Previous sulcal is normal in size and contour. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion. Interval resolution of previously described right midlung opacity suggesting resolved inflammatory/infectious process. Lungs are hyperexpanded with flattened diaphragms. XXXX and soft tissue are unremarkable.

lungs_pleura: Lungs are hyperexpanded with flattened diaphragms.


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


Normal heart size and mediastinal contours. No abnormal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance.


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. XXXX and curvilinear XXXX densities over the breast shadows compatible with piercings.

others: XXXX and curvilinear XXXX densities over the breast shadows compatible with piercings.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is ill-defined airspace opacity in the posterior left lower lobe. There is focal opacity in the right upper lobe which suggests scar and/or granulomatous calcification. There is no pneumothorax or pleural effusion.

lungs_pleura: There is ill-defined airspace opacity in the posterior left lower lobe. There is focal opacity in the right upper lobe which suggests scar and/or granulomatous calcification.


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


Low lung volumes with bronchovascular crowding. Sequela of prior granulomatous disease. Otherwise lungs clear. Heart size normal. Stable severe L1 XXXX deformity.

lungs_pleura: Low lung volumes with bronchovascular crowding. Sequela of prior granulomatous disease. bones: Severe L1 deformity.


Normal heart size and mediastinal contours. Low lung volumes with no significant airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.

Lung;Technical Quality of Image Unsatisfactory


The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures show several old rib fractures unchanged in the prior study on the left.

bones: The skeletal structures show several rib fractures on the left.


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.


XXXX opacities projecting over the right apex and mediastinum on PA view are artifactual. Stable cardiomediastinal silhouette. Pulmonary vascularity is unremarkable. Stable chronic coarse interstitial markings, without focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX are grossly intact. XXXX right cervical rib.

lungs_pleura: Chronic coarse interstitial markings. heart_mediastinum: Cardiomediastinal silhouette. bones: Right cervical rib.


There are postoperative changes of sternotomy. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. The lungs are mildly hyperexpanded. There is no focal airspace consolidation. No pleural effusion or pneumothorax. There are diffuse degenerative changes of the spine.

lungs_pleura: The lungs are mildly hyperexpanded. heart_mediastinum: There is aortic atherosclerotic vascular calcification. bones: There are diffuse degenerative changes of the spine. support_devices: There are postoperative changes of sternotomy.


Borderline enlarged heart. Stable mediastinal contours. Aortic XXXX calcifications. Hyperinflated lungs with chronic appearing interstitial markings, compatible with emphysema. Bilateral streaky opacities. Increased vascularity compatible with pulmonary vascular congestion. No focal airspace disease. No acute bony abnormality.

lungs_pleura: Hyperinflated lungs with chronic appearing interstitial markings, compatible with emphysema. Bilateral streaky opacities. Increased vascularity compatible with pulmonary vascular congestion. heart_mediastinum: Borderline enlarged heart. Mediastinal contours. Aortic calcifications.


XXXX sternotomy XXXX and mediastinal surgical clips remain in XXXX. The cardiomediastinal silhouette is stable in appearance. The thoracic aorta is tortuous and calcified with stable appearance since XXXX exam. No focal areas of pulmonary consolidation. Scattered right basilar subsegmental atelectasis. The left lung appears clear. No pneumothorax or pleural effusion present. Moderate degenerative changes of the thoracic spine. Osteopenia. Mild loss of XXXX of a mid thoracic vertebral body.

lungs_pleura: Scattered right basilar subsegmental atelectasis. heart_mediastinum: The cardiomediastinal silhouette is in appearance. The thoracic aorta is tortuous and calcified. bones: Moderate degenerative changes of the thoracic spine.  Mild loss of of a mid thoracic vertebral body. support_devices: Sternotomy and mediastinal surgical clips.

Surgical Instruments;Calcinosis;Aorta, Thoracic;Pulmonary Atelectasis;Thoracic Vertebrae;Bone Diseases, Metabolic


There is mild cardiomegaly. Pulmonary vasculature is normal in caliber. There are mild XXXX opacities bilaterally, favoring scar or atelectasis. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. No acute, displaced rib fractures are demonstrated. Visualized vertebral body XXXX are grossly intact.

lungs_pleura: There are mild XXXX opacities bilaterally, favoring scar or atelectasis. heart_mediastinum: There is mild cardiomegaly.


Heart size and pulmonary vascularity appear within normal limits. Calcified granuloma is present in the right base. No pneumothorax or pleural effusion is seen. In the lateral right base is identified an ill-defined somewhat oblong opacity. This was not present on the previous study. The remainder of the lungs appear clear.

lungs_pleura: Calcified granuloma is present in the right base. In the lateral right base is identified an ill-defined somewhat oblong opacity.


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

lungs_pleura: Calcified granuloma, right lung base.


Lungs are hyperexpanded. No infiltrates or masses. The eventration of the left hemidiaphragm identified previously is largely unchanged since the previous computed tomogram. Pulmonary XXXX are normal.

lungs_pleura: Lungs are hyperexpanded. The eventration of the left hemidiaphragm is identified.

Lung;Diaphragmatic Eventration;Pulmonary Disease, Chronic Obstructive


There is a left chest XXXX with tip in the mid SVC. 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.

support_devices: There is a left chest XXXX with tip in the mid SVC.


Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable. Stable small calcified granuloma left base. No XXXX acute findings/opacities/infiltrates noted.

lungs_pleura: Small calcified granuloma left base.


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


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


Cardiomegaly. Mediastinal contours are normal limits. Increased interstitial opacities. No pneumothorax or large pleural effusion. No acute osseous abnormality.

lungs_pleura: Increased interstitial opacities. heart_mediastinum:


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


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


Lungs are hyperexpanded. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is seen. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.


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

lungs_pleura: Calcified lingular pulmonary granuloma.


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


Several calcified granulomas in bilateral hilar regions. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal.

lungs_pleura: Several calcified granulomas in bilateral hilar regions.


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


Frontal and lateral views of the chest demonstrate the cardiomediastinal silhouette normal. There is normal distribution of the pulmonary vascularity. The lungs are clear. No effusion, consolidation, or pneumothorax.


The heart is enlarged. The mediastinum is unremarkable. Atherosclerotic calcifications present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are noted within the spine.

heart_mediastinum: The heart is enlarged. Atherosclerotic calcifications present within the thoracic aorta. bones: Chronic degenerative changes are noted within the spine.


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


Normal heart size. Clear lungs. Degenerative this disease within the spine. Prosthetic right shoulder. Possible XXXX body in the axillary recess of the left shoulder. Degenerative left glenohumeral osteoarthritis.

bones: Degenerative this disease within the spine. Prosthetic right shoulder. Degenerative left glenohumeral osteoarthritis.


Stable scoliosis XXXX. The lungs are clear. Heart size normal. No pneumothorax.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is a region of left upper lobe perihilar opacity identified.

lungs_pleura: There is a region of left upper lobe perihilar opacity identified.


Heart size remains slightly large. Aorta remains tortuous. Pulmonary XXXX remain normal. No infiltrates or masses in the lungs.

heart_mediastinum: Heart size slightly large. Aorta tortuous.


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


The left hilum is retracted superiorly. In the collapsed left upper lobe are stranding and pneumatoceles. Additionally, pleural thickening is present in the left apex. No infiltrates are present in the left lower lobe or in the right lung. Heart size is normal. These findings are similar to the previous outside examination.

lungs_pleura: The left hilum is retracted superiorly. In the collapsed left upper lobe are stranding and pneumatoceles. Additionally, pleural thickening is present in the left apex.


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

heart_mediastinum: Heart size upper limit of normal.


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. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Streaky bibasilar airspace opacities. No pneumothorax or pleural effusion. No acute osseous findings.

lungs_pleura: Low lung volumes. Streaky bibasilar airspace opacities.


The lungs are hyperexpanded. There are XXXX opacities in the lingula, XXXX subsegmental atelectasis or scarring. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. There are degenerative changes of the spine.

lungs_pleura: The lungs are hyperexpanded. There are XXXX opacities in the lingula. XXXX subsegmental atelectasis or scarring. heart_mediastinum: There is aortic atherosclerotic vascular calcification. bones: There are degenerative changes of the spine.


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


Lung volumes are low. There is vague opacity in the right upper lung near the anterior right first rib on PA view. This may be artifact relating to calcification at the first rib costicartilage junction. There is minimal atelectasis in the right lung base. There is left-sided PICC line, the distal tip in the lower superior vena XXXX. The heart and pulmonary XXXX are normal. These contours are normal.

lungs_pleura: Lung volumes are low. Vague opacity in the right upper lung near the anterior right first rib on PA view. Minimal atelectasis in the right lung base. support_devices: There is left-sided PICC line, the distal tip in the lower superior vena cava.


No pneumothorax, pleural effusion, or focal airspace disease. Mild cardiomegaly. Cardio mediastinal silhouette unremarkable. Bony structures appear intact.


Heart size upper limits of normal. Low lung volumes with mild bronchovascular crowding and right basilar airspace disease. No pneumothorax or effusions.

lungs_pleura: Low lung volumes with mild bronchovascular crowding and right basilar airspace disease. heart_mediastinum: Heart size upper limits of normal.


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


PA and moderate loss of the chest demonstrate stable moderate cardiomediastinal silhouette with atherosclerotic calcifications of the aortic XXXX and mild aortic ectasia. Emphysematous changes with flattening of the hemidiaphragms. Blunting of the costophrenic XXXX, and XXXX secondary to scarring/emphysematous changes. No evidence of focal airspace consolidation large pleural effusion or pneumothorax. Visualized osseous structures appear intact.

lungs_pleura: Emphysematous changes with flattening of the hemidiaphragms. Blunting of the costophrenic angles secondary to scarring/emphysematous changes. heart_mediastinum: Moderate cardiomediastinal silhouette with atherosclerotic calcifications of the aortic arch and mild aortic ectasia.


Normal cardiac contours. No pneumothorax or pleural effusions. Clear left lung XXXX. Right middle lobe with increased opacities, XXXX representative of infiltrate.

lungs_pleura: Right middle lobe with increased opacities, representative of infiltrate.


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


Normal heart. Clear lungs. Trachea midline. Scoliosis of lower thoracic spine. Degenerative changes of thoracic spine.

bones: Scoliosis of lower thoracic spine. Degenerative changes of thoracic spine.


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


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. A few bandlike opacities are present on the lateral view which appear to represent small areas of scarring. Surgical clips are present in the right upper quadrant of the abdomen. Degenerative changes are present in the spine.

lungs_pleura: A few bandlike opacities are present on the lateral view which appear to represent small areas of scarring. bones: Degenerative changes are present in the spine. others: Surgical clips are present in the right upper quadrant of the abdomen.


Heart size and pulmonary vascularity appear within normal limits. There is mild tortuosity to the descending thoracic aorta. The 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.

heart_mediastinum: There is mild tortuosity to the descending thoracic aorta. bones: Degenerative changes are present in the spine.


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


The heart size and mediastinal contours appear within normal limits. Low lung volumes on the AP view with bronchovascular crowding and bibasilar atelectasis. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.

lungs_pleura: Low lung volumes on the AP view with bronchovascular crowding and bibasilar atelectasis.


Minimally increased XXXX airspace opacities bilaterally, most prominent in the lung bases. Heart size is within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.

lungs_pleura: Minimally increased airspace opacities bilaterally, most prominent in the lung bases.


Normal heart size and hilar vascular markings. Evidence of prior granulomatous disease. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax. There are no acute osseous abnormalities present. Mild degenerative changes of the thoracic spine. The soft tissues are within normal limits.

lungs_pleura: Evidence of prior granulomatous disease. bones: Mild degenerative changes of the thoracic spine.


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


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


Stable enlarged cardiac silhouette. Persistent bilateral lower lobe airspace disease, not significantly XXXX compared to prior. No pleural effusion or pneumothorax. No acute bony abnormality.

lungs_pleura: Bilateral lower lobe airspace disease. heart_mediastinum: Enlarged cardiac silhouette.


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

support_devices: Coronary artery stents visualized.


The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. XXXX airspace disease within the left lower lung. The remainder of the lungs are clear. There is no pleural effusion or pneumothorax. Surgical clips overlying the right breast.

lungs_pleura: XXXX airspace disease within the left lower lung. heart_mediastinum: The aorta is atherosclerotic. support_devices: Surgical clips overlying the right breast.


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

lungs_pleura: Bilateral prominent lung vascularity medially.


The cardiomediastinal silhouette is within normal limits. The lungs are well expanded without consolidation or edema. No pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.


The heart is not enlarged. The central pulmonary vasculature is not engorged. Visualized osseous structures are unremarkable. No pneumothorax or pleural effusion. Small right juxtahilar opacity may represent infiltrate. Lungs are otherwise well aerated.

lungs_pleura: Lungs are otherwise well aerated.


The heart is large, and the pulmonary XXXX are engorged. No infiltrates.

heart_mediastinum: The heart is large. The pulmonary XXXX are engorged.


The heart is normal in size. The mediastinum is unremarkable. There is XXXX patchy opacity in the left upper lobe. Possibility of tuberculosis should be excluded. No pleural effusion is seen. There is no pneumothorax the lungs are hyperinflated.

lungs_pleura: There is XXXX patchy opacity in the left upper lobe. The lungs are hyperinflated.


PA and lateral views the chest were obtained. Heart size is upper limits normal or mildly enlarged. The thoracic aorta is mildly tortuous. Pulmonary XXXX are within normal limits. No pneumothorax, pleural effusion, or focal air space consolidation.

heart_mediastinum: Heart size is upper limits normal or mildly enlarged. The thoracic aorta is mildly tortuous.


Normal heart size. Clear lungs without pneumothorax or pleural effusion.


The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal. There is no pneumothorax.


The heart size and cardiomediastinal silhouette are normal. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with mild degenerative changes in thoracic spine.

bones: Mild degenerative changes in 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, 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 mild degenerative changes of the thoracic spine. There is a slight XXXX deformity of the lower thoracic body which is age-indeterminate.

bones: There mild degenerative changes of the thoracic spine. There is a slight XXXX deformity of the lower thoracic body which is age-indeterminate.


Normal heart size mediastinal contours. No focal airspace opacity. No pneumothorax or pleural effusion. Visualized XXXX are unremarkable in appearance.


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


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

support_devices: Overlying external cardiac monitor leads.


The heart is normal in size and contour. There is a focal area of scarring or XXXX atelectasis identified in the lingula. The lungs are otherwise clear without focal infiltrate. There is no pneumothorax or effusion.

lungs_pleura: There is a focal area of scarring or atelectasis identified in the lingula.


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


The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated with blunted costophrenic XXXX. No focal consolidation is seen.

lungs_pleura: The lungs are hypoinflated with blunted costophrenic angles.


Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality.


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


There is hyperexpansion, hyperlucency of both lungs, as well as flattening of the diaphragm consistent with chronic emphysematous lung disease. No focal consolidation, pneumothorax, or large pleural effusion identified (blunting of costophrenic recesses bilaterally may represent small effusions or pleural thickening/scar. Stable calcified mediastinal and hilar lymph XXXX and a left basilar calcified granuloma. Acute osseous abnormality. The mediastinal silhouette stable.

lungs_pleura: There is hyperexpansion, hyperlucency of both lungs, as well as flattening of the diaphragm consistent with chronic emphysematous lung disease. A left basilar calcified granuloma. heart_mediastinum: Calcified mediastinal and hilar lymph nodes. The mediastinal silhouette. bones: Acute osseous abnormality.

Lung;Lung, Hyperlucent;Diaphragm;Pulmonary Emphysema;Costophrenic Angle;Calcinosis;Calcinosis;Calcified Granuloma


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


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


The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. XXXX XXXX foreign body is noted in the soft tissues of the left chest wall.

others: XXXX XXXX foreign body is noted in the soft tissues of the left chest wall.


Heart size is normal. There is mild tortuosity of the thoracic aorta. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.

heart_mediastinum: There is mild tortuosity of the thoracic aorta.


The heart size is within normal limits. Trachea is midline. No pleural effusions or pneumothorax. Cardiomediastinal contours are normal. There is focal consolidation in the posterior segment of the right lower lobe. No bony or soft tissue abnormalities.

lungs_pleura: There is focal consolidation in the posterior segment of the right lower lobe.


There is hyperinflation of the lungs appear to be clear. There is no pleural effusion or The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are normal.

lungs_pleura: There is hyperinflation of the lungs. heart_mediastinum: There are atherosclerotic changes of the aorta.

Lung;Atherosclerosis;Pulmonary Disease, Chronic Obstructive


The heart is normal in size. The mediastinum is unremarkable. Left subclavian central catheter tip in distal SVC. No pneumothorax. The lungs are clear.

support_devices: Left subclavian central catheter tip in distal SVC.


Stable left chest cardiac XXXX generator with 2 distal leads in right atrium and right ventricle. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Emphysema. Stable calcified granulomas. Bony structures appear intact.

lungs_pleura:  Calcified granulomas. support_devices: Left chest cardiac XXXX generator with 2 distal leads in right atrium and right ventricle.

Implanted Medical Device;Emphysema;Calcified Granuloma


Enlarged cardiomediastinal silhouette. Low lung volumes. Relative elevation of right hemidiaphragm. XXXX left base density. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.

lungs_pleura: Low lung volumes. Relative elevation of right hemidiaphragm. Left base density. heart_mediastinum: Enlarged cardiomediastinal silhouette.


2 images. The cardiac silhouette is enlarged. Thoracic aortic atherosclerotic calcifications are present. There are finding status post sternotomy and CABG. XXXX atelectasis or scar is noted within the left midlung. There is blunting of the left costophrenic XXXX. No pneumothorax.

lungs_pleura: Atelectasis or scar is noted within the left midlung. There is blunting of the left costophrenic angle. heart_mediastinum: The cardiac silhouette is enlarged. Thoracic aortic atherosclerotic calcifications are present. support_devices: There are finding status post sternotomy and CABG.

Cardiac Shadow;Atherosclerosis;Cicatrix;Pulmonary Atelectasis;Costophrenic Angle;Cardiomegaly;Surgical Instruments


Lung volumes are XXXX. XXXX opacities are present in the angulate. No focal infiltrates. Heart size normal.

lungs_pleura: Lung volumes are XXXX. XXXX opacities are present in the angulate.


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.


Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There is is a calcified XXXX opacity in the left lung base suggestive of old empyema, hematoma, or prior TB. No cavitary lesions are seen. XXXX are grossly unremarkable.

lungs_pleura: There is a calcified opacity in the left lung base suggestive of old empyema, hematoma, or prior TB.


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.


Feeding tube passes below the left hemidiaphragm. Left subclavian central line tip is at the upper SVC. Shunt tubing courses along the anterior left hemithorax. There is grossly stable left lower lobe consolidation. Stable mild residual medial right basilar airspace disease. There is no pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. There are diffuse degenerative changes of the spine.

lungs_pleura: Left lower lobe consolidation. Mild residual medial right basilar airspace disease. heart_mediastinum: Aortic atherosclerotic vascular calcification. bones: Diffuse degenerative changes of the spine. support_devices: Feeding tube passes below the left hemidiaphragm. Left subclavian central line tip is at the upper SVC. Shunt tubing courses along the anterior left hemithorax.

Tube, Inserted;Catheters, Indwelling;Consolidation;Airspace Disease;Atherosclerosis;Spine


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is a scoliosis of the thoracic spine. The ribs, as visualized, appear unremarkable.

bones: There is a scoliosis of the thoracic spine.


The heart is normal in size. The mediastinum is stable with tortuous aorta. There are chronic changes particularly noted in the lung apices. The XXXX are mildly prominent but stable. No acute infiltrate is seen. There is no pleural effusion.

lungs_pleura: There are chronic changes particularly noted in the lung apices. heart_mediastinum: The mediastinum is with tortuous aorta. The XXXX are mildly prominent.


Cardiac silhouette is enlarged but unchanged. There is left-sided XXXX central line with a XXXX lumen. Poly vasculature is within normal limits. Mediastinum is normal. Bibasilar opacity, left greater than right is appreciated. No pneumothorax.

lungs_pleura: Bibasilar opacity, left greater than right is appreciated. heart_mediastinum: Cardiac silhouette is enlarged. support_devices: There is left-sided XXXX central line with a XXXX lumen.

Cardiac Shadow;Catheters, Indwelling;Opacity;Pleural Effusion;Pulmonary Atelectasis;Cardiomegaly


Redemonstration of colonic interposition overlying the mediastinum. There are increased bibasilar airspace opacities, left greater than right. No pneumothorax or large pleural effusion.

lungs_pleura: Increased bibasilar airspace opacities, left greater than right. others: Colonic interposition overlying the mediastinum.


Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Thoracic spondylosis. Bilateral breast prostheses with XXXX calcification.

lungs_pleura: Prior granulomatous disease. bones: Thoracic spondylosis. others: Bilateral breast prostheses with XXXX calcification.


Heart size is normal. No focal consolidations. There are degenerative changes throughout the midlower thoracic spine. No pneumothorax or pleural effusion.

bones: There are degenerative changes throughout the midlower thoracic spine.


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

lungs_pleura: There are calcified granulomas in the left lower lobe.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Large bilateral hilar calcified lymph XXXX/granulomas. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.

heart_mediastinum: Large bilateral hilar calcified lymph nodes/granulomas.


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


XXXX XXXX right-sided chest tube tip now projects outside the thoracic cavity. No definite residual pneumothorax. Stable cardiomediastinal silhouette. There are low lung volumes. No large pleural effusion. No focal airspace consolidation. Small amount of subdiaphragmatic free air.

lungs_pleura: There are low lung volumes. heart_mediastinum: Cardiomediastinal silhouette. support_devices: XXXX XXXX right-sided chest tube tip now projects outside the thoracic cavity. others: Small amount of subdiaphragmatic free air.


The heart is normal in size and contour. There is mild calcification of the transverse XXXX. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Degenerative changes of the midthoracic spine are noted.

heart_mediastinum: There is mild calcification of the transverse aorta. bones: Degenerative changes of the midthoracic spine are noted.


Mild cardiomegaly. Hypoinflation of the lungs. Right basilar XXXX opacity may represent atelectasis. Lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Sclerosis of the humeral XXXX bilateral, XXXX from prior AVN. Sclerotic vertebral body endplates with central depression. Calcifications in the right hemiabdomen may represent calcified gallstones.

lungs_pleura: Hypoinflation of the lungs. Right basilar opacity may represent atelectasis. heart_mediastinum: Mild cardiomegaly. bones: Sclerosis of the humeral bilateral. Sclerotic vertebral body endplates with central depression. others: Calcifications in the right hemiabdomen may represent calcified gallstones.


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


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


Mild cardiomegaly. Normal pulmonary vascularity. Tortuosity of the descending aorta. No focal infiltrate, pneumothorax or pleural effusion.

heart_mediastinum: Mild cardiomegaly. Tortuosity of the descending aorta.


The cardiac silhouette mediastinal contours are within normal limits. There are low lung volumes. There is no focal consolidation. There is pneumothorax. There is no large pleural effusion. There is prominent right anterior first rib end.

lungs_pleura: There are low lung volumes. There is pneumothorax. bones: There is prominent right anterior first rib end.


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


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


Normal heart size. There is a round density in the AP XXXX. XXXX study performed in XXXX is not available for review at this time. Lungs are hyperinflated with flattened diaphragms. Calcified right lower lobe granuloma. No focal airspace consolidation, pneumothorax, or pleural effusion. No pulmonary edema. No acute bony abnormality.

lungs_pleura: Lungs are hyperinflated with flattened diaphragms. Calcified right lower lobe granuloma. others: There is a round density in the AP.


The lungs are clear. There are calcified granulomas. Heart size is normal. No pneumothorax.


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


The cardiomediastinal silhouette is normal size and configuration. The thoracic aorta is tortuous. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. There is no obvious displaced rib fracture. If there is concern for fracture consider rib series.

heart_mediastinum: The thoracic aorta is tortuous.


Normal heart size. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Left nipple silhouette visualized. Negative for acute bone abnormality.

lungs_pleura: Hyperexpanded lungs. others: Left nipple silhouette visualized.


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


The heart is XXXX within normal limits in size given the low lung volumes an AP portable technique. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.


There are scattered calcified granulomas. The lungs are otherwise clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour. Right humeral internal fixation XXXX is noted.

lungs_pleura: There are scattered calcified granulomas. support_devices: Right humeral internal fixation XXXX is noted.

Calcified Granuloma;Implanted Medical Device


Heart is mildly enlarged stable. Mediastinal contour is normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces.

lungs_pleura: Lungs are hyperexpanded. heart_mediastinum: Heart is mildly enlarged.


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 heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Calcific granulomas are present in the right upper lobe. The XXXX are unremarkable.

lungs_pleura: Calcific granulomas are present in the right upper lobe.


PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or lobar air space consolidation. XXXX right middle lobe collapse appears less distinct than on prior study.

lungs_pleura: Right middle lobe collapse.


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


There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits. The right upper extremity PICC tip is in the upper SVC. Surgical clips in the right upper abdomen.

support_devices: The right upper extremity PICC tip is in the upper SVC. others: Surgical clips in the right upper abdomen.


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 pleural effusion. There is no evidence of pneumothorax.


Normal heart size and mediastinal contours. Lungs are clear. There is no pneumothorax or pleural effusion. Degenerative changes are seen in the spine.

bones: Degenerative changes are seen in the spine.


Normal heart size and mediastinal contours. Patchy right lower lobe airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.

lungs_pleura: Patchy right lower lobe airspace opacities.


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 calcified granulomas noted. There are vascular calcifications over the aortic XXXX.

lungs_pleura: There are calcified granulomas noted. heart_mediastinum: There are vascular calcifications over the aortic XXXX.


Left-sided dual-XXXX cardiac XXXX in stable position. The heart is of normal size. Interval decrease and left basilar opacity. Increase in XXXX opacities in the right lung base. No pneumothorax or large effusion. The pulmonary vascularity is unremarkable. Calcification of the thoracic aorta.

lungs_pleura: Left basilar opacity. Increase in opacities in the right lung base. heart_mediastinum: Calcification of the thoracic aorta. support_devices: Left-sided dual-XXXX cardiac XXXX in position.

Implanted Medical Device;Opacity;Calcinosis;Pulmonary Atelectasis


PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mild nodular prominence of the right hilum, without significant change. Lung volumes are decreased, with crowding. There is no pneumothorax, pleural effusion, or focal air space consolidation.

lungs_pleura: Lung volumes are decreased, with crowding. heart_mediastinum: Mild nodular prominence of the right hilum.


Sequelae of old granulomatous disease. No suspicious pulmonary nodules or masses. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.

lungs_pleura: Sequelae of old granulomatous disease. bones: Degenerative changes in the thoracic spine.


PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Prominent bilateral pericardial fat pads. The lungs are well aerated. There is minimal patchy and XXXX air space opacity within the lingula favored as atelectasis.

lungs_pleura: Minimal patchy and XXXX air space opacity within the lingula favored as atelectasis. heart_mediastinum: Prominent bilateral pericardial fat pads.


One XXXX are low. Both costophrenic XXXX are blunted. Pulmonary XXXX are normal. No visible infiltrates in the aerated lungs.

lungs_pleura: Both costophrenic angles are blunted.


There is a 22 x 14 mm calcified nodule in the left lower lobe. A moderate hiatal hernia is present. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.

lungs_pleura: There is a 22 x 14 mm calcified nodule in the left lower lobe. others: A moderate hiatal hernia is present.


Cardiac and mediastinal contours are within normal limits. The lungs are clear. Mild prominence left hilar contour. Bony structures are intact.

heart_mediastinum: Mild prominence left hilar contour.


Borderline enlarged heart. Torturous/ectatic thoracic aorta. No focal pulmonary opacity, pleural effusion or pneumothorax. There are degenerative changes of the spine. There is fracture of distal right clavicle, better seen on the right shoulder radiographs dated XXXX. Small round lucency in the distal left clavicle, appears benign. Degenerative changes of both XXXX joints.

heart_mediastinum: Borderline enlarged heart. Torturous/ectatic thoracic aorta. bones: There are degenerative changes of the spine. There is fracture of distal right clavicle. Small round lucency in the distal left clavicle, appears benign. Degenerative changes of both joints.

Cardiomegaly;Aorta, Thoracic;Spine;Fractures, Bone;Lucency;Bone and Bones


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


Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Mild degenerative changes are present in the spine.

lungs_pleura: Low lung volumes are present. bones: Mild degenerative changes are present in the spine.


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


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

heart_mediastinum: Mediastinal calcifications suggest a previous granulomatous process.


Lungs are clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable with ectasia of the aorta. Heart size is upper limits of normal. Degenerative changes in the spine.

heart_mediastinum: Ectasia of the aorta. Heart size is upper limits of normal. bones: Degenerative changes in the spine.


In the interval, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe. In addition, on the PA view, an 8 mm opacity is adjacent to the left XXXX of the heart. This opacity cannot be well identified on the lateral view. It may be artifactual, but another mass on the left cannot be excluded. Mediastinum is normal with no evidence for adenopathy. Heart size normal. Note XXXX of an unchanged hiatal hernia.

lungs_pleura: A 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe. An 8 mm opacity is adjacent to the left heart. others: Hiatal hernia.


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


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


The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. XXXX scoliosis is unchanged. Visualized upper abdomen is grossly unremarkable.

lungs_pleura: There are diminished lung volumes. bones:


The lungs appear clear. There are no suspicious pulmonary nodules or masses. XXXX density in the left lung base XXXX represents atelectasis or scarring. The heart and XXXX very XXXX are normal. Pleural spaces are clear. Surgical clips are identified in the left axilla. There is lucency involving the lateral aspect of the left clavicle. Metastatic disease cannot be excluded.

lungs_pleura: Density in the left lung base represents atelectasis or scarring. bones: There is lucency involving the lateral aspect of the left clavicle. support_devices: Surgical clips are identified in the left axilla.


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


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


Low lung volumes with redemonstrated bronchovascular crowding. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The cardiac silhouette size is borderline enlarged.

lungs_pleura: Low lung volumes with bronchovascular crowding. heart_mediastinum: The cardiac silhouette size is borderline enlarged.


The heart size is within normal limits. There are calcified hilar lymph XXXX bilaterally. There are bibasilar airspace opacities with small bilateral pleural effusions, left greater than right. No pneumothorax. No acute bony abnormalities.

lungs_pleura: There are bibasilar airspace opacities with small bilateral pleural effusions, left greater than right. heart_mediastinum: There are calcified hilar lymph nodes bilaterally.

Calcinosis;Opacity;Pleural Effusion;Pulmonary Atelectasis;Airspace Disease


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


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


Lungs are clear. There is minimal atelectasis in the left base. No effusion or pneumothorax. Heart and mediastinal contours within normal limits. XXXX density foreign body present in the soft tissues overlying the left lateral chest wall. Visualized osseous structures intact.

lungs_pleura: Minimal atelectasis in the left base. others: XXXX density foreign body present in the soft tissues overlying the left lateral chest wall.


The lungs are clear. No pleural effusion is seen. The heart and mediastinum are normal. Arthritic changes of the spine are present.

bones: Arthritic changes of the spine are present.


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


Calcified granuloma is noted in the left upper lobe. There are low lung volumes, with bronchovascular crowding as a result. Heart size is within normal limits. Normal mediastinal contours. No pleural effusion, pneumothorax or focal airspace disease. No free subdiaphragmatic air. The osseous structures are grossly intact.

lungs_pleura: Calcified granuloma is noted in the left upper lobe. There are low lung volumes, with bronchovascular crowding as a result.


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


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


No there is an dextroscoliosis of the thoracic spine. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.

bones: There is an dextroscoliosis of the thoracic spine.


The heart is normal size with normal appearance the cardiomediastinal silhouette. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with degenerative changes in thoracic spine.

bones: Degenerative changes in thoracic spine.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a left lung calcified granuloma noted. There has been resolution of the left-sided airspace disease.

lungs_pleura: There is a left lung calcified granuloma noted.


Two nodules are noted in the right XXXX XXXX measuring 13 mm and one measuring 16 mm in diameter. The smaller one appears to be within the right upper lobe and the large XXXX appears to be within the left lower lobe. No focal consolidation and no other pulmonary nodules are identified. However, if a full evaluation for lung nodules is desired consider XXXX for further evaluation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

lungs_pleura: Two nodules are noted in the right lung measuring 13 mm and one measuring 16 mm in diameter. The smaller one appears to be within the right upper lobe and the large nodule appears to be within the left lower lobe.


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


The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. with XXXX opacities in the lung bases, XXXX bronchovascular crowding. No focal consolidation or pleural effusion are seen.

lungs_pleura: The lungs are hypoinflated. XXXX opacities in the lung bases. XXXX bronchovascular crowding.


Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascularity is unremarkable. Morgagni hernia, stable. Lungs are expanded and clear of air space disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals diffuse demineralization with stable anterior wedging at the lower thoracic levels.

bones: Diffuse demineralization. Anterior wedging at the lower thoracic levels. others: Morgagni hernia.

Hernia, Diaphragmatic;Bone Diseases, Metabolic;Deformity


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


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


Left-sided XXXX/ICD device and leads are stable. Stable enlarged cardiac silhouette. No focal airspace consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.

heart_mediastinum: Enlarged cardiac silhouette. support_devices: Left-sided XXXX/ICD device and leads.

Implanted Medical Device;Cardiac Shadow;Cardiomegaly


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


Small 3.3 mm right-sided pneumothorax only visible on the left lateral decubitus film. Left lung is clear. Normal cardiac contour. No evidence of pleural effusion.

lungs_pleura: Small 3.3 mm right-sided pneumothorax.


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


Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. The distal tip of a right IJ dual-lumen central venous catheter is at the XXXX which junction.

support_devices: The distal tip of a right IJ dual-lumen central venous catheter is at the XXXX which junction.


Mildly hyperinflated lungs with flattened posterior diaphragm. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. No pneumothorax.

lungs_pleura: Mildly hyperinflated lungs with flattened posterior diaphragm.


There is mild cardiomegaly. The transverse XXXX is calcified. There is a moderate hiatal hernia. The lungs are clear without focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes of the thoracic spine are noted.

heart_mediastinum: There is mild cardiomegaly. The transverse XXXX is calcified. bones: Degenerative changes of the thoracic spine are noted. others: There is a moderate hiatal hernia.


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


There is a right chest XXXX with catheter tip at the cavoatrial junction. Heart size is at the upper limits of normal. Lungs are grossly clear. No pleural effusion or pneumothorax. There are diffuse degenerative changes of the spine.

heart_mediastinum: Heart size is at the upper limits of normal. bones: There are diffuse degenerative changes of the spine. support_devices: There is a right chest XXXX with catheter tip at the cavoatrial junction.


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 hypoinflated with mild basilar bronchovascular crowding/atelectasis. There is a fracture of the left anterior 7th rib and XXXX the left anterior 6th rib, of uncertain acuity. Correlate with XXXX tenderness. There is mild XXXX atelectasis in the left lung base. There is corticated deformity of the right anterior 7th rib, XXXX remote fracture. There is no evidence of pneumothorax or large pleural effusion.

lungs_pleura: The lungs are hypoinflated with mild basilar bronchovascular crowding/atelectasis. There is mild atelectasis in the left lung base. bones: There is a fracture of the left anterior 7th rib and the left anterior 6th rib, of uncertain acuity. There is corticated deformity of the right anterior 7th rib, remote fracture.


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

lungs_pleura: Calcified granuloma is identified.


Chest. No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size is normal. No focal thoracic bony findings. Hand. There is also cortical and trabecular irregularity through the XXXX of the scaphoid. There is a small cortical lucency through the base of the fourth metacarpal that may be a vascular XXXX.

bones: There is also cortical and trabecular irregularity through the XXXX of the scaphoid.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is stable XXXX scarring in the right upper lobe. Lungs are otherwise clear. There is no XXXX focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.

lungs_pleura: XXXX scarring in the right upper lobe.


There is diffuse right-sided airspace disease, with dense consolidation in the right base. A right upper extremity PICC is seen with the tip in the right brachiocephalic vein, representing an interval retraction of approximately 6 cm. No pneumothorax or large effusions. Heart size within normal limits.

lungs_pleura: There is diffuse right-sided airspace disease, with dense consolidation in the right base. support_devices: A right upper extremity PICC is seen with the tip in the right brachiocephalic vein.


The heart is normal in size and contour. The lung volumes are low with bronchovascular crowding. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.

lungs_pleura: The lung volumes are low with bronchovascular crowding.


Low lung volumes with streaky bibasilar opacities, right greater than left. Bronchovascular crowding, indistinct central vascular margination. No findings to suggest pleural effusion. Accounting for technical factors heart size XXXX within normal limits.

lungs_pleura: Low lung volumes with streaky bibasilar opacities, right greater than left. Bronchovascular crowding. heart_mediastinum: Indistinct central vascular margination.

Lung;Markings;Opacity;Pulmonary Atelectasis;Pulmonary Congestion;Technical Quality of Image Unsatisfactory


Normal heart size. Normal mediastinal contour. No pneumothorax, airspace consolidation, or pleural effusion. No chest XXXX XXXX. No acute bony abnormality.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardiomegaly is noted and is stable compared to prior examination from XXXX. Stable right basilar calcified granuloma. Visualized osseous structures of the thorax are without acute abnormality.

lungs_pleura: Right basilar calcified granuloma. heart_mediastinum:


The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are moderate degenerative changes in the thoracic spine. There are postsurgical clips in the right upper quadrant.

bones: There are moderate degenerative changes in the thoracic spine. support_devices: There are postsurgical clips in the right upper quadrant.


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


There are XXXX opacities within both lung bases, XXXX representing atelectasis. Heart size is upper limits of normal. No pneumothorax. No pneumothorax.

lungs_pleura: There are XXXX opacities within both lung bases, XXXX representing atelectasis. heart_mediastinum: Heart size is upper limits of normal.


The cardiomediastinal silhouette is normal in size and contour. Negative for effusion, pneumothorax, or focal airspace consolidation. The lungs are normally aerated.


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


Heart size within normal limits, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax. Small rounded bilateral axillary densities not seen on the previous exam most suggestive of artifacts, healed right lateral 10th rib fracture noted..

bones: Healed right lateral 10th rib fracture.


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


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


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


Heart size normal. Prominent epicardial fat. Lungs are clear. No pleural effusion or pneumothorax.

heart_mediastinum: Prominent epicardial fat.


Stable cardiomediastinal silhouette. There is mild haziness in the right lung and left base, which could represent infiltrate. No pleural effusion. No pneumothorax. Stable XXXX deformity of a midthoracic vertebra.

lungs_pleura: There is mild haziness in the right lung and left base, which could represent infiltrate. heart_mediastinum: Cardiomediastinal silhouette. bones: XXXX deformity of a midthoracic vertebra.


Heart size is within normal limits. Mild prominence of the mediastinum. Bibasilar predominantly interstitial pulmonary opacities. No visualized pneumothorax. No pleural effusion.

lungs_pleura: Bibasilar predominantly interstitial pulmonary opacities. heart_mediastinum: Mild prominence of the mediastinum.


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

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


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


Sequelae of old granulomatous disease is again noted. Lungs are clear without focal air space disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

lungs_pleura: Sequelae of granulomatous disease. bones: Degenerative changes in the spine.


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


Heart size is normal. Cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally without pleural effusion or pneumothorax. No pulmonary nodules. Bony structures are intact.


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


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


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..


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.


There is significant interval decrease in right middle and right lower lobe opacification. Persistent small right pleural effusion and XXXX XXXX atelectasis. No pneumothorax. Stable appearance of the cardiomediastinal silhouette. No acute bone abnormality.

lungs_pleura: Right middle and right lower lobe opacification. Small right pleural effusion.


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


The 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. Old healed left 5th and 6th rib fractures are seen laterally.

bones: Healed left 5th and 6th rib fractures are seen laterally.


The cardiac silhouette and upper mediastinum are within normal limits. There is no pulmonary venous congestion. There is prominence of the pulmonary arteries, right greater than left. There is no acute air space infiltrate, pleural effusion or pneumothorax.

heart_mediastinum: Prominence of the pulmonary arteries, right greater than left.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is a single cardiac XXXX projecting over the right ventricle. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.

support_devices: There is a single cardiac XXXX projecting over the right ventricle.


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


The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. VP shunt tubing is identified. The bony structures, as visualized, appear unremarkable.

support_devices: VP shunt tubing is identified.


Stable cardiomediastinal silhouette. Low lung volumes. without focal consolidation, pneumothorax or pleural effusion. Limited lateral view given overlapping tissue silhouettes. Negative for acute bone abnormality.

lungs_pleura: Low lung volumes. heart_mediastinum: Cardiomediastinal silhouette.


The aortic XXXX, cardiac apex, and stomach are left-sided. Cardiomediastinal silhouette is within normal limits in overall size and appearance. Pulmonary vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. No acute bony abnormality.

heart_mediastinum: The aortic XXXX, cardiac apex, and stomach are left-sided.


Right central venous line has been removed. Heart size and pulmonary vascularity appear within normal limits. A few bandlike opacities are present at the lateral left base. The appearance XXXX scarring or atelectasis. No focal airspace disease is seen. No discrete nodules are identified. No pneumothorax or pleural effusion is seen.

lungs_pleura: A few bandlike opacities are present at the lateral left base. The appearance represents scarring or atelectasis. support_devices: Right central venous line has been removed.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Mild right basilar atelectasis and relative elevation of the right hemidiaphragm noted. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.

lungs_pleura: Mild right basilar atelectasis and relative elevation of the right hemidiaphragm noted.


The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Partial fusion of 2 vertebral bodies near the thoracolumbar junction.

bones: Thoracic spondylosis. Partial fusion of 2 vertebral bodies near the thoracolumbar junction.


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


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. The visualized osseous structures and upper abdomen are unremarkable.


Heart size is normal. Mild XXXX XXXX atelectasis. Lungs are otherwise clear. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.

lungs_pleura: Mild XXXX XXXX atelectasis.


No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. No acute bony abnormalities. There are stable anterior wedge XXXX deformities of 2 midthoracic vertebral bodies.

bones: Anterior wedge deformities of 2 midthoracic vertebral bodies.


There is scarring in the right mid and upper lung zone with surgical clips identified as well. 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 scarring in the right mid and upper lung zone. heart_mediastinum: There are atherosclerotic changes of the aorta. bones: Arthritic changes of the skeletal structures are noted. support_devices: Surgical clips identified.


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

lungs_pleura: The lungs are hyperexpanded.


Cardiac and mediastinal contours are within normal limits. Right lung base granuloma. The lungs are otherwise clear. Thoracic spondylosis.

lungs_pleura: Right lung base granuloma. bones: Thoracic spondylosis.


Stable right upper lobe calcified granuloma. No pneumothorax, pleural effusion or airspace consolidation. Normal heart size and pulmonary vasculature. XXXX XXXX are grossly intact. No thoracic XXXX fractures.

lungs_pleura: Right upper lobe calcified granuloma.


No focal consolidation. No visualized pneumothorax. Heart size and cardiomediastinal silhouette are grossly unremarkable. No large pleural effusions.


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


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

bones: Mild degenerative changes of the thoracic spine.


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


Heart size is within normal limits for AP technique. Low lung volumes with bronchovascular crowding. No focal infiltrate. No visible pneumothorax. No pleural effusion.

lungs_pleura: Low lung volumes with bronchovascular crowding.


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


The cardiac silhouette is at the upper limits of normal for size. Stable, mild prominence of the bilateral hilar regions. No focal areas of pulmonary consolidation. No pneumothorax. Stable XXXX opacity in the left XXXX, XXXX representing a scar. No pleural effusion. Minimal degenerative changes of the thoracic spine. No acute, displaced rib fractures.

lungs_pleura: Opacity in the left, representing a scar. heart_mediastinum: The cardiac silhouette is at the upper limits of normal for size. Mild prominence of the bilateral hilar regions. bones: Minimal degenerative changes of the thoracic spine.


Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There are increased lucencies in the bilateral apices along with horizontal oblique scarring in the left upper lobe. This could suggest emphysematous bullae. XXXX are grossly unremarkable.

lungs_pleura: Increased lucencies in the bilateral apices. Horizontal oblique scarring in the left upper lobe.


Cardiac silhouette and pulmonary vascularity are normal. There is mild bibasilar focal atelectasis. No evidence of pleural effusion or pneumothorax. Minimal atherosclerotic changes are present in the thoracic aorta.

lungs_pleura: Mild bibasilar focal atelectasis. heart_mediastinum: Minimal atherosclerotic changes are present in the thoracic 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 persistent stable appearing right apical scarring. There is persistent left basilar scarring. There are minimal degenerative changes of the spine.

lungs_pleura: Right apical scarring. Left basilar scarring. bones: There are minimal degenerative changes of the spine.


The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. A wedge-shaped opacity has developed in the right upper lobe. There is also XXXX patchy opacification identified in the left upper lobe. No acute bony abnormality.

lungs_pleura: A wedge-shaped opacity in the right upper lobe. Patchy opacification identified in the left upper lobe.


Heart size upper limits normal. Vascularity normal.Calcified breast implants obscure some detail. Lungs are clear. Vascular calcifications aorta. No pleural effusions or pneumothoraces.

heart_mediastinum: Vascular calcifications aorta. others: Calcified breast implants obscure some detail.


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 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 lungs are clear. Heart size is normal. No pneumothorax. There is a cardiac XXXX with leads terminating in the right atrium and right ventricle. There are atherosclerotic calcifications.

heart_mediastinum: There are atherosclerotic calcifications. support_devices: There is a cardiac XXXX with leads terminating in the right atrium and right ventricle.


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


Mediastinal contours are normal. Heart size is within normal limits. Lungs are clear. There is no pneumothorax or large pleural effusion.


Minimal patchy bibasilar airspace opacities, XXXX atelectasis or evolving pneumonia. The heart pulmonary XXXX appear normal. Is minimal blunting of the pleural spaces, XXXX XXXX effusions.

lungs_pleura: Minimal patchy bibasilar airspace opacities, atelectasis or evolving pneumonia. Minimal blunting of the pleural spaces, small effusions.


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


Heart size and 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.


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

heart_mediastinum: Mild atherosclerosis. bones: Thoracic spondylosis.


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


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


The cardiac and mediastinal contours are within normal limits. There are calcifications of the aortic XXXX. The lungs are hyperinflated with increased retrosternal airspace and flattening of hemidiaphragms. There is haziness in the right lung apex. There is a 1.7 cm nodular density in the medial right lung base seen on the frontal view, not identified on the lateral view. This may represent a vessel on end. There is no consolidation, pneumothorax, or effusion. There are mild degenerative changes of the spine.

lungs_pleura: The lungs are hyperinflated with increased retrosternal airspace and flattening of hemidiaphragms. There is haziness in the right lung apex. heart_mediastinum: There are calcifications of the aortic arch. bones: There are mild degenerative changes of the spine.


The heart is normal in size and contour. There is no mediastinal widening. The lungs are hyperexpanded. Scattered granuloma. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.

lungs_pleura: The lungs are hyperexpanded. Scattered granuloma.


Lungs are XXXX. XXXX opacities are present in the left lung base. Heart size normal. Mediastinum normal.

lungs_pleura: XXXX opacities are present in the left lung base.

Opacity;Pulmonary Disease, Chronic Obstructive;Pulmonary Atelectasis


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 within normal limits. There is retrocardiac density which XXXX corresponds to patient's known hiatal hernia. The lungs are hypoinflated. No focal consolidation is seen.

lungs_pleura: The lungs are hypoinflated. others: There is retrocardiac density which corresponds to patient's known hiatal hernia.


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


XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate increased interstitial markings probably COPD. There is calcified hilar lymph XXXX. There is no effusion or pneumothorax.

lungs_pleura: Lungs demonstrate increased interstitial markings probably COPD. heart_mediastinum: There is calcified hilar lymph.

Markings;Pulmonary Disease, Chronic Obstructive;Calcinosis


There is a healing fracture involving the left posterolateral 7th rib. There is XXXX deformity of the 8th vertebral body. These bony lesions may be secondary to the patient's known multiple myeloma. The lungs appear clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.

bones: There is a healing fracture involving the left posterolateral 7th rib. There is deformity of the 8th vertebral body. These bony lesions may be secondary to the patient's known multiple myeloma.


Stable cardiomediastinal silhouette. There has been interval removal of right chest tube with increased elevation of the right hemidiaphragm and XXXX right basilar atelectasis. Left basilar consolidation and pleural effusions seen. No XXXX focal consolidation or pneumothorax. There is a stable left PICC with tip overlying the mid SVC and large XXXX feeding tube courses below the diaphragm.

lungs_pleura: Increased elevation of the right hemidiaphragm and right basilar atelectasis. Left basilar consolidation and pleural effusions. support_devices: Left PICC with tip overlying the mid SVC and feeding tube courses below the diaphragm.

Diaphragm;Pulmonary Atelectasis;Consolidation;Pleural Effusion;Catheters, Indwelling;Tube, Inserted;Airspace Disease


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

bones: Skeletal structures show thready changes of the spine.


XXXX XXXX and lateral views of the chest were obtained on 02/010/XXXX. The lung volumes are normal. The lungs are clear and there are no pleural effusions. There is stable mild tenting of the medial aspect of the right diaphragm. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.

lungs_pleura: Mild tenting of the medial aspect of the right diaphragm.


The cardiac silhouette is enlarged with no comparison studies. Findings are XXXX accentuated by low lung volumes and eventration of the anterior right hemidiaphragm, however, cardiomegaly or less XXXX, pericardial effusion is suspected. The lungs are hypoinflated with central bronchovascular crowding but no evidence of overt pulmonary edema. The lungs are grossly clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings. There are degenerative changes of the thoracic spine. Patient appears morbidly obese.

lungs_pleura: Findings are accentuated by low lung volumes and eventration of the anterior right hemidiaphragm. The lungs are hypoinflated with central bronchovascular crowding. heart_mediastinum: The cardiac silhouette is enlarged. bones: Degenerative changes of the thoracic spine. others: Patient appears morbidly obese.

Cardiac Shadow;Lung;Diaphragmatic Eventration;Markings;Thoracic Vertebrae


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


Left lower lobe calcified granuloma. Heart size normal. No pleural effusion or pneumothorax. Mild medial right atelectasis. Mild emphysema.

lungs_pleura: Left lower lobe calcified granuloma. Mild medial right atelectasis. Mild emphysema.


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


Normal cardiomediastinal contours, given patient position and technique. No pneumothorax or large pleural effusions. The lung volumes.


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


The lungs are clear. A calcified granuloma is seen in the left midlung zone. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.

lungs_pleura: A calcified granuloma is seen in the left midlung zone.


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


Normal heart size. Stable position of 2 pacemaker electrodes, with a XXXX tip in the expected region of the right atrium and another XXXX tip in the expected region of the right ventricle. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax. XXXX are unremarkable.

support_devices: Position of 2 pacemaker electrodes, with a tip in the expected region of the right atrium and another tip in the expected region of the right ventricle.


Stable cardiomegaly and mediastinal contour. Lungs are clear without focal consolidation, large pleural effusion, or pneumothorax. Left basilar airspace opacity XXXX secondary to epicardial fat and overlying soft tissues. DISH of the thoracic spine is noted. Otherwise, visualized osseous structures are unremarkable.

lungs_pleura: Left basilar airspace opacity secondary to epicardial fat and overlying soft tissues. heart_mediastinum:  Mediastinal contour. bones: DISH of the thoracic spine is noted.

Cardiomegaly;Opacity;Epicardial Fat;Hyperostosis, Diffuse Idiopathic Skeletal


No stable cardiomegaly, without focal consolidation, pneumothorax, or pleural effusion. Stable right basilar calcified granuloma. No acute osseous abnormality identified.

lungs_pleura: Right basilar calcified granuloma. heart_mediastinum:


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


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


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


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the left lung base.

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


The heart is normal in size. Stable appearance of coronary stent. XXXX sternotomy changes are present. No focal consolidation, pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.

bones: Mild degenerative changes of the thoracic spine. support_devices: Appearance of coronary stent. Sternotomy changes are present.


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


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


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


There is no focal airspace consolidation or pleural effusion. Heart size is normal. No pneumothorax.


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


The cardiomediastinal silhouette is within normal limits for appearance. The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. Mild increased lung markings XXXX due to chronic changes. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Moderate degenerative changes of the thoracic spine. Calcified left perihilar granuloma redemonstrated.

lungs_pleura: The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. Mild increased lung markings due to chronic changes. Calcified left perihilar granuloma. bones: Moderate degenerative changes of the thoracic spine.


Normal cardiac contour. Clear hyperexpanded lungs bilaterally with no pneumothorax or pleural effusion.

lungs_pleura: Hyperexpanded lungs bilaterally.


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


No pneumothorax. Heart size is normal. Granulomas are seen within the right lung. No large pleural effusions. No focal airspace consolidation.

lungs_pleura: Granulomas are seen within the right lung.


Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Vague nodular density right upper lobe overlying the right anterior 2nd and posterior 6th ribs. This could represent healing fracture or superimposed structures. Bony thorax is unremarkable.

lungs_pleura: Vague nodular density right upper lobe overlying the right anterior 2nd and posterior 6th ribs.


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


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


Stable cardiomediastinal silhouette with normal heart size, mediastinal calcifications suggest a previous granulomatous process. Apical irregularities also present on the previous exam suggestive of scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.

lungs_pleura: Apical irregularities suggestive of scarring. heart_mediastinum: Mediastinal calcifications suggest a previous granulomatous process.


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


The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or 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. There is eventration of the right hemidiaphragm. The descending thoracic aorta is tortuous.

lungs_pleura: There is eventration of the right hemidiaphragm. heart_mediastinum: The descending thoracic aorta is tortuous.


Calcified left lower lobe granuloma. No focal areas of consolidation. No pleural effusions. No pneumothorax. Degenerative changes noted of the thoracic spine.

lungs_pleura: Calcified left lower lobe granuloma. bones: Degenerative changes noted of the thoracic spine.


Again seen are platelike horizontal opacities in both lung bases through this is consistent with scarring or subsegmental atelectasis. There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There there is no lobar pneumonia. There are calcified right hilar granuloma. There are degenerative changes of the XXXX. There is a curvilinear density within and along the right costophrenic sulcus which most XXXX represents a skinfold. There is a unchanged fracture with callus at the left 9th lateral rib.

lungs_pleura: Platelike horizontal opacities in both lung bases consistent with scarring or subsegmental atelectasis. Calcified right hilar granuloma. bones: T-spine osteophytes. Degenerative changes of the XXXX. Fracture with callus at the left 9th lateral rib.

Opacity;Cicatrix;Pulmonary Atelectasis;Osteophyte;Calcified Granuloma;Density;Fractures, Bone


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


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


There are low lung volumes. The lungs are otherwise clear. No focal airspace consolidation or pleural effusion. Calcific density in the right lung apex, compatible with calcified granuloma.

lungs_pleura: Low lung volumes. Calcific density in the right lung apex, compatible with calcified granuloma.


The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. There is stable lucency in the right mid clavicle dating back to XXXX.

bones: There is lucency in the right mid clavicle.


The heart size size and pulmonary vascularity appear within normal limits. Ill-defined opacity is again noted in the region of the lingula. This is increased since the previous study. The remainder of the lungs appear clear. Mild XXXX deformity is noted in the mid-thoracic spine. No pneumothorax or pleural effusion is seen.

lungs_pleura: Ill-defined opacity in the region of the lingula. bones: Mild XXXX deformity is noted in the mid-thoracic spine.


Apical lordotic frontal view. Heart size within normal limits, mild aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Chronic appearing contour irregularity of the distal left clavicle and XXXX XXXX widening may be posttraumatic or postsurgical, verterbroplasty noted at the thoracolumbar junction.

heart_mediastinum: Mild aortic ectasia/tortuosity. bones: Chronic appearing contour irregularity of the distal left clavicle and acromioclavicular joint widening may be posttraumatic or postsurgical. Vertebroplasty noted at the thoracolumbar junction.


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


Normal heart size. Aortic calcification. Granulomatous nodule left midlung, stable. No acute pulmonary abnormalities. Thoracic spondylosis.

lungs_pleura: Granulomatous nodule left midlung. heart_mediastinum: Aortic calcification. bones: Thoracic spondylosis.


Chest. Right hemidiaphragm remains elevated. Consolidation and atelectasis are present in the right lung base. Left lung is clear. No pleural air collections. Shoulder and clavicle. Fractures present in the right scapula the base of the glenoid process. It is attached to the coracoid process and a portion of the spine. The humeral head is located within the glenoid articular surface. Cutaneous air is present. Fracture is present in the posterior portion of the right 3rd rib. The acromioclavicular joint and coracoclavicular joints are widened.

lungs_pleura: Right hemidiaphragm elevated. Consolidation and atelectasis are present in the right lung base. bones: Fractures present in the right scapula the base of the glenoid process. It is attached to the coracoid process and a portion of the spine. The humeral head is located within the glenoid articular surface. Fracture is present in the posterior portion of the right 3rd rib. The acromioclavicular joint and coracoclavicular joints are widened. others: Cutaneous air is present.


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


Normal heart size. Clear lungs. No pneumothorax. No pleural effusion. There is opacity at the base of the mediastinum which is XXXX a hiatal hernia.


There is interval placement of a XXXX on the left chest with the catheter tip in the cavoatrial junction. The heart size is within normal limits. Lung volumes within normal limits. Slightly prominent pulmonary vascularity noted. Increased peribronchial cuffing. No large consolidation, effusion, or pneumothorax. There is subpleural edema outlining the right XXXX fissure.

lungs_pleura: Slightly prominent pulmonary vascularity noted. Increased peribronchial cuffing. There is subpleural edema outlining the right fissure. support_devices: There is placement of a XXXX on the left chest with the catheter tip in the cavoatrial junction.

Catheters, Indwelling;Pulmonary Congestion;Thickening;Pulmonary Edema


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


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


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


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


There is mild streakiness in the right base. No focal infiltrate or effusion. No pneumothorax. Calcified granulomatous disease noted. Heart and mediastinal contours within normal limits. Osseous structures intact.

lungs_pleura: There is mild streakiness in the right base. Calcified granulomatous disease noted.


Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. There are XXXX opacities in the left XXXX, XXXX subsegmental atelectasis or scar. Otherwise, the lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality.

lungs_pleura: There are XXXX opacities in the left XXXX, XXXX subsegmental atelectasis or scar.


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.


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


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


No focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is stable and unremarkable. No acute osseous abnormalities are identified.


Lungs are mildly hypoinflated with asymmetric elevation of the right hemidiaphragm, of uncertain chronicity. There is mild basilar bronchovascular crowding, without evidence of focal airspace disease. Heart is XXXX within normal limits for low lung volumes and AP technique. There is no pneumothorax or large pleural effusion.

lungs_pleura: Lungs are mildly hypoinflated. Asymmetric elevation of the right hemidiaphragm. Mild basilar bronchovascular crowding.


Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Postsurgical changes of the cervical spine are present.

bones: Postsurgical changes of the cervical spine are present.


Three images are available for review. 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.


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


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


Heart size is normal. The aorta is tortuous, and cannot exclude ascending aortic aneurysm. The pulmonary vascularity is normal. There residual to prior granulomatous infection. Lungs are otherwise clear. Degenerative change of the spine.

lungs_pleura: There residual to prior granulomatous infection. heart_mediastinum: The aorta is tortuous. bones: Degenerative change of the spine.