There has been interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. Moderate cardiomegaly is identified. There is mild calcification of the transverse XXXX. XXXX airspace opacities are identified with bilateral pleural effusions.

lungs_pleura: Airspace opacities are identified. Bilateral pleural effusions. heart_mediastinum: Moderate cardiomegaly is identified. Mild calcification of the transverse aorta. support_devices: Placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium.


The XXXX examination consists of supine and crosstable lateral radiographs of the chest. External monitor leads XXXX the thorax. 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.

support_devices: External monitor leads XXXX the thorax.


Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. Marked bullous emphysematous changes and traction bronchiectasis, again most notable involving the bilateral upper lobes. Stable prominent ovoid opacity (4.3 x 2.8 XXXX) XXXX a large left upper lobe XXXX, XXXX reflecting a superimposed aspergilloma-as more readily demonstrated on the previous CT chest study from XXXX. No XXXX areas of alveolar airspace consolidation are identified. No evidence of pleural effusion or pneumothorax.

lungs_pleura: Marked bullous emphysematous changes and traction bronchiectasis, most notable involving the bilateral upper lobes. Prominent ovoid opacity (4.3 x 2.8 cm) in the left upper lobe, reflecting a superimposed aspergilloma.


Normal heart size. No focal air space consolidation, pneumothorax, pleural effusion, or pulmonary edema. Anterior osteophytes of the thoracic spine.

bones: Anterior osteophytes of the thoracic spine.


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


Heart size is normal. There is left hilar enlargement with partial opacification of the left upper lobe suggestive of hilar mass with obstructive atelectasis. Questionable small right midlung nodule. Negative for pneumothorax or pleural effusion. Bony thorax is unremarkable.

lungs_pleura: There is left hilar enlargement with partial opacification of the left upper lobe suggestive of hilar mass with obstructive atelectasis.


Cardiomegaly is unchanged. Stable superior mediastinal contour with tortuous calcified aorta. Normal pulmonary vascularity. No focal air space consolidation, pleural effusion, or pneumothorax. No acute bony abnormality. Changes of prior right mastectomy.

heart_mediastinum:  Superior mediastinal contour with tortuous calcified aorta. others: Changes of prior right mastectomy.


Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There is a stable calcified granuloma in the right lower lobe. A hiatal hernia is present that is unchanged from the prior study. XXXX are grossly unremarkable.

lungs_pleura: Calcified granuloma in the right lower lobe. others: Hiatal hernia is present.


Heart size and vascularity are normal. Mild tortuosity of the aorta. No focal airspace disease or effusion. Degenerative change of the spine. No pneumothorax.

heart_mediastinum: Mild tortuosity of the aorta. bones: Degenerative change of the spine.


Low lung volumes. Heart size normal. No focal airspace consolidations. No pneumothorax or effusions.


Lungs are clear. No focal consolidation, effusion, or pneumothorax. Interval resolution of left effusion. Central venous dialysis catheter unchanged in position. Heart and mediastinal contours are normal. Osseous structures intact.

support_devices: Central venous dialysis catheter in position.


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


There is a large airspace opacity in the right lower and middle lobes. There is no pneumothorax. Heart size is normal. Soft tissue and bony structures unremarkable.

lungs_pleura: There is a large airspace opacity in the right lower and middle lobes.


The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. There are calcified hilar lymph XXXX suggesting prior granulomatous disease. The bony structures of the thorax are intact with no evidence of acute osseous abnormality.

heart_mediastinum: There are calcified hilar lymph nodes suggesting prior granulomatous disease.


The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. There are minimal degenerative changes of the spine.

bones: There are minimal degenerative changes of the spine.


There is a XXXX 7 XXXX nodular density at the left lung base. Lungs are otherwise clear. The CT scan without IV contrast could be performed for further evaluation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.

lungs_pleura: There is a 7 mm nodular density at the left lung base. bones: Degenerative changes in the thoracic spine.


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. Right paratracheal calcifications suggest a previous granulomatous process. No acute osseous injury XXXX demonstrated.

heart_mediastinum: Right paratracheal calcifications suggest a previous granulomatous process.


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

lungs_pleura: Small right basilar calcified granuloma.


Mediastinal contours are normal. Blunting of the left costophrenic XXXX. Increased interstitial opacities.. There is no pneumothorax or large pleural effusion.

lungs_pleura: Blunting of the left costophrenic angle. Increased interstitial opacities.

Costophrenic Angle;Opacity;Lung Diseases, Interstitial;Pleural Effusion


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


Heart size within normal limits. No focal airspace disease. No pneumothorax. No effusions. Multiple old right-sided rib fractures again noted.


Artifact in the region of the central upper abdomen. No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.

others: Artifact in the region of the central upper abdomen.

Foreign Bodies;Technical Quality of Image Unsatisfactory


Rotated with low lung volumes. Question left atrial enlargement, XXXX appreciated on lateral view. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.

lungs_pleura: Rotated with low lung volumes.

Technical Quality of Image Unsatisfactory ;Lung


Heart size normal. No pneumothorax, large pleural effusion, or focal airspace disease. Bony structures appear intact. Calcified right hilar nodules consistent with chronic granulomatous disease.

heart_mediastinum: Calcified right hilar nodules consistent with chronic granulomatous disease.


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


The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. Small bilateral pleural effusions are seen.

lungs_pleura: The lungs are hypoinflated. Small bilateral pleural effusions are seen.


Redemonstration of interstitial opacities, consistent with patient's history of pulmonary fibrosis. Unchanged calcified granulomas at the left greater than right hilum, and in the pretracheal region. No pneumothorax, pleural effusion or focal airspace consolidation. Cardiomediastinal size is the upper limits of normal. Pulmonary vasculature is normal . XXXX XXXX intact.

lungs_pleura: Interstitial opacities, consistent with patient's history of pulmonary fibrosis. Calcified granulomas at the left greater than right hilum, and in the pretracheal region. heart_mediastinum: Cardiomediastinal size is the upper limits of normal. support_devices: XXXX XXXX intact.

Opacity;Pulmonary Fibrosis;Calcified Granuloma;Calcified Granuloma;Markings


The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is a mild levoscoliosis of the thoracic spine. There is mild widening of the right acromioclavicular joint which may be postsurgical or posttraumatic in XXXX.

bones: There is a mild levoscoliosis of the thoracic spine.


There is some minimal patchy opacity in left base which may represent atelectasis or scarring. The lungs are otherwise clear. The heart and mediastinum are normal for age. There is some arthritic changes of the skeletal structures and there has been previous rotator XXXX repair on the right.

lungs_pleura: There is some minimal patchy opacity in left base which may represent atelectasis or scarring. bones: There is some arthritic changes of the skeletal structures. There has been previous rotator repair on the right.


Bilateral emphysematous again noted and lower lobe fibrotic changes. Postsurgical changes of the chest including CABG procedure, stable. Stable valve artifact. There are no focal areas of consolidation. No large pleural effusions. No evidence of pneumothorax. Degenerative changes noted of the visualized thoracic spine. Nodular right lower lobe opacity, XXXX nipple XXXX. Contour abnormality of the posterior aspect of the right 7th rib again noted, stable.

lungs_pleura: Bilateral emphysematous and lower lobe fibrotic changes. heart_mediastinum: Postsurgical changes of the chest including CABG procedure. bones: Degenerative changes noted of the visualized thoracic spine. Nodular right lower lobe opacity, XXXX nipple XXXX. Contour abnormality of the posterior aspect of the right 7th rib. support_devices: Valve artifact.

Pulmonary Emphysema;Pulmonary Fibrosis;Thoracic Vertebrae;Opacity;Nodule;Deformity


Normal heart size. Clear lungs. Multilevel degenerative disc disease with mild dextrocurvature near the thoracolumbar junction.

bones: Multilevel degenerative disc disease with mild dextrocurvature near the thoracolumbar junction.


The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Bilateral breast prostheses are noted.

others: Bilateral breast prostheses are noted.


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


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


Stable enlargement of the cardiac silhouette, stable mediastinal and hilar contours, surgical clips and CABG markers. Stable XXXX densities in the left base compatible with scarring or chronic subsegmental atelectasis. No focal alveolar consolidation, no definite pleural effusion seen. Right hilar calcifications suggest a previous granulomatous process. No typical findings of pulmonary edema.

lungs_pleura: XXXX densities in the left base compatible with scarring or chronic subsegmental atelectasis. Right hilar calcifications suggest a previous granulomatous process. heart_mediastinum: Enlargement of the cardiac silhouette. support_devices: Surgical clips and CABG markers.

Cardiac Shadow;Surgical Instruments;Density;Cicatrix;Pulmonary Atelectasis;Calcinosis


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


Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. No bony abnormality. Vague density in right mid lung, XXXX related to scapular tip and superimposed ribs. Not visualized on lateral exam.

lungs_pleura: Vague density in right mid lung, XXXX related to scapular tip and superimposed ribs. Not visualized on lateral exam.


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


There is a left subphrenic crescentic lucency, this is concerning for pneumoperitoneum. There are low lung volumes and bilateral moderate to large pleural effusions with bibasilar atelectasis/airspace disease that are larger in size in comparison to the prior exam. No pneumothorax. Heart size upper limits of normal. The left central venous catheter tip overlies the lower SVC. The feeding tube has been placed in the interval and extends below the diaphragm and below the XXXX-of-view.

lungs_pleura: Low lung volumes and bilateral moderate to large pleural effusions with bibasilar atelectasis/airspace disease. heart_mediastinum: Heart size upper limits of normal. support_devices: The left central venous catheter tip overlies the lower SVC. The feeding tube extends below the diaphragm and below the XXXX-of-view. others: There is a left subphrenic crescentic lucency, this is concerning for pneumoperitoneum.

Lung;Pleural Effusion;Pulmonary Atelectasis;Airspace Disease;Catheters, Indwelling;Tube, Inserted;Lucency;Pneumoperitoneum


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. Probable nerve stimulator noted.


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


Normal heart size. Tortuosity of the thoracic aorta. The lungs are free of any focal airspace disease. There is no pneumothorax or pleural effusion. Degenerative changes are present in the spine.

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


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


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


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 is no definite evidence of acute fracture.


Lungs are clear. No focal infiltrate or effusion. No pneumothorax. Heart and mediastinal contours within normal limits. Visualized osseous structures intact.


The Heart size is normal. Cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally. Lateral views obscured by patient body habitus. There is no evidence of apical disease. XXXX are unchanged from previous exam and appear normal. Thoracic spine shows osteophyte formations at several levels.

bones: Thoracic spine shows osteophyte formations at several levels.

Osteophyte;Technical Quality of Image Unsatisfactory ;Cardiomegaly


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. Cholecystectomy clips overlie the right upper quadrant. No acute bone abnormality.

support_devices: Cholecystectomy clips overlie the right upper quadrant.


Sternotomy XXXX appear intact. Borderline heart size. Aortic calcification noted. Calcified mediastinal lymph XXXX unchanged. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is hyperexpansion of the lungs with flattening of the diaphragms. Degenerative changes are present in the spine.

lungs_pleura: There is hyperexpansion of the lungs with flattening of the diaphragms. heart_mediastinum: Borderline heart size. Aortic calcification noted. Calcified mediastinal lymph nodes. bones: Degenerative changes are present in the spine. support_devices: Sternotomy wires appear intact.


There are postoperative changes of sternotomy. There is cardiomegaly. The contour of the ascending aorta is prominent, consistent with known ascending aortic aneurysm. The lungs appear clear. No focal airspace consolidation. No pleural effusion or pneumothorax. There are minimal degenerative changes of the spine.

heart_mediastinum:  The contour of the ascending aorta is prominent, consistent with known ascending aortic aneurysm. bones: There are minimal degenerative changes of the spine. support_devices: There are postoperative changes of sternotomy.


Heart size is within normal limits. Emphysematous changes. Focal pleural thickening in the left apex is XXXX scarring. Atherosclerotic calcifications of the aortic XXXX. There is no focal infiltrate. No pneumothorax or pleural effusion.

lungs_pleura: Emphysematous changes. Focal pleural thickening in the left apex is scarring. heart_mediastinum: Atherosclerotic calcifications of the aortic.


Mediastinal contours are normal. Heart size is within normal limits. Multiple scattered calcified pulmonary nodules, XXXX sequela of prior granulomatous disease. Otherwise lungs are clear.. There is no pneumothorax or large pleural effusion. No bony abnormality.

lungs_pleura: Multiple scattered calcified pulmonary nodules, sequela of granulomatous disease.


The lungs remain hyperexpanded. No XXXX infiltrates or masses. Heart and mediastinum are normal.

lungs_pleura: The lungs are hyperexpanded.

Lung;Pulmonary Disease, Chronic Obstructive


Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes of thoracic spine.

bones: Degenerative changes of thoracic 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.


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


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


Cardiac silhouette within normal limits. No edema or airspace consolidation. No pneumothorax. No pleural effusion.


No focal consolidation. No pneumothorax. No pleural effusions. Heart size normal. Cardio mediastinal silhouette is unremarkable.


On the right there is marked narrowing of the hip joint space uniformly throughout. Osteophyte formation is present with some sclerosis and subchondral cyst formation vertically along the superior acetabulum and femoral head. I do not see evidence for fracture or destructive process. AP view of the femur shows no femoral XXXX destructive process or other significant abnormality. For of the Left hip shows near-complete obliteration of the joint space with severe subchondral sclerosis and cystic formation in both the superior acetabulum and superior aspect of the femoral head. No fracture or destructive process is identified. Surgical markers were XXXX in the images and left hip for the purpose of surgical planning. PA and lateral chest show the lungs to be clear. There may be some hyperinflation. No pleural effusion is identified. The heart is normal in size. There are calcified mediastinal lymph XXXX. The skeletal structures appear normal.

lungs_pleura:  heart_mediastinum: There are calcified mediastinal lymph. bones: On the right there is marked narrowing of the hip joint space uniformly throughout. Osteophyte formation is present with some sclerosis and subchondral cyst formation vertically along the superior acetabulum and femoral head. For of the Left hip shows near-complete obliteration of the joint space with severe subchondral sclerosis and cystic formation in both the superior acetabulum and superior aspect of the femoral head. support_devices: Surgical markers were in the images and left hip for the purpose of surgical planning.


The lungs appear clear. No evidence of focal pneumonia. The heart and pulmonary XXXX are normal. There is suture material at the left apex suggesting prior lung surgery. In the pleural spaces are clear. Mediastinal contours appear normal.

lungs_pleura: Suture material at the left apex suggesting prior lung surgery.


There is stable mild cardiac enlargement. 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.

heart_mediastinum: Mild cardiac enlargement.


There are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. There is stable prominence of the right cardiac silhouette. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There are stable chronic degenerative changes of the thoracic spine.

lungs_pleura: Low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. heart_mediastinum: Prominence of the right cardiac silhouette. bones: Chronic degenerative changes of the thoracic spine.

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


PA and lateral radiograph the chest demonstrate stable cardiomediastinal silhouette. No focal consolidation, large pleural effusion, or pneumothorax is identified. Evidence of prior granulomatous disease. Visualized osseous structures appear intact.

lungs_pleura: Evidence of prior granulomatous disease.


There is a calcified granuloma left midlung. There is round density within the anterior segment of the right upper lobe. There are prominent interstitial opacities which may represent changes associated with fibrosis. Heart size is normal. No pneumothorax. anterior segment of upper lobe, rounded focal density. could be XXXX lung nodule.

lungs_pleura: There is a calcified granuloma left midlung. There is round density within the anterior segment of the right upper lobe. There are prominent interstitial opacities which may represent changes associated with fibrosis. Anterior segment of upper lobe, rounded focal density.


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


The cardiac and mediastinal contours are normal. The lungs are well-inflated and clear. There is no focal consolidation, pneumothorax or effusion. No acute bony abnormalities are seen. No radiopaque foreign bodies are present.


The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Mild tortuosity of the thoracic aorta, unchanged

heart_mediastinum: Mild tortuosity of the thoracic aorta.


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.


Mild cardiomegaly. Mild unfolding of the thoracic aorta. No focal air space opacity. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.

heart_mediastinum: Mild cardiomegaly. Mild unfolding of the thoracic aorta.


There is a approximately 4 cm opacity with one XXXX margin and the other ill-defined in the lateral lower left lung is seen on the PA view. This is not definitely seen on the lateral view. There is no pneumothorax or pleural effusion. The cardiac silhouette is within normal limits. There are T-spine osteophytes. There is no pneumothorax or pleural effusion. There are calcified hilar lymph XXXX there

lungs_pleura: There is a approximately 4 cm opacity with one margin and the other ill-defined in the lateral lower left lung is seen on the PA view. heart_mediastinum: There are calcified hilar lymph. bones: There are T-spine osteophytes.


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. Degenerative changes are present in the spine.

lungs_pleura: There is eventration of the right hemidiaphragm. bones: Degenerative changes are present in the spine.


Normal cardiomediastinal contours. Right lower lung patchy opacities. Small right pneumothorax. Small right pleural effusion.

lungs_pleura: Right lower lung patchy opacities. Small right pneumothorax. Small right pleural effusion.

Opacity;Opacity;Pneumothorax;Pleural Effusion;Pulmonary Atelectasis;Pulmonary Atelectasis


Normal heart size. Mild tortuosity of the aorta. No pneumothorax, pleural effusion or suspicious airspace opacity. Mild levoscoliosis of the lumbar spine.

heart_mediastinum: Mild tortuosity of the aorta. bones: Mild levoscoliosis of the lumbar spine.


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


The lungs and pleural spaces show no acute abnormality. There is a XXXX 10 XXXX nodule in the right apex projecting between the third and fourth posterior ribs. Lungs are hyperexpanded. Heart size and pulmonary vascularity within normal limits. Scattered XXXX densities throughout the chest from prior gunshot wound. Chronic blunting of the costophrenic XXXX. Healed right 10th and left 9th posterolateral rib fracture.

lungs_pleura: Lungs are hyperexpanded. Chronic blunting of the costophrenic angles. bones: There is a 10 mm nodule in the right apex projecting between the third and fourth posterior ribs. Scattered densities throughout the chest from gunshot wound. Healed right 10th and left 9th posterolateral rib fracture.


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

bones: Scoliotic changes of the thoracolumbar spine. Degenerative changes of the spine.


The cardiac and mediastinal contours are within normal limits. The lungs are well-inflated and clear. There is no focal consolidation, pneumothorax, or effusion. The bony structures of the thorax are unremarkable.


The heart is normal in size. The mediastinum is unremarkable. Mild pectus excavatum deformity is noted. The lungs are clear.

bones: Mild pectus excavatum deformity is noted.


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

bones: Postoperative and degenerative changes of the thoracic spine. Degenerative disc disease of the thoracic spine.


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


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


The lungs are clear. No pleural effusion is identified. The heart is normal. There are calcifications of the aortic XXXX. The skeletal structures are normal.

heart_mediastinum: There are calcifications of the aortic.


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


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


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 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. Gastrostomy tube is noted.

support_devices: Gastrostomy tube is noted.


There is flattening of hemidiaphragms. There are prominent interstitial markings. There is no focal consolidation to suggest pneumonia. There are atherosclerotic institutions of the aorta. The heart is of the first limits of normal size. No pneumothorax or pleural effusion.

lungs_pleura: There is flattening of hemidiaphragms. There are prominent interstitial markings. heart_mediastinum: There are atherosclerotic institutions of the aorta.


The heart is normal in size. The mediastinum is stable. There is again significant thoracolumbar rotatory scoliosis. The aorta is atherosclerotic. The lungs are hypoinflated but clear.

lungs_pleura: The lungs are hypoinflated. heart_mediastinum: The aorta is atherosclerotic. bones: There is significant thoracolumbar rotatory scoliosis.


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


The lungs and pleural spaces show no acute abnormality. XXXX scar in the right lateral midlung. Adjacent focal pleural thickening is noted. Chronic blunting of both lateral costophrenic XXXX. Heart size and pulmonary vascularity within normal limits. Tortuous, ectatic thoracic aorta, unchanged. XXXX sternotomy XXXX intact.

lungs_pleura: Scar in the right lateral midlung. Adjacent focal pleural thickening is noted. Chronic blunting of both lateral costophrenic angles. heart_mediastinum: Tortuous, ectatic thoracic aorta. support_devices: Sternal wires intact.


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


Broken of the 4XXXX XXXX XXXX, similar to the prior study. Stable multiple surgical clips in the left hilar area. Stable cardiomediastinal silhouette. Pulmonary vasculatures are within normal limits. No XXXX focal consolidation, pleural effusion or pneumothorax. Unremarkable bony structure.

heart_mediastinum: Cardiomediastinal silhouette. bones: Bony structure. support_devices: Multiple surgical clips in the left hilar area.


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


Patient is slightly rotated. Normal heart size. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax.

Technical Quality of Image Unsatisfactory


Cardiomediastinal silhouette is stable and within normal limits. There is improved lung volumes bilaterally with persistent bibasilar atelectatic opacities, without focal consolidation, pneumothorax, or effusion. No acute bony abnormality identified.

lungs_pleura: Bibasilar atelectatic opacities.


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


Stable appearing bilateral calcified lymph XXXX. The cardiac silhouette and mediastinal contours are within normal limits. No focal opacity. No large pleural effusion. There is no pneumothorax.

lungs_pleura: Bilateral calcified lymph nodes.


Heart size within normal limits. Mediastinal contours unremarkable. Pulmonary vascularity is normal. Right lung is clear. XXXX opacities left lung base may represent atelectasis versus scarring. No focal consolidation. No pleural effusion, no pneumothorax. Bony structures unremarkable.

lungs_pleura: Opacities left lung base may represent atelectasis versus scarring.


Heart size within normal limits. Streaky airspace disease is demonstrated on the lateral examination. No pneumothorax or pleural effusion.

lungs_pleura: Streaky airspace disease is demonstrated on the lateral examination.


Chest. Lungs are clear and expanded. Heart normal. Left knee. No change marked narrowing, large osteophyte formation, multiple synovial osteochondromas.

bones: Marked narrowing. Large osteophyte formation. Multiple synovial osteochondromas.


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


Large medial right upper lobe mass lesion, measuring approximately 5.8 cm x 6.0 cm in diameter. No pneumothorax. No pleural effusions. Lungs clear. Heart size within normal limits. Degenerative changes thoracic spine.

lungs_pleura: Large medial right upper lobe mass lesion, measuring approximately 5.8 cm x 6.0 cm in diameter. bones: Degenerative changes thoracic spine.


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.


The heart is enlarged. Pulmonary vasculature is normal in caliber. There is a nerve stimulator device projecting over the left hemithorax. The lungs are grossly clear of focal airspace disease, pneumothorax or pleural effusion.

heart_mediastinum: The heart is enlarged. support_devices: There is a nerve stimulator device projecting over the left hemithorax.


Chest. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Abdomen. No pneumoperitoneum. There is a normal bowel XXXX pattern. Air and stool visible throughout the entire large colon including the rectum. No abnormally dilated small bowel loops. No evidence for intussusception or small bowel obstruction. No pathologic calcifications XXXX over the abdomen or pelvis. XXXX XXXX are without fracture or destructive lesion, though there are mild degenerative changes throughout the lumbar spine. Small hiatal hernia is not as well demonstrated on this exam.

bones: Mild degenerative changes throughout the lumbar spine. others: Small hiatal hernia.


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


Stable cardiomediastinal silhouette. Stable XXXX opacity in the left base, XXXX scarring or atelectasis. Rounded calcified density in the left lung base, XXXX calcified granuloma. No XXXX consolidation. No pleural effusion or pneumothorax. Stable degenerative changes of the spine.

lungs_pleura: XXXX opacity in the left base, XXXX scarring or atelectasis. Rounded calcified density in the left lung base, XXXX calcified granuloma. bones: Degenerative changes of the spine.


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


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


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


Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.


Two left-sided chest tubes again noted. Interval improved aeration of the left lung compared to prior. Interval improvement in left lung pleural fluid. Right lung clear. Endotracheal tube noted with tip approximately 4.5 cm above the carina. Left internal jugular central venous catheter with tip approximating the high SVC. No evidence of pneumothorax.

lungs_pleura: Aeration of the left lung. Left lung pleural fluid. support_devices: Two left-sided chest tubes. Endotracheal tube noted with tip approximately 4.5 cm above the carina. Left internal jugular central venous catheter with tip approximating the high SVC.

Tube, Inserted;Pleural Effusion;Tube, Inserted;Catheters, Indwelling;Airspace Disease


Hyperaerated lungs with flattened hemidiaphragms. Normal heart size. Increased retrosternal airspace. No focal infiltrate. No pneumothorax or pleural effusion.

lungs_pleura: Hyperaerated lungs with flattened hemidiaphragms. Increased retrosternal airspace.


There are no focal areas of consolidation. No suspicious bony opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Mild degenerative changes of the thoracic spine.

bones: Mild degenerative changes of the thoracic spine.


There is prominence of the right heart XXXX, consistent with right atrial enlargement. A XXXX density is demonstrated on the frontal view with exaggerated posterior projection of the cardiac silhouette, suggesting left atrial enlargement. The cardiac silhouette is overall enlarged. The mediastinal contours are otherwise within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild pulmonary hyperexpansion. Mild left apical pleural thickening. Moderate degenerative changes of the thoracic spine. 19/33.

lungs_pleura: Mild pulmonary hyperexpansion. Mild left apical pleural thickening. heart_mediastinum: There is prominence of the right heart, consistent with right atrial enlargement. A density is demonstrated on the frontal view with exaggerated posterior projection of the cardiac silhouette, suggesting left atrial enlargement. The cardiac silhouette is overall enlarged. bones: Moderate degenerative changes of the thoracic spine.

Heart Atria;Cardiac Shadow;Lung;Thickening;Thoracic Vertebrae;Cardiomegaly


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.


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


Normal heart. Calcified right hilar granulomas. No focal infiltrate. Midline trachea.

lungs_pleura: Calcified right hilar granulomas.


Stable normal cardiac size and contour, unremarkable mediastinal silhouette. Normal pulmonary XXXX and interstitium. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease.


No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. XXXX XXXX intact.


No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal. Old rib fractures, healed. Stable increased density overlying the lower mediastinum, unchanged, is XXXX due to hiatal hernia seen on XXXX examination.

bones: Healed rib fractures. others: Increased density overlying the lower mediastinum due to hiatal hernia.


Low lung volumes with bronchovascular crowding. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits for technique, no typical mediastinal widening of vascular injury. No pleural line of pneumothorax.

lungs_pleura: Low lung volumes with bronchovascular crowding.

Technical Quality of Image Unsatisfactory ;Lung;Markings


There is hyperinflation of the lungs. A small area scarring is seen in the left cardiophrenic XXXX region. 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 hyperinflation of the lungs. A small area scarring is seen in the left cardiophrenic region. heart_mediastinum: There are atherosclerotic changes of the aorta. bones: Arthritic changes of the skeletal structures are noted.

Lung;Cicatrix;Atherosclerosis;Arthritis;Pulmonary Atelectasis;Cicatrix;Pulmonary Disease, Chronic Obstructive


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


No focal consolidation, no definite pleural effusion seen. Exaggerated kyphosis with increased AP dimension of the thorax, curvilinear density projected over the right anterior 3rd and 4th ribs beyond which lung markings are seen XXXX skin fold artifact. Mild aortic ectasia/tortuosity, no typical mediastinal widening to suggest vascular injury. Contour irregularity of the lateral right 9th rib of indeterminate age.

lungs_pleura: Exaggerated kyphosis with increased AP dimension of the thorax. Curvilinear density projected over the right anterior 3rd and 4th ribs beyond which lung markings are seen. heart_mediastinum: Mild aortic ectasia/tortuosity. bones: Contour irregularity of the lateral right 9th rib of indeterminate age.


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


Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing right mid clavicle injury. Visualized bony structures otherwise unremarkable.

bones: Chronic appearing right mid clavicle injury.


Right thorax volume loss with some degree of left-to-right mediastinal shift. Relative hyperlucency of left lung, XXXX compensatory hyperinflation. Diminutive right hilar silhouette, compatible with absence of right XXXX pulmonary artery, as noted on prior CT. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.

lungs_pleura: Right thorax volume loss with some degree of left-to-right mediastinal shift. Relative hyperlucency of left lung, compensatory hyperinflation. heart_mediastinum: Diminutive right hilar silhouette, compatible with absence of right pulmonary artery.


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.


There is prominence of the superior mediastinum which may be partially due to patient's known thyroid mass. There is increased tortuosity of the descending thoracic aorta. Cardiac silhouette is within normal limits. Lungs are clear without focal opacification. No pneumothorax or pleural effusion. There is scoliotic curvature the thoracic spine. No acute bone abnormality.

heart_mediastinum: There is increased tortuosity of the descending thoracic aorta. bones: There is scoliotic curvature the thoracic spine.


The heart is normal in size. The mediastinum is unremarkable. Left perihilar scarring is noted in the upper lobe. Streaky opacities in the retrocardiac region XXXX reflect mild subsegmental atelectasis. There is no focal infiltrate or pleural effusion.

lungs_pleura: Left perihilar scarring is noted in the upper lobe. Streaky opacities in the retrocardiac region reflect mild subsegmental atelectasis.


There is S-shaped thoracolumbar scoliosis. There are T-spine osteophytes. XXXX opacity in the left lower lobe XXXX represents atelectasis or scarring. There is no pneumothorax. There is no large pleural effusion. The cardiomediastinal silhouette is within normal limits. There is no lobar pneumonia. There are calcified hilar lymph XXXX.

lungs_pleura: Opacity in the left lower lobe represents atelectasis or scarring. heart_mediastinum: Calcified hilar lymph nodes. bones: S-shaped thoracolumbar scoliosis. T-spine osteophytes.


No acute osseous abnormality. The soft tissues are within normal limits. Normal cardiomediastinal silhouette and hilar contours. No focal area of consolidation, pleural effusion, or pneumothorax.


There is scattered calcified granulomas. The lungs are otherwise grossly clear. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.

lungs_pleura: There is scattered calcified granulomas.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.


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 size is within normal limits. Mild streaky opacities are present in the left lung base. An accessory azygos fissure is noted. No pleural effusion or pneumothorax.

lungs_pleura: Mild streaky opacities are present in the left lung base. An accessory azygos fissure is noted.


Cardiomediastinal contour and pulmonary vascularity within normal limits. Clear lungs. No pleural effusion or pneumothorax. Mild age-indeterminate anterior wedging of a lower thoracic or upper lumbar vertebra on lateral view. Left-sided rib deformities consistent with old fractures. Mild degenerative changes about the thoracolumbar junction.

bones: Mild age-indeterminate anterior wedging of a lower thoracic or upper lumbar vertebra on lateral view. Left-sided rib deformities consistent with old fractures. Mild degenerative changes about the thoracolumbar junction.

Lumbar Vertebrae;Thoracic Vertebrae;Deformity;Deformity;Deformity;Fractures, Bone


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


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


Heart and mediastinum are normal. No focal consolidation. No pleural effusion or pneumothorax. Bony structures are intact.


Lung volumes are XXXX. XXXX opacities are present in both lung bases. A hiatal hernia is present. Heart and pulmonary XXXX are normal.

lungs_pleura: Opacities are present in both lung bases. others: A hiatal hernia is present.


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. There are degenerative changes throughout the thoracic spine.

bones: There are degenerative changes throughout the thoracic spine.


Cardiomediastinal silhouette is within normal limits in overall size and appearance. Central 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. Stable scarring in the right lung apex.

lungs_pleura: Scarring in the right lung apex.


Stable appearance of the left upper lung lobe with scarring, volume loss, and pleural thickening. Cardiomediastinal silhouette is within normal limits normal appearance, similar to prior. Volume loss in the left lung, stable. Right lung is clear. There is no XXXX focal airspace disease, pleural effusion, or pneumothorax. Mild scarring at the right apex. No acute bony abnormality.

lungs_pleura: Left upper lung lobe with scarring, volume loss, and pleural thickening. Volume loss in the left lung. Mild scarring at the right apex.


Lungs are hyperinflated with flattening of the diaphragms and increased AP chest diameter, compatible with emphysema. There is no evidence of focal infiltrate, pneumothorax, pleural effusion, or identified mass lesion. There is normal cardiomediastinal contours.

lungs_pleura: Lungs are hyperinflated with flattening of the diaphragms and increased AP chest diameter, compatible with emphysema.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There are T-spine osteophytes. XXXX calcified granuloma in the right apex.

lungs_pleura: Calcified granuloma in the right apex. bones: There are T-spine osteophytes.


Normal heart size and mediastinal contours. Scattered calcified granulomas. Hyperexpanded lungs. No focal airspace disease. No pneumothorax or pleural effusion. Degenerative changes in the spine without acute bony abnormalities.

lungs_pleura: Scattered calcified granulomas. Hyperexpanded lungs. bones: Degenerative changes in the spine.


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


Heart size normal. No focal airspace consolidations. No pneumothorax or effusion. Degenerative changes in the midthoracic spine.

bones: Degenerative changes in the midthoracic spine.


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


The cardiomediastinal silhouette is normal in size and appearance. There is no pneumothorax or pleural effusion. The lung zones are clear. There are no bony abnormalities


The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. There are a few scattered calcified granulomas. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.

lungs_pleura: There are a few scattered calcified granulomas.


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


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


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.


The XXXX examination consists of frontal and lateral radiographs of the chest. Cardiac silhouette is at top limits of normal. Aortic and mediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Partially visualized ORIF XXXX involving the left proximal humerus. Deformity of the left distal clavicle compatible with remote XXXX. No displaced rib fractures on this chest examination.

heart_mediastinum: Cardiac silhouette is at top limits of normal. bones: Partially visualized ORIF involving the left proximal humerus. Deformity of the left distal clavicle compatible with remote.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. There is right upper lobe airspace disease.. There is a rounded nodular opacity in the left upper lung measuring approximately 7 mm which may represent further sequela of infectious process versus other pathology. Osseous structures are within normal limits for patient age.

lungs_pleura: There is right upper lobe airspace disease. There is a rounded nodular opacity in the left upper lung measuring approximately 7 mm which may represent further sequela of infectious process versus other pathology.


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


Heart size upper normal but stable. Mediastinal contours within normal limits.. Minimal right middle lobe atelectasis. No focal airspace consolidation, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.

lungs_pleura: Minimal right middle lobe atelectasis. heart_mediastinum: Heart size upper normal. bones: Degenerative endplate changes of the spine.


Heart size normal. Tortuous aorta. Calcified hilar lymph XXXX XXXX sequela of prior granulomatous disease. Hyperinflated lungs. The otherwise lungs are clear. The bilateral apices are partially excluded from the XXXX-of-view. There is the interval fixation of the right humeral fracture, XXXX appears grossly intact. Osteopenia. Exaggerated kyphosis of the thoracic spine.

lungs_pleura: Hyperinflated lungs. heart_mediastinum: Tortuous aorta. Calcified hilar lymph nodes sequela of prior granulomatous disease. bones: Fixation of the right humeral fracture, appears grossly intact.  Exaggerated kyphosis of the thoracic spine.

Aorta;Calcinosis;Granulomatous Disease;Lung;Bone Diseases, Metabolic;Fractures, Bone;Lung;Kyphosis


The heart size and pulmonary vascularity appear within normal limits. The left hemidiaphragm remains elevated. Right base densities are again noted which appear improved. Previously seen left pleural effusion has resolved. There continues to be some left base opacities which may represent atelectasis. Surgical clips and suture lines are noted in the mediastinum. An air-fluid level is seen in the upper right abdomen immediately below the right hemidiaphragm. Extensive pleural densities are present on the right which may represent localized fluid or pleural thickening. No definite pneumothorax is seen.

lungs_pleura: The left hemidiaphragm is elevated. Right base densities. Extensive pleural densities are present on the right which may represent localized fluid or pleural thickening. support_devices: Surgical clips and suture lines are noted in the mediastinum. others: An air-fluid level is seen in the upper right abdomen immediately below the right hemidiaphragm.


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


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


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


The XXXX examination consists of frontal and lateral radiographs of the chest. Sternotomy XXXX and surgical clips are again seen. The cardiomediastinal contours are unchanged. There is a background of marked centrilobular emphysema. Streaky opacities in the lung bases may represent atelectasis or scarring. There is no consolidation, pleural effusion or pneumothorax.

lungs_pleura: There is a background of marked centrilobular emphysema. support_devices: Sternotomy and surgical clips are seen.


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. Stable calcified granuloma in the left lung.

lungs_pleura: Calcified granuloma in the left lung.


Exam limited by patient rotation. Mild rightward deviation of the trachea. Stable cardiomegaly. Unfolding of the thoracic aorta. Persistent right pleural effusion with adjacent atelectasis. Low lung volumes. No focal airspace consolidation. There is severe degenerative changes of the right shoulder.

lungs_pleura: Right pleural effusion with adjacent atelectasis. Low lung volumes. heart_mediastinum: Mild rightward deviation of the trachea.  Unfolding of the thoracic aorta. bones: There is severe degenerative changes of the right shoulder.

Technical Quality of Image Unsatisfactory ;Trachea;Cardiomegaly;Aorta, Thoracic;Pleural Effusion;Pulmonary Atelectasis;Lung;Shoulder


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.


Normal cardiomediastinal silhouette and hilar contours. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax. Findings compatible with prior granulomatous disease. The visualized XXXX XXXX are intact without acute osseous abnormality.

lungs_pleura: Findings compatible with prior granulomatous disease.


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

heart_mediastinum: Atherosclerotic calcifications of the aortic arch are noted.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.


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


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


There are prominent epicardial fat pads, unchanged from prior. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There is atherosclerosis of the aortic XXXX. Unchanged streaky opacities in the bilateral costophrenic sulci XXXX represent chronic scarring or atelectasis.

lungs_pleura: Streaky opacities in the bilateral costophrenic sulci represent chronic scarring or atelectasis. heart_mediastinum: There are prominent epicardial fat pads. There is atherosclerosis of the aortic arch.


The heart size is moderately enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. Again noted is XXXX and left midlung airspace opacity XXXX atelectasis. There is left basilar opacity XXXX atelectasis as well. There is improved right midlung opacity. There are mild degenerative changes of the spine. XXXX sternotomy XXXX are intact. Extensive atherosclerotic disease.

lungs_pleura: Left midlung airspace opacity atelectasis. Left basilar opacity atelectasis. Right midlung opacity. heart_mediastinum: The heart size is moderately enlarged. Extensive atherosclerotic disease. bones: There are mild degenerative changes of the spine. support_devices: XXXX sternotomy XXXX are intact.


The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No interval change in the appearance of the XXXX opacities in the bilateral lower lobes. No pneumothorax. No pleural effusion. The thoracic spine appears intact.

lungs_pleura: XXXX opacities in the bilateral lower lobes.


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.


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


The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. There is right middle lobe airspace disease, may reflect atelectasis or pneumonia. No pleural effusion. No pneumothorax. Elevated right hemidiaphragm.

lungs_pleura: Right middle lobe airspace disease, may reflect atelectasis or pneumonia. Elevated right hemidiaphragm.


The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. There is a calcified granuloma within the left lung base. There is suggestion of a deep sulcus sign on the right. No definite pleural line of pneumothorax visualized. There is age-indeterminate wedging of several midthoracic vertebral bodies.

lungs_pleura: There is a calcified granuloma within the left lung base. bones: There is age-indeterminate wedging of several midthoracic vertebral bodies.


No acute cardiopulmonary abnormality. Extensive degenerative changes of the thoracic spine. Mildly enlarged heart. Tortuous aorta. Aortic calcifications. No focal area of consolidation, pleural effusion or pneumothorax.

heart_mediastinum: Mildly enlarged heart. Tortuous aorta. Aortic calcifications. bones: Extensive degenerative changes of the thoracic spine.


There are T-spine osteophytes. There calcified costochondral cartilages. There is loss of disc XXXX of a midthoracic vertebral body. There are streaky opacities in both lung bases which may represent atelectasis or scarring. No pneumothorax. The heart is borderline enlarged.

lungs_pleura: There are streaky opacities in both lung bases which may represent atelectasis or scarring. heart_mediastinum: The heart is borderline enlarged. bones: There are T-spine osteophytes. There calcified costochondral cartilages. There is loss of disc height of a midthoracic vertebral body.


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 heart is normal in size. The mediastinum is unremarkable. The right chest XXXX tip is visualized in the mid SVC. There is no pneumothorax. The lungs are clear.

support_devices: The right chest XXXX tip is visualized in the mid SVC.


There are XXXX bilateral lower lobe opacities. No pleural effusion. No pneumothorax is identified. Heart size and mediastinal contour are within normal limits. There is lucency beneath the diaphragm, consistent with pneumoperitoneum. Cholecystectomy clips are noted in the right upper quadrant.

lungs_pleura: There are bilateral lower lobe opacities. support_devices: Cholecystectomy clips are noted in the right upper quadrant. others: There is lucency beneath the diaphragm, consistent with pneumoperitoneum.


The cardiomediastinal silhouette is normal in size and contour. Calcified left hilar lymph XXXX/granulomas. No focal consolidation, pneumothorax or large pleural effusion. Old fracture, right mid clavicle.

heart_mediastinum: Calcified left hilar lymph nodes/granulomas. bones: Healed fracture, right mid clavicle.


Right dual-lumen internal jugular central venous catheter seen with tip overlying the cavoatrial junction. Heart size at the upper limits of normal. Low lung volumes with bronchovascular crowding. Patchy bibasilar air airspace opacities right greater than left. No visualized pneumothorax. Prominence of the mediastinum consistent with history of sarcoid.

lungs_pleura: Low lung volumes with bronchovascular crowding. Patchy bibasilar air airspace opacities right greater than left. heart_mediastinum: Heart size at the upper limits of normal. Prominence of the mediastinum consistent with history of sarcoid. support_devices: Right dual-lumen internal jugular central venous catheter seen with tip overlying the cavoatrial junction.


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. PICC line is in XXXX. The tip is in the upper right atrium.

support_devices: PICC line is in XXXX. The tip is in the upper right atrium.


The heart is normal in size. The mediastinum is unremarkable. Small nodular opacity left upper lobe may represent early infiltrate. The lungs are otherwise clear. There is no pleural effusion.

lungs_pleura: Small nodular opacity left upper lobe may represent early infiltrate.


XXXX sternotomy XXXX are in XXXX and intact. Normal cardiomediastinal silhouette. The bilateral costophrenic XXXX are excluded from the image on the PA view. Lungs are clear without focal areas of consolidation, pleural effusion, or pneumothorax. XXXX XXXX are intact without acute osseous abnormality. Mild degenerative changes throughout the thoracic spine.

bones: Mild degenerative changes throughout the thoracic spine. support_devices: Sternotomy wires are in place and intact.


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

lungs_pleura: Scattered bilateral calcified pulmonary nodules.


The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is an old healed fracture through the right 8th rib.

bones: Healed fracture through the right 8th rib.


Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. XXXX XXXX are grossly intact.


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

lungs_pleura: Pulmonary hypoinflation with bronchovascular crowding.


Interval performance of anterior cervical spinal fusion, XXXX intact without complicating features. There is stable cardiomegaly, with persistent bibasilar opacities XXXX atelectasis and/or infiltrate. No XXXX focal consolidations, pneumothorax, or pleural effusions. The visualized osseous structures demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine, without acute osseous abnormality.

lungs_pleura: Bibasilar opacities atelectasis and/or infiltrate. heart_mediastinum:  bones: Visualized osseous structures demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine. support_devices: Anterior cervical spinal fusion intact.

Spinal Fusion;Cardiomegaly;Opacity;Pulmonary Atelectasis;Infiltrate;Thoracic Vertebrae;Lumbar Vertebrae


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


There is no focal consolidation, pleural effusions, or pneumothoraces. Scattered calcified nodules compatible with granulomatous disease. Cardiomediastinal silhouette is within normal limits. No masses or suspicious nodules. XXXX are unremarkable.

lungs_pleura: Scattered calcified nodules compatible with granulomatous disease.


There are broken 1st and 3rd-5XXXX XXXX XXXX. Normal cardiomediastinal silhouette. Pulmonary vasculatures are within normal limits. Left-sided aortic XXXX. Central airways are XXXX. No focal consolidation, pleural effusion or pneumothorax. Left hemidiaphragm is mildly elevated. Interposition of the colon in the left upper quadrant.

lungs_pleura: Left hemidiaphragm is mildly elevated. heart_mediastinum: Left-sided aortic arch. bones: There are broken 1st and 3rd ribs. others: Interposition of the colon in the left upper quadrant.


Lungs are clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable with normal sized heart. Degenerative changes in the spine.

bones: Degenerative changes 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. There is no pulmonary nodule identified. There is a left humerus prosthesis partly demonstrated.

bones: There is a left humerus prosthesis partly demonstrated.


There has been interval sternotomy with intact midline sternotomy XXXX. The heart is near top normal in size with unfolding of the aorta. The lungs are grossly clear with no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are grossly normal.

heart_mediastinum: The heart is near top normal in size. Unfolding of the aorta. support_devices: There has been sternotomy. Intact midline sternotomy wires.


There is no focal consolidation, pleural effusion, or pneumothorax. Stable left lower lobe scarring. Normal heart size and pulmonary vascularity. There are degenerative changes of the thoracic spine noted.

lungs_pleura: Left lower lobe scarring. bones: There are degenerative changes of the thoracic spine noted.


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

bones: There are mild degenerative changes of the spine.


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


The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aorta. There is again a pleural based density in the right lung base, XXXX related to subpleural fat. The appearance is stable from multiple previous studies. The lungs are clear. There is no pleural effusion.

lungs_pleura: Pleural based density in the right lung base, related to subpleural fat. heart_mediastinum: Atherosclerotic calcifications of the aorta.


The cardiac contours are normal. The lungs are hyperinflated with flattening of the diaphragms and tapering of the distal pulmonary vasculature. There is no focal consolidation. Thoracic spondylosis. Mild dextroscoliosis of the spine. Prior anterior cervical fusion.

lungs_pleura: The lungs are hyperinflated with flattening of the diaphragms and tapering of the distal pulmonary vasculature. bones: Thoracic spondylosis. Mild dextroscoliosis of the spine. support_devices: Anterior cervical fusion.


The heart size is on the upper limits of normal. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.

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


Stable cardiomegaly. Thoracic aortic atherosclerotic calcifications are noted. There is a prominence of the pulmonary vasculature. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.

heart_mediastinum:  Thoracic aortic atherosclerotic calcifications are noted. There is a prominence of the pulmonary vasculature.


Frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. Cardiac silhouette at the upper limits of normal in size. Tortuous ectatic aorta. The aortic XXXX is near 5 cm in diameter. There is a retrocardiac left paraspinal bulge concerning for a descending thoracic aortic aneurysm. There is biapical scarring. No XXXX focal airspace consolidation or pleural effusion. XXXX spine spondylitic changes.

lungs_pleura: Biapical scarring. heart_mediastinum: Cardiomediastinal silhouette. Cardiac silhouette at the upper limits of normal in size. Tortuous ectatic aorta. The aortic is near 5 cm in diameter. There is a retrocardiac left paraspinal bulge concerning for a descending thoracic aortic aneurysm. bones: Spine spondylitic changes. support_devices: Overlying external cardiac monitor leads.


The cardiac and mediastinal contours are within normal limits. Lungs are well-inflated and clear. There is no focal consolidation, pneumothorax or effusion. No acute bony abnormalities are seen.


The lungs appear clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. Patient status post XXXX sternotomy and CABG.

support_devices: Patient status post XXXX sternotomy and CABG.


The heart is normal in size. The mediastinum is within normal limits. Dual-lumen right IJ catheter is identified without pneumothorax. The lungs are moderately hypoinflated with bibasilar XXXX opacities XXXX adjacent atelectasis. There is ill-defined density overlying the anterior left 5th rib, possibly healing deformity versus superimposition of structures.

lungs_pleura: The lungs are moderately hypoinflated with bibasilar opacities adjacent atelectasis. support_devices: Dual-lumen right IJ catheter is identified.


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


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

bones: There are multilevel degenerative changes of the spine.


Heart size is normal. Right lung is clear. Granulomatous disease in the bilateral. Subsegmental atelectasis in the left lower lung. No pneumothorax. No pleural effusion.

lungs_pleura: Granulomatous disease in the bilateral. Subsegmental atelectasis in the left lower lung.


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


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


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

heart_mediastinum: Vascular calcification is noted.


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


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


Heart size and mediastinal contours appear normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the spine.

bones: Degenerative changes of the spine.


Clear lungs. Normal heart mediastinum. No pneumothorax. No pleural effusion. No acute bony abnormality. Nipple ring on left.


There is mild blunting of the costophrenic XXXX. There is right basilar airspace disease. There is no pneumothorax. The cardiac mediastinal silhouettes are normal. Pulmonary XXXX are slightly prominent. Calcified hilar lymph XXXX. No acute bony abnormalities.

lungs_pleura: There is mild blunting of the costophrenic angle. There is right basilar airspace disease. Pulmonary vessels are slightly prominent. heart_mediastinum: Calcified hilar lymph nodes.

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


Cardiomediastinal size and contour is grossly normal for AP technique. There is a calcified granuloma in the right lower lobe. The lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax or pleural effusion. No acute, displaced fractures are demonstrated.

lungs_pleura: There is a calcified granuloma in the right lower lobe. The lungs are mildly hypoinflated.


The heart size is normal. Mediastinal contours are within normal limits. Postsurgical changes of left hemithorax are stable. Skin XXXX have been removed since prior study study. The left apical pneumothorax has resolved. There are mild chronic opacities in the left lung base with probable small residual effusion. The right lung is grossly clear.

lungs_pleura: Postsurgical changes of left hemithorax. Mild chronic opacities in the left lung base.


Rotated examination. Tortuous aorta. Moderate right-sided pleural effusion, small left sided. No pneumothorax. Mixed nodular interstitial opacities distributed through bilateral lungs, right greater than left. Cardiomediastinal silhouette is mildly enlarged. Obliquely oriented left humeral neck fracture, transverse, with 5 mm displacement of the distal fragment. Limited evaluation of the aorto iliac stent. No cavitary lesion to suggest. active tuberculosis. Large hiatal hernia.

lungs_pleura: Moderate right-sided pleural effusion. Small left sided pleural effusion. Mixed nodular interstitial opacities distributed through bilateral lungs, right greater than left. heart_mediastinum: Tortuous aorta. Cardiomediastinal silhouette is mildly enlarged. bones: Obliquely oriented left humeral neck fracture, transverse, with 5 mm displacement of the distal fragment. support_devices: Limited evaluation of the aorto iliac stent. others: Large hiatal hernia.

Technical Quality of Image Unsatisfactory ;Aorta;Pleural Effusion;Pleural Effusion;Opacity;Nodule;Cardiac Shadow;Fractures, Bone;Stents;Hernia, Hiatal;Cardiomegaly;Aorta


Heart size is XXXX within normal limits. There are surgical clips in the left mediastinum. There is no pneumothorax. There is a small left pleural effusion. Abnormal convexity within the mediastinum XXXX represents adenopathy which is better demonstrated on the prior XXXX.

lungs_pleura: Small left pleural effusion. heart_mediastinum: Abnormal convexity within the mediastinum represents adenopathy. support_devices: There are surgical clips in the left mediastinum.


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


Heart size and vascularity normal. Lungs clear. No effusions or pneumothorax. Limited degenerative change of the spine

bones: Limited degenerative change of the spine.


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


Normal heart size and mediastinal contours. The lungs are hyperinflated but clear. No pneumothorax or pleural effusion. No acute bony abnormalities.

lungs_pleura: The lungs are hyperinflated.


Heart is at the upper limits of normal size. Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal pulmonary vascularity.

heart_mediastinum: Heart is at the upper limits of normal size.


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


Heart size within normal limits. Tortuous aorta. Low lung volumes with no focal consolidations. No pneumothorax or effusion. Moderate degenerative disc disease in the midthoracic spine.

lungs_pleura: Low lung volumes. heart_mediastinum: Tortuous aorta. bones: Moderate degenerative disc disease in the midthoracic spine.


No focal consolidation, suspicious pulmonary opacity or definite pleural effusion. Heart size and pulmonary vascularity within normal limits. Stable mediastinal contour. Calcified hilar lymph XXXX. Visualized osseous structures unremarkable.

heart_mediastinum: Calcified hilar lymph nodes.


Spinal stimulator in XXXX. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.

bones: Degenerative changes in the thoracic spine. support_devices: Spinal stimulator in XXXX.


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 and mediastinal contours are unremarkable. The pulmonary vasculature is normal in appearance. The lung parenchyma is clear, without focal infiltrate. There are no pleural effusions, and there is no pneumothorax. The visualized bony structures are grossly unremarkable. No displaced rib fractures. Right nipple ring noted.


The heart is mildly enlarged. The aorta is atherosclerotic and ectatic. Chronic parenchymal changes are noted with mild scarring and/or subsegmental atelectasis in the right lung base. No focal consolidation or significant pleural effusion identified. Costophrenic XXXX are blunted.

lungs_pleura: Chronic parenchymal changes are noted with mild scarring and/or subsegmental atelectasis in the right lung base. Costophrenic angles are blunted. heart_mediastinum: The heart is mildly enlarged. The aorta is atherosclerotic and ectatic.


There has been interval removal of right-sided central venous catheter. Enteric tube is again noted, coursing below the diaphragm the tip of which is seen projecting over the expected location of the body of the stomach. The cardiomediastinal silhouette is normal, unchanged from prior. Low lung volumes, causing streaky bibasilar atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.

lungs_pleura: Low lung volumes, causing streaky bibasilar atelectasis and bronchovascular crowding. bones: Mild degenerative changes of the thoracic spine. support_devices: Enteric tube is in position, coursing below the diaphragm the tip of which is seen projecting over the expected location of the body of the stomach.

Tube, Inserted;Lung;Pulmonary Atelectasis;Markings;Thoracic Vertebrae


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.


Cardiomegaly is present. The upper lobe pulmonary vascularity appears mildly prominent consistent with pulmonary venous hypertension. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is eventration of the right hemidiaphragm. Bony changes of renal osteodystrophy are noted.

lungs_pleura: There is eventration of the right hemidiaphragm. heart_mediastinum: Cardiomegaly is present. The upper lobe pulmonary vascularity appears mildly prominent consistent with pulmonary venous hypertension. bones: Bony changes of renal osteodystrophy are noted.

Cardiomegaly;Pulmonary Congestion;Hypertension, Pulmonary;Diaphragmatic Eventration


The heart is top normal in size. The mediastinum is Stable. The aorta is atherosclerotic. There are mild chronic changes without focal consolidation. No pleural effusion is seen.

lungs_pleura: Mild chronic changes. heart_mediastinum: The aorta is atherosclerotic.


XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. There are calcified mediastinal perihilar pulmonary nodules consistent with sequela of old granulomatous infection. No acute lung infiltrates. Aortic XXXX appear unremarkable. There is no effusion or pneumothorax.

lungs_pleura: There are calcified mediastinal perihilar pulmonary nodules consistent with sequela of old granulomatous infection.


There are low lung volumes. There is bronchovascular crowding. Heart and mediastinal contours within normal limits. No focal infiltrate or effusion. No pneumothorax. Visualized osseous structures intact.

lungs_pleura: There are low lung volumes. There is bronchovascular crowding.


The cardiac contours are normal. Cardiac valve replacement. The lungs are clear. Thoracic spondylosis.

bones: Thoracic spondylosis. support_devices: Cardiac valve replacement.


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


PICC line catheter tip XXXX in the right atrium. Heart is not enlarged. Trachea and XXXX bronchi appear normal. Lungs are mildly under expanded. No pneumothorax. There are small areas of patchy density in the left lower lung XXXX. There is a larger area of XXXX patchy density in the right mid and lower lungs with right-sided pleural effusion.

lungs_pleura: Lungs are mildly under expanded. There are small areas of patchy density in the left lower lung. There is a larger area of patchy density in the right mid and lower lungs with right-sided pleural effusion. support_devices: PICC line catheter tip in the right atrium.


XXXX sternotomy XXXX are intact and unchanged position from prior exam. Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.

support_devices: Sternotomy wires are intact.


2 images. Small centrally calcified granuloma within the lateral right lung base. Otherwise the lungs are clear. Heart size is normal. No evidence for pleural effusion or pneumothorax.

lungs_pleura: Small centrally calcified granuloma within the lateral right lung base.


Heart size and pulmonary vascularity appear within normal limits. Right PICC line is in XXXX. The tip has moved into the left innominate vein. There has been interval development of several ill-defined focal opacities in the left and right mid lung zones. No pneumothorax or pleural effusion is seen.

lungs_pleura: Development of several ill-defined focal opacities in the left and right mid lung zones. support_devices: Right PICC line is in the left innominate vein.


The lungs appear clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Surgical clips and suture material are noted in the right hilar region suggesting prior lung surgery. The mediastinal contours are stable.

support_devices: Surgical clips and suture material are noted in the right hilar region suggesting prior lung surgery.


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 trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. Tubular densities overlying the heart XXXX are XXXX coronary artery stents. There are small round calcific densities in the bilateral lobes which are unchanged from prior exam and XXXX represent sequelae from old granulomatous disease. Otherwise lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.

lungs_pleura: Small round calcific densities in the bilateral lobes represent sequelae from granulomatous disease. bones: Mild degenerative changes of the thoracic spine. support_devices: Tubular densities overlying the heart are coronary artery stents.


Cardiomegaly with unfolded aorta. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax.

heart_mediastinum: Cardiomegaly with unfolded aorta.


The cardiac silhouette is at the upper limits of normal for size. There are low lung volumes with bronchovascular crowding. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative endplate changes of the thoracic spine.

lungs_pleura: There are low lung volumes with bronchovascular crowding. heart_mediastinum: The cardiac silhouette is at the upper limits of normal for size. bones: Minimal degenerative endplate changes of the thoracic spine.


KUB. Centered over the mid abdomen there are multiple air-filled dilated loops of small bowel measuring the XXXX of which measure up to about 3.7 cm in diameter. There is also an extremely dilated XXXX in the same region which measures 5.9 cm in diameter. There is extensive soft tissue pannus. Prior abdominal surgery. Chest. There is XXXX left basilar opacity. No visualized pneumothorax. The heart size is normal. There is mild elevation of the left hemidiaphragm. There are no large pleural effusions. There is thickening of the fissure.

lungs_pleura: Left basilar opacity. Mild elevation of the left hemidiaphragm. Thickening of the fissure. others: Centered over the mid abdomen there are multiple air-filled dilated loops of small bowel measuring the XXXX of which measure up to about 3.7 cm in diameter. There is also an extremely dilated XXXX in the same region which measures 5.9 cm in diameter. There is extensive soft tissue pannus. Abdominal surgery.


Three noncalcified lung nodules are present in the left lower lobe. The largest measures 3.5 mm in diameter. Another nodule is present near the right hilum. It is approximately 2 cm in diameter. The XXXX and mediastinum appear normal. Heart size normal.

lungs_pleura: Three noncalcified lung nodules are present in the left lower lobe. The largest measures 3.5 mm in diameter. Another nodule is present near the right hilum. It is approximately 2 cm in diameter.


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


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


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

lungs_pleura: Calcified granulomas. bones: There are endplate changes in the spine.


Cardiomediastinal silhouettes are within normal limits. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Grossly unchanged appearance of calcified hilar lymph XXXX and scattered calcified granulomas. Stable degenerative changes in the spine.

lungs_pleura: Calcified hilar lymph nodes. Scattered calcified granulomas. bones: Degenerative changes in the spine.


The cardiac silhouette and pulmonary vascularity are normal. The lungs are clear. There is no evidence of pleural effusion. Postoperative changes are noted in the mediastinum and lower cervical spine.

bones: Postoperative changes are noted in the lower cervical spine. others: Postoperative changes are noted in the mediastinum.


There is persistent mild elevation right hemidiaphragm. There is suggestion of subtle patchy opacities in lower lung XXXX bilaterally. This is XXXX to be similar to XXXX scan. The heart is normal. The aorta is calcified and tortuous. The skeletal structures show scoliosis and arthritic changes.

lungs_pleura: Mild elevation right hemidiaphragm. heart_mediastinum: The aorta is calcified and tortuous. bones: The skeletal structures show scoliosis and arthritic changes.

Diaphragm;Opacity;Calcinosis;Aorta;Scoliosis;Arthritis;Pulmonary Disease, Chronic Obstructive


This study is limited secondary to patient body habitus. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.


There is obscuration of the left hemidiaphragm, suggesting left retrocardiac airspace disease. This is not identified in the lateral view, which is limited by rotation. No evidence for effusion.

lungs_pleura: There is obscuration of the left hemidiaphragm, suggesting left retrocardiac airspace disease.

Diaphragm;Technical Quality of Image Unsatisfactory ;Airspace Disease


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


Stable enlargement of the cardiac silhouette, stable mediastinal contours. Increased interstitial markings in the central lungs and bases, right greater than left. XXXX opacity on the lateral view over the heart also present on the previous exam suggesting chronic subsegmental atelectasis or scarring. No definite pleural effusion seen.

lungs_pleura: Increased interstitial markings in the central lungs and bases, right greater than left. Opacity on the lateral view over the heart suggesting chronic subsegmental atelectasis or scarring. heart_mediastinum: Enlargement of the cardiac silhouette.


The heart is normal in size and contour. There is a calcified granuloma in the right lower lung. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Osteopenia with mild degenerative changes of the thoracic spine is noted.

lungs_pleura: There is a calcified granuloma in the right lower lung. bones: Osteopenia with mild degenerative changes of the thoracic spine is noted.

Calcified Granuloma;Bone Diseases, Metabolic;Thoracic Vertebrae


There are postsurgical and postradiation changes of the left lung with a spiculated, hyperdense scar in the left upper thorax. There is a loss of lung volume on the left due to postsurgical change. XXXX deviation towards the left. Right lung is hyperexpanded. The right lung is clear. Heart size and vascularity within normal limits.

lungs_pleura: There are postsurgical and postradiation changes of the left lung with a spiculated, hyperdense scar in the left upper thorax. There is a loss of lung volume on the left due to postsurgical change. Right lung is hyperexpanded. heart_mediastinum: XXXX deviation towards the left.


The left lung is grossly clear. The right lung demonstrates a large right pleural effusion with associated atelectatic collapse of the right middle lobe and partial collapse of the right lower lobe. XXXX opacities are seen within the aerated right lung, XXXX subsegmental atelectasis. No focal consolidation or pneumothorax identified. No acute osseous abnormality. Cardio mediastinal silhouette is stable compared to prior examinations.

lungs_pleura: The right lung demonstrates a large right pleural effusion with associated atelectatic collapse of the right middle lobe and partial collapse of the right lower lobe. Opacities are seen within the aerated right lung, subsegmental atelectasis.

Pleural Effusion;Pulmonary Atelectasis;Pulmonary Atelectasis;Opacity


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


Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. Mild bronchovascular crowding without typical findings of pulmonary edema. Distal clavicle shortening also present on the previous exam, possibly posttraumatic or postsurgical.

lungs_pleura: Mild bronchovascular crowding. heart_mediastinum: Aortic ectasia/tortuosity.


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


No pleural effusion, pneumothorax or focal airspace opacities. Cardiomediastinal silhouette is within normal limits. The trachea is midline. No free subdiaphragmatic air. The included osseous structures are grossly intact.


Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. Aortic vascular calcifications. Normal pulmonary vascularity. Fracture-dislocation of the right shoulder. Bone demineralization. Scoliosis which is possibly positional.

heart_mediastinum: Aortic vascular calcifications. bones: Fracture-dislocation of the right shoulder. Bone demineralization.

Calcinosis;Fractures, Bone;Dislocations;Bone Diseases, Metabolic;Scoliosis


Stable normal cardiac size and contour with unremarkable mediastinal silhouette. Normal pulmonary XXXX. No active airspace disease/infiltrate. No pleural effusion or pneumothorax. Calcified granuloma right upper lobe.

lungs_pleura: Calcified granuloma right upper lobe.


Calcified granulomas are noted within the lung bases and stable compared with prior study. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. There is no focal opacity. No large pleural effusion. XXXX is minimal retrolisthesis of two lower thoracic vertebral bodies.

lungs_pleura: Calcified granulomas are noted within the lung bases. bones: Minimal retrolisthesis of two lower thoracic vertebral bodies.


The lungs are mildly hyperexpanded. There is no focal airspace consolidation to suggest pneumonia. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.

lungs_pleura: The lungs are mildly hyperexpanded.


Central venous catheter tip in the right atrium. Heart size and shape are normal. Trachea and XXXX bronchi appear normal. The lungs are reasonably well expanded. There XXXX and patchy nodular densities in both lower lung XXXX more marked on the right than the left. There is scattered areas of bronchial wall thickening, well-seen in the left upper lobe. There is loss of definition of part of the left heart XXXX. No effusions no pneumothorax.

lungs_pleura: Patchy nodular densities in both lower lung fields more marked on the right than the left. Scattered areas of bronchial wall thickening, well-seen in the left upper lobe. heart_mediastinum: There is loss of definition of part of the left heart border. support_devices: Central venous catheter tip in the right atrium.


Stable scarring near the right lung apex along the lateral aspect. Lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

lungs_pleura: Scarring near the right lung apex along the lateral aspect. bones: Degenerative changes in the spine.


There is chronic asymmetric elevation of the right hemidiaphragm. Compared with the prior study, there is mildly increased streaky airspace disease in the right lung base. Hilar prominence appears stable. There is no pneumothorax or large pleural effusion. Heart size is stable and grossly normal. There no acute bony findings.

lungs_pleura: Chronic asymmetric elevation of the right hemidiaphragm. Streaky airspace disease in the right lung base. heart_mediastinum: Hilar prominence.


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


The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. There is mild scoliosis of the spine.

bones: There is mild scoliosis of the spine.


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


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


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


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is bilateral basilar XXXX opacity compatible with atelectasis. There are somewhat low lung volumes. There is a calcified right hilar lymph node.

lungs_pleura: Bilateral basilar opacity compatible with atelectasis. Somewhat low lung volumes. heart_mediastinum: Calcified right hilar lymph node.


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


Heart size within normal limits. Prominent right perihilar density consistent with lymphadenopathy, previously partially demonstrated XXXX abdomen and pelvis XXXX, XXXX. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. TIPS noted.

heart_mediastinum: Prominent right perihilar density consistent with lymphadenopathy. support_devices: TIPS noted.