral bodies of the thoracic spine.


PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is within limits. Postoperative changes from spinal rods are demonstrated. There is elevation of the left hemidiaphragm. Multiple colonic loops are demonstrated in the left upper quadrant. The lungs are clear bilaterally. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation.

lungs_pleura: There is elevation of the left hemidiaphragm. bones: Postoperative changes from spinal rods are demonstrated. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation. others: Multiple colonic loops are demonstrated in the left upper quadrant.


The lungs are hyperinflated with mildly coarsened interstitial markings consistent with chronic lung disease. No focal consolidation, pneumothorax, or effusion identified. The mediastinal silhouette is stable and within normal limits for size. There is redemonstration without significant change in right hilar calcified lymph XXXX. The bony structures of the thorax demonstrate degenerative changes of the right shoulder and a XXXX right humerus consistent with distal humeral amputation. No acute bony abnormality identified.

lungs_pleura: The lungs are hyperinflated with mildly coarsened interstitial markings consistent with chronic lung disease. heart_mediastinum: Right hilar calcified lymph node. bones: The bony structures of the thorax demonstrate degenerative changes of the right shoulder and a right humerus consistent with distal humeral amputation.


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 trachea is midline. The cardio mediastinal silhouette is of normal size and contour. No evidence of focal infiltrate or effusion. Low lung volumes XXXX XXXX atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals degenerative changes of the thoracic spine.

lungs_pleura: Low lung volumes atelectasis and bronchovascular crowding. bones: Degenerative changes of the thoracic spine.


Stable cardiomediastinal silhouette with borderline cardiomegaly. No pneumothorax or large pleural effusion. No focal airspace disease. Diffuse interstitial opacities. Bony structures appear intact. Nodular densities consistent with chronic granulomatous disease.

lungs_pleura: Diffuse interstitial opacities. Nodular densities consistent with chronic granulomatous disease. heart_mediastinum: Cardiomediastinal silhouette with borderline cardiomegaly.


Moderate sized right loculated pleural effusion with right lower lobe atelectasis. Normal cardiac contour with atherosclerotic changes throughout the aorta. Clear left lung XXXX.

lungs_pleura: Moderate sized right loculated pleural effusion with right lower lobe atelectasis. heart_mediastinum: Atherosclerotic changes throughout the aorta.


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


The heart is large. Lung volumes are XXXX. XXXX opacity persists in the right midlung. No focal infiltrates.

lungs_pleura: Right midlung opacity. heart_mediastinum: The heart is large.


Normal heart. Clear lungs. Stable calcified granuloma left midlung. No pneumothorax. No pleural effusion. Midline trachea.

lungs_pleura: Calcified granuloma left midlung.


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


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


Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Atherosclerotic calcifications identified within the aortic XXXX. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusion. Flowing thoracic spine osteophytes noted.

heart_mediastinum: Atherosclerotic calcifications identified within the aortic arch. bones: Flowing thoracic spine osteophytes noted.


The lungs are clear. There is no focal airspace consolidation.  No pleural effusion or pneumothorax. Heart size is at the upper limits of  normal. Thoracic aorta is mildly ectatic, stable. Old right clavicular fracture is again noted.

heart_mediastinum: Heart size is at the upper limits of normal. Thoracic aorta is mildly ectatic. bones: Right clavicular fracture.


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


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


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


The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Unchanged multiple XXXX foreign bodies overlying the left clavicle and midline in the posterior soft tissues. The bony thorax is grossly intact.

support_devices: Multiple foreign bodies overlying the left clavicle and midline in the posterior soft tissues.


The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax. No pulmonary nodules are identified.


Calcified lymph XXXX in both XXXX. XXXX amount of focal atelectasis posterior to the left heart. The trachea is midline. Negative for pneumothorax, pleural effusion or large focal airspace consolidation. The heart size is normal.

lungs_pleura: Calcified lymph nodes in both hila. Amount of focal atelectasis posterior to the left heart.


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


Mild cardiomegaly. Tortuous thoracic aorta with atherosclerosis. No pneumothorax or pleural effusion. Degenerative changes in the thoracic spine without evidence of XXXX deformity. The visualized osseous structures are intact. No displaced rib fractures. No edema or airspace consolidation

heart_mediastinum: Mild cardiomegaly. Tortuous thoracic aorta with atherosclerosis. bones: Degenerative changes in the thoracic spine.


Chest. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. Ribs. There are no displaced rib fractures, or obvious nondisplaced rib fractures. Soft tissues appear normal.


The cardiac contours are normal. Calcified tortuous thoracic aorta. Emphysema. Mild apical scarring. The lungs are otherwise clear. Thoracic spondylosis.

lungs_pleura:  Mild apical scarring. heart_mediastinum: Calcified tortuous thoracic aorta. bones: Thoracic spondylosis.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but clear of focal airspace disease, pneumothorax, or pleural effusion. There are multiple XXXX sternotomy XXXX and surgical clips compatible with prior CABG. The most caudal XXXX sternotomy XXXX is fractured. There are no acute bony findings.

lungs_pleura: The lungs are mildly hypoinflated. bones: The most caudal sternotomy is fractured. support_devices: There are multiple sternotomy and surgical clips compatible with prior CABG.


The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. No pneumothorax or pleural effusion. XXXX lucency under the right hemidiaphragm may represent a focus of free air.


The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is at the upper limits of normal. Calcified granuloma in the right lower lobe is stable in appearance XXXX compared to the previous examinations.

lungs_pleura: Calcified granuloma in the right lower lobe. heart_mediastinum: The heart size is at the upper limits of 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. No acute osseus abnormality..


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


Heart size mildly enlarged, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.

heart_mediastinum: Heart size mildly enlarged. Mediastinal calcifications suggest a previous granulomatous process.


The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aortic XXXX are present. The lungs are clear.

heart_mediastinum: Atherosclerotic calcifications of the aortic arch are present.


The heart is normal in size. The mediastinal contours are within normal limits. There are numerous bilateral pulmonary nodules of varying sizes. The largest is noted in the left lower lobe, posteriorly measuring approximately 7.0 cm. No acute infiltrate or pleural effusion are appreciated.

lungs_pleura: There are numerous bilateral pulmonary nodules of varying sizes. The largest is noted in the left lower lobe, posteriorly measuring approximately 7.0 cm.


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


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. No significant hilar process to suggest adenopathy. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.


2 images. There is a poorly defined lung nodule in the right upper lobe measuring approximately 7 mm and partially superimposed upon anterior right second rib. Otherwise, the lungs are clear. No pleural effusion or pneumothorax. Heart size is normal. Critical result notification documented through Primordial.

lungs_pleura: There is a poorly defined lung nodule in the right upper lobe measuring approximately 7 mm and partially superimposed upon anterior right second rib.


There are a few small nodular opacities in the left lung, XXXX seen on the frontal view overlying the left 6th posterior rib. Lungs otherwise appear clear. No focal airspace consolidation. No overt pulmonary edema. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. Calcified mediastinal and hilar lymph XXXX are consistent with prior granulomatous disease. There are mild degenerative changes of the spine.

lungs_pleura: There are a few small nodular opacities in the left lung. heart_mediastinum: Calcified mediastinal and hilar lymph nodes are consistent with granulomatous disease. bones: There are mild degenerative changes of the spine.


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


Calcified granulomas. Calcified hilar XXXX. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Question large pulmonary arteries. Lung XXXX are hyperexpanded. Prominent substernal air space. Aortic calcifications. Degenerative changes thoracic spine.

lungs_pleura: Calcified granulomas. Lung volumes are hyperexpanded. heart_mediastinum: Calcified hilar nodes. Prominent substernal air space. Aortic calcifications. bones: Degenerative changes thoracic spine.

Calcified Granuloma;Calcinosis;Lung;Calcinosis;Thoracic Vertebrae;Pulmonary Disease, Chronic Obstructive


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 present in the right lung base. Bibasilar bandlike opacities are present. The appearance XXXX scarring or atelectasis.

lungs_pleura: Calcified granuloma is present in the right lung base. Bibasilar bandlike opacities are present. The appearance represents scarring or atelectasis.

Calcified Granuloma;Opacity;Cicatrix;Pulmonary Atelectasis;Granulomatous Disease


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


No acute osseous abnormality. Mild degenerative changes of the thoracic spine. There is stable enlargement of the heart. No focus of consolidation, pleural effusion, or pneumothorax.

heart_mediastinum: Enlargement of the heart. bones: Mild degenerative changes of the thoracic spine.


Study is somewhat limited by body habitus. Cardiomegaly is noted, with central pulmonary vascular prominence and coarsened interstitial markings, suspicious for developing interstitial pulmonary edema. No focal consolidation, pneumothorax, or definite effusion identified. No acute bony abnormality seen.

lungs_pleura: Coarsened interstitial markings, suspicious for developing interstitial pulmonary edema. heart_mediastinum: Cardiomegaly is noted, with central pulmonary vascular prominence.

Technical Quality of Image Unsatisfactory ;Cardiomegaly;Pulmonary Congestion;Markings


The lungs are relatively clear with XXXX sulci. Heart size normal in LV contour. Slightly unfolded ascending and descending aorta. T-spine unremarkable.

heart_mediastinum: Slightly unfolded ascending and descending aorta.


The heart is normal in size. The mediastinum is unremarkable. Small nodule in the right upper lung is stable. The lungs are otherwise clear.

lungs_pleura: Small nodule in the right upper lung.


Two views of chest was obtained in AP projection. The cardiomediastinal silhouette is not enlarged. Lungs demonstrate segmental air space disease within the left lower lobe. There is no effusion or pneumothorax. There is evidence of CABG.

lungs_pleura: Lungs demonstrate segmental air space disease within the left lower lobe. support_devices: There is evidence of CABG.


Lungs are clear. No pleural effusions or pneumothoraces. Heart size is normal with postoperative changes consistent with CABG. Degenerative changes in the thoracic spine.

heart_mediastinum: Postoperative changes consistent with CABG. bones: Degenerative changes in the thoracic spine.


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


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

heart_mediastinum: Calcified lymph nodes are present. bones: Degenerative changes are present in the spine.


Stable chronic appearing left basilar opacities. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures appear intact. Degenerative changes of the visualized thoracic spine.

lungs_pleura: Chronic appearing left basilar opacities. bones: Degenerative changes of the visualized thoracic spine.


The lungs are mildly hyperexpanded. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.

lungs_pleura: The lungs are mildly hyperexpanded. bones: There are degenerative changes of the spine.


There is a moderate layering left pleural effusion, grossly stable. There is a moderate right pleural effusion, which is partially loculated. There is some pleural fluid tracking along the right XXXX fissure. There is bibasilar airspace disease, possibly passive atelectasis. No pneumothorax is identified. Heart size is within normal limits. Right PICC tip is at the SVC. There are mild degenerative changes of the spine.

lungs_pleura: There is a moderate layering left pleural effusion. There is a moderate right pleural effusion, which is partially loculated. There is some pleural fluid tracking along the right XXXX fissure. bones: There are mild degenerative changes of the spine. support_devices: Right PICC tip is at the SVC.

Pleural Effusion;Airspace Disease;Catheters, Indwelling;Spine


Dextroscoliosis of the thoracic spine. Clear lungs bilaterally. No pneumothorax or pleural effusion. No acute bony abnormalities.

bones: Dextroscoliosis of the thoracic spine.


Pacemaker generator overlying the left chest in stable position with 2 leads terminating in the right atrium and right ventricle in stable position. Stable XXXX sternotomy XXXX. No pneumothorax, pleural effusion, or focal airspace disease. Minimal fluid within the right horizontal fissure.

lungs_pleura: Minimal fluid within the right horizontal fissure. bones: Sternal wires. support_devices: Pacemaker generator overlying the left chest in position with 2 leads terminating in the right atrium and right ventricle in position.


The heart and mediastinum are unremarkable. There is tortuosity of the aorta, compatible with atherosclerosis. Low lung volumes. Minimal XXXX opacities within the lung bases, XXXX subsegmental atelectasis. The lungs are clear without infiltrate. There is no effusion or pneumothorax.

lungs_pleura: Low lung volumes. Minimal opacities within the lung bases. Subsegmental atelectasis. heart_mediastinum: Tortuosity of the aorta, compatible with atherosclerosis.


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


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


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


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

bones: Mild degenerative changes of the thoracic spine.


Heart size within normal limits. No focal airspace disease. No pneumothorax, no pleural effusion. No displaced rib fractures.


There are low lung volumes. The lungs are otherwise clear. Heart size is normal. No pneumothorax.

lungs_pleura: There are low lung volumes.


No focal consolidation. There are prominent interstitial markings, including focally in right upper lobe, which are similar from prior examination. No visualized pneumothorax. The heart size is normal. There are no pleural effusions.

lungs_pleura: Prominent interstitial markings, including focally in right upper lobe.


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


Normal cardiac contour. Stable calcified granuloma left upper lobe. No pleural effusion or pneumothorax. Clear lungs bilaterally.

lungs_pleura: Calcified granuloma left upper lobe.


The cardiac silhouette is mildly enlarged. There are scattered bilateral XXXX opacities, most notably in the right middle lobe, XXXX XXXX of subsegmental atelectasis. No pleural effusion. No pneumothorax is identified. There are diffuse degenerative changes of the spine.

lungs_pleura: There are scattered bilateral opacities, most notably in the right middle lobe, suggestive of subsegmental atelectasis. heart_mediastinum: The cardiac silhouette is mildly enlarged. bones: There are diffuse degenerative changes of the spine.

Cardiac Shadow;Opacity;Opacity;Pulmonary Atelectasis;Spine;Cardiomegaly;Pericardial Effusion


The cardiac and mediastinal silhouettes are normal. The lungs are well-expanded and clear. There is no focal airspace opacity. There is no pneumothorax or effusion. There is irregularity of the 7th posterior right rib with underlying pleural thickening.

bones: There is irregularity of the 7th posterior right rib with underlying pleural thickening.


No pneumothorax, pleural effusion, or focal airspace disease. There is a discrete 1.4 cm nodule within the anterior segment of the right lower lobe. The additional nodular opacities consistent with chronic granulomatous disease. Heart size normal. Cardiomediastinal silhouette is clear. Bony structures appear intact. Right unilateral nipple ring.

lungs_pleura: There is a discrete 1.4 cm nodule within the anterior segment of the right lower lobe. The additional nodular opacities consistent with chronic granulomatous disease. support_devices: Right unilateral nipple ring.


The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There are calcifications in the aortic XXXX. There is a calcified granuloma at the left lower lung. There is no pneumothorax or large pleural effusion.

lungs_pleura: There is a calcified granuloma at the left lower lung. heart_mediastinum: There are calcifications in the aortic arch.


Both lungs are clear and expanded. Heart and mediastinum normal. XXXX-A-XXXX XXXX has its tip at the caval atrial junction.

support_devices: XXXX-A-XXXX XXXX has its tip at the caval atrial junction.


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


Heart size is normal in cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally. No XXXX consolidations. No pleural effusion. No pneumothorax. XXXX and soft tissues are unremarkable. Lungs are hyperinflated.


The previously seen right-sided PICC has been removed. The heart size is normal. Lungs are clear. There is no pneumothorax or large pleural effusion. Bony structures are within normal limits.


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


Heart size and mediastinal contour within normal limits. Aortic atherosclerotic calcifications. Emphysematous changes. Nodular densities projecting over right anterior fifth and six ribs. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.

lungs_pleura: Emphysematous changes. heart_mediastinum: Aortic atherosclerotic calcifications. bones: Nodular densities projecting over right anterior fifth and six ribs.


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


The heart is normal in size. The mediastinum is stable. Right chest XXXX tip is again seen at the cavoatrial junction. There is no pneumothorax. There is again elevation of right hemidiaphragm with right-sided pleural effusion. Vague opacities are noted in the right upper lobe, XXXX from prior study. These may be related to overlying rib lesions versus true pulmonary nodules. The left lung appears grossly clear. Drainage catheter seen overlying the right upper quadrant.

lungs_pleura: Elevation of right hemidiaphragm with right-sided pleural effusion. Vague opacities are noted in the right upper lobe. support_devices: Right chest XXXX tip is seen at the cavoatrial junction. Drainage catheter seen overlying the right upper quadrant.

Catheters, Indwelling;Diaphragm;Pleural Effusion;Opacity;Airspace Disease;Catheters, Indwelling


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


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


There is a lobulated contour to the right paratracheal stripe, possibly consistent with a vascular structure or lymph XXXX. The cardiomediastinal silhouette is otherwise within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.


The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes. Right greater than left bilateral hilar and subcarinal adenopathy is again seen. The cardiac silhouette is prominent but probably artifactually large due to diminished lung volumes. No focal consolidation, pleural effusion, or pneumothorax identified. There is a deformity of the left clavicle compatible with remote XXXX.

lungs_pleura: There are diminished lung volumes. heart_mediastinum: Right greater than left bilateral hilar and subcarinal adenopathy is seen. The cardiac silhouette is prominent but probably artifactually large due to diminished lung volumes. bones: There is a deformity of the left clavicle compatible with remote XXXX.


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.


Hyperinflated lungs with mildly flattened posterior diaphragm. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits, no typical findings of pulmonary edema.

lungs_pleura: Hyperinflated lungs with mildly flattened posterior diaphragm.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No change calcified aorticopulmonary XXXX node.

heart_mediastinum: Calcified aorticopulmonary node.


Feeding tube noted with tip XXXX distal to the gastroesophageal junction. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. Osseous structures intact.

support_devices: Feeding tube noted with tip XXXX distal to the gastroesophageal junction.


Heart size is normal and cardiomediastinal contours are normal. Lungs are otherwise clear bilaterally without effusion or pneumothorax. Bony structures and soft tissues are unremarkable.


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


There are persistent low lung volumes. There is stable streaky left lower lobe airspace disease. Probable XXXX residual left pneumothorax. No large pleural effusion. Stable cardiomediastinal contour. Left-sided rib fractures are better appreciated on the XXXX chest comparison.

lungs_pleura: Low lung volumes. Streaky left lower lobe airspace disease. bones: Left-sided rib fractures.


The heart is normal in size. The mediastinum is stable. The lungs are hypoinflated with scarring in the left lung base. There is no focal consolidation or significant effusion.

lungs_pleura: The lungs are hypoinflated. Scarring in the left lung base.


The lungs are clear. The heart and pulmonary XXXX appear normal. The pleural spaces are clear. There is XXXX minimal sclerotic change overlying the midthoracic spine the lateral view. Unclear whether this is a pulmonary finding or skeletal finding. Bone scan would be helpful to evaluate for potential metastatic disease. The mediastinal contours are normal.

bones: There is XXXX minimal sclerotic change overlying the midthoracic spine the lateral view.


CHEST. The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the left lung base. SOFT TISSUE NECK. There is reversal of the normal cervical lordosis which may indicate muscle spasm versus a positional phenomenon. There is no prevertebral soft tissue XXXX. The epiglottis is within normal limits. There is a 3 mm x 1 mm density identified on the lateral exam only, possibly within one of the piriform sinuses.

lungs_pleura: There is a calcified granuloma in the left lung base. bones: There is reversal of the normal cervical lordosis which may indicate muscle spasm versus a positional phenomenon.


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


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


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


There is mild XXXX mentally without pulmonary edema. Tortuous thoracic aorta, unchanged. Stable positioning of the dual-XXXX cardiac XXXX device. No visible pneumothorax. There is a small left pleural effusion. Focal airspace consolidation is visualized in the superior segment of the left lower lobe, XXXX appreciated on lateral projection. Increased retrosternal clear space suggesting chronic obstructive pulmonary disease.

lungs_pleura: There is mild XXXX mentally. There is a small left pleural effusion. Focal airspace consolidation is visualized in the superior segment of the left lower lobe, XXXX appreciated on lateral projection. Increased retrosternal clear space suggesting chronic obstructive pulmonary disease. heart_mediastinum: Tortuous thoracic aorta. support_devices: Positioning of the dual-XXXX cardiac XXXX device.

Consolidation;Pneumonia;Pleural Effusion;Aorta, Thoracic;Implanted Medical Device


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


No acute osseous abnormality. Soft tissues are within normal limits. Borderline enlargement of the heart. Normal hilar vasculature. No focal area of consolidation, pleural effusion, or pneumothorax.

heart_mediastinum: Borderline enlargement of the heart.


Lung volumes are mildly low. The cardiomediastinal silhouette is within normal limits for size contour. No consolidation. No pleural effusion or pneumothorax. Mild degenerative disc change at the thoracic spine, no XXXX deformity.

lungs_pleura: Lung volumes are mildly low. bones: Mild degenerative disc change at the thoracic spine.


There is blunting of the left costophrenic XXXX compatible with a moderate to large left pleural fluid collection. There are areas of airspace opacity within the left lung base which may represent atelectasis or infiltrate. Minimal bandlike atelectasis within the right lung base. Heart size is normal. Left-sided tunneled catheter terminates at the caval atrial junction. Right IJ venous catheter terminates at the proximal SVC.

lungs_pleura: Blunting of the left costophrenic angle compatible with a moderate to large left pleural fluid collection. Minimal bandlike atelectasis within the right lung base. support_devices: Left-sided tunneled catheter terminates at the caval atrial junction. Right IJ venous catheter terminates at the proximal SVC.

Costophrenic Angle;Pleural Effusion;Opacity;Pulmonary Atelectasis;Catheters, Indwelling;Pulmonary Atelectasis;Airspace Disease


Stable cardiomediastinal silhouette. Pulmonary vascular is unremarkable lungs are expanded and clear of airspace disease. Negative for pneumothorax, pneumomediastinum, or pleural effusion. Limited evaluation reveals the XXXX XXXX to be grossly intact. Prominent rib cartilage of the anterior lower ribs seen on lateral view.

bones: Prominent rib cartilage of the anterior lower ribs seen on lateral view.


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

lungs_pleura: There are low lung volumes.


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


The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. Calcified lymph XXXX are identified in the left infrahilar region. No pneumothorax. No pleural effusion. No acute, displaced rib fractures identified.

lungs_pleura: Calcified lymph nodes are identified in the left infrahilar region.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal XXXX opacity in the lung bases. The lungs are otherwise grossly clear. There are no acute bony findings.

lungs_pleura: There is minimal XXXX opacity in the lung bases.


Heart size is normal. Lungs are clear. No pneumothorax or pleural effusion.


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

lungs_pleura: Left hemidiaphragm eventration.


Normal cardiac contours. No pleural effusion or pneumothorax. Bilateral lower lobe bronchial thickening consistent with bronchitis.

lungs_pleura: Bilateral lower lobe bronchial thickening consistent with bronchitis.


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. Degenerative changes are present in the spine.

bones: Degenerative changes are present in the spine.


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. Dense nodule again noted in the right lower lobe suggesting a previous granulomatous process.

lungs_pleura: Dense nodule in the right lower lobe suggesting a previous granulomatous process.


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

bones: Thoracic spondylosis. others: Granulomatous disease.


Increased interstitial opacities non-specific. Question edema or atypical infection?

lungs_pleura: Increased interstitial opacities non-specific.


The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality.


There are very low lung volumes with associated central bronchovascular crowding. There is elevation of the left hemidiaphragm. There are XXXX-filled loops of mildly dilated colon in the left upper quadrant. The bowel XXXX pattern is not well evaluated secondary to incomplete imaging of the abdomen. There is no pneumothorax or definite pleural effusion. The streaky opacities in the lung bases may represent atelectasis. No definite infectious infiltrate is seen. There is scoliosis and exaggeration of the thoracic kyphosis.

lungs_pleura: There are very low lung volumes with associated central bronchovascular crowding. There is elevation of the left hemidiaphragm. The streaky opacities in the lung bases may represent atelectasis. bones: There is scoliosis and exaggeration of the thoracic kyphosis. others: There are XXXX-filled loops of mildly dilated colon in the left upper quadrant.


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 patient was shielded.


The lungs and pleural spaces show no acute abnormality. Nodular densities projecting over the posterior 9th ribs bilaterally are consistent with nipple shadows. Lungs are hyperexpanded. Heart size and pulmonary vascularity within normal limits.

lungs_pleura: Lungs are hyperexpanded. bones: Nodular densities projecting over the posterior 9th ribs bilaterally are consistent with nipple shadows.


Heart size is normal. There are densely calcified mediastinal and right hilar lymph XXXX which suggest prior histoplasmosis exposure. No consolidating airspace disease is seen within the lungs. No pleural effusion or pneumothorax. No convincing acute bony findings.

heart_mediastinum: There are densely calcified mediastinal and right hilar lymph nodes which suggest prior histoplasmosis exposure.


The lungs are mildly hyperinflated, with upper lobe areas of lung lucency suggesting obstructive pulmonary disease and emphysema. No superimposed focal airspace consolidation is seen. No pleural effusion or pneumothorax. Heart size is normal.

lungs_pleura: The lungs are mildly hyperinflated, with upper lobe areas of lung lucency suggesting obstructive pulmonary disease and emphysema.


There is right basilar opacity with associated blunting of the costophrenic XXXX seen on lateral view. In addition, there is a interface along the left hemidiaphragm. This may represent attenuation artifact however further evaluation with right lateral decubitus views would better evaluate. There is no pneumothorax. The XXXX lungs are clear. Cardiac silhouette and mediastinal contours are within normal limits.

lungs_pleura: There is right basilar opacity with associated blunting of the costophrenic angle. In addition, there is a interface along the left hemidiaphragm.

Opacity;Costophrenic Angle;Technical Quality of Image Unsatisfactory


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


Right-sided internal jugular central venous catheter with tip approximating the right atrium. Postsurgical changes of the mediastinum including sternotomy XXXX. Left base opacities again noted, stable. There is a left lung opacity, not well appreciated on prior. There is no evidence of pneumothorax. Low lung volumes. Degenerative changes thoracic spine.

lungs_pleura: Left base opacities. There is a left lung opacity. Low lung volumes. heart_mediastinum: Postsurgical changes of the mediastinum including sternotomy. bones: Degenerative changes thoracic spine. support_devices: Right-sided internal jugular central venous catheter with tip approximating the right atrium.

Catheters, Indwelling;Opacity;Opacity;Lung;Thoracic Vertebrae;Pulmonary Atelectasis;Cicatrix


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


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

lungs_pleura: Chronic bilateral emphysematous changes.


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

bones: Mild degenerative changes of the thoracic spine.


Low lung volumes bilaterally. 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.

lungs_pleura: Low lung volumes bilaterally.


Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. XXXX and soft tissue are unremarkable.


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


The trachea is midline. The cardiomediastinal silhouette is normal in size and unchanged from prior examinations with sternotomy XXXX and surgical clips overlying. There is blunting of the right costophrenic XXXX which appears unchanged from prior examination and may be secondary to scarring or pleural thickening of the right lung base. There is no evidence of acute infiltrate. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.

lungs_pleura: Blunting of the right costophrenic angle which may be secondary to scarring or pleural thickening of the right lung base. support_devices: Sternotomy and surgical clips overlying.


The cardiomediastinal contours are stable and normal. Mid sternotomy XXXX again noted. Mildly low lung volumes. No significant pulmonary edema, focal lung consolidation, pleural effusions or pneumothorax seen.

lungs_pleura: Mildly low lung volumes. support_devices: Mid sternotomy.


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.


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

heart_mediastinum: Mild aortic tortuosity.


There is a cortical irregularity along the anterior margin of the sternum. In addition, there is a focal retrosternal hypodense convexity. The cardiac silhouette is within normal limits. The thoracic aorta is torturous however the mediastinal contours are within normal limits. There is no pneumothorax. There is no large pleural effusion. There is streaky XXXX opacity within the left lung base XXXX representing atelectasis. Otherwise, the lungs are clear. There is thoracic kyphosis. There is hyperinflation of the lungs.

lungs_pleura: There is streaky opacity within the left lung base representing atelectasis. There is hyperinflation of the lungs. heart_mediastinum: The thoracic aorta is torturous. bones: There is a cortical irregularity along the anterior margin of the sternum. In addition, there is a focal retrosternal hypodense convexity. There is thoracic kyphosis.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is XXXX airspace opacity in the mid right lung radiating from the right hilum to the pleura and bordered inferiorly by the fissures. The XXXX fissure is convex upward. There is right base patchy airspace opacity. This appears chronic and may be due to scarring. There is no significant pleural effusion.

lungs_pleura: There is XXXX airspace opacity in the mid right lung radiating from the right hilum to the pleura and bordered inferiorly by the fissures. The XXXX fissure is convex upward. There is right base patchy airspace opacity. This appears chronic and may be due to scarring. heart_mediastinum: Cardiomediastinal silhouette.


Heart size mildly enlarged. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax. S-shaped spine curvature noted.

heart_mediastinum: Heart size mildly enlarged. bones: S-shaped spine curvature noted.


Considering differences in technical factors XXXX stable cardiomegaly and stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema.

lungs_pleura: Bronchovascular crowding. heart_mediastinum:  Mediastinal contours.

Cardiomegaly;Markings;Technical Quality of Image Unsatisfactory


Frontal and lateral views of the chest show normal size cardiac silhouette, allowing for an AP projection. Normal contour of the mediastinum and aorta. Grossly clear lungs. No obvious pneumothorax or hemothorax. No acute displaced clavicle or rib fractures.


There is an ovoid opacity 3.5 cm in the retrocardiac area on AP view, not well-seen on the lateral view, a dedicated XXXX scan is recommended. No pneumothorax or pleural effusion present. The heart is normal in size. No hilar lymphadenopathy. No destructive bony lesions.

lungs_pleura: There is an ovoid opacity 3.5 cm in the retrocardiac area on AP view.


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


The heart size is within normal limits. After cirrhotic calcification of the thoracic aorta. Hyperexpanded lungs with flattened diaphragms and increased retrosternal clear space suggestive of emphysema. Streaky left basilar opacities are favored to represent scarring. No pleural effusions or pneumothorax. Exaggerated thoracic kyphosis. Scattered calcified granulomas bilaterally. No acute bony abnormalities.

lungs_pleura: Hyperexpanded lungs with flattened diaphragms and increased retrosternal clear space suggestive of emphysema. Streaky left basilar opacities are favored to represent scarring. Scattered calcified granulomas bilaterally. heart_mediastinum: Atherosclerotic calcification of the thoracic aorta. bones: Exaggerated thoracic kyphosis.


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


Size is normal limits. Cardiomediastinal silhouette has normal contour. There is a vague opacity in the right infrahilar region. There is also a 5 mm well circumscribed nodule in the right upper lung XXXX. It is not well visualized on lateral view.

lungs_pleura: There is a vague opacity in the right infrahilar region. There is also a 5 mm well circumscribed nodule in the right upper lung. It is not well visualized on lateral view.


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

lungs_pleura: Lung volumes are low. heart_mediastinum: Heart size is enlarged.


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.


The heart is normal in size. The mediastinal contours are within normal limits. There is mild prominence of the superior mediastinum which is somewhat lucent and XXXX reflects mediastinal and vascular structures. No focal consolidation is seen. There is no pleural effusion.

heart_mediastinum: There is mild prominence of the superior mediastinum which is somewhat lucent and reflects mediastinal and vascular structures.


There is hyperexpansion. The heart size is normal. There is no pleural effusion or pneumothorax. Two circular densities overlying the right ribs which were not present in the XXXX CT. No focal infiltrates

lungs_pleura: There is hyperexpansion. bones: Two circular densities overlying the right ribs.


Mild cardiomegaly. Small area of platelike atelectasis in left mid lung. No pneumothorax or pleural effusion. Soft tissue and bony structures unremarkable.

lungs_pleura: Small area of platelike atelectasis in left mid lung. heart_mediastinum: Mild cardiomegaly.


Heart XXXX, mediastinum, XXXX, bony structures are unremarkable. Stable increased lung volumes consistent with chronic lung disease. No XXXX infiltrates noted.

lungs_pleura: Increased lung volumes consistent with chronic lung disease.


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


The cardiomediastinal silhouette is within normal limits. There is rounded calcified density within the left lower lobe most consistent with granuloma. Remaining lungs are clear without evidence of focal opacification. No pneumothorax or large pleural effusion. No acute bone abnormality.

lungs_pleura: Rounded calcified density within the left lower lobe most consistent with granuloma.


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


The cardiomediastinal silhouette is within normal limits. Calcified right lower lobe granuloma. No focal airspace consolidation.. No visualized pneumothorax or large pleural effusion. No acute bony abnormalities.

lungs_pleura: Calcified right lower lobe granuloma.


There is minimal scarring in the lung apices. The lungs are otherwise clear. Heart size is normal. No pneumothorax. There is dextrocurvature within the spine.

lungs_pleura: There is minimal scarring in the lung apices. bones: There is dextrocurvature within the spine.


Consolidation and some atelectasis are present in the left lower lobe. Patchy interstitial infiltrates are also present in the right lower lobe. Bilateral costophrenic XXXX blunting is present. Heart and pulmonary XXXX are normal.

lungs_pleura: Consolidation and some atelectasis are present in the left lower lobe. Patchy interstitial infiltrates are also present in the right lower lobe. Bilateral costophrenic blunting is present.

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


No pneumothorax or pleural effusion. Normal cardiac contours. Clear lungs bilaterally. Redemonstration of transmetatarsal amputation. No evidence of acute fracture-dislocations. No evidence of any bony erosions or osseous infections.


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


The lungs appear clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.


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


Heart size and mediastinal contours are stable. Pulmonary vasculature is unremarkable. No focal consolidation. No visible pleural effusion or pneumothorax. No displaced rib fractures are seen. There are mild degenerative changes along the thoracic spine.

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


The patient is rotated to left. The cardiomediastinal silhouette is normal in size. XXXX lucency along the left ventricular XXXX XXXX related to interface between the heart and aerated lung. Patchy right perihilar/upper lobe opacities, which abut the XXXX fissure on lateral projection. No pneumothorax or large pleural effusion. Exaggerated thoracic kyphosis. No definite acute bone abnormality.

lungs_pleura: Lucency along the left ventricular interface between the heart and aerated lung. Patchy right perihilar/upper lobe opacities, which abut the fissure on lateral projection. bones: Exaggerated thoracic kyphosis.

Technical Quality of Image Unsatisfactory ;Lucency;Opacity;Opacity;Kyphosis;Pneumonia


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


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 size mediastinal contours are normal in appearance. No focal airspace consolidation. No pleural effusion or pneumothorax. Mild degenerative changes of the thoracic spine.

bones: Mild degenerative changes of the thoracic spine.


Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. Elevated right diaphragm. The lungs are clear. XXXX degenerative spondylosis. There appears to be a mildly displaced fracture of the mid right clavicle.

lungs_pleura: Prior granulomatous disease. Elevated right diaphragm. bones: Degenerative spondylosis. There appears to be a mildly displaced fracture of the mid right clavicle.


Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications in the paratracheal region. Mild streaky scarring in the right upper lobe. No active pneumonia. Bony structures are intact.

lungs_pleura: Granulomatous calcifications in the paratracheal region. Mild streaky scarring in the right upper lobe.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Stable XXXX foreign body over the left breast (XXXX nipple piercing). Visualized osseous structures of the thorax are without acute abnormality.

support_devices: XXXX foreign body over the left breast (XXXX nipple piercing).


The heart is normal in size. The mediastinum is unremarkable. Mild granulomatous sequela are noted. The lungs are grossly clear.

lungs_pleura: Mild granulomatous sequela are noted.


The trachea is midline. Negative for pneumothorax, pleural effusion, or focal airspace consolidation. The heart size is normal.


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.


Limited exam as the left costophrenic XXXX is excluded from the PA view. The heart size is normal. The mediastinal contour is within normal limits. Mild lung hyperinflation. The lungs are free of any focal infiltrates. There is large calcified granuloma within the medial right lung base. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Mild multilevel degenerative changes seen within the thoracic spine. No visible acute fracture. There is no visible free intraperitoneal air under the diaphragm.

lungs_pleura: Mild lung hyperinflation. There is large calcified granuloma within the medial right lung base. bones: Mild multilevel degenerative changes seen within the thoracic spine.

Technical Quality of Image Unsatisfactory ;Lung;Calcified Granuloma;Thoracic Vertebrae


The heart size and mediastinal contours appear within normal limits. There are streaky left basilar opacities and blunting of the left costophrenic sulcus XXXX secondary to a small effusion. No pneumothorax. No acute bony abnormalities.

lungs_pleura: Streaky left basilar opacities. Blunting of the left costophrenic sulcus secondary to a small effusion.

Opacity;Costophrenic Angle;Pleural Effusion;Pulmonary Atelectasis


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


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


There is moderate cardiomegaly. No interstitial edema or pleural effusion. No focal airspace consolidation. No pneumothorax. There is mild degenerative disc disease of the thoracic spine.

heart_mediastinum: There is moderate cardiomegaly. bones: There is mild degenerative disc disease of the thoracic spine.


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


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


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

lungs_pleura: Lungs are hyperexpanded bilaterally.


Stable mild cardiomegaly. Mediastinal contours are unchanged. Lungs are clear without focal consolidation. No visible pleural effusion or pneumothorax.


The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is a right chest XXXX with central venous catheter tip overlying the high SVC. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.

support_devices: There is a right chest XXXX with central venous catheter tip overlying the high SVC.


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


The heart is mild enlarged. Central pulmonary vascularity is again accentuated. There are also mild increased interstitial markings without focal consolidation or pleural effusion.

lungs_pleura: Mild increased interstitial markings. heart_mediastinum: The heart is mild enlarged. Central pulmonary vascularity is accentuated.


The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax. Multilevel flowing anterior thoracic spine osteophytes, which could represent changes of diffuse idiopathic skeletal hyperostosis (DISH).

bones: Multilevel flowing anterior thoracic spine osteophytes, which could represent changes of diffuse idiopathic skeletal hyperostosis (DISH).


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


There is mild cardiomegaly and tortuous aorta. Mildly low lung volumes. No focal consolidation, pleural effusion, or pneumothorax. The XXXX XXXX are intact and without acute osseous abnormality. Mild degenerative changes of the thoracic spine.

lungs_pleura: Mildly low lung volumes. heart_mediastinum: There is mild cardiomegaly and tortuous aorta. bones: Mild degenerative changes of the thoracic spine.


No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear 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. Lung volumes are low normal. There are no acute bony findings.


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

bones: There are mild thoracic spine degenerative changes.


The heart and mediastinum are unremarkable. Again identified are numerous calcified mediastinal lymph XXXX as well as large calcifications within the left upper and left lower lobes. These appear similar to the patient's previous chest CT and are XXXX the sequela of prior granulomatous disease. The lungs are otherwise clear without infiltrate. There is no effusion or pneumothorax.

lungs_pleura: Numerous calcified mediastinal lymph nodes as well as large calcifications within the left upper and left lower lobes.


The XXXX examination consists of frontal and lateral radiographs of the chest. Upper thorax is poorly visualized due to patient's overlying head and chin. The cardiomediastinal contours are within normal limits. Background of mild coarse interstitial opacities seen throughout the lungs XXXX related to background of emphysema. Calcified granuloma is seen in the left medial lung base. There is no consolidation, pleural effusion or pneumothorax. Deformity of the right 6th rib laterally has appearance of acute or subacute fracture. Degenerative changes of the thoracic spine are again seen.

lungs_pleura: Background of mild coarse interstitial opacities seen throughout the lungs related to background of emphysema. Calcified granuloma is seen in the left medial lung base. bones: Deformity of the right 6th rib laterally has appearance of acute or subacute fracture. Degenerative changes of the thoracic spine.

Technical Quality of Image Unsatisfactory ;Opacity;Emphysema;Calcified Granuloma;Deformity;Fractures, Bone;Thoracic Vertebrae


Heart size and mediastinal contours appear within normal limits. Eventration of the right hemidiaphragm. No focal lung consolidation, pleural effusion or pneumothorax. No acute bony abnormality.

lungs_pleura: Eventration of the right hemidiaphragm.


The heart and mediastinum are normal in size and contour. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.

bones: There are degenerative changes in the thoracic spine.


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

heart_mediastinum: Prominent hilar XXXX.


Chest. Heart size is normal. Pulmonary vasculature is normal. There is a 13 mm nodule in the right lower lobe that is relatively dense, but not obviously calcified on the corresponding rib series. There are probably right hilar calcified lymph XXXX. Lungs otherwise are clear. There is no pleural effusion. Left ribs. No fracture or focal bony destruction.

lungs_pleura: There is a 13 mm nodule in the right lower lobe that is relatively dense, but not obviously calcified on the corresponding rib series. heart_mediastinum: There are probably right hilar calcified lymph nodes.


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


The central airway is midline and is XXXX. The cardiomediastinal silhouette is within normal limits. There is no focal lung consolidation, pleural effusion, or pneumothorax seen. The osseous structures appear within normal limits.


The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.


XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Removal of 2 left-sided chest tubes. There is no pneumothorax. Lungs demonstrate no acute findings. There is minimal posterior pleural effusions.

lungs_pleura: Minimal posterior pleural effusions. support_devices: Removal of 2 left-sided chest tubes.


Left anterior chest wall pacemaker/defibrillator. Stable cardiomediastinal silhouette. No focal consolidation, pneumothorax or large pleural effusion. Exaggerated thoracic kyphosis. Spurring of thoracic spine.

bones: Exaggerated thoracic kyphosis. Spurring of thoracic spine. support_devices: Left anterior chest wall pacemaker/defibrillator.


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


Interval removal of cardiac XXXX generator. Cardiomegaly. Left base streaky opacities again noted. No large focal areas of consolidation. No pleural effusions. Osseous structures intact. No pneumothorax.

lungs_pleura: Left base streaky opacities. heart_mediastinum:  support_devices: Of cardiac XXXX generator.


There is a small area of scarring or atelectasis in the left base. Calcified granulomas seen in the posterior right lower lobe. Lungs are otherwise clear. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.

lungs_pleura: There is a small area of scarring or atelectasis in the left base. Calcified granulomas seen in the posterior right lower lobe.


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


Low lung volumes. 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.


The heart is top normal in size. The mediastinum is stable. Aorta is tortuous and atherosclerotic. Lungs are mildly hypoinflated. No acute infiltrate is seen.

lungs_pleura: Lungs are mildly hypoinflated. heart_mediastinum: Aorta is tortuous and atherosclerotic.


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


Stable elevation of the right hemidiaphragm. Stable cardiomediastinal silhouette. No focal airspace disease. No pneumothorax or large effusion.

lungs_pleura: Elevation of the right hemidiaphragm.


The heart is normal in size. The mediastinum is stable. Granulomatous sequela are noted. The previously visualized nodular density in the right upper lobe is not well-seen on today's study. There is no acute infiltrate or pleural effusion.

lungs_pleura: Granulomatous sequela are noted.


PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is asymmetric opacity to left suprahilar chest. No discrete correlate is seen on lateral view. Findings may reflect focal airspace disease or adenopathy. No pleural effusion. No pneumothorax.

lungs_pleura: Asymmetric opacity to left suprahilar chest. No discrete correlate is seen on lateral view.


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


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 cardiomediastinal contours. Hyperexpansion of the lungs with flattening of the diaphragm. No focal lung consolidation, pneumothorax or pleural effusions.

lungs_pleura: Hyperexpansion of the lungs with flattening of the diaphragm.


2 images. Calcified granuloma left upper lobe. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.

lungs_pleura: Calcified granuloma left upper lobe.


The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There is no focal air space opacity, pneumothorax, or effusion. There are large calcified mediastinal and right hilar granulomas. The bony structures of the thorax are intact with no evidence of acute abnormality.

heart_mediastinum: There are large calcified mediastinal and right hilar granulomas.


The trachea is midline. The cardiomediastinal silhouette is normal. There are small round calcific density nodules consistent with prior granulomatous disease bilaterally. Otherwise, the lungs are clear without evidence of acute infiltrate or effusion. There are no masses seen. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.

lungs_pleura: Small round calcific density nodules consistent with prior granulomatous disease bilaterally.


Heart size is within normal limits. 8mm calcified granuloma in the right base. No focal airspace consolidations. No pneumothorax or effusion.

lungs_pleura: 8mm calcified granuloma in the right base.


Heart size is normal. No focal airspace consolidations. No pneumothorax or effusion. No acute osseous findings.


Lungs are clear. No focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Osseous structures 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.


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


Heart size within normal limits. There is focal left lateral base airspace disease. There is a 6 mm nodular opacity in the right midlung. No pneumothorax. No pleural effusion. No displaced rib fractures. There is an apparent deformity of the right humeral surgical neck. This is not seen on the comparison. Correlate clinically with history of fracture.

lungs_pleura: There is focal left lateral base airspace disease. There is a 6 mm nodular opacity in the right midlung. bones: There is an apparent deformity of the right humeral surgical neck.


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


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


The cardiac and mediastinal silhouettes are normal. The lungs are well-expanded and clear. There is no focal airspace opacity. There is no pneumothorax or effusion. There is dextrocurvature of the thoracic spine. There is XXXX deformity of the T9 vertebral body. Levocurvature of the lumbar spine with significant degenerative change is also noted.

bones: There is dextrocurvature of the thoracic spine. There is XXXX deformity of the T9 vertebral body. Levocurvature of the lumbar spine with significant degenerative change is also noted.


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


Heart size is mildly enlarged. Tortuous aorta. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.

lungs_pleura: Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis. heart_mediastinum: Heart size is mildly enlarged. Tortuous aorta. bones: Degenerative changes of the spine.


Heart size borderline enlarged. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense nodule in the right lower lobe suggests a previous granulomatous process.

lungs_pleura: Dense nodule in the right lower lobe suggests a previous granulomatous process. heart_mediastinum: Heart size borderline enlarged.


Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. Calcified right upper lobe pulmonary granuloma and calcified right hilar lymph XXXX. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.

lungs_pleura: Calcified right upper lobe pulmonary granuloma. heart_mediastinum: Calcified right hilar lymph XXXX.


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


Cardiomegaly and tortuous calcified thoracic aorta are unchanged. Normal pulmonary vascularity. Minimal streaky bibasilar opacities. Blunted left costophrenic XXXX. Bony demineralization. Degenerative changes of the spine. Verterbroplasty change near the thoracolumbar junction. Upper abdominal surgical changes. Chronic appearing deformity of the proximal right humerus. Old right rib fractures.

lungs_pleura: Minimal streaky bibasilar opacities. Blunted left costophrenic angle. heart_mediastinum:  Tortuous calcified thoracic aorta. bones: Bony demineralization. Degenerative changes of the spine. Chronic appearing deformity of the proximal right humerus. Right rib fractures. support_devices: Vertebroplasty change near the thoracolumbar junction. others: Upper abdominal surgical changes.

Cardiomegaly;Aorta, Thoracic;Calcinosis;Opacity;Costophrenic Angle;Bone Diseases, Metabolic;Spine;Deformity;Fractures, Bone;Pulmonary Atelectasis;Cicatrix;Pleural Effusion


Heart size and pulmonary vascularity normal. There is a small right pleural effusion. There is infrahilar interstitial prominence which may represent bronchovascular crowding lung. Small left pleural effusion. No pneumothorax.

lungs_pleura: Small right pleural effusion. Infrahilar interstitial prominence which may represent bronchovascular crowding lung. Small left pleural effusion.


There is marked cardiomegaly. There is questionable dilation of the pulmonary arteries. Low lung volumes. No focal airspace consolidation. No pleural effusion or pneumothorax. Prominent interstitial markings are XXXX due to low lung volumes. Elevated right hemidiaphragm.

lungs_pleura: Low lung volumes. Prominent interstitial markings are due to low lung volumes. Elevated right hemidiaphragm. heart_mediastinum: Marked cardiomegaly.


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


No pneumothorax or pleural effusion. Clear lungs bilaterally. Normal cardiac contours. Multiple anterior endplate osteophyte formation along thoracic spine.

bones: Multiple anterior endplate osteophyte formation along thoracic spine.


Cardiomediastinal silhouette is within normal limits. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormalities. Degenerative changes of the thoracic spine.

bones: Degenerative changes of the thoracic spine.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is a thin right apical pneumothorax measuring approximately 5 mm in thickness. There is extensive subcutaneous emphysema in the right chest wall and neck. There are fractures of the right anterior 5th through 9th anterior ribs with mild displacement. Additional fractures cannot entirely be excluded. There is mild streaky airspace disease in the right lung base. Left lung is clear. There is a small hiatal hernia. There is an intrathecal catheter terminating in the lower thoracic spine.

lungs_pleura: There is a thin right apical pneumothorax measuring approximately 5 mm in thickness. There is mild streaky airspace disease in the right lung base. bones: There are fractures of the right anterior 5th through 9th anterior ribs with mild displacement. support_devices: There is an intrathecal catheter terminating in the lower thoracic spine. others: There is extensive subcutaneous emphysema in the right chest wall and neck. There is a small hiatal hernia.

Pneumothorax;Subcutaneous Emphysema;Subcutaneous Emphysema;Fractures, Bone;Airspace Disease;Hernia, Hiatal;Catheters, Indwelling;Pulmonary Atelectasis;Opacity


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

heart_mediastinum: Mild tortuosity of the aorta. bones: Degenerative changes in the thoracic spine.


Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Right apical pleural retraction. Hyperexpansion, flattening of diaphragms, and increased AP diameter consistent with history of COPD. Degenerative disease of the thoracic spine is present.

lungs_pleura: Right apical pleural retraction. Hyperexpansion, flattening of diaphragms, and increased AP diameter consistent with history of COPD. bones: Degenerative disease of the thoracic spine is present.

Deformity;Lung;Diaphragm;Pulmonary Disease, Chronic Obstructive;Thoracic Vertebrae


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


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


Heart size within normal limits. No focal airspace disease. No cavitations. No pneumothorax or 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 is an 8mm nodule identified within the left lateral midlung partially overlying the posterior left 7th rib. There are mild degenerative changes of the spine.

lungs_pleura: There is an 8mm nodule identified within the left lateral midlung partially overlying the posterior left 7th rib. bones: There are mild degenerative changes of the spine.


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


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


Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion. There are right upper quadrant surgical clips, perhaps from cholecystectomy.

support_devices: There are right upper quadrant surgical clips, perhaps from cholecystectomy.


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is noted. Degenerative changes are noted in the spine. The descending thoracic aorta is mildly tortuous. The mediastinum appears somewhat prominent.

heart_mediastinum: The descending thoracic aorta is mildly tortuous. The mediastinum appears somewhat prominent. bones: Degenerative changes are noted in the spine.


Heart size is normal. Mediastinal contour and pulmonary vascularity within normal limits. No focal airspace consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.


Heart size and mediastinal contour within normal limits. Atherosclerotic calcification within the aorta. Calcified granulomas in bilateral XXXX and overlying the T9 vertebral body(lateral view). No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes of thoracic spine. No acute osseous abnormality.

heart_mediastinum: Atherosclerotic calcification within the aorta. Calcified granulomas in bilateral lungs and overlying the T9 vertebral body. bones: Degenerative changes of thoracic spine.


The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Scoliosis and arthritic changes of the skeletal structures are noted. There is increased kyphosis of the thoracic spine similar to the prior study

heart_mediastinum: Atherosclerotic changes of the aorta. bones: Scoliosis and arthritic changes of the skeletal structures are noted. Increased kyphosis of the thoracic spine.


Cardiomediastinal contours are unchanged. There are stable fractures of several XXXX XXXX. Lungs are hyperexpanded but clear. No pneumothorax or pleural effusion. Degenerative changes are seen in the spine.

lungs_pleura: Lungs are hyperexpanded. bones: Fractures of several ribs. Degenerative changes are seen in the spine.


Stable cardiomediastinal silhouette. Elevated right hemidiaphragm. XXXX atelectasis in the right lung base. No focal pulmonary consolidation, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the thoracic spine.

lungs_pleura: Elevated right hemidiaphragm. Atelectasis in the right lung base. bones: Degenerative changes of the thoracic spine.


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


The cardiomediastinal silhouette is normal in size and contour. Stable right lower lobe calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Spurring of the thoracic spine.

lungs_pleura: Right lower lobe calcified granuloma. bones: Spurring of the thoracic spine.


Mildly low lung volumes. Lungs are clear without focal air space disease. Persistent mild elevation right hemidiaphragm. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

lungs_pleura: Mildly low lung volumes. Mild elevation right hemidiaphragm. bones: Degenerative changes in the spine.


The heart is normal in size. The mediastinum is unremarkable. Subtle increased opacity of right mid hemithorax XXXX related to superimposed soft tissues. The lungs are otherwise clear. There is no pleural effusion or pneumothorax.

lungs_pleura: Subtle increased opacity of right mid hemithorax related to superimposed soft tissues.


The lateral images limited secondary to motion artifact. No focal consolidation, large pneumothorax or large pleural effusion. Heart size normal. XXXX unremarkable.

Technical Quality of Image Unsatisfactory


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 within normal limits. Pectus deformity is noted. Left IJ dual-lumen catheter is visualized without pneumothorax. The lungs are clear.

bones: Pectus deformity is noted. support_devices: Left IJ dual-lumen catheter is visualized.