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

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

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


raw_findings: 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.

clean_findings: 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.

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


raw_findings: There is redemonstration of an AICD in the left chest wall with intact stable XXXX placement. There are multiple intact XXXX sternotomy XXXX. There is persistent enlargement of cardiac silhouette. Mediastinal silhouette appears unremarkable. There is elevation of the left hemidiaphragm. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. Redemonstration of degenerative change in the thoracic spine.

clean_findings: lungs_pleura: There is elevation of the left hemidiaphragm. heart_mediastinum: Enlargement of cardiac silhouette. bones: Degenerative change in the thoracic spine. support_devices: There is an AICD in the left chest wall with intact placement. There are multiple intact sternotomy.

problems: Implanted Medical Device;Cardiac Shadow;Diaphragm;Thoracic Vertebrae;Cardiomegaly


raw_findings: Stable right chest wall pacemaker with leads overlie the right atrium and right ventricle. Stable cardiomegaly. Calcified thoracic aorta is unchanged. Stable mild interstitial opacities. Unchanged dense retrocardiac opacities. No pneumothorax or large effusion.

clean_findings: lungs_pleura: Mild interstitial opacities. Dense retrocardiac opacities. heart_mediastinum:  Calcified thoracic aorta. support_devices: Right chest wall pacemaker with leads overlie the right atrium and right ventricle.


raw_findings: There is stable prominence of the pulmonary interstitium. XXXX and fluid containing density seen adjacent to the heart is stable, most consistent with a moderate sized hiatal hernia. There is stable tortuosity and/or ectasia of the thoracic aorta, with calcification of the aortic XXXX. No pleural effusion, focal airspace disease or pneumothorax. Stable exaggerated kyphosis of the thoracic spine, stable anterior wedge deformities of at XXXX 2 thoracic vertebral bodies at the apex of the kyphotic curvature. Diffuse osteopenia.

clean_findings: lungs_pleura: Prominence of the pulmonary interstitium. heart_mediastinum: Tortuosity and/or ectasia of the thoracic aorta, with calcification of the aortic arch. bones: Exaggerated kyphosis of the thoracic spine. Anterior wedge deformities of at least 2 thoracic vertebral bodies at the apex of the kyphotic curvature. Diffuse osteopenia.

problems: Lung;Density;Hernia, Hiatal;Aorta, Thoracic;Calcinosis;Kyphosis;Deformity;Bone Diseases, Metabolic


raw_findings: The opacity at the left lung base appears stable from prior exam. There is elevation of the left hemidiaphragm is stable. The cardiomediastinal silhouette is enlarged but unchanged. XXXX sternotomy XXXX are again noted. There is a large amount of XXXX distending the stomach, which incidentally was also seen on prior exam of 3 years ago. There is no pneumothorax.

clean_findings: lungs_pleura: The opacity at the left lung base. Elevation of the left hemidiaphragm. heart_mediastinum: The cardiomediastinal silhouette is enlarged. support_devices:  others: There is a large amount of distending the stomach.


raw_findings: 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.

clean_findings: 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.

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


raw_findings: The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax.

clean_findings: No acute cardiopulmonary abnormality.

problems: normal


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

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

problems: Cardiomegaly;Pulmonary Artery


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

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