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.


Borderline cardiomegaly. Midline sternotomy XXXX. Enlarged pulmonary arteries. Clear lungs. Inferior XXXX XXXX XXXX.

heart_mediastinum: Borderline cardiomegaly. Enlarged pulmonary arteries. support_devices: Midline sternotomy.


There are diffuse bilateral interstitial and alveolar opacities consistent with chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could represent a cavitary lesion in the left lung apex.There are streaky opacities in the right upper lobe, XXXX scarring. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.

lungs_pleura: There are diffuse bilateral interstitial and alveolar opacities consistent with chronic obstructive lung disease and bullous emphysema. There are streaky opacities in the right upper lobe, scarring.

Pulmonary Disease, Chronic Obstructive;Bullous Emphysema;Pulmonary Fibrosis;Cicatrix;Opacity;Opacity;Opacity;Opacity


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present. Small T-spine osteophytes. There is biapical pleural thickening, unchanged from prior. Mildly hyperexpanded lungs.

lungs_pleura: Biapical pleural thickening. Mildly hyperexpanded lungs. bones: Small T-spine osteophytes. support_devices: Cholecystectomy clips are present.


Heart size and mediastinal contour are within normal limits. There is no focal airspace consolidation or suspicious pulmonary opacity. No pneumothorax or large pleural effusion. Mild degenerative change of the thoracic spine.

bones: Mild degenerative change of the thoracic spine.


The cardiac contours are normal. XXXX basilar atelectasis. The lungs are clear. Thoracic spondylosis. Lower cervical XXXX arthritis.

lungs_pleura: XXXX basilar atelectasis. bones: Thoracic spondylosis. Lower cervical XXXX arthritis.


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 interim XXXX cervical spinal fusion partly evaluated.

bones: There is an interim cervical spinal fusion partly evaluated.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is not enlarged. There has been apparent interval increase in low density convexity at the left cardiophrenic XXXX. Calcified granuloma is again seen in the right upper lobe. There is no consolidation, pleural effusion or pneumothorax.

lungs_pleura: Calcified granuloma in the right upper lobe. heart_mediastinum: Low density convexity at the left cardiophrenic.


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. Stable calcified granuloma within the right upper lung. No acute bone abnormality..

lungs_pleura: Calcified granuloma within the right upper lung.


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


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


The cardiac silhouette is borderline enlarged. Otherwise, there is no focal opacity. Mediastinal contours are within normal limits. There is no large pleural effusion. No pneumothorax.

heart_mediastinum: The cardiac silhouette is borderline enlarged.


Heart size within normal limits, stable mediastinal and hilar contours. Mild hyperinflation appears similar to prior. No focal alveolar consolidation, no definite pleural effusion seen. Scattered chronic appearing irregular interstitial markings, no typical findings of pulmonary edema.

lungs_pleura: Mild hyperinflation. Scattered chronic appearing irregular interstitial markings.


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

lungs_pleura: Evidence of prior granulomatous disease.


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


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


Heart size is normal. There is tortuosity of the thoracic aorta, stable compared with prior. No focal airspace disease or effusion. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.

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


The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. There are mild degenerative changes of the thoracic spine.

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


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


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


Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality. There is incompletely evaluated lumbar levoscoliosis.

bones: There is incompletely evaluated lumbar levoscoliosis.


The heart is within normal limits in size. Surgical suture material projects over the right lung apex. The lungs are hyperlucent and hyperinflated compatible with emphysema. There is left lower lobe airspace disease identified. There is moderate left pleural effusion and small right pleural effusion. No visualized pneumothorax.

lungs_pleura: The lungs are hyperlucent and hyperinflated compatible with emphysema. There is left lower lobe airspace disease identified. There is moderate left pleural effusion. Small right pleural effusion. support_devices: Surgical suture material projects over the right lung apex.

Sutures;Lung, Hyperlucent;Lung;Pulmonary Emphysema;Airspace Disease;Pleural Effusion;Pleural Effusion


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


Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.

lungs_pleura: Lungs are overall hyperexpanded with flattening of the diaphragms. bones: Degenerative changes in the thoracic spine.


Bilateral patchy pulmonary opacities noted. Interval improvement in left base consolidative opacity. Pulmonary vascular congestion again noted. Stable enlarged cardiomediastinal silhouette. Stable left XXXX. No evidence of pneumothorax. No large pleural effusions.

lungs_pleura: Bilateral patchy pulmonary opacities noted. Left base consolidative opacity. heart_mediastinum: Pulmonary vascular congestion. Enlarged cardiomediastinal silhouette.

Opacity;Pulmonary Atelectasis;Consolidation;Pulmonary Congestion;Cardiac Shadow


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


The heart is normal in size. The mediastinum is unremarkable. Mild blunting of right costophrenic XXXX. The lungs are otherwise grossly clear.

lungs_pleura: Mild blunting of right costophrenic angle.


Cardiac and mediastinal contours are within normal limits. The lungs are clear. Left axillary surgical clips. Bony structures are intact.

support_devices: Left axillary surgical clips.


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


The heart size and cardiomediastinal silhouette are normal. There is hyperexpansion of the lungs with flattening of the hemidiaphragms. There is no focal airspace opacity, pleural effusion, or pneumothorax. There multilevel degenerative changes of thoracic spine.

lungs_pleura: Hyperexpansion of the lungs. Flattening of the hemidiaphragms. bones: Multilevel degenerative changes of thoracic 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.


The heart is normal in size. The mediastinum is unremarkable. XXXX XXXX opacities in right mid lung. The lungs are otherwise grossly clear.

lungs_pleura: XXXX XXXX opacities in right mid lung.


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


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


Mild hyperexpansion of the lungs. Numerous bilateral rib deformities. No focal airspace disease. Heart size is normal. No pneumothorax or effusion. Large, flowing anterior endplate osteophytes of the thoracic spine.

lungs_pleura: Mild hyperexpansion of the lungs. bones: Numerous bilateral rib deformities. Large, flowing anterior endplate osteophytes of the thoracic spine.


The cardiomediastinal silhouette is stable in appearance. No interval change in the diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. These opacities appear slightly increased as compared to prior examination. Mild left-sided volume loss redemonstrated, unchanged. No pneumothorax or pleural effusion. The thoracic spine appears intact.

lungs_pleura: Diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. Left-sided volume loss.

Opacity;Opacity;Volume Loss;Lung Diseases, Interstitial


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


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.


Stable cardiomegaly with vascular prominence without overt edema. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.

heart_mediastinum:  Vascular prominence.


The cardiac and mediastinal contours are within normal limits. The lungs are well-inflated and clear. There is an 8mm nodule in the left lower lobe, XXXX calcified granuloma. There is no pneumothorax or effusion. Bony structures of the thorax are intact with minimal early degenerative change.

lungs_pleura: There is an 8mm nodule in the left lower lobe, XXXX calcified granuloma. bones: Minimal early degenerative change.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are degenerative changes of the thoracic spine. There is a calcified granuloma identified in the right suprahilar region. The aorta is mildly tortuous and ectatic. There is asymmetric right apical smooth pleural thickening. There are severe degenerative changes of the XXXX.

lungs_pleura: A calcified granuloma identified in the right suprahilar region. Asymmetric right apical smooth pleural thickening. heart_mediastinum: The aorta is mildly tortuous and ectatic. bones: There are degenerative changes of the thoracic spine. There are severe degenerative changes of the XXXX.


A XXXX XXXX lung volumes. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. cardiomegaly. Degenerative changes in the spine.

heart_mediastinum:  bones: Degenerative changes in the spine.


Heart size is normal and cardiomediastinal silhouette is normal. There are scattered calcified granulomas throughout both lung XXXX. Lungs are clear bilaterally otherwise. No bony or soft tissue abnormalities.

lungs_pleura: There are scattered calcified granulomas throughout both lung fields.


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


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

lungs_pleura: There extremely low lung volumes. There is right basilar opacity.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Minimal right basilar subsegmental atelectasis noted. Cardio mediastinal silhouette is unremarkable. Tortuosity of the thoracic aorta noted. Scattered calcified granulomas are seen without evidence of active granulomatous/tuberculous process. Visualized osseous structures of the thorax are without acute abnormality.

lungs_pleura: Minimal right basilar subsegmental atelectasis noted. Scattered calcified granulomas are seen without evidence of active granulomatous/tuberculous process. heart_mediastinum: Tortuosity of the thoracic aorta noted.

Pulmonary Atelectasis;Aorta, Thoracic;Calcified Granuloma


Lung lines remain low. However, no focal infiltrates are identified. Heart and pulmonary XXXX are normal.


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


The tracheostomy tube tip is 5 cm above the carina. There are prominent diffuse bilateral interstitial opacities, stable from prior radiographs. There is no focal airspace consolidation. No pleural effusion. No pneumothorax. Heart size is within normal limits. There are mild degenerative changes of the spine.

lungs_pleura: Prominent diffuse bilateral interstitial opacities. bones: There are mild degenerative changes of the spine. support_devices: The tracheostomy tube tip is 5 cm above the carina.


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

bones: Mild scoliosis. Degenerative changes of the thoracic spine.


The cardiac silhouette, mediastinum, and pulmonary vasculature are unremarkable. There is stable elevation of the left hemidiaphragm. Lungs are clear. No pleural fluid or pneumothorax is appreciated. Cholecystectomy clips are noted in the right upper quadrant.

lungs_pleura: Elevation of the left hemidiaphragm. others: Cholecystectomy clips are noted in the right upper quadrant.


Stable appearance of hiatal hernia. Clear right lung XXXX.In the left superior lower lobe there is a 1.9 x 1.8 cm round area of density which has increased in size compared to prior chest radiograph and recommend a XXXX chest, abdomen and pelvis with contrast as this area is suspicious for potential malignancy. Normal cardiac contour. No pneumothorax or pleural effusion.

lungs_pleura: In the left superior lower lobe there is a 1.9 x 1.8 cm round area of density. others: Hiatal hernia.


Status post XXXX sternotomy and CABG. Heart size is normal. Coronary vascular stent. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are stable. Calcified mediastinal lymph XXXX. Normal pulmonary vascularity. Degenerative changes of the spine.

heart_mediastinum: Calcified mediastinal lymph. bones: Degenerative changes of the spine. support_devices: Status post XXXX sternotomy and CABG. Coronary vascular stent.


Stable flattening of the posterior diaphragm and scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation. Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity, stable mediastinal contours. No definite pleural effusion seen, no typical findings of pulmonary edema. Following spine ossifications and marginal osteophytes again noted.

lungs_pleura: Flattening of the posterior diaphragm. Scattered chronic appearing irregular interstitial markings. heart_mediastinum: Aortic ectasia/tortuosity. bones: Spine ossifications. Marginal osteophytes.


2 images. Heart size upper limits of normal. Mediastinal contours are maintained. The patient is mildly rotated. There is a small to moderate sized right apical pneumothorax which measures approximately 2.0 cm. No focal airspace consolidation is seen. Left chest is clear. No definite displaced bony injury is seen. Results called XXXX. XXXX XXXX p.m. XXXX, XXXX.

lungs_pleura: There is a small to moderate sized right apical pneumothorax which measures approximately 2.0 cm. heart_mediastinum: Heart size upper limits of normal.

Technical Quality of Image Unsatisfactory ;Pneumothorax


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Deformity of the right clavicle related to remote XXXX is again seen. Visualized upper abdomen grossly unremarkable.

bones: Deformity of the right clavicle related to remote XXXX is seen.


Chest. Both lungs are clear and expanded with no pleural air collections or parenchymal consolidations. Heart and mediastinum remain normal. Lumbosacral spine. XXXX, disc spaces, and alignment are normal. Sacrum and sacroiliac joints are normal.


There are low volumes with bronchovascular crowding. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. No displaced fracture identified.

lungs_pleura: There are low volumes with bronchovascular crowding.


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


Sequelae of old granulomatous disease. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

lungs_pleura: Sequelae of old granulomatous disease.


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

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


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


Lungs appear to be clear other than a calcified granuloma on left. Heart is not enlarged. There are atherosclerotic changes of the aorta. There is increased kyphosis of the thoracic spine and there are multiple XXXX deformities. A stimulator is seen.

lungs_pleura: Calcified granuloma on left. heart_mediastinum: Atherosclerotic changes of the aorta. bones: Increased kyphosis of the thoracic spine. Multiple deformities. support_devices: A stimulator is seen.

Calcified Granuloma;Atherosclerosis;Kyphosis;Deformity;Osteoporosis;Implanted Medical Device


The heart size is stable. The aorta is ectatic and atherosclerotic but stable. XXXX sternotomy XXXX are again noted. The scarring in the left lower lobe is again noted and unchanged from prior exam. There are mild bilateral prominent lung interstitial opacities consistent with emphysematous disease. The calcified granulomas are stable.

lungs_pleura: The scarring in the left lower lobe. There are mild bilateral prominent lung interstitial opacities consistent with emphysematous disease. The calcified granulomas. heart_mediastinum: Heart size. The aorta is ectatic and atherosclerotic. support_devices:

Atherosclerosis;Aorta, Thoracic;Cicatrix;Opacity;Pulmonary Emphysema;Calcified Granuloma


Apparent scarring within the lingula. Lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

lungs_pleura: Apparent scarring within the lingula.


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


Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.


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.


No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Left axillary surgical clips unchanged Visualized XXXX of the chest XXXX are within normal limits.

support_devices: Left axillary surgical clips.


There are low lung volumes with bronchovascular crowding as a result. No pleural effusion, pneumothorax or focal airspace disease. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.

lungs_pleura: Low lung volumes with bronchovascular crowding as a result.


There are scattered calcified granulomas. No focal infiltrate. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.

lungs_pleura: There are scattered calcified granulomas. bones: There are degenerative changes of the spine.


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


No focal airspace disease, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.


Heart is mildly heart enlarged. Mediastinal contour normal. There is mild diffuse interstitial prominence suggestive of edema. No focal airspace consolidation or pleural effusion. Degenerative changes of the the spine.

lungs_pleura: There is mild diffuse interstitial prominence suggestive of edema. heart_mediastinum: Heart is mildly heart enlarged. bones: Degenerative changes of the the spine.


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 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 degenerative changes of the spine.

bones: There are degenerative changes of the spine.


Minimal right-to-left cardiomediastinal shift. The cardiomediastinal silhouette is otherwise normal size and configuration. Pulmonary vasculature within normal limits. There is a moderate sized right pneumothorax. This measures 3.2 cm at the level the right apex.

lungs_pleura: There is a moderate sized right pneumothorax. This measures 3.2 cm at the level the right apex. heart_mediastinum: Minimal right-to-left cardiomediastinal shift.


Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Negative for pneumoperitoneum. Mild degenerative changes of the thoracic spine.

bones: Mild degenerative changes of the thoracic spine.


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


There is a single calcified granuloma in the right lung base. The lungs are otherwise grossly clear bilaterally. There is no pneumothorax or pleural effusion. Cardiac and mediastinal silhouettes are normal. There are cholecystectomy clips in the right upper quadrant of the abdomen. Small T-spine osteophytes are noted.

lungs_pleura: There is a single calcified granuloma in the right lung base. bones: Small T-spine osteophytes are noted. others: There are cholecystectomy clips in the right upper quadrant of the abdomen.


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


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


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Reduced lung volumes with basilar atelectasis. No XXXX focal airspace consolidation or pleural effusion.

lungs_pleura: Reduced lung volumes with basilar atelectasis.


Normal heart and mediastinum. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion. Radiopaque foreign body overlying left chest.

others: Radiopaque foreign body overlying left chest.


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


The heart is again mildly enlarged. Mediastinal contours are stable. Patient is somewhat rotated. The lungs are hypoinflated with elevated left hemidiaphragm. XXXX XXXX opacities compatible with atelectasis. No large effusion is seen. There is no focal consolidation. Pulmonary vascularity is mildly accentuated. There are bilateral degenerative changes of the XXXX with probable chronic dislocation of the left humerus. Correlate clinically.

lungs_pleura: The lungs are hypoinflated with elevated left hemidiaphragm. Opacities compatible with atelectasis. Pulmonary vascularity is mildly accentuated. heart_mediastinum: The heart is mildly enlarged. bones: There are bilateral degenerative changes of the spine.

Cardiomegaly;Technical Quality of Image Unsatisfactory ;Lung;Diaphragm;Opacity;Pulmonary Atelectasis;Pulmonary Congestion;Dislocations;Shoulder


Normal heart size. Clear, hyperaerated lungs. No pneumothorax. No pleural effusion. XXXX substernal density may be related to a pectus deformity.


The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac contour is within normal limits. Compared to prior exam, there is XXXX prominence of the mediastinal contour near the right hilum. This may represent the ascending aorta or mediastinal lymphadenopathy. CT chest with contrast may be helpful for further evaluation. There are mild degenerative changes of the thoracic spine.

heart_mediastinum: Prominence of the mediastinal contour near the right hilum. bones: There are mild degenerative changes of the thoracic spine.


There are minimal XXXX left basilar opacities, XXXX subsegmental atelectasis or scarring. There is no focal airspace consolidation to suggest pneumonia. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. Cardiac defibrillator XXXX overlies the right ventricle. The XXXX appears intact. There is aortic atherosclerotic vascular calcification. Calcified mediastinal and hilar lymph XXXX are consistent with prior granulomatous disease. Multiple calcified splenic granulomas are also noted. There are minimal degenerative changes of the spine.

lungs_pleura: There are minimal left basilar opacities, subsegmental atelectasis or scarring. heart_mediastinum: Heart size is at the upper limits of normal. There is aortic atherosclerotic vascular calcification. Calcified mediastinal and hilar lymph nodes are consistent with granulomatous disease. bones: There are minimal degenerative changes of the spine. support_devices: Cardiac defibrillator overlies the right ventricle. The device appears intact. others: Multiple calcified splenic granulomas are also noted.

Opacity;Implanted Medical Device;Atherosclerosis;Calcinosis;Calcinosis;Spine;Granulomatous Disease


Heart size within normal limits. Stable position of left subclavian central venous catheter. No focal airspace disease. No pneumothorax. Mild blunting of the costophrenic XXXX bilaterally.

lungs_pleura: Mild blunting of the costophrenic angles bilaterally. support_devices: Position of left subclavian central venous catheter.

Catheters, Indwelling;Costophrenic Angle;Pleural Effusion


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


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 the lungs are hypoinflated. There is mild increase in perihilar markings XXXX related to patient's history bronchitis. No acute infiltrate or pleural effusion are seen.

lungs_pleura: The lungs are hypoinflated. There is mild increase in perihilar markings related to patient's history bronchitis.


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


Previous lower spine cervical fusion. Lungs are overall hyperexpanded with flattening of the diaphragms consistent with obstructive lung disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

lungs_pleura: Lungs are overall hyperexpanded with flattening of the diaphragms consistent with obstructive lung disease. bones: Previous lower spine cervical fusion. Degenerative changes in the spine.

Spinal Fusion;Lung;Diaphragm;Pulmonary Disease, Chronic Obstructive;Spine


The heart and mediastinum are unremarkable. There are two subcentimeter hyperdense nodular opacities are noted within the right lung. These may represent XXXX on end or alternatively, calcified granulomas. The lungs are clear without infiltrate. There is no effusion or pneumothorax.

lungs_pleura: Two subcentimeter hyperdense nodular opacities are noted within the right lung.


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


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

lungs_pleura: Hyperinflation of the lungs.

Lung;Pulmonary Disease, Chronic Obstructive


Stable postsurgical changes. Heart XXXX, mediastinum and lung XXXX are unremarkable. Stable calcified small granuloma in left base.

lungs_pleura: Postsurgical changes. Calcified small granuloma in left base.


The heart is normal in size and contour. There is focal airspace disease in the right middle lobe. There is no pneumothorax or effusion.

lungs_pleura: There is focal airspace disease in the right middle lobe.


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.


Low lung volumes bilaterally with central bronchovascular crowding without focal consolidation, pleural effusion, or pneumothoraces.. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the thoracic spine..

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


Heart size and vascularity normal. Lungs are clear. No effusions. No pneumothorax. Visualized osseous structures unremarkable.


Mild cardiomegaly. Tortuous aorta. No focal infiltrate. No pneumothorax or large pleural effusion. Soft tissue density identified in the medial right apex which is asymmetric compared to left.

lungs_pleura: Soft tissue density identified in the medial right apex which is asymmetric. heart_mediastinum: Mild cardiomegaly. Tortuous aorta.


The heart is normal in size. The mediastinum is stable. XXXX sternotomy changes are again noted. The lungs are clear of focal infiltrates. There is no pleural effusion.

bones: XXXX sternotomy changes are noted.


Vague increased opacity which appears to be within the left lower lobe. Question of this could be developing or resolving pneumonia. Lungs are otherwise clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable normal size heart. Atherosclerotic vascular disease. Degenerative changes in the thoracic spine.

lungs_pleura: Vague increased opacity which appears to be within the left lower lobe. heart_mediastinum: Atherosclerotic vascular disease. bones: Degenerative changes in the thoracic spine.


Heart size and mediastinal contour within normal limits. Calcified granuloma in the left lung base. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.

lungs_pleura: Calcified granuloma in the left lung base.


Sequelae of old granulomatous disease. Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. Prominent interstitial markings are again noted which are predominantly lower lobe and peripheral suggesting pulmonary fibrosis. This appearance is overall not significantly XXXX. No pleural effusions or pneumothoraces. heart and mediastinum are stable with atherosclerotic vascular disease. Degenerative changes in the thoracic spine.

lungs_pleura: Sequelae of old granulomatous disease. Lungs are overall hyperexpanded with flattening of the diaphragms. Prominent interstitial markings which are predominantly lower lobe and peripheral suggesting pulmonary fibrosis. heart_mediastinum: Heart and mediastinum with atherosclerotic vascular disease. bones: Degenerative changes in the thoracic spine.


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


The lungs are clear. Heart size is normal. No pneumothorax. There is a left chest XXXX with tip projecting over the lower SVC. There is XXXX deformity within the midthoracic spine.

bones: There is XXXX deformity within the midthoracic spine. support_devices: There is a left chest XXXX with tip projecting over the lower SVC.


There is a calcified granuloma in the right midlung zone. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. Surgical clips are present in the right upper quadrant.

lungs_pleura: There is a calcified granuloma in the right midlung zone. support_devices: Surgical clips are present in the right upper quadrant.


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

heart_mediastinum: Tortuosity of the thoracic aorta.


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


Calcified granulomata are present in the right middle lobe and right upper lobe. These are unchanged since the previous examination. Both lungs are free of active infiltrates. Heart size normal.

lungs_pleura: Calcified granulomata are present in the right middle lobe and right upper lobe.


The lungs are grossly clear without focal pneumonic consolidation, large effusion or pneumothorax. Heart size is within normal limits.


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


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


The cardiac silhouette is mildly enlarged. A lobulated opacity is identified superior to the heart, in the anterior mediastinum on the lateral view, possibly consistent with a tortuous/ectatic thoracic aorta versus an anterior mediastinal mass. The thoracic aorta is tortuous and calcified. No focal areas of pulmonary consolidation. The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. No pneumothorax or pleural effusion. Severe degenerative changes of the thoracic spine.

lungs_pleura: The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. heart_mediastinum: The cardiac silhouette is mildly enlarged. A lobulated opacity is identified superior to the heart, in the anterior mediastinum on the lateral view, possibly consistent with a tortuous/ectatic thoracic aorta versus an anterior mediastinal mass. The thoracic aorta is tortuous and calcified. bones: Severe degenerative changes of the thoracic spine.

Cardiac Shadow;Opacity;Aorta, Thoracic;Calcinosis;Lung;Diaphragm;Thoracic Vertebrae;Cardiomegaly;Pulmonary Disease, Chronic Obstructive


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.


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


The lungs are clear. No pleural effusion is seen. The heart is normal. Calcified right hilar and infracarinal lymph XXXX are seen. The skeletal structures are normal.

heart_mediastinum: Calcified right hilar and infracarinal lymph nodes are seen.


Overall low lung volumes with mild patchy bibasilar airspace disease. This most XXXX represents atelectasis given the low lung volumes. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

lungs_pleura: Overall low lung volumes with mild patchy bibasilar airspace disease. This most likely represents atelectasis given the low lung volumes.


Right costophrenic XXXX is blunted. In the left lower lobe a patchy infiltrate is present. The pulmonary XXXX are normal.

lungs_pleura: Right costophrenic angle is blunted. In the left lower lobe a patchy infiltrate is present.


The lungs are clear. Heart and pulmonary XXXX appear normal. The pleural spaces are clear and mediastinal contours are normal. Nodular density overlying the anterior left 4th rib XXXX represents a healing rib fracture.

bones: Nodular density overlying the anterior left 4th rib XXXX represents a healing rib fracture.


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


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


Stable cardiomediastinal silhouette with mild cardiomegaly and aortic ectasia and tortuosity. No alveolar consolidation, no findings of pleural effusion. Chronic appearing bilateral rib contour deformities compatible with old fractures. No pneumothorax.

heart_mediastinum: Cardiomediastinal silhouette with mild cardiomegaly and aortic ectasia and tortuosity. bones: Chronic appearing bilateral rib contour deformities compatible with old fractures.


There is a right IJ central venous catheter with tip overlying the inferior SVC. Cardiac silhouette is normal size. Normal mediastinal contour and pulmonary vasculature. There is a small right pleural effusion. Otherwise, lungs are without focal airspace disease.

lungs_pleura: There is a small right pleural effusion. support_devices: There is a right IJ central venous catheter with tip overlying the inferior SVC.


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


In the interval, bibasilar interstitial infiltrates and pulmonary venous engorgement have resolved. Heart size is now normal. No XXXX infiltrates.


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


Chest. The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left and right XXXX. Osteophytes are present at the acromioclavicular joints bilaterally and also on the humeral necks. The right glenohumeral joint is normal, but the left is narrowed. No fractures or bone destruction.

bones: Osteophytes are present at the acromioclavicular joints bilaterally and also on the humeral necks. The left is narrowed.


The heart is normal in size. The mediastinum is unremarkable. There is patchy infiltrate within normal right lower lobe. Mild XXXX opacities in the retrocardiac region. No large effusions or pneumothorax.

lungs_pleura: Patchy infiltrate within normal right lower lobe. Mild XXXX opacities in the retrocardiac region.


Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. No pleural effusion or pneumothorax is seen. Scattered XXXX of left base atelectasis are noted. Left XXXX-a-XXXX is in XXXX with the tip projecting over the caval atrial junction.

lungs_pleura: Low lung volumes are present. Scattered areas of left base atelectasis are noted. support_devices: Left PICC is in place with the tip projecting over the caval atrial junction.


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


There are no airspace opacities to suggest pneumonia. There is a vague nodular like opacity in the right midlung measuring 1.2 cm projecting through the posterior 7th and 8th ribs. This may be artifact. Chest fluoroscopy would confirm this. Heart and pulmonary XXXX appear normal. There are calcified subcarinal and right hilar lymph XXXX. The pleural spaces are clear.

heart_mediastinum: There are calcified subcarinal and right hilar lymph nodes. bones: Vague nodular like opacity in the right midlung measuring 1.2 cm projecting through the posterior 7th and 8th ribs.

Technical Quality of Image Unsatisfactory ;Calcinosis;Calcinosis


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


There is some minimal biapical scarring. A calcified granuloma is present in the right middle lobe. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.

lungs_pleura: There is some minimal biapical scarring. A calcified granuloma is present in the right middle lobe. heart_mediastinum: There are atherosclerotic changes of the aorta. bones: Arthritic changes of the skeletal structures are noted.


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

lungs_pleura: Calcified lymph nodes and granuloma are noted. bones: Mild degenerative changes are present in the spine.


Both lungs are clear and expanded. An old calcified granuloma is present in the left upper lobe. Heart and mediastinum normal.

lungs_pleura: A calcified granuloma is present in the left upper lobe.


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 demonstrates stable mild multilevel degenerative disc disease of the thoracolumbar spine as well as chronic left-sided rib fractures without acute abnormality.

bones: Mild multilevel degenerative disc disease of the thoracolumbar spine. Chronic left-sided rib fractures.

Thoracic Vertebrae;Lumbar Vertebrae;Fractures, Bone


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


Elevated right hemidiaphragm. Clear lungs. No pleural effusions or pneumothoraces. heart size is upper limits of normal with tortuosity and ectasia of the aorta. Generative changes within the spine. In the upper lumbar spine there is an age-indeterminate wedge XXXX of a vertebral body.

lungs_pleura: Elevated right hemidiaphragm. heart_mediastinum: Heart size is upper limits of normal with tortuosity and ectasia of the aorta. bones: Generative changes within the spine. In the upper lumbar spine there is an age-indeterminate wedge deformity of a vertebral body.


Low lung volumes. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Calcified bilateral hilar lymph XXXX, greater on the left. No acute osseous findings.

lungs_pleura: Low lung volumes. heart_mediastinum: Calcified bilateral hilar lymph nodes, greater on the left.


There is a left-sided PICC with tip at the caval atrial junction. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Stable short segment catheter tubing overlying the left XXXX, XXXX to reside within anterior chest soft tissues on recent chest CT. Stable remote posttraumatic changes of multiple right ribs.

bones: Remote posttraumatic changes of multiple right ribs. support_devices: There is a left-sided PICC with tip at the caval atrial junction. Short segment catheter tubing overlying the left XXXX, XXXX to reside within anterior chest soft tissues on recent chest CT.


Mild cardiomegaly unchanged. Stable superior mediastinal contour with tortuous aorta. Normal pulmonary vascularity. Unchanged elevated right hemidiaphragm with minimal right base subsegmental atelectasis. Minimal XXXX left basal airspace opacity. Unchanged blunting of the right lateral costophrenic XXXX, scarring versus XXXX effusion. No pneumothorax. No acute osseous findings.

lungs_pleura: Elevated right hemidiaphragm with minimal right base subsegmental atelectasis. Minimal left basal airspace opacity. Blunting of the right lateral costophrenic, scarring versus effusion. heart_mediastinum:  Superior mediastinal contour with tortuous aorta.


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


The heart size is enlarged. The mediastinal contour is within normal limits. Calcification is seen within the aortic XXXX. XXXX interstitial opacities. There are no nodules or masses. Stable appearing right perihilar calcified granulomas. No visible pneumothorax. Bilateral costophrenic XXXX blunting, left worse than right. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.

lungs_pleura: Interstitial opacities. Right perihilar calcified granulomas. Bilateral costophrenic blunting, left worse than right. heart_mediastinum: The heart size is enlarged. Calcification is seen within the aortic arch.

Cardiomegaly;Opacity;Pulmonary Atelectasis;Calcinosis;Calcified Granuloma;Costophrenic Angle;Pleural Effusion


Cardiomediastinal silhouette stable with atherosclerosis of the thoracic aorta. Diffusely coarsened interstitial markings are noted consistent with chronic lung disease, with worsened patchy opacities and a left apex and right base. No pneumothorax or pleural effusion. No acute bony abnormality.

lungs_pleura: Diffusely coarsened interstitial markings are noted consistent with chronic lung disease, with patchy opacities and a left apex and right base. heart_mediastinum: Cardiomediastinal silhouette. Atherosclerosis of the thoracic aorta.

Atherosclerosis;Markings;Lung Diseases, Interstitial;Opacity;Opacity;Airspace Disease;Airspace Disease


No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.


Normal heart size mediastinal contours. Eventration of the right hemidiaphragm. No focal airspace consolidation. No pleural effusion or pneumothorax.

lungs_pleura: Eventration of the right hemidiaphragm.


Heart size and mediastinal contours appear within normal limits. Patchy airspace opacities in the left lower lobe, compatible with infiltrate. No large pleural effusion. No pneumothorax. No acute bony abnormality.

lungs_pleura: Patchy airspace opacities in the left lower lobe, compatible with infiltrate.


Heart size within normal limits. There are low lung volumes with bronchovascular crowding. There is mild increased airspace opacity within the right lung base which may represent atelectasis or infiltrate.. No visualized pneumothorax or large pleural effusion. Multilevel degenerative disease of the spine.

lungs_pleura: There are low lung volumes with bronchovascular crowding. There is mild increased airspace opacity within the right lung base which may represent atelectasis or infiltrate. bones: Multilevel degenerative disease of the spine.


PA and lateral views were obtained. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact. A 5 mm stable right apical nodule.


The heart is normal in size. The mediastinum is stable. Lungs are mildly hypoinflated. Increased XXXX opacities on lateral projection XXXX reflect bronchovascular crowding. There is no acute infiltrate or pleural effusion.

lungs_pleura: Lungs are mildly hypoinflated. Increased opacities on lateral projection reflect bronchovascular crowding.


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. No evidence of abnormal radiodense foreign bodies.


Normal heart size. Stable tortuous aorta. No pneumothorax, pleural effusion or suspicious focal airspace opacity. Prior granulomatous disease.

lungs_pleura: Granulomatous disease. heart_mediastinum: Tortuous aorta.


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 1 cm focal opacity in the right lung apex incompletely evaluated by this exam. There is minimal left basilar XXXX opacity compatible with scarring or atelectasis. There are degenerative changes of the spine.

lungs_pleura: There is a 1 cm focal opacity in the right lung apex incompletely evaluated by this exam. There is minimal left basilar opacity compatible with scarring or atelectasis. bones: There are degenerative changes of the spine.


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no obvious lytic or destructive lesion. No displaced rib fracture is evident.


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.


Low lung volumes. Heart size and mediastinal contour within normal limits. No focal air space consolidation, pneumothorax, or pleural effusion. Mild thoracic spine degenerative change.

lungs_pleura: Low lung volumes. bones: Mild thoracic spine degenerative change.


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

bones: Degenerative changes in the thoracic spine.


Heart size upper limits of normal. Small amount of left basilar airspace disease. The right lung is clear. There are no cavitary lesions seen. No pneumothorax. No pleural effusions.

lungs_pleura: Small amount of left basilar airspace disease. heart_mediastinum: Heart size upper limits of normal.


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


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


The cardiomediastinal silhouette is normal. Lungs are hyperexpanded but clear without evidence of effusion or infiltrate. There is a small right lower lobe calcified granuloma that is unchanged from prior examinations. No acute bony abnormality. No pneumothorax or pneumomediastinum.

lungs_pleura: Lungs are hyperexpanded. Small right lower lobe calcified granuloma.


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


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


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal XXXX airspace opacity in the right middle lobe, XXXX atelectasis. The lungs are otherwise clear of focal airspace disease. There is no pneumothorax or pleural effusion. There is mild tortuosity of the thoracic aorta with atherosclerotic calcification of the aortic XXXX. There are moderate degenerative endplate changes in the thoracic spine. There are no acute bony findings.

lungs_pleura: Minimal airspace opacity in the right middle lobe.  heart_mediastinum: Mild tortuosity of the thoracic aorta with atherosclerotic calcification of the aortic. bones: Moderate degenerative endplate changes in the thoracic spine.

Opacity;Aorta, Thoracic;Atherosclerosis;Thoracic Vertebrae;Pulmonary Atelectasis


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


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


Chest  Comparison: There is a 2.6 cm diameter masslike density over the lingula partial obscuration left cardiac XXXX. There may be some ill-defined opacity in the right mid and lower lung zone. No pleural effusion is seen. The heart is borderline enlarged. The aorta is dilated and tortuous. Arthritic changes of the spine are present.  Pelvis and left hip There is an impacted and rotated fracture through the neck of the femur on the left. No pelvic fracture is seen. Arthritic changes are present in the lower lumbar spine. Large amount of stool and XXXX obscures portions of the pelvis.  Femur The femoral images do not XXXX the area of the hip fracture. The remaining portions of the femur appear to be intact with no fracture or destructive process. Extensive atherosclerotic vascular disease throughout the superficial femoral artery is present.  Left knee There is osteoporosis and mild arthritic changes. No fracture is seen. No dislocation is identified. Severe atherosclerotic changes of the superficial femoral and popliteal artery are seen.

lungs_pleura: There is a 2.6 cm diameter masslike density over the lingula partial obscuration left cardiac. heart_mediastinum: The heart is borderline enlarged. The aorta is dilated and tortuous. bones: Arthritic changes of the spine are present. There is an impacted and rotated fracture through the neck of the femur on the left. Arthritic changes are present in the lower lumbar spine. There is osteoporosis and mild arthritic changes. others: Extensive atherosclerotic vascular disease throughout the superficial femoral artery is present. Severe atherosclerotic changes of the superficial femoral and popliteal artery are seen.


Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. No acute bony abnormalities.


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.


There are numerous surgical clips at the thoracic inlet. Small areas of XXXX scarring are seen in the left base. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.

lungs_pleura: Small areas of scarring are seen in the left base. support_devices: There are numerous surgical clips at the thoracic inlet.


Normal heart size. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion.


Chest: Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Hyperlucent apices. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Healed remote left 9th rib fracture. Right shoulder: Negative for fracture or dislocation.

lungs_pleura: Hyperlucent apices. heart_mediastinum: Cardiomediastinal silhouette. bones: Healed left 9th rib fracture.


Stable cardiomegaly. XXXX sternotomy XXXX are intact. No pneumothorax or pleural effusion. XXXX calcific density in the left mid to upper lung XXXX represents old granulomatous disease. No focal consolidation. Stable moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis.

lungs_pleura: Calcific density in the left mid to upper lung represents old granulomatous disease. heart_mediastinum:  bones: Moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis. support_devices: Sternotomy wires are intact.

Cardiomegaly;Calcified Granuloma;Calcified Granuloma;Granulomatous Disease;Scoliosis;Scoliosis;Scoliosis


The cardiac silhouette is enlarged and has a globular appearance. Mild bibasilar dependent atelectasis. No pneumothorax or large pleural effusion. No acute bone abnormality.

lungs_pleura: Mild bibasilar dependent atelectasis. heart_mediastinum: The cardiac silhouette is enlarged and has a globular appearance.


Heart size is unchanged. Aortic calcification is noted. No pneumothorax. No large pleural effusions. There are unchanged XXXX opacities throughout the lungs which XXXX represent scarring. Lungs are hyperexpanded.

lungs_pleura: There are XXXX opacities throughout the lungs which XXXX represent scarring. Lungs are hyperexpanded. heart_mediastinum: Aortic calcification is noted.

Calcinosis;Opacity;Lung;Pulmonary Disease, Chronic Obstructive


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


The heart is normal in size. The mediastinum is stable. Left-sided chest XXXX is again visualized with tip at cavoatrial junction. There is no pneumothorax. Numerous bilateral pulmonary nodules have increased in size and number XXXX compared to prior study. The dominant nodule/mass in the left midlung is also mildly increased. There is no pleural effusion.

lungs_pleura: Numerous bilateral pulmonary nodules. The dominant nodule/mass in the left midlung. support_devices: Left-sided chest XXXX with tip at cavoatrial junction.


Cardiac and mediastinal contours are within normal limits. Atherosclerotic aorta. Mild blunting left costophrenic recess, possibly mild atelectasis or scarring. No confluent lobar consolidation or large volume pleural effusion. Thoracic spondylosis.

lungs_pleura: Mild blunting left costophrenic recess. heart_mediastinum: Atherosclerotic aorta. bones: Thoracic spondylosis.


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.


Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema.


Clear lungs. Normal heart. No pneumothorax. No pleural effusion. Old right rib fractures.


Cardiomediastinal silhouette is within normal limits. No focal consolidation. No pneumothorax or pleural effusion. No acute bony abnormalities.


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


Heart is enlarged. There is prominence of the central pulmonary vasculature. Mild diffuse interstitial opacities bilaterally, predominantly in the bases, with no focal consolidation, pleural effusion, or pneumothoraces. XXXX and soft tissues are unremarkable.

lungs_pleura: Mild diffuse interstitial opacities bilaterally, predominantly in the bases. heart_mediastinum: Heart is enlarged. There is prominence of the central pulmonary vasculature.

Cardiomegaly;Pulmonary Congestion;Opacity;Pulmonary Edema;Pleural Effusion


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Surgical XXXX is noted in the right upper quadrant. Subcutaneous emphysema seen along the neck bilaterally, right lateral upper abdomen, and left chest.

others: Surgical XXXX is noted in the right upper quadrant. Subcutaneous emphysema seen along the neck bilaterally, right lateral upper abdomen, and left chest.

Subcutaneous Emphysema;Subcutaneous Emphysema;Subcutaneous Emphysema;Surgical Instruments


Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mediastinal calcification and dense right upper lung nodule suggest a previous granulomatous process.

lungs_pleura: Dense right upper lung nodule suggest a previous granulomatous process. heart_mediastinum: Mediastinal calcification suggest a previous granulomatous process.


Atrial septal occluder artifact. Rotated frontal position, overall heart size within normal limits, no typical findings of pulmonary edema. XXXX densities in the left base, small focal XXXX opacity in the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic XXXX. Biapical pleuroparenchymal irregularities most compatible with scarring, chronic appearing right 5th rib contour deformity. No pneumothorax seen.

lungs_pleura: XXXX densities in the left base. Small focal XXXX opacity in the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic XXXX. Biapical pleuroparenchymal irregularities most compatible with scarring. bones: Chronic appearing right 5th rib contour deformity. support_devices: Atrial septal occluder artifact.

Density;Opacity;Pulmonary Atelectasis;Diaphragmatic Eventration;Technical Quality of Image Unsatisfactory ;Diaphragm;Markings;Deformity;Costophrenic Angle


The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without focal consolidation or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine. No layering pleural effusion or pneumothorax seen on decubitus exam.

bones: Mild degenerative changes of the thoracic spine.


There is a left-sided biventricular pacemaker. Leads overlie the right ventricle and a lateral cardiac vein. The leads appear intact. The cardiac silhouette is mildly enlarged. There are mild diffuse bilateral interstitial opacities, XXXX pulmonary edema. There are XXXX opacities overlying the left lung base on the frontal view. No large pleural effusion is seen on the lateral view. No pneumothorax is identified.

lungs_pleura: There are mild diffuse bilateral interstitial opacities, pulmonary edema. There are opacities overlying the left lung base on the frontal view. heart_mediastinum: The cardiac silhouette is mildly enlarged. support_devices: There is a left-sided biventricular pacemaker. Leads overlie the right ventricle and a lateral cardiac vein. The leads appear intact.

Implanted Medical Device;Cardiac Shadow;Opacity;Opacity;Cardiomegaly;Pulmonary Edema


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


The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. There are numerous calcified granuloma in the right perihilar region. There are multilevel degenerative changes in the thoracic spine.

lungs_pleura: There are numerous calcified granuloma in the right perihilar region. bones: There are multilevel degenerative changes in the thoracic spine.


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


Chest. There is no change in the strandy scarring in the right apex. No XXXX infiltrates or masses in the lungs. Heart and mediastinum remain normal. Lumbosacral spine. disc spaces are old narrow, and large osteophytes present on the vertebral bodies, worst at L2-L3. XXXX elements from L4 through S1 are sclerotic. Sacrum and sacroiliac joints are normal. Calcific aortic disease is present.

lungs_pleura: Strandy scarring in the right apex. heart_mediastinum: Calcific aortic disease is present. bones: Disc spaces are narrow, and large osteophytes present on the vertebral bodies, worst at L2-L3. Elements from L4 through S1 are sclerotic.


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


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


XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate left upper lobe airspace disease most XXXX pneumonia. There is no effusion or pneumothorax.

lungs_pleura: Lungs demonstrate left upper lobe airspace disease most likely pneumonia.


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


The cardiomediastinal silhouette is normal in size and contour. Lungs are clear without focal areas of consolidation. No pneumothorax or large pleural effusion. No acute bone abnormality.


No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact. There is a small calcified granuloma in the right midlung.

lungs_pleura: There is a small calcified granuloma in the right midlung.


Lobulated right middle lobe mass measuring 4.5 x 6.8 cm, increased in size compared to prior study, most compatible with neoplasm. Otherwise, the lungs are clear without focal consolidation. No pneumothorax or pleural effusion. Cardiomediastinal silhouette within normal limits.

lungs_pleura: Lobulated right middle lobe mass measuring 4.5 x 6.8 cm, most compatible with neoplasm.


The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal. There are minimal degenerative changes of the spine.

bones: There are minimal degenerative changes of the spine.


The heart is normal in size. The mediastinum is unremarkable. Mild hyperinflation is noted. There are granulomatous sequela. No acute infiltrate or significant pleural effusion are noted. The costophrenic XXXX are excluded.

lungs_pleura: Mild hyperinflation is noted. There are granulomatous sequela.


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


Redemonstration of moderate left pneumothorax which is unchanged from comparison. Left pleural catheter is again seen overlying the left upper lung at the level of the left 5th and 6th ribs. No focal consolidation. Cardiomediastinal silhouette is normal.

lungs_pleura: Left pneumothorax. support_devices: Left pleural catheter is seen overlying the left upper lung at the level of the left 5th and 6th ribs.


Lungs are clear. Heart size normal. Scattered thoracic spine spurring.

bones: Scattered thoracic spine spurring.


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


Postoperative changes are present in the left fifth rib. Residual radiopaque sutures are also present in the left upper lobe. The lungs are clear with no infiltrates or masses. Heart and mediastinum are normal.

lungs_pleura: Residual radiopaque sutures are also present in the left upper lobe. bones: Postoperative changes are present in the left fifth rib.


Midline sternotomy XXXX identified. Heart size and cardiomediastinal silhouette are grossly normal. Airspace opacity in posterior segment on the lateral view. Osseous structures are grossly intact.

lungs_pleura: Airspace opacity in posterior segment on the lateral view. support_devices: Midline sternotomy XXXX identified.


Overall hyperexpanded lungs with flattening of the diaphragms consistent with obstructive lung disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

lungs_pleura: Overall hyperexpanded lungs with flattening of the diaphragms consistent with obstructive lung disease. bones: Degenerative changes in the spine.

Lung;Diaphragm;Pulmonary Disease, Chronic Obstructive;Spine


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


Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. There is a stable the electronic device any left anterior chest wall. There are advanced degenerative changes in the XXXX bilaterally. There is a 38 mm lucency in the right humeral head with geographic 1A margins.

bones: Advanced degenerative changes in the XXXX bilaterally. 38 mm lucency in the right humeral head with geographic 1A margins. support_devices: There is the electronic device any left anterior chest wall.


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


The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy are noted. Degenerative changes are present in the spine.

bones: Degenerative changes are present in the spine.


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


The lungs and pleural spaces show no acute abnormality. Heart size is mildly enlarged, pulmonary vascularity within normal limits. Atherosclerotic calcifications are present in the aortic XXXX.

heart_mediastinum: Heart size is mildly enlarged. Atherosclerotic calcifications are present in the aortic arch.


Endotracheal tube and NG tube have been removed. Mild patchy bilateral airspace disease. There are small bilateral pleural effusions. No pneumothorax. Heart and mediastinum are stable with normal size heart. Degenerative changes in the spine.

lungs_pleura: Mild patchy bilateral airspace disease. Small bilateral pleural effusions. bones: Degenerative changes in the spine. support_devices: Endotracheal tube and NG tube have been removed.


There is a right upper lobe opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. Osseous structures and soft tissues are normal.

lungs_pleura: There is a right upper lobe opacity.


The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.


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


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


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


Heart size mildly to moderately enlarged. Mild right hemidiaphragm elevation with mild bronchovascular crowding, right greater than left, indistinct vascular margination. No definite focal alveolar consolidation, no pleural effusion XXXX demonstrated.

lungs_pleura: Mild right hemidiaphragm elevation with mild bronchovascular crowding, right greater than left, indistinct vascular margination. heart_mediastinum: Heart size mildly to moderately enlarged.


The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous and calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Degenerative endplate changes of the thoracic spine with an age-indeterminate, mild wedge XXXX deformity of a midthoracic vertebral body.

heart_mediastinum: The thoracic aorta is tortuous and calcified. bones: Degenerative endplate changes of the thoracic spine with an age-indeterminate, mild wedge deformity of a midthoracic vertebral body.


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


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 stable. Mild biapical scarring is identified. There is a nodular density in the right midlung which is stable from prior studies and noted to represent a granuloma on XXXX of XXXX. However, additional foci in the right upper lung are questioned. There is no acute infiltrate or pleural effusion.

lungs_pleura: Mild biapical scarring is identified. There is a nodular density in the right midlung.


No pneumothorax, pleural effusion, or focal airspace disease. Heart size normal. Stable cardiomediastinal silhouette. Nodular opacities consistent with chronic granulomatous disease. Bony structures intact.

lungs_pleura: Nodular opacities consistent with chronic granulomatous disease. heart_mediastinum: Cardiomediastinal silhouette.


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.


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


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


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


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. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture. No discrete XXXX projectile visualized. Contrast within the bilateral renal collecting systems. Contrast also probably within the left colon.

others: Contrast within the bilateral renal collecting systems.


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

lungs_pleura: Calcified left suprahilar XXXX.


Heart size is normal. The lungs are grossly clear. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are stable. Normal pulmonary vascularity. No overt edema.


Heart size appears within normal limits. Pulmonary vasculature appears within normal limits. Radiodensity overlying the middle cardiac silhouette, XXXX representing a hiatal hernia. No focal consolidation, pleural effusion or pneumothorax. No acute bony abnormality.

others: Radiodensity overlying the middle cardiac silhouette, representing a hiatal hernia.


Heart size within normal limits, stable mediastinal and hilar contours, right chest XXXX tip in the low SVC. Monitoring device artifacts. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.

support_devices: Right chest XXXX tip in the low SVC. Monitoring device artifacts.


The lungs are clear. There are multiple surgical XXXX seen near the apical regions and lower cervical region bilaterally. The heart and mediastinum are normal. There is a screw in the right shoulder. The soft tissues are normal.

support_devices: There are multiple surgical XXXX seen near the apical regions and lower cervical region bilaterally. There is a screw in the right shoulder.

Surgical Instruments;Surgical Instruments;Surgical Instruments


The heart is normal in size and contour. There is a vague area of airspace disease identified within the right midlung on the PA view. This is not well-demonstrated on the lateral view. There is no pneumothorax or effusion.

lungs_pleura: There is a vague area of airspace disease identified within the right midlung on the PA view. This is not well-demonstrated on the lateral view.


Sternotomy XXXX mediastinal clips noted. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is XXXX deformity of T6, XXXX since X-XXXX thoracic spine XXXX, XXXX. Mild XXXX deformity of T12, stable. Prior cholecystectomy.

bones: There is deformity of T6. Mild deformity of T12. support_devices: Sternotomy mediastinal clips noted. others: Prior cholecystectomy.


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

lungs_pleura: Underlying emphysematous changes are noted.


Limited lateral projection. 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. Healed distal left clavicular fracture noted.

bones: Healed distal left clavicular fracture noted.


Cardiac silhouette is within normal limits in size. The lungs are hypoinflated with mild bronchovascular crowding. There is mild, XXXX opacity projected over the left lung base. This is partly due to overlying soft tissues, however, there is partial obscuration of the lateral left hemidiaphragm. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion. There are no acute bony findings. There are degenerative endplate changes throughout the thoracic spine.

lungs_pleura: The lungs are hypoinflated with mild bronchovascular crowding. There is mild, XXXX opacity projected over the left lung base. This is partly due to overlying soft tissues, however, there is partial obscuration of the lateral left hemidiaphragm. bones: There are degenerative endplate changes throughout the thoracic spine.


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


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


Heart size within normal limits. Mild hyperinflation of the lungs. Mild pectus excavatum deformity. Stable left mid lung calcified granuloma. No focal airspace disease. No pneumothorax or effusions.

lungs_pleura: Mild hyperinflation of the lungs. Left mid lung calcified granuloma. bones: Mild pectus excavatum deformity.

Lung;Funnel Chest;Calcified Granuloma;Pulmonary Disease, Chronic Obstructive


Normal cardiomediastinal contours. Clear lungs bilaterally. No pneumothorax or large effusion.


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. Mild spine curvature again noted.


The heart is normal in size. The mediastinum is Stable. Rectal balloon is noted. Lungs are mildly hypoinflated. There is again eventration of the hemidiaphragms/ Bochdalek hernia, posteriorly as seen on the lateral projection. Bilateral pleural thickening is noted. There are streaky opacities in the lung bases unchanged, XXXX chronic atelectasis.

lungs_pleura: Lungs are mildly hypoinflated. There is eventration of the hemidiaphragms/ Bochdalek hernia. Bilateral pleural thickening is noted. There are streaky opacities in the lung bases. Chronic atelectasis. others: Rectal balloon is noted.


The XXXX examination consists of frontal and lateral radiographs of the chest. A total of 3 images were obtained. The cardiomediastinal contours are within normal limits allowing for low lung volumes and patient rotation. There is XXXX XXXX atelectasis. No consolidation, pleural effusion or pneumothorax. Calcified right infrahilar lymph XXXX again seen. Partially visualized lower cervical spine fusion XXXX.

lungs_pleura:  heart_mediastinum: Calcified right infrahilar lymph node. bones: Partially visualized lower cervical spine fusion.

Technical Quality of Image Unsatisfactory ;Lung;Calcinosis;Spinal Fusion;Pulmonary Atelectasis


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

heart_mediastinum: Heart size is mildly enlarged.


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


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


Stable appearing right-sided XXXX the opacities. There is persistent elevation of the right hemidiaphragm. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax.

lungs_pleura: Right-sided opacities. Elevation of the right hemidiaphragm.


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


Chest. The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable. Thoracic spine. The XXXX examination consists of frontal, lateral and swimmers lateral radiographs of the thoracic spine. There is no evidence of fracture or malalignment. The vertebral body XXXX and disc spaces are maintained. Sternum. The XXXX examination consists of 2 oblique and one lateral radiograph of the sternum. No displaced XXXX fracture demonstrated.


Normal cardiomediastinal silhouette. Left-sided aortic XXXX. Pulmonary vasculatures are within normal limits. Central airways are XXXX. No focal consolidation, pleural effusion or pneumothorax. Bony structure are grossly unremarkable.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is moderately enlarged with a cardiothoracic ratio of 16.2/24.7. Diffuse coarse interstitial opacity seen throughout the lungs with perihilar and lower lobe predominance. There is right greater than left bibasilar consolidation. There are small pleural effusions, right larger than left. No evidence of pneumothorax. Dense atherosclerotic calcification seen involving the thoracic and upper abdominal aorta.

lungs_pleura: Diffuse coarse interstitial opacity seen throughout the lungs with perihilar and lower lobe predominance. There is right greater than left bibasilar consolidation. There are small pleural effusions, right larger than left. heart_mediastinum: The cardiac silhouette is moderately enlarged with a cardiothoracic ratio of 16.2/24.7. Dense atherosclerotic calcification seen involving the thoracic and upper abdominal aorta.


Low lung volumes. Normal heart size. The trachea is midline. Lungs are clear. No pneumothorax. No pleural effusion.


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


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


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


There are XXXX opacities in the left lung, XXXX subsegmental atelectasis. XXXX opacities overlying the left lung base on the frontal XXXX XXXX reflect epicardial fat XXXX and overlying breast tissue. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. There are diffuse degenerative changes of the spine.

lungs_pleura: There are opacities in the left lung, subsegmental atelectasis. Opacities overlying the left lung base on the frontal reflect epicardial fat and overlying breast tissue. heart_mediastinum: Heart size is at the upper limits of normal. bones: There are diffuse degenerative changes of the spine.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Chronic appearing interstitial markings The lungs are normally inflated and clear. Degenerative changes of the spine.

lungs_pleura: Chronic appearing interstitial markings. bones: Degenerative changes of the spine.


The trachea is midline. The cardiomediastinal silhouette is normal. Right lung calcified densities are unchanged from prior and indicate old granulomatous disease. Otherwise, the lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.

lungs_pleura: Right lung calcified densities indicate old granulomatous disease. bones: Mild degenerative changes of the thoracic spine.


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


The lungs are clear. Heart size and mediastinal contours are normal. No osseous abnormalities.


There is stable, mild cardiomegaly with normal caliber pulmonary vasculature. There are grossly intact XXXX sternotomy XXXX and mediastinal surgical clips. There is no focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.

heart_mediastinum:  support_devices: There are grossly intact sternotomy and mediastinal surgical clips.


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.


Stable borderline enlarged cardiac contour. Calcified mediastinal lymph XXXX. Prominent right paratracheal stripe. Emphysema. No active pulmonary disease. Mild spondylosis.

lungs_pleura:  heart_mediastinum: Borderline enlarged cardiac contour. Calcified mediastinal lymph nodes. Prominent right paratracheal stripe. bones: Mild spondylosis.


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


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.


There are are streaky retrocardiac left lower lobe opacities, in the correct clinical setting this could represent a pneumonia. There is no pneumothorax or pleural effusion. The cardiac silhouette is within normal limits.

lungs_pleura: There are streaky retrocardiac left lower lobe opacities, in the correct clinical setting this could represent a pneumonia.


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

lungs_pleura: Lungs are mildly hyperexpanded.


A left-sided hemodialysis catheter is in XXXX with its distal tip at the right atrium. The cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no pneumothorax. No large pleural effusion.

support_devices: A left-sided hemodialysis catheter is in XXXX with its distal tip at the right atrium.


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.


Minimal XXXX opacities at the posterior sulci. A few septal lines of the left lateral sulcus. Otherwise, The lungs are clear with granulomas and XXXX sulci. Heart size upper normal thin LV contour.Unfolded calcified aorta. T-spine small osteophytes.

lungs_pleura: Minimal opacities at the posterior sulci. A few septal lines of the left lateral sulcus.  heart_mediastinum: Unfolded calcified aorta. bones: T-spine small osteophytes.


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.


Heart size moderately enlarged, stable mediastinal contours. Lateral view curvilinear densities over the heart suggestive of coronary artery stents. Diaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.

lungs_pleura: Diaphragm eventration. heart_mediastinum: Heart size moderately enlarged. support_devices: Lateral view curvilinear densities over the heart suggestive of coronary artery stents.


Two-view chest. Both lungs are clear and expanded. Heart and mediastinum normal. Right foot. Hindfoot, midfoot, forefoot XXXX are intact with no fractures or bone destruction.


The lungs and pleural spaces show no acute abnormality. Stable left upper lobe calcified granuloma. Heart size is mildly enlarged, pulmonary vascularity within normal limits. Mild tortuosity of the descending thoracic aorta.

lungs_pleura: Left upper lobe calcified granuloma. heart_mediastinum: Heart size is mildly enlarged. Mild tortuosity of the descending thoracic aorta.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. is not diffuse interstitial prominence, which has chronic appearance. Cannot exclude early pulmonary edema. Two airspace consolidation or effusion. XXXX are osteopenic. No visible pneumothorax.

lungs_pleura: There is diffuse interstitial prominence, which has chronic appearance. bones: XXXX are osteopenic.

Consolidation;Bone Diseases, Metabolic;Airspace Disease;Pulmonary Congestion


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.


Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings. XXXX degenerative changes of the thoracic spine.

bones: Degenerative changes of the thoracic spine.


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

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


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 are some minimal degenerative changes of the thoracic spine. Evidence of chronic granulomatous disease.

lungs_pleura: Evidence of chronic granulomatous disease. bones: There are some minimal degenerative changes of the thoracic spine.


Heart size and mediastinal contour normal. Lungs are clear. Pulmonary vascularity normal. No pleural effusions or pneumothoraces. Minimal degenerative changes thoracic spine.

bones: Minimal degenerative changes thoracic spine.


The heart size is enlarged. The aorta is tortuous. The pulmonary vasculature appears normal. Lungs are otherwise clear bilaterally. No pleural effusions or pneumothorax. No bony abnormalities.

heart_mediastinum: The heart size is enlarged. The aorta is tortuous.


Normal cardiomediastinal contours. No pneumothorax or large pleural effusions. Left basilar patchy opacities. Small hiatal hernia.

lungs_pleura: Left basilar patchy opacities. others: Small hiatal hernia.


The lungs and pleural spaces show no acute abnormality. Lungs are hyperexpanded. Minimal XXXX scarring in both lower lobes. Heart size and pulmonary vascularity within normal limits. Stable mild tortuosity of the descending thoracic aorta.

lungs_pleura: Lungs are hyperexpanded. Minimal scarring in both lower lobes. heart_mediastinum: Mild tortuosity of the descending thoracic aorta.


The cardiomediastinal silhouette is within normal limits for appearance. The trachea is midline. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine.

bones: Minimal degenerative changes of the thoracic spine.


XXXX XXXX and lateral chest examination was obtained. There is improvement in bilateral pulmonary edema with mild residual. There is minimal right-sided pleural effusion. Heart silhouette is not enlarged. There is calcified mediastinal lymph XXXX. There is no pneumothorax

lungs_pleura: Bilateral pulmonary edema with mild residual. Minimal right-sided pleural effusion. heart_mediastinum: Calcified mediastinal lymph nodes.


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


Lung volumes are low. Prominent increased interstitial markings in both lungs are unchanged in the interval. Bullae are present both upper lobes, right worse than left. No pleural air collections. Heart size normal.

lungs_pleura: Lung volumes are low. Prominent increased interstitial markings in both lungs. Bullae are present both upper lobes, right worse than left.


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


Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. The right heart XXXX appears obscured and there are streaky right medial basilar airspace opacities, possibly due to airspace disease or atelectasis. Otherwise, no focal consolidation, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.

lungs_pleura: The right heart XXXX appears obscured. Streaky right medial basilar airspace opacities.


Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. Limbus vertebra noted within the partial visualized lumbar vertebral body.

bones: Limbus vertebra noted within the partial visualized lumbar vertebral body.


Heart size is upper limits of 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.

heart_mediastinum: Heart size is upper limits of normal.


Lungs remain clear and expanded. Heart and mediastinum normal.


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


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


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


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


The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits.


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


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


The lungs are clear. There is hyperinflation. Calcification is seen over the anterior mediastinum XXXX a calcified lymph node at is not identified on the PA projection. The heart is normal. Arthritic changes the spine are seen.

lungs_pleura:  heart_mediastinum: Calcification is seen over the anterior mediastinum. bones: Arthritic changes the spine are seen.

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


Left retrocardiac airspace disease with blunted posterior costophrenic XXXX on lateral view suggesting small pleural effusion. Normal heart size. Right PICC is unchanged with tip at the caval atrial junction.

lungs_pleura: Left retrocardiac airspace disease. Blunted posterior costophrenic angle on lateral view suggesting small pleural effusion. support_devices: Right PICC with tip at the caval atrial junction.

Airspace Disease;Costophrenic Angle;Catheters, Indwelling;Pleural Effusion


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


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


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


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.